| Cliff Omoregie Md Pllc | |
|
973 Pembrook Ln Allen TX 75013-5664 | |
| (888) 212-4243 | |
| Not Available |
| Full Name | Cliff Omoregie Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 973 Pembrook Ln, Allen, Texas |
| Authorized Official Name and Position | Cliff Omoregie (PRESIDENT) |
| Authorized Official Contact | 8882124243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cliff Omoregie Md Pllc Po Box 67 Shannon AL 35142-0067 Ph: (888) 212-4243 | Cliff Omoregie Md Pllc 973 Pembrook Ln Allen TX 75013-5664 Ph: (888) 212-4243 |
| NPI Number | 1053977942 |
|---|---|
| Provider Enumeration Date | 05/15/2019 |
| Last Update Date | 05/15/2019 |
| Medicare PECOS PAC ID | 3173857398 |
|---|---|
| Medicare Enrollment ID | O20190621002007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053977942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cliff Omoregie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467773713 PECOS PAC ID: 9830318096 Enrollment ID: I20150518000931 |
| Provider Name | Alice Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868449 PECOS PAC ID: 3476911868 Enrollment ID: I20230616000375 |
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