| Texas Physicians Primary Care, Pllc | |
|
502 W Kearney St Ste 700 Mesquite TX 75149-3455 | |
| (972) 288-7337 | |
| (972) 289-9076 |
| Full Name | Texas Physicians Primary Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 502 W Kearney St Ste 700, Mesquite, Texas |
| Authorized Official Name and Position | Syed M. Naveed (MANAGING MEMBER) |
| Authorized Official Contact | 6307765027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Physicians Primary Care, Pllc 519 E. I30, Pmb 618 Rockwall TX 75087-4402 Ph: (972) 551-9113 | Texas Physicians Primary Care, Pllc 502 W Kearney St Ste 700 Mesquite TX 75149-3455 Ph: (972) 288-7337 |
| NPI Number | 1962800284 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 09/21/2022 |
| Medicare PECOS PAC ID | 0446565295 |
|---|---|
| Medicare Enrollment ID | O20150824000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962800284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E7114 (Texas) | Primary |
| 208000000X | Pediatrics | E7114 (Texas) | Secondary |
| Provider Name | Mark A Heaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295700227 PECOS PAC ID: 7911934773 Enrollment ID: I20050722000662 |
| Provider Name | Nicklett R Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356484596 PECOS PAC ID: 2365548104 Enrollment ID: I20070510000501 |
| Provider Name | Mario G Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669591871 PECOS PAC ID: 5496840530 Enrollment ID: I20140303000508 |
| Provider Name | Deepa A Mohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336537083 PECOS PAC ID: 7416263116 Enrollment ID: I20150826000184 |
| Provider Name | Lara C Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447268750 PECOS PAC ID: 8224344577 Enrollment ID: I20150901001012 |
| Provider Name | Shamika S Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639564172 PECOS PAC ID: 8224345079 Enrollment ID: I20150911000625 |
| Provider Name | Jose Vallejos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427239409 PECOS PAC ID: 3870892755 Enrollment ID: I20160427001119 |
| Provider Name | Anolynn G Loudermilk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306391297 PECOS PAC ID: 1355625708 Enrollment ID: I20170302000265 |
| Provider Name | Sheena Prejith Nair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730652538 PECOS PAC ID: 1658722699 Enrollment ID: I20240104000172 |
| Provider Name | Shaista Manzoor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184321747 PECOS PAC ID: 6406207935 Enrollment ID: I20240109004711 |
| Provider Name | Brittany Dawn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881374635 PECOS PAC ID: 5799136073 Enrollment ID: I20240111000903 |
| Provider Name | Shoro Kundu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609538743 PECOS PAC ID: 2365893666 Enrollment ID: I20240111001616 |
| Provider Name | Dominique Cormier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033990692 PECOS PAC ID: 8921479650 Enrollment ID: I20240202000474 |
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