| Rafael Canadas Md Pa | |
|
12201 Merit Dr Suite 180 Dallas TX 75251-2213 | |
| (972) 385-9700 | |
| Not Available |
| Full Name | Rafael Canadas Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12201 Merit Dr, Dallas, Texas |
| Authorized Official Name and Position | Rafael Canadas (OWNER) |
| Authorized Official Contact | 9723859700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Canadas Md Pa 12201 Merit Dr Suite 180 Dallas TX 75251-2213 Ph: (972) 385-9700 | Rafael Canadas Md Pa 12201 Merit Dr Suite 180 Dallas TX 75251-2213 Ph: (972) 385-9700 |
| NPI Number | 1649481425 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 04/15/2014 |
| Medicare PECOS PAC ID | 0941391981 |
|---|---|
| Medicare Enrollment ID | O20070806000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649481425 | NPI | - | NPPES |
| 031331401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K1382 (Texas) | Primary |
| Provider Name | Rafael Canadas Zizzias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801897616 PECOS PAC ID: 5294826236 Enrollment ID: I20070806000784 |
| Provider Name | Jordan Ashley Essenburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164180477 PECOS PAC ID: 3173917325 Enrollment ID: I20220303001845 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
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Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
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