| Vip Healthcare, Pllc | |
|
601 S Clay St Ennis TX 75119-5771 | |
| (972) 875-8776 | |
| Not Available |
| Full Name | Vip Healthcare, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 S Clay St, Ennis, Texas |
| Authorized Official Name and Position | Keith Douglas Rigsby (PRESIDENT) |
| Authorized Official Contact | 9728756600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Healthcare, Pllc 601 S Clay St Ste 104 Ennis TX 75119-5771 Ph: (972) 875-6600 | Vip Healthcare, Pllc 601 S Clay St Ennis TX 75119-5771 Ph: (972) 875-8776 |
| NPI Number | 1346643566 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 08/14/2024 |
| Medicare PECOS PAC ID | 3678896461 |
|---|---|
| Medicare Enrollment ID | O20141231001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346643566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ingrid C Hinojosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851399240 PECOS PAC ID: 8325021934 Enrollment ID: I20040612000188 |
| Provider Name | Keith D Rigsby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952359622 PECOS PAC ID: 1850303249 Enrollment ID: I20060629000379 |
| Provider Name | Kimberly D Hortman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275846842 PECOS PAC ID: 5597944033 Enrollment ID: I20110128000989 |
| Provider Name | Benson Ongaya Shitote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740688530 PECOS PAC ID: 7315262953 Enrollment ID: I20150203000207 |
| Provider Name | Odochi P Onungwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811373673 PECOS PAC ID: 4183790678 Enrollment ID: I20151125000322 |
| Provider Name | Sheletha Bratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649642497 PECOS PAC ID: 0941503908 Enrollment ID: I20160125002668 |
| Provider Name | Oluchi Ozumba |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659412591 PECOS PAC ID: 7719021187 Enrollment ID: I20160531001009 |
| Provider Name | Jareka Lynne Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306300090 PECOS PAC ID: 7719228428 Enrollment ID: I20190408000007 |
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Davey M Perrin M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 S Clay St Ste A, Ennis, TX 75119 Phone: 903-229-4292 Fax: 903-229-4288 | |
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