| Citizens Healthcare Services Llc | |
|
1701 Gateway Blvd Ste 447 Richardson TX 75080-3627 | |
| (469) 778-0099 | |
| (469) 778-0109 |
| Full Name | Citizens Healthcare Services Llc |
|---|---|
| Speciality | Supports Brokerage |
| Location | 1701 Gateway Blvd Ste 447, Richardson, Texas |
| Authorized Official Name and Position | Femi M Aiyejuto (ASST ADMINISTRATOR) |
| Authorized Official Contact | 4697780099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizens Healthcare Services Llc 1701 Gateway Blvd Ste 447 Richardson TX 75080-3627 Ph: (972) 805-7143 | Citizens Healthcare Services Llc 1701 Gateway Blvd Ste 447 Richardson TX 75080-3627 Ph: (469) 778-0099 |
| NPI Number | 1770883548 |
|---|---|
| Provider Enumeration Date | 10/27/2010 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Medicare PECOS PAC ID | 0941488597 |
|---|---|
| Medicare Enrollment ID | O20110629000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770883548 | NPI | - | NPPES |
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