| Integra Urgent Care | |
|
7447 N. Macarthur Blvd. Suite 190 Irving TX 75063 | |
| (972) 861-5200 | |
| (972) 861-5205 |
| Full Name | Integra Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 7447 N. Macarthur Blvd., Irving, Texas |
| Authorized Official Name and Position | Niti Gupta (ADMINISTRATOR) |
| Authorized Official Contact | 9728615200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integra Urgent Care 7447 N. Macarthur Blvd. Suite 190 Irving TX 75063 Ph: (972) 861-5200 | Integra Urgent Care 7447 N. Macarthur Blvd. Suite 190 Irving TX 75063 Ph: (972) 861-5200 |
| NPI Number | 1093815078 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 01/11/2016 |
| Medicare PECOS PAC ID | 6305879677 |
|---|---|
| Medicare Enrollment ID | O20050916000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093815078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | J2044 (Texas) | Primary |
| Provider Name | Vicki D Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063469559 PECOS PAC ID: 4183534753 Enrollment ID: I20040129001211 |
| Provider Name | Holly F Heid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386861466 PECOS PAC ID: 6800870726 Enrollment ID: I20040616001562 |
| Provider Name | Kelly J Eisaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730163593 PECOS PAC ID: 7719911783 Enrollment ID: I20050920001023 |
| Provider Name | Sat Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013999549 PECOS PAC ID: 4981514916 Enrollment ID: I20050928000834 |
| Provider Name | Debbie L Mcdougall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417985359 PECOS PAC ID: 0941202170 Enrollment ID: I20070201000064 |
| Provider Name | Angela S Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518007335 PECOS PAC ID: 9436243623 Enrollment ID: I20070919000290 |
| Provider Name | Ruth Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205084555 PECOS PAC ID: 5890848634 Enrollment ID: I20110801000143 |
| Provider Name | Hedrine M Nana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760723209 PECOS PAC ID: 4284873167 Enrollment ID: I20130626000088 |
| Provider Name | Kari Lynn Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578994083 PECOS PAC ID: 7618970781 Enrollment ID: I20171023002131 |
| Provider Name | Evelyne Imah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407399645 PECOS PAC ID: 5698030856 Enrollment ID: I20180517002695 |
| Provider Name | Elvira Jasarevic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295199677 PECOS PAC ID: 9830471614 Enrollment ID: I20200827001416 |
| Provider Name | Annette Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003127143 PECOS PAC ID: 9830426303 Enrollment ID: I20211020001113 |
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