| Vintage Family Medicine And Pediatrics | |
|
860 Hebron Pkwy Ste 201 Lewisville TX 75057-5143 | |
| (972) 296-7200 | |
| (214) 730-4281 |
| Full Name | Vintage Family Medicine And Pediatrics |
|---|---|
| Speciality | Family Medicine |
| Location | 860 Hebron Pkwy Ste 201, Lewisville, Texas |
| Authorized Official Name and Position | Margaret Martinez (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4692062630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vintage Family Medicine And Pediatrics 860 Hebron Pkwy Ste 201 Lewisville TX 75057-5143 Ph: (972) 296-7200 | Vintage Family Medicine And Pediatrics 860 Hebron Pkwy Ste 201 Lewisville TX 75057-5143 Ph: (972) 296-7200 |
| NPI Number | 1154945384 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 04/07/2021 |
| Medicare PECOS PAC ID | 9335554229 |
|---|---|
| Medicare Enrollment ID | O20210301000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154945384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dennis O Ochei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083736326 PECOS PAC ID: 0648169623 Enrollment ID: I20040315001420 |
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