| Gifted Hands Housecall Inc | |
|
801 Rainbow Dr Richardson TX 75081-4418 | |
| (214) 457-3717 | |
| Not Available |
| Full Name | Gifted Hands Housecall Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 01/05/2017 |
| Medicare PECOS PAC ID | 0648551291 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033446687 PECOS PAC ID: 6305987041 Enrollment ID: I20100104000345 |
| Provider Name | Elizabeth Reddiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073951257 PECOS PAC ID: 9436448230 Enrollment ID: I20160518001048 |
| Provider Name | Nneoma Chinonso Oparah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003375247 PECOS PAC ID: 9537356894 Enrollment ID: I20210205000553 |
| Provider Name | Shobha Pandey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164019717 PECOS PAC ID: 9234547720 Enrollment ID: I20210422000595 |
| Provider Name | Christine Elaine Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730850645 PECOS PAC ID: 8729486089 Enrollment ID: I20211018001836 |
| Provider Name | Koi-lucie Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821740309 PECOS PAC ID: 0648654764 Enrollment ID: I20220908001090 |
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