| |
3648 Old Denton Rd Ste 110 Carrollton TX 75007-7980 | |
(214) 387-1888 | |
(214) 387-1889 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 3648 Old Denton Rd Ste 110, Carrollton, Texas |
Authorized Official Name and Position | Sheeba Mathai (DIRECTOR) |
Authorized Official Contact | 9723135017 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
3648 Old Denton Rd Ste 110 Carrollton TX 75007-7980 Ph: (214) 387-1888 | 3648 Old Denton Rd Ste 110 Carrollton TX 75007-7980 Ph: (214) 387-1888 |
NPI Number | 1316632540 |
---|---|
Provider Enumeration Date | 04/05/2023 |
Last Update Date | 01/09/2025 |
Medicare PECOS PAC ID | 5799150157 |
---|---|
Medicare Enrollment ID | O20230710000979 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316632540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Sheeba R Mathai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477988475 PECOS PAC ID: 7618103458 Enrollment ID: I20131126001018 |
Mysti Blu Management Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2459 E Hebron Pkwy Ste 130, Carrollton, TX 75010 Phone: 972-522-9799 Fax: 469-546-9723 | |
Kuraoka Clinic Texas, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3012 E Hebron Pkwy Ste 104, Carrollton, TX 75010 Phone: 972-306-0808 | |
Mahmood B. Panjwani M.d, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3740 N Josey Ln, Suite 206, Carrollton, TX 75007 Phone: 214-731-0031 Fax: 214-731-0065 | |
Restor Neural Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 E Trinity Mills Rd Ste 300, Carrollton, TX 75006 Phone: 214-709-1280 |