Core Integrative Medical Solutions Pllc | |
4350 Sigma Rd Ste 400 Dallas TX 75244-4421 | |
(972) 239-7444 | |
Not Available |
Full Name | Core Integrative Medical Solutions Pllc |
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Speciality | Family Medicine |
Location | 4350 Sigma Rd Ste 400, Dallas, Texas |
Authorized Official Name and Position | Kaled Jawhari (OWNER, AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9722397444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Core Integrative Medical Solutions Pllc 4350 Sigma Rd Ste 400 Dallas TX 75244-4421 Ph: (972) 239-7444 | Core Integrative Medical Solutions Pllc 4350 Sigma Rd Ste 400 Dallas TX 75244-4421 Ph: (972) 239-7444 |
NPI Number | 1962042366 |
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Provider Enumeration Date | 01/14/2020 |
Last Update Date | 01/14/2020 |
Medicare PECOS PAC ID | 1456780493 |
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Medicare Enrollment ID | O20200326002442 |
Identifier | Type | State | Issuer |
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1962042366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mindee S Flippin |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700826385 PECOS PAC ID: 0345201422 Enrollment ID: I20041025000050 |
Provider Name | Kimberly K Ruiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134433063 PECOS PAC ID: 9133306004 Enrollment ID: I20110601000306 |
Provider Name | Adedoyin Aderonmu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518439017 PECOS PAC ID: 3173958980 Enrollment ID: I20200123002035 |
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