| Valora Medical Center Llc | |
|
1250 E Pioneer Pkwy Arlington TX 76010-6422 | |
| (844) 826-6724 | |
| Not Available |
| Full Name | Valora Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1250 E Pioneer Pkwy, Arlington, Texas |
| Authorized Official Name and Position | Patricia D Pichardo (COO) |
| Authorized Official Contact | 4074601292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valora Medical Center Llc 9369 Blanche Cove Dr Windermere FL 34786 Ph: (407) 460-1292 | Valora Medical Center Llc 1250 E Pioneer Pkwy Arlington TX 76010-6422 Ph: (844) 826-6724 |
| NPI Number | 1831772052 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 4880095983 |
|---|---|
| Medicare Enrollment ID | O20210628000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831772052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Douglas M Wood |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962828731 PECOS PAC ID: 8628978871 Enrollment ID: I20040113000101 |
| Provider Name | Hector J Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932107141 PECOS PAC ID: 4486540952 Enrollment ID: I20040223001271 |
| Provider Name | Alice Lazarescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538276555 PECOS PAC ID: 7911803168 Enrollment ID: I20040503000809 |
| Provider Name | Antoine R Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023043924 PECOS PAC ID: 1254314487 Enrollment ID: I20040609001181 |
| Provider Name | Stephanie E Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720031321 PECOS PAC ID: 6507820792 Enrollment ID: I20041117000574 |
| Provider Name | Bradley R Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033135066 PECOS PAC ID: 2860586732 Enrollment ID: I20070922000194 |
| Provider Name | Kamran Bhatti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245453166 PECOS PAC ID: 7810062361 Enrollment ID: I20080818000459 |
| Provider Name | Jenny M Olivo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245439751 PECOS PAC ID: 1153489570 Enrollment ID: I20081028000866 |
| Provider Name | William N Drake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104889641 PECOS PAC ID: 4082744735 Enrollment ID: I20100608000037 |
| Provider Name | Kalan Nicole Bobbitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699923078 PECOS PAC ID: 4385812635 Enrollment ID: I20110713000070 |
| Provider Name | Ramon D Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750344925 PECOS PAC ID: 0042497992 Enrollment ID: I20120313000657 |
| Provider Name | Cheryl C Thamaravelil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245461177 PECOS PAC ID: 9133367642 Enrollment ID: I20130522000575 |
| Provider Name | Erika E Goodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366888950 PECOS PAC ID: 9335443290 Enrollment ID: I20160520000380 |
| Provider Name | David Mark Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326468901 PECOS PAC ID: 9234401076 Enrollment ID: I20170815000441 |
| Provider Name | Syed A Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700221090 PECOS PAC ID: 4486944782 Enrollment ID: I20201118002877 |
| Provider Name | Sandra Fogelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548219421 PECOS PAC ID: 8729094289 Enrollment ID: I20210527002550 |
| Provider Name | Jinal Bhupendrabhai Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336646322 PECOS PAC ID: 6800142399 Enrollment ID: I20211101001595 |
| Provider Name | Marha A Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487217618 PECOS PAC ID: 1355670902 Enrollment ID: I20220728000656 |
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