| Regenerative Medicine Of Texas, Pllc | |
|
1420 N Galloway Ave Mesquite TX 75149-2326 | |
| (972) 285-6703 | |
| Not Available |
| Full Name | Regenerative Medicine Of Texas, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1420 N Galloway Ave, Mesquite, Texas |
| Authorized Official Name and Position | Timothy Lehmann (MAIN PROVIDER) |
| Authorized Official Contact | 9722856703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenerative Medicine Of Texas, Pllc 1420 N Galloway Ave Ste B Mesquite TX 75149-2326 Ph: (972) 285-6703 | Regenerative Medicine Of Texas, Pllc 1420 N Galloway Ave Mesquite TX 75149-2326 Ph: (972) 285-6703 |
| NPI Number | 1891264248 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 09/29/2024 |
| Medicare PECOS PAC ID | 1254660434 |
|---|---|
| Medicare Enrollment ID | O20190913000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891264248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Timothy D Lehmann |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891867081 PECOS PAC ID: 2163403155 Enrollment ID: I20110223001259 |
| Provider Name | Susana Mendez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639502347 PECOS PAC ID: 6901199827 Enrollment ID: I20160728002559 |
| Provider Name | Michael Zann Mcmahan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710064209 PECOS PAC ID: 4789786583 Enrollment ID: I20201013001542 |
| Provider Name | Kori D Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356912422 PECOS PAC ID: 6608279187 Enrollment ID: I20210721001284 |
| Provider Name | Andrew Robert Cobb |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689345290 PECOS PAC ID: 0042606915 Enrollment ID: I20220818001236 |
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