| Topcare Family & Wellness Clinic | |
|
2940 Broadway Blvd Ste 15 Garland TX 75041-3749 | |
| (972) 212-4586 | |
| Not Available |
| Full Name | Topcare Family & Wellness Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2940 Broadway Blvd Ste 15, Garland, Texas |
| Authorized Official Name and Position | Shem M Teya (DIRECTOR) |
| Authorized Official Contact | 9722124586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Topcare Family & Wellness Clinic 2940 Broadway Blvd Ste 15 Garland TX 75041-3749 Ph: (972) 212-4586 | Topcare Family & Wellness Clinic 2940 Broadway Blvd Ste 15 Garland TX 75041-3749 Ph: (972) 212-4586 |
| NPI Number | 1467911107 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 10/02/2021 |
| Medicare PECOS PAC ID | 4284960386 |
|---|---|
| Medicare Enrollment ID | O20190726002644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467911107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Josephine Mogeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306295852 PECOS PAC ID: 3971870635 Enrollment ID: I20170531000199 |
| Provider Name | Shem Mogeni Teya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942769682 PECOS PAC ID: 7810223914 Enrollment ID: I20211117002510 |
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