| Quality Care Health Clinics Of North Texas Pllc | |
|
333 N Shiloh Rd Garland TX 75042-6680 | |
| (214) 454-3637 | |
| Not Available |
| Full Name | Quality Care Health Clinics Of North Texas Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 N Shiloh Rd, Garland, Texas |
| Authorized Official Name and Position | Tochi Osuji (MANAGER) |
| Authorized Official Contact | 2144543637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Care Health Clinics Of North Texas Pllc 465 Wales Ct Coppell TX 75019-5140 Ph: (214) 454-3637 | Quality Care Health Clinics Of North Texas Pllc 333 N Shiloh Rd Garland TX 75042-6680 Ph: (214) 454-3637 |
| NPI Number | 1972052413 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 06/25/2021 |
| Medicare PECOS PAC ID | 2961804208 |
|---|---|
| Medicare Enrollment ID | O20210709000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972052413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K6669 (Texas) | Primary |
| Provider Name | Ikechukwu A Osuji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467409078 PECOS PAC ID: 5294634952 Enrollment ID: I20040102000237 |
| Provider Name | Adetomiwa I Ogundere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003227745 PECOS PAC ID: 1254628647 Enrollment ID: I20181005000952 |
| Provider Name | Obioma Anyogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104454602 PECOS PAC ID: 1355748112 Enrollment ID: I20210921001401 |
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