| Primary Care Physicians Of Texas, Pa | |
|
1005 W Ralph Hall Pkwy Ste 137 Rockwall TX 75032-6691 | |
| (972) 463-2001 | |
| (972) 463-2003 |
| Full Name | Primary Care Physicians Of Texas, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1005 W Ralph Hall Pkwy Ste 137, Rockwall, Texas |
| Authorized Official Name and Position | John Curanovic Curanovic (PRESIDENT) |
| Authorized Official Contact | 9724632001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Physicians Of Texas, Pa 1005 W Ralph Hall Pkwy Ste 137 Rockwall TX 75032-6691 Ph: (972) 463-2001 | Primary Care Physicians Of Texas, Pa 1005 W Ralph Hall Pkwy Ste 137 Rockwall TX 75032-6691 Ph: (972) 463-2001 |
| NPI Number | 1154521227 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 04/22/2024 |
| Medicare PECOS PAC ID | 2062402837 |
|---|---|
| Medicare Enrollment ID | O20040513001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154521227 | NPI | - | NPPES |
| 166996201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John Curanovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184626392 PECOS PAC ID: 4486644259 Enrollment ID: I20100813000727 |
| Provider Name | Ginaida Cirilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952539678 PECOS PAC ID: 1456503606 Enrollment ID: I20130912000379 |
| Provider Name | Devin L Dickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932543220 PECOS PAC ID: 1153647680 Enrollment ID: I20161022000065 |
| Provider Name | Karen Shahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689118143 PECOS PAC ID: 9335424589 Enrollment ID: I20210823002079 |
| Provider Name | Vitalina Adamchevska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083190789 PECOS PAC ID: 4082964440 Enrollment ID: I20220525001060 |
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