| Salveo Family Clinic | |
|
614 S. Watters Rd. Suite 101 Allen TX 75013-4732 | |
| (214) 509-3623 | |
| (214) 509-3620 |
| Full Name | Salveo Family Clinic |
|---|---|
| Speciality | General Practice |
| Location | 614 S. Watters Rd., Allen, Texas |
| Authorized Official Name and Position | Jacqueline Nga Le (PRESIDENT OWNER) |
| Authorized Official Contact | 2145093623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salveo Family Clinic 614 S. Watters Rd. Suite 101 Allen TX 75013-4732 Ph: (214) 509-3623 | Salveo Family Clinic 614 S. Watters Rd. Suite 101 Allen TX 75013-4732 Ph: (214) 509-3623 |
| NPI Number | 1609814037 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 02/08/2010 |
| Medicare PECOS PAC ID | 1456307602 |
|---|---|
| Medicare Enrollment ID | O20050330000832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609814037 | NPI | - | NPPES |
| 175303001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | L5017 (Texas) | Primary |
| Provider Name | Jacqueline Nga Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659311561 PECOS PAC ID: 5991751141 Enrollment ID: I20050330000840 |
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