| Salcedo Transitions Mht Llc | |
|
1575 Heritage Dr Ste 200 Mckinney TX 75069-3288 | |
| (469) 307-5822 | |
| Not Available |
| Full Name | Salcedo Transitions Mht Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1575 Heritage Dr Ste 200, Mckinney, Texas |
| Authorized Official Name and Position | Anthony Pimckney (VP OF PAYER RELATIONS) |
| Authorized Official Contact | 4693075822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salcedo Transitions Mht Llc 1575 Heritage Dr Ste 200 Mckinney TX 75069-3288 Ph: (469) 307-5822 | Salcedo Transitions Mht Llc 1575 Heritage Dr Ste 200 Mckinney TX 75069-3288 Ph: (469) 307-5822 |
| NPI Number | 1760837389 |
|---|---|
| Provider Enumeration Date | 05/02/2016 |
| Last Update Date | 05/12/2016 |
| Medicare PECOS PAC ID | 4981993052 |
|---|---|
| Medicare Enrollment ID | O20160512000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760837389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vanessa Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861797573 PECOS PAC ID: 4486802071 Enrollment ID: I20120925000184 |
| Provider Name | Veronica Grajeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477856227 PECOS PAC ID: 0941444947 Enrollment ID: I20130912000642 |
| Provider Name | Veronica Zavala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316375918 PECOS PAC ID: 0143446906 Enrollment ID: I20140731000626 |
| Provider Name | Delilah Marie Franco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336560820 PECOS PAC ID: 7719202530 Enrollment ID: I20150218001687 |
| Provider Name | Victor M Salcedo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952698862 PECOS PAC ID: 6800114349 Enrollment ID: I20150414001733 |
| Provider Name | Ricardo Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427436849 PECOS PAC ID: 2769783661 Enrollment ID: I20151218000520 |
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