| Srdo Advanced Wound Care Associates | |
|
4310 Buena Vista St Apt 34 Dallas TX 75205-4473 | |
| (979) 525-1010 | |
| Not Available |
| Full Name | Srdo Advanced Wound Care Associates |
|---|---|
| Speciality | General Practice |
| Location | 4310 Buena Vista St Apt 34, Dallas, Texas |
| Authorized Official Name and Position | Steven William Roberts (CMO) |
| Authorized Official Contact | 9795251010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Srdo Advanced Wound Care Associates 4310 Buena Vista St Apt 34 Dallas TX 75205-4473 Ph: (979) 525-1010 | Srdo Advanced Wound Care Associates 4310 Buena Vista St Apt 34 Dallas TX 75205-4473 Ph: (979) 525-1010 |
| NPI Number | 1932939824 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 6002356789 |
|---|---|
| Medicare Enrollment ID | O20240909002545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932939824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Steven Roberts |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255865226 PECOS PAC ID: 6608248018 Enrollment ID: I20230214000045 |
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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