| Vital Medical Services, Pa | |
|
1900 Oates Dr Ste 138 Mesquite TX 75150-6802 | |
| (972) 270-7600 | |
| Not Available |
| Full Name | Vital Medical Services, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 Oates Dr Ste 138, Mesquite, Texas |
| Authorized Official Name and Position | Pedro Ruey-ming Yen (PHYSICIAN) |
| Authorized Official Contact | 2143282999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Medical Services, Pa 2638 Lakeforest Ct Dallas TX 75214-3881 Ph: (214) 328-2999 | Vital Medical Services, Pa 1900 Oates Dr Ste 138 Mesquite TX 75150-6802 Ph: (972) 270-7600 |
| NPI Number | 1063596534 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5698938512 |
|---|---|
| Medicare Enrollment ID | O20120511000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063596534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | K1958 (Texas) | Primary |
| Provider Name | Pedro Yen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720163751 PECOS PAC ID: 2466592118 Enrollment ID: I20091210000685 |
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