Gifted Hands Housecall Inc | |
801 Rainbow Dr Richardson TX 75081-4418 | |
(214) 457-3717 | |
Not Available |
Full Name | Gifted Hands Housecall Inc |
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Speciality | General Practice |
Location | 801 Rainbow Dr, Richardson, Texas |
Authorized Official Name and Position | Leona R Kolluri (OWNER) |
Authorized Official Contact | 2144573717 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gifted Hands Housecall Inc 801 Rainbow Dr Richardson TX 75081-4418 Ph: (214) 457-3717 | Gifted Hands Housecall Inc 801 Rainbow Dr Richardson TX 75081-4418 Ph: (214) 457-3717 |
NPI Number | 1588106603 |
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Provider Enumeration Date | 11/07/2016 |
Last Update Date | 01/05/2017 |
Medicare PECOS PAC ID | 0648551291 |
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Medicare Enrollment ID | O20161220000729 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588106603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Mohamed H Youssef |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1033446687 PECOS PAC ID: 6305987041 Enrollment ID: I20100104000345 |
Provider Name | Sarah Q Quinsaat |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356885974 PECOS PAC ID: 3375828270 Enrollment ID: I20170315001860 |
Provider Name | Nneoma Chinonso Oparah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003375247 PECOS PAC ID: 9537356894 Enrollment ID: I20210205000553 |
Provider Name | Shobha Pandey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164019717 PECOS PAC ID: 9234547720 Enrollment ID: I20210422000595 |
Provider Name | Chekwube Okoli |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154028611 PECOS PAC ID: 4688011182 Enrollment ID: I20240320000460 |
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