| Dallas Internal Medicine And Geriatric Specialists Pllc | |
|
601 Clara Barton Blvd # 145 Garland TX 75042 | |
| (972) 560-9400 | |
| (975) 560-9401 |
| Full Name | Dallas Internal Medicine And Geriatric Specialists Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 Clara Barton Blvd # 145, Garland, Texas |
| Authorized Official Name and Position | Amy Goliszek (COO) |
| Authorized Official Contact | 2145062617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Internal Medicine And Geriatric Specialists Pllc 9330 Lbj Fwy Ste 800 Dallas TX 75243-4310 Ph: (972) 792-5700 | Dallas Internal Medicine And Geriatric Specialists Pllc 601 Clara Barton Blvd # 145 Garland TX 75042 Ph: (972) 560-9400 |
| NPI Number | 1336654607 |
|---|---|
| Provider Enumeration Date | 12/08/2017 |
| Last Update Date | 10/06/2020 |
| Medicare PECOS PAC ID | 7810251550 |
|---|---|
| Medicare Enrollment ID | O20180507000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336654607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Hashim A Majeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609832930 PECOS PAC ID: 0547233397 Enrollment ID: I20040818001243 |
| Provider Name | Marina T Vengalil |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396770947 PECOS PAC ID: 7618929274 Enrollment ID: I20050211000672 |
| Provider Name | Anthony K Nguyen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841234333 PECOS PAC ID: 3971796715 Enrollment ID: I20101025000773 |
| Provider Name | Cynthia Sue Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841634722 PECOS PAC ID: 7416196720 Enrollment ID: I20130618000409 |
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