| R3 Diagnostics LLC | |
|
305 N Collegiate Dr Paris TX 75460-4870 | |
| (903) 401-8069 | |
| Not Available |
| Full Name | R3 Diagnostics LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 305 N Collegiate Dr, Paris, Texas |
| Authorized Official Name and Position | Deepak Muthappa (OWNER) |
| Authorized Official Contact | 9034018069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R3 Diagnostics LLC 305 N Collegiate Dr Paris TX 75460-4870 | R3 Diagnostics LLC 305 N Collegiate Dr Paris TX 75460-4870 Ph: (903) 401-8069 |
| NPI Number | 1033912035 |
|---|---|
| Provider Enumeration Date | 03/27/2025 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Medicare PECOS PAC ID | 9234654328 |
|---|---|
| Medicare Enrollment ID | O20250422001374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033912035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Deepak Bacharanianda Muthappa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831532241 PECOS PAC ID: 5294020251 Enrollment ID: I20160830001053 |
| Provider Name | Brooke Nicole Rea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043075328 PECOS PAC ID: 1557707106 Enrollment ID: I20240306001739 |
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