| Excel Physicians Group PLLC | |
|
4100 Heritage Ave Suite 102 Grapevine TX 76051-5714 | |
| (817) 283-1112 | |
| (817) 283-1116 |
| Full Name | Excel Physicians Group PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 Heritage Ave, Grapevine, Texas |
| Authorized Official Name and Position | Monalisa Mitra (OWNER) |
| Authorized Official Contact | 2146418578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excel Physicians Group PLLC 4100 Heritage Ave Suite 102 Grapevine TX 76051-5714 Ph: (817) 283-1112 | Excel Physicians Group PLLC 4100 Heritage Ave Suite 102 Grapevine TX 76051-5714 Ph: (817) 283-1112 |
| NPI Number | 1558706119 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 03/04/2014 |
| Medicare PECOS PAC ID | 4385884246 |
|---|---|
| Medicare Enrollment ID | O20130717000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558706119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M4363 (Texas) | Primary |
| Provider Name | Monalisa M Mitra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710097456 PECOS PAC ID: 0042211385 Enrollment ID: I20070129000709 |
Vhs Grapevine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 William D Tate Ave, Grapevine, TX 76051 Phone: 817-424-1305 Fax: 817-424-1327 |
Grapevine Medical & Surgical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 W Northwest Hwy, Grapevine, TX 76051 Phone: 817-481-5365 Fax: 817-424-3264 |
Brooks P. Trotter M.D. P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1604 Lancaster Dr, Grapevine, TX 76051 Phone: 817-481-8661 Fax: 817-416-8801 |
Huned Husain MD PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 517 Chasewood Dr, Grapevine, TX 76051 Phone: 817-722-8852 |
MD Trucare PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 823 Ira E Woods Ave Ste 200, Grapevine, TX 76051 Phone: 817-722-6078 Fax: 817-722-6077 |
Corvinus Medical Group LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4100 Heritage Ave, Suite 102, Grapevine, TX 76051 Phone: 817-271-4551 |