| Reliant Family Medicine & Psychiatry | |
|
929 W Pioneer Pkwy Ste A Grand Prairie TX 75051-4726 | |
| (972) 790-1200 | |
| Not Available |
| Full Name | Reliant Family Medicine & Psychiatry |
|---|---|
| Speciality | Internal Medicine |
| Location | 929 W Pioneer Pkwy Ste A, Grand Prairie, Texas |
| Authorized Official Name and Position | Elvis Ngyia (PROVIDER/MANAGER) |
| Authorized Official Contact | 2142773305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Family Medicine & Psychiatry 929 W Pioneer Pkwy Ste A Grand Prairie TX 75051-4726 Ph: (972) 790-1200 | Reliant Family Medicine & Psychiatry 929 W Pioneer Pkwy Ste A Grand Prairie TX 75051-4726 Ph: (972) 790-1200 |
| NPI Number | 1750780235 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 6305161050 |
|---|---|
| Medicare Enrollment ID | O20150220001833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750780235 | NPI | - | NPPES |
| Provider Name | Russell B Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881698538 PECOS PAC ID: 6608778931 Enrollment ID: I20040127000088 |
| Provider Name | Elvis N Ngyia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316245558 PECOS PAC ID: 7012191745 Enrollment ID: I20110405000241 |
| Provider Name | Surinder R Sehdev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275896631 PECOS PAC ID: 1658673801 Enrollment ID: I20191014001180 |
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