| |
1717 Main St Ste 5850 Dallas TX 75201-7317 | |
(972) 449-0540 | |
(972) 449-0550 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 1717 Main St Ste 5850, Dallas, Texas |
Authorized Official Name and Position | Christopher Gallagher (CEO/PRESIDENT) |
Authorized Official Contact | 9728656870 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1717 Main St Ste 5850 Dallas TX 75201-7317 Ph: (972) 449-0540 | 1717 Main St Ste 5850 Dallas TX 75201-7317 Ph: (972) 449-0540 |
NPI Number | 1861959959 |
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Provider Enumeration Date | 02/25/2019 |
Last Update Date | 11/01/2024 |
Medicare PECOS PAC ID | 8325373525 |
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Medicare Enrollment ID | O20190924003159 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861959959 | NPI | - | NPPES |
Provider Name | Jason Shen |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1689696072 PECOS PAC ID: 6608846902 Enrollment ID: I20040726001104 |
Provider Name | Christopher Michael Gallagher |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1205048048 PECOS PAC ID: 7416089842 Enrollment ID: I20100720000505 |
Provider Name | Sara K Flores |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073768248 PECOS PAC ID: 5294911608 Enrollment ID: I20110519000725 |
Provider Name | Elton R Naidoo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366619892 PECOS PAC ID: 9335387943 Enrollment ID: I20130521000152 |
Provider Name | Alvaro Moreno |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1063603256 PECOS PAC ID: 6709011968 Enrollment ID: I20131024001826 |
Provider Name | Stefanie Bryant |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053637603 PECOS PAC ID: 2860612777 Enrollment ID: I20140926002248 |
Provider Name | Theresa Diem-hang Bui |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1144576414 PECOS PAC ID: 7214253962 Enrollment ID: I20150224001338 |
Provider Name | Amanda J Mularz |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649438367 PECOS PAC ID: 3173786621 Enrollment ID: I20150908002376 |
Provider Name | Brie Elizabeth Alford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447546387 PECOS PAC ID: 5799926739 Enrollment ID: I20170208000040 |
Provider Name | Demetrice Lamotte Hill |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1407823735 PECOS PAC ID: 7416125398 Enrollment ID: I20171006001844 |
Provider Name | Babak Attaran Rezaei |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205141041 PECOS PAC ID: 5799905394 Enrollment ID: I20181101002697 |
Provider Name | Fuad-al Ali |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1932581428 PECOS PAC ID: 7012224744 Enrollment ID: I20200610000531 |
Provider Name | Swathi Challa |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1285038059 PECOS PAC ID: 6507101706 Enrollment ID: I20210630002476 |
Provider Name | Christie Walker |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1750673554 PECOS PAC ID: 7618297417 Enrollment ID: I20220526001271 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Abounding Prosperity, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 469-778-0017 Fax: 469-778-0019 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 |