| Allan G. Kalich, D.o., P.a. | |
|
1838 Ridgeview St Mesquite TX 75149-1515 | |
| (972) 288-4810 | |
| Not Available |
| Full Name | Allan G. Kalich, D.o., P.a. |
|---|---|
| Speciality | General Practice |
| Location | 1838 Ridgeview St, Mesquite, Texas |
| Authorized Official Name and Position | Allan Gene Kalich (PRESIDENT) |
| Authorized Official Contact | 9722884810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allan G. Kalich, D.o., P.a. 1838 Ridgeview St Mesquite TX 75149-1515 Ph: (972) 288-4810 | Allan G. Kalich, D.o., P.a. 1838 Ridgeview St Mesquite TX 75149-1515 Ph: (972) 288-4810 |
| NPI Number | 1235352402 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 03/16/2012 |
| Medicare PECOS PAC ID | 0446411045 |
|---|---|
| Medicare Enrollment ID | O20120406000434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235352402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | E6817 (Texas) | Primary |
| Provider Name | Allan G. Kalich |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1053594820 PECOS PAC ID: 1355502956 Enrollment ID: I20120406000441 |
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