Rehoboth Medical Services Pllc | |
632 Mustang Ridge Dr Murphy TX 75094-4208 | |
(972) 384-0273 | |
(972) 384-0273 |
Full Name | Rehoboth Medical Services Pllc |
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Speciality | Internal Medicine |
Location | 632 Mustang Ridge Dr, Murphy, Texas |
Authorized Official Name and Position | Aderemi Adewuyi (CHIEF MEDICAL DIRECTOR) |
Authorized Official Contact | 9723840273 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rehoboth Medical Services Pllc 632 Mustang Ridge Dr Murphy TX 75094-4208 Ph: (972) 384-0273 | Rehoboth Medical Services Pllc 632 Mustang Ridge Dr Murphy TX 75094-4208 Ph: (972) 384-0273 |
NPI Number | 1639276272 |
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Provider Enumeration Date | 09/17/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7012015415 |
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Medicare Enrollment ID | O20070608000197 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639276272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Aderemi Wahid Adewuyi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760589303 PECOS PAC ID: 1557343217 Enrollment ID: I20050623000939 |
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