| Stevens Park Clinic Medical Group | |
|
2100 W Colorado Blvd Dallas TX 75211-1900 | |
| (214) 943-4631 | |
| (214) 946-5334 |
| Full Name | Stevens Park Clinic Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2100 W Colorado Blvd, Dallas, Texas |
| Authorized Official Name and Position | Kevin M Bryant (OWNER) |
| Authorized Official Contact | 2149434631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stevens Park Clinic Medical Group 2100 W Colorado Blvd Dallas TX 75211-1900 Ph: (214) 943-4631 | Stevens Park Clinic Medical Group 2100 W Colorado Blvd Dallas TX 75211-1900 Ph: (214) 943-4631 |
| NPI Number | 1326240839 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 03/02/2015 |
| Medicare PECOS PAC ID | 1052396744 |
|---|---|
| Medicare Enrollment ID | O20040618000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326240839 | NPI | - | NPPES |
| 144698103 | Medicaid | TX | |
| 00500R | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K2425 (Texas) | Primary |
| Provider Name | Kevin M Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790871127 PECOS PAC ID: 0648255331 Enrollment ID: I20150309000599 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |