Stellar Primary Care Pllc | |
8303 N Stemmons Fwy Ste 100 Dallas TX 75247-4107 | |
(214) 480-4155 | |
(972) 634-4816 |
Full Name | Stellar Primary Care Pllc |
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Speciality | Family Medicine |
Location | 8303 N Stemmons Fwy Ste 100, Dallas, Texas |
Authorized Official Name and Position | James Lugo Rodriguez (MD/ PRIMARY CARE PHYSICIAN) |
Authorized Official Contact | 2144804155 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stellar Primary Care Pllc 8303 N Stemmons Fwy Ste 100 Dallas TX 75247-4107 Ph: (214) 480-4155 | Stellar Primary Care Pllc 8303 N Stemmons Fwy Ste 100 Dallas TX 75247-4107 Ph: (214) 480-4155 |
NPI Number | 1023869583 |
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Provider Enumeration Date | 04/01/2024 |
Last Update Date | 04/01/2024 |
Medicare PECOS PAC ID | 3476994476 |
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Medicare Enrollment ID | O20240508001772 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023869583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James Lugo Rodriguez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043706682 PECOS PAC ID: 3678987963 Enrollment ID: I20210127003527 |
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