| Carefirst Llc | |
|
221 Regency Pkwy Mansfield TX 76063-5379 | |
| (682) 235-0825 | |
| (248) 294-1235 |
| Full Name | Carefirst Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 221 Regency Pkwy, Mansfield, Texas |
| Authorized Official Name and Position | Ranjit Dhelaria (OWNER) |
| Authorized Official Contact | 6822350825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carefirst Llc 221 Regency Pkwy Mansfield TX 76063-5379 Ph: (682) 235-0825 | Carefirst Llc 221 Regency Pkwy Mansfield TX 76063-5379 Ph: (682) 235-0825 |
| NPI Number | 1235800459 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 09/27/2021 |
| Medicare PECOS PAC ID | 7719378322 |
|---|---|
| Medicare Enrollment ID | O20211215000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235800459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ranjit K Dhelaria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386891315 PECOS PAC ID: 1456539915 Enrollment ID: I20160614002276 |
| Provider Name | Salina Lucille Smizer-harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023771987 PECOS PAC ID: 1951843838 Enrollment ID: I20240606002590 |
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