| Pro Healthcare Llc | |
|
1420 Valwood Pkwy Suite No. 20-170a Carrollton TX 75006-8312 | |
| (972) 584-7616 | |
| (214) 853-5364 |
| Full Name | Pro Healthcare Llc |
|---|---|
| Speciality | Clinical Nurse Specialist |
| Location | 1420 Valwood Pkwy, Carrollton, Texas |
| Authorized Official Name and Position | Furqan Khan (ADULT CLINICAL NURSE SPECIALIST) |
| Authorized Official Contact | 9725847616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Healthcare Llc 820 S Macarthur Blvd Suite#105-281 Coppell TX 75019-4216 Ph: (972) 584-7616 | Pro Healthcare Llc 1420 Valwood Pkwy Suite No. 20-170a Carrollton TX 75006-8312 Ph: (972) 584-7616 |
| NPI Number | 1225479959 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 04/23/2015 |
| Medicare PECOS PAC ID | 3072740497 |
|---|---|
| Medicare Enrollment ID | O20131210001881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225479959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P1483 (Texas) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 696580 (Texas) | Primary |
| Provider Name | Muhammad A Sattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760465553 PECOS PAC ID: 8022031715 Enrollment ID: I20060109000636 |
| Provider Name | Tayyab H Malik |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073535092 PECOS PAC ID: 8426054511 Enrollment ID: I20120816000605 |
| Provider Name | Ket Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588911705 PECOS PAC ID: 4789833609 Enrollment ID: I20121009000153 |
| Provider Name | Ali A Pitafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023115615 PECOS PAC ID: 8921250044 Enrollment ID: I20121218000136 |
| Provider Name | Furqan Khan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184065807 PECOS PAC ID: 5890922215 Enrollment ID: I20140130000773 |
| Provider Name | Martha Jeanne Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164942082 PECOS PAC ID: 4789959123 Enrollment ID: I20171010003670 |
| Provider Name | Domitilla Akuforo Iwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164527008 PECOS PAC ID: 2466543111 Enrollment ID: I20200818001143 |
| Provider Name | Kimberley K Mullens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407467624 PECOS PAC ID: 7719304302 Enrollment ID: I20200827001561 |
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