| Jabari Healthcare Llc | |
|
854 Baugh Dr Allen TX 75013-5565 | |
| (214) 228-9319 | |
| Not Available |
| Full Name | Jabari Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 854 Baugh Dr, Allen, Texas |
| Authorized Official Name and Position | Barikat Aruna Oderinde (CEO) |
| Authorized Official Contact | 2142289319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jabari Healthcare Llc 854 Baugh Dr Allen TX 75013-5565 Ph: (214) 228-9319 | Jabari Healthcare Llc 854 Baugh Dr Allen TX 75013-5565 Ph: (214) 228-9319 |
| NPI Number | 1871161448 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 06/11/2021 |
| Medicare PECOS PAC ID | 5991105652 |
|---|---|
| Medicare Enrollment ID | O20210617000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871161448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tam Nhat Cung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194012161 PECOS PAC ID: 1951694710 Enrollment ID: I20160801002096 |
| Provider Name | Barikat Aruna Oderinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740767946 PECOS PAC ID: 6709137805 Enrollment ID: I20181001000257 |
| Provider Name | Janet Marie Tetteh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811452204 PECOS PAC ID: 4082708979 Enrollment ID: I20190424000235 |
| Provider Name | Temitope Ojo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992205876 PECOS PAC ID: 5395118574 Enrollment ID: I20230309000838 |
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