| Adjuva Primary Care Inc. | |
|
4901 State Highway 114 Suite 102 Northlake TX 76262-1466 | |
| (817) 554-2121 | |
| (817) 813-8183 |
| Full Name | Adjuva Primary Care Inc. |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4901 State Highway 114, Northlake, Texas |
| Authorized Official Name and Position | Margaret Adee Stinnett (OWNER/PROVIDER) |
| Authorized Official Contact | 8175542121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adjuva Primary Care Inc. 4901 State Highway 114 Suite 102 Northlake TX 76262-1466 Ph: (817) 554-2121 | Adjuva Primary Care Inc. 4901 State Highway 114 Suite 102 Northlake TX 76262-1466 Ph: (817) 554-2121 |
| NPI Number | 1316553043 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 01/23/2023 |
| Medicare PECOS PAC ID | 2769891746 |
|---|---|
| Medicare Enrollment ID | O20210503002670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316553043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Margaret A Stinnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114495629 PECOS PAC ID: 2466788401 Enrollment ID: I20190729001565 |
| Provider Name | Amanda Jo Cheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114747532 PECOS PAC ID: 1658805296 Enrollment ID: I20241105003064 |
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