| Lakewood Medical Center | |
|
6243 Retail Rd Ste 500 Dallas TX 75231-7808 | |
| (469) 436-3901 | |
| Not Available |
| Full Name | Lakewood Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 6243 Retail Rd Ste 500, Dallas, Texas |
| Authorized Official Name and Position | Luis Palacios (DIRECTOR) |
| Authorized Official Contact | 2142403776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Medical Center 6917 Meadowbriar Ln Dallas TX 75230-4250 Ph: (214) 240-3776 | Lakewood Medical Center 6243 Retail Rd Ste 500 Dallas TX 75231-7808 Ph: (469) 436-3901 |
| NPI Number | 1922654003 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 09/26/2019 |
| Medicare PECOS PAC ID | 8628308111 |
|---|---|
| Medicare Enrollment ID | O20190926000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922654003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
| Provider Name | Luis Cardenas Palacios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487614392 PECOS PAC ID: 1557310927 Enrollment ID: I20050113000138 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
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Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
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