| Tpg Texas Pllc | |
|
2109 Morgan Dr Flower Mound TX 75028-8359 | |
| (877) 399-3371 | |
| Not Available |
| Full Name | Tpg Texas Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2109 Morgan Dr, Flower Mound, Texas |
| Authorized Official Name and Position | Harvey Castro (MEMBER) |
| Authorized Official Contact | 4695168039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tpg Texas Pllc Po Box 95970 South Jordan UT 84095-0970 Ph: () - | Tpg Texas Pllc 2109 Morgan Dr Flower Mound TX 75028-8359 Ph: (877) 399-3371 |
| NPI Number | 1851035216 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 3870966930 |
|---|---|
| Medicare Enrollment ID | O20230310001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851035216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Harvey Castro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164474789 PECOS PAC ID: 1456363357 Enrollment ID: I20061003000508 |
| Provider Name | Camille J Saenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376954677 PECOS PAC ID: 8527285667 Enrollment ID: I20140813000667 |
| Provider Name | Hannah O Ogunyomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689109043 PECOS PAC ID: 4385921121 Enrollment ID: I20190204002291 |
| Provider Name | Camille Antwanette Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528450418 PECOS PAC ID: 9335570894 Enrollment ID: I20201124001745 |
| Provider Name | Sowdhamani Bellapu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780944272 PECOS PAC ID: 5890080089 Enrollment ID: I20210802002891 |
| Provider Name | Olivia C Calzada Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053890525 PECOS PAC ID: 9335492651 Enrollment ID: I20220321001827 |
| Provider Name | Adenike Oyinade Adeyemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356917876 PECOS PAC ID: 2860858792 Enrollment ID: I20230519000941 |
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