Vital Physician House Calls Llc | |
275 W Campbell Rd Ste 325e Richardson TX 75080-3601 | |
(972) 666-0786 | |
(972) 666-0535 |
Full Name | Vital Physician House Calls Llc |
---|---|
Speciality | Family Medicine |
Location | 275 W Campbell Rd Ste 325e, Richardson, Texas |
Authorized Official Name and Position | Mansoor Kazi (DIRECTOR) |
Authorized Official Contact | 9729000207 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vital Physician House Calls Llc 275 W Campbell Rd Ste 325e Richardson TX 75080-3601 Ph: (972) 666-0786 | Vital Physician House Calls Llc 275 W Campbell Rd Ste 325e Richardson TX 75080-3601 Ph: (972) 666-0786 |
NPI Number | 1225650468 |
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Provider Enumeration Date | 05/11/2020 |
Last Update Date | 11/13/2023 |
Medicare PECOS PAC ID | 2163843616 |
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Medicare Enrollment ID | O20200609001292 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225650468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mansoor Kazi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689004996 PECOS PAC ID: 0345498820 Enrollment ID: I20140728002295 |
Provider Name | Lashandra D Gray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376900746 PECOS PAC ID: 5092010397 Enrollment ID: I20160224002261 |
Provider Name | Bilal Mustafa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356661185 PECOS PAC ID: 1557587607 Enrollment ID: I20161207000154 |
Provider Name | Michelle Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598200941 PECOS PAC ID: 4486900909 Enrollment ID: I20180712003161 |
Provider Name | Muhammad Ali Siddiqui |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437125481 PECOS PAC ID: 6406898956 Enrollment ID: I20190131001882 |
Provider Name | Sohail A Razzak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962052308 PECOS PAC ID: 3779907936 Enrollment ID: I20200721001645 |
Provider Name | Corretta D Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568071504 PECOS PAC ID: 5799197141 Enrollment ID: I20201209001949 |
Provider Name | Christina Chiang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275272676 PECOS PAC ID: 9032599907 Enrollment ID: I20220708003177 |
Provider Name | Hazel Violan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184355034 PECOS PAC ID: 9638547284 Enrollment ID: I20221201002527 |
Provider Name | Sharon Myers-tackie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912617663 PECOS PAC ID: 3173997459 Enrollment ID: I20230328002926 |
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