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2840 Keller Springs Road Suite 601 Carrollton TX 75006 | |
(214) 631-7827 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2840 Keller Springs Road, Carrollton, Texas |
Authorized Official Name and Position | Uzoamaka Onyedebelu (PRESIDENT) |
Authorized Official Contact | 2149018992 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2840 Keller Springs Rd Ste 601 Carrollton TX 75006-4873 Ph: (214) 901-8992 | 2840 Keller Springs Road Suite 601 Carrollton TX 75006 Ph: (214) 631-7827 |
NPI Number | 1851892475 |
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Provider Enumeration Date | 02/28/2018 |
Last Update Date | 04/04/2018 |
Medicare PECOS PAC ID | 7810239282 |
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Medicare Enrollment ID | O20190506000200 |
Identifier | Type | State | Issuer |
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1851892475 | NPI | - | NPPES |
Provider Name | Uzoamaka Phyllis Onyedebelu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790200608 PECOS PAC ID: 2365571577 Enrollment ID: I20180509001101 |
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