Venus Breast Center Pllc | |
630 E State Highway 114 Southlake TX 76092-4410 | |
(248) 760-3339 | |
Not Available |
Full Name | Venus Breast Center Pllc |
---|---|
Speciality | Clinic/Center |
Location | 630 E State Highway 114, Southlake, Texas |
Authorized Official Name and Position | Miral Amin (DIRECTOR) |
Authorized Official Contact | 2487603339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Venus Breast Center Pllc 200 N Kimball Ave, Suite 221 #1135 Southlake TX 76092 Ph: (248) 760-3339 | Venus Breast Center Pllc 630 E State Highway 114 Southlake TX 76092-4410 Ph: (248) 760-3339 |
NPI Number | 1710745559 |
---|---|
Provider Enumeration Date | 03/07/2024 |
Last Update Date | 03/17/2024 |
Medicare PECOS PAC ID | 7012457609 |
---|---|
Medicare Enrollment ID | O20240910002509 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710745559 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Miral Amin |
---|---|
Provider Type | Practitioner - Surgical Oncology |
Provider Identifiers | NPI Number: 1699943720 PECOS PAC ID: 8426173766 Enrollment ID: I20220817000041 |
Mediclink Management Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-506-4132 | |
Health Matters Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 River Oaks Drive, #100, Southlake, TX 76092 Phone: 505-220-6814 | |
Southlake Hospitalists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1321 Bay Meadows Dr, Southlake, TX 76092 Phone: 817-521-4747 Fax: 214-279-9273 | |
Global Anesthesia Specialists, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 E State Highway 114, Southlake, TX 76092 Phone: 214-450-9926 | |
Modern Medical House Calls Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 855 Davis Blvd Ste 500, Southlake, TX 76092 Phone: 817-912-1771 Fax: 940-241-6156 | |