| Texas Primary And Pediatric Care Pllc | |
|
7429 Las Colinas Blvd Ste 101 Irving TX 75063-7573 | |
| (469) 442-0202 | |
| Not Available |
| Full Name | Texas Primary And Pediatric Care Pllc |
|---|---|
| Speciality | Pediatrics |
| Location | 7429 Las Colinas Blvd Ste 101, Irving, Texas |
| Authorized Official Name and Position | Amit Bajaj (MANAGING PARTNER) |
| Authorized Official Contact | 4694420202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Primary And Pediatric Care Pllc 7429 Las Colinas Blvd Ste 101 Irving TX 75063-7573 Ph: (469) 442-0202 | Texas Primary And Pediatric Care Pllc 7429 Las Colinas Blvd Ste 101 Irving TX 75063-7573 Ph: (469) 442-0202 |
| NPI Number | 1649892498 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 06/01/2020 |
| Medicare PECOS PAC ID | 8527480920 |
|---|---|
| Medicare Enrollment ID | O20200611002123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649892498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Bishwas Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720394992 PECOS PAC ID: 1850528720 Enrollment ID: I20191024003439 |
| Provider Name | Amit Bajaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639308257 PECOS PAC ID: 4183846090 Enrollment ID: I20191219000858 |
| Provider Name | Barsha Sharma-arjel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528723293 PECOS PAC ID: 8628468725 Enrollment ID: I20211203001887 |
| Provider Name | Aaisha Kandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215799960 PECOS PAC ID: 6103368741 Enrollment ID: I20240611000834 |
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