| Goshen Medical Housecall Pllc | |
|
150 E Highway 67 Ste 180 Duncanville TX 75137-4476 | |
| (469) 358-5195 | |
| Not Available |
| Full Name | Goshen Medical Housecall Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 E Highway 67 Ste 180, Duncanville, Texas |
| Authorized Official Name and Position | Blessing Cordilia Egede (PRESIDENT) |
| Authorized Official Contact | 4693585195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Housecall Pllc 905 Belclaire Cir Cedar Hill TX 75104-1237 Ph: (469) 358-5195 | Goshen Medical Housecall Pllc 150 E Highway 67 Ste 180 Duncanville TX 75137-4476 Ph: (469) 358-5195 |
| NPI Number | 1255017232 |
|---|---|
| Provider Enumeration Date | 06/26/2023 |
| Last Update Date | 04/24/2024 |
| Medicare PECOS PAC ID | 6608224597 |
|---|---|
| Medicare Enrollment ID | O20240521000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255017232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Blessing Egede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245874676 PECOS PAC ID: 8325443690 Enrollment ID: I20210825000482 |
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