| A1 Recovery Clinic, Llc | |
|
3648 Old Denton Rd Ste 110c Carrollton TX 75007-7980 | |
| (972) 313-5017 | |
| Not Available |
| Full Name | A1 Recovery Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3648 Old Denton Rd Ste 110c, Carrollton, Texas |
| Authorized Official Name and Position | Sheeba Mathai (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9723135017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A1 Recovery Clinic, Llc 3648 Old Denton Rd Ste 110c Carrollton TX 75007-7980 Ph: (972) 313-5017 | A1 Recovery Clinic, Llc 3648 Old Denton Rd Ste 110c Carrollton TX 75007-7980 Ph: (972) 313-5017 |
| NPI Number | 1477241560 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 01/06/2025 |
| Medicare PECOS PAC ID | 0648709451 |
|---|---|
| Medicare Enrollment ID | O20250123002227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477241560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sheeba Mathai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477988475 PECOS PAC ID: 7618103458 Enrollment ID: I20131126001018 |
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