| Premier Medical Services Llc | |
|
8300 Douglas Ave Suite 800 Dallas TX 75225 | |
| (817) 381-6813 | |
| Not Available |
| Full Name | Premier Medical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8300 Douglas Ave Suite 800, Dallas, Texas |
| Authorized Official Name and Position | Marvetta Scott (OWNER/MD) |
| Authorized Official Contact | 8173816813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Services Llc 8300 Douglas Ave Dallas TX 75225-5603 Ph: (817) 381-6813 | Premier Medical Services Llc 8300 Douglas Ave Suite 800 Dallas TX 75225 Ph: (817) 381-6813 |
| NPI Number | 1003548553 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 07/11/2022 |
| Medicare PECOS PAC ID | 1456731108 |
|---|---|
| Medicare Enrollment ID | O20220712001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003548553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marvetta A Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508849183 PECOS PAC ID: 1850342973 Enrollment ID: I20141203002032 |
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