Gp Health Clinic, Pllc | |
912 Wright St Ste D Arlington TX 76012 | |
(817) 864-8855 | |
(682) 270-8727 |
Full Name | Gp Health Clinic, Pllc |
---|---|
Speciality | Clinic/Center |
Location | 912 Wright St, Arlington, Texas |
Authorized Official Name and Position | Wei Gao (MEDICAL DIRECTOR) |
Authorized Official Contact | 4699397120 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gp Health Clinic, Pllc Po Box 168362 Irving TX 75016-8362 Ph: (469) 939-7120 | Gp Health Clinic, Pllc 912 Wright St Ste D Arlington TX 76012 Ph: (817) 864-8855 |
NPI Number | 1619151297 |
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Provider Enumeration Date | 12/19/2007 |
Last Update Date | 07/08/2022 |
Medicare PECOS PAC ID | 9931517596 |
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Medicare Enrollment ID | O20210420001238 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619151297 | NPI | - | NPPES |
1O3160 | Other | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | L0191 (Texas) | Primary |
Provider Name | Wei S Gao |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891748711 PECOS PAC ID: 3072569920 Enrollment ID: I20050325000549 |
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