| Garland Integrated Healthcare Pllc | |
|
4702 Northwest Hwy Garland TX 75043-5284 | |
| (972) 686-2701 | |
| (972) 686-7496 |
| Full Name | Garland Integrated Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4702 Northwest Hwy, Garland, Texas |
| Authorized Official Name and Position | Jason Kouri (PRESIDENT/CEO) |
| Authorized Official Contact | 9726862701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garland Integrated Healthcare Pllc 4702 Northwest Hwy Garland TX 75043-5284 Ph: (972) 686-2701 | Garland Integrated Healthcare Pllc 4702 Northwest Hwy Garland TX 75043-5284 Ph: (972) 686-2701 |
| NPI Number | 1083082481 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/10/2020 |
| Medicare PECOS PAC ID | 9335445071 |
|---|---|
| Medicare Enrollment ID | O20160307002306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083082481 | NPI | - | NPPES |
| Provider Name | Jason A Kouri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649276965 PECOS PAC ID: 8820036395 Enrollment ID: I20130222000207 |
| Provider Name | Besni Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316301609 PECOS PAC ID: 5395834055 Enrollment ID: I20170623001273 |
| Provider Name | Ancy Abraham George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548721368 PECOS PAC ID: 6901218494 Enrollment ID: I20201207000934 |
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