| Royal V.p., Llc | |
|
224 W Campbell Rd # 222 Richardson TX 75080-3512 | |
| (469) 991-6010 | |
| (469) 991-6030 |
| Full Name | Royal V.p., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 224 W Campbell Rd # 222, Richardson, Texas |
| Authorized Official Name and Position | Richard R Deleon (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4699916010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal V.p., Llc 224 W Campbell Rd # 222 Richardson TX 75080-3512 Ph: (469) 991-6010 | Royal V.p., Llc 224 W Campbell Rd # 222 Richardson TX 75080-3512 Ph: (469) 991-6010 |
| NPI Number | 1770052516 |
|---|---|
| Provider Enumeration Date | 11/23/2018 |
| Last Update Date | 05/31/2021 |
| Medicare PECOS PAC ID | 8325384860 |
|---|---|
| Medicare Enrollment ID | O20190104000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770052516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tuyet H Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740521723 PECOS PAC ID: 3274775770 Enrollment ID: I20130813000590 |
| Provider Name | Richard R Deleon |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1710017462 PECOS PAC ID: 7517061146 Enrollment ID: I20141216000344 |
| Provider Name | Charlotte Marrie Pickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699239418 PECOS PAC ID: 0143552943 Enrollment ID: I20191029000169 |
| Provider Name | Solange Lum Mforbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215698659 PECOS PAC ID: 1153767280 Enrollment ID: I20240312002403 |
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