| Texas Medical Group, Pa | |
|
8210 Walnut Hill Ln Suite 230 Dallas TX 75231-4405 | |
| (972) 284-7000 | |
| (972) 284-7001 |
| Full Name | Texas Medical Group, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8210 Walnut Hill Ln, Dallas, Texas |
| Authorized Official Name and Position | Andrew Phan (PRESIDENT) |
| Authorized Official Contact | 9722847000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Medical Group, Pa Po Box 679705 Dallas TX 75267-9705 Ph: (972) 284-7000 | Texas Medical Group, Pa 8210 Walnut Hill Ln Suite 230 Dallas TX 75231-4405 Ph: (972) 284-7000 |
| NPI Number | 1548489222 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 02/26/2025 |
| Medicare PECOS PAC ID | 4587759113 |
|---|---|
| Medicare Enrollment ID | O20070927000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548489222 | NPI | - | NPPES |
| DN5025 | Other | TX | MEDICARE RAILROAD |
| 193777301 | Medicaid | TX | |
| EC0384 | Other | TX | RAILROAD MEDICARE |
| 0055PV | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Susan E Mckinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194700542 PECOS PAC ID: 6204921836 Enrollment ID: I20070927000665 |
| Provider Name | Randall M Wooley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639154966 PECOS PAC ID: 2668567298 Enrollment ID: I20070927000697 |
| Provider Name | Chiao Y Lie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487635900 PECOS PAC ID: 3577658103 Enrollment ID: I20070927000714 |
| Provider Name | Shamim K Khambati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073598413 PECOS PAC ID: 5395830921 Enrollment ID: I20070927000744 |
| Provider Name | Andrew K Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467437863 PECOS PAC ID: 9931294568 Enrollment ID: I20070927000767 |
| Provider Name | Yili Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376640789 PECOS PAC ID: 0446487888 Enrollment ID: I20131211000306 |
| Provider Name | Tiffany Nicole Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124677638 PECOS PAC ID: 2365773017 Enrollment ID: I20191010000083 |
| Provider Name | Jency A Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336512813 PECOS PAC ID: 4789980673 Enrollment ID: I20210222000416 |
| Provider Name | David Bennett Grinsfelder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568966174 PECOS PAC ID: 5991108466 Enrollment ID: I20210721000815 |
| Provider Name | Winona Tzou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841802527 PECOS PAC ID: 4880082957 Enrollment ID: I20211021001704 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Mi Familia Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Abounding Prosperity Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 214-421-4800 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Emmanuel Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2665 Villa Creek Dr # 180, Dallas, TX 75234 Phone: 469-567-9974 |