| Kudo Care Medical Pllc | |
|
3425 Grande Bulevar Irving TX 75062-5108 | |
| (972) 258-8354 | |
| Not Available |
| Full Name | Kudo Care Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3425 Grande Bulevar, Irving, Texas |
| Authorized Official Name and Position | Anh Tat Nguyen (PHYSICIAN) |
| Authorized Official Contact | 9726395836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kudo Care Medical Pllc 3425 Grande Bulevar Irving TX 75062-5108 Ph: (972) 639-5836 | Kudo Care Medical Pllc 3425 Grande Bulevar Irving TX 75062-5108 Ph: (972) 258-8354 |
| NPI Number | 1225568967 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 10/30/2023 |
| Medicare PECOS PAC ID | 0648537803 |
|---|---|
| Medicare Enrollment ID | O20171127002476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225568967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (Texas) | Secondary |
| Provider Name | Anh T Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578726154 PECOS PAC ID: 8022145051 Enrollment ID: I20100423000300 |
| Provider Name | Loreta Pytka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437673480 PECOS PAC ID: 0345508842 Enrollment ID: I20180529000935 |
| Provider Name | Maxine Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558869487 PECOS PAC ID: 3476880188 Enrollment ID: I20190802002384 |
| Provider Name | Trinh Phuong Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619466265 PECOS PAC ID: 7719215847 Enrollment ID: I20190827001965 |
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