| Che-center For Health Empowerment | |
|
951 York Dr Ste 102 Desoto TX 75115-2052 | |
| (972) 432-7783 | |
| Not Available |
| Full Name | Che-center For Health Empowerment |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 951 York Dr Ste 102, Desoto, Texas |
| Authorized Official Name and Position | Scott Lyles (CEO) |
| Authorized Official Contact | 5124107395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Che-center For Health Empowerment 2312 Western Trails Blvd Austin TX 78745-1642 Ph: () - | Che-center For Health Empowerment 951 York Dr Ste 102 Desoto TX 75115-2052 Ph: (972) 432-7783 |
| NPI Number | 1932825320 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 5799134201 |
|---|---|
| Medicare Enrollment ID | O20231209000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932825320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
| Provider Name | Eric K Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033380779 PECOS PAC ID: 2668542283 Enrollment ID: I20080609000147 |
| Provider Name | Tisa D Collins-douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295222024 PECOS PAC ID: 2668716861 Enrollment ID: I20181128003063 |
| Provider Name | Brian Bennett Glodt |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467575266 PECOS PAC ID: 0143454330 Enrollment ID: I20231209000017 |
| Provider Name | David C Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518520543 PECOS PAC ID: 1052762929 Enrollment ID: I20240105000233 |
| Provider Name | Michael Anthony Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667355 PECOS PAC ID: 9739464199 Enrollment ID: I20240124000767 |
| Provider Name | Angelica Marie Fierro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417709783 PECOS PAC ID: 6901248210 Enrollment ID: I20240531000370 |
| Provider Name | Patricia Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528698974 PECOS PAC ID: 6608310818 Enrollment ID: I20240628001965 |
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