| Achieve Health Physician Services, Pllc | |
|
350 Westpark Way Ste 103 Euless TX 76040-3715 | |
| (817) 508-8030 | |
| (817) 398-4029 |
| Full Name | Achieve Health Physician Services, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Westpark Way Ste 103, Euless, Texas |
| Authorized Official Name and Position | Patrick Ryan Nolen (PRESIDENT) |
| Authorized Official Contact | 8177054900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieve Health Physician Services, Pllc 350 Westpark Way Ste 103 Euless TX 76040-3715 Ph: (817) 508-8030 | Achieve Health Physician Services, Pllc 350 Westpark Way Ste 103 Euless TX 76040-3715 Ph: (817) 508-8030 |
| NPI Number | 1457815052 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 04/14/2023 |
| Medicare PECOS PAC ID | 4082957709 |
|---|---|
| Medicare Enrollment ID | O20190521003210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457815052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Patrick R Nolen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952676132 PECOS PAC ID: 0648403410 Enrollment ID: I20151008002543 |
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