| Womens Specialty Center Pa | |
|
1135 N Bishop Ave Dallas TX 75208-4114 | |
| (214) 942-3100 | |
| (214) 948-3697 |
| Full Name | Womens Specialty Center Pa |
|---|---|
| Speciality | Specialist |
| Location | 1135 N Bishop Ave, Dallas, Texas |
| Authorized Official Name and Position | Gonzalo Venegas (OWNER) |
| Authorized Official Contact | 2149423100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Womens Specialty Center Pa 1135 N Bishop Ave Dallas TX 75208-4114 Ph: (214) 942-3100 | Womens Specialty Center Pa 1135 N Bishop Ave Dallas TX 75208-4114 Ph: (214) 942-3100 |
| NPI Number | 1174553416 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 0244270411 |
|---|---|
| Medicare Enrollment ID | O20050506000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174553416 | NPI | - | NPPES |
| 153392901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 174400000X | Specialist | H6974 (Texas) | Primary |
| Provider Name | Alfredo Antonetti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043237761 PECOS PAC ID: 6608890595 Enrollment ID: I20060118000708 |
| Provider Name | Jeffrey S Sandate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437353026 PECOS PAC ID: 2961562699 Enrollment ID: I20081125000333 |
| Provider Name | Humberto A De Los Santos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417134867 PECOS PAC ID: 6901091230 Enrollment ID: I20101112000444 |
| Provider Name | Lori S Morales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053515643 PECOS PAC ID: 3577739671 Enrollment ID: I20111220000341 |
| Provider Name | Gonzalo Venegas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730112988 PECOS PAC ID: 4082605837 Enrollment ID: I20140911001444 |
| Provider Name | Zachary Thomas Ripp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780902809 PECOS PAC ID: 6608199583 Enrollment ID: I20141229002065 |
| Provider Name | Tamara Diane Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831577311 PECOS PAC ID: 9234432865 Enrollment ID: I20160114001941 |
| Provider Name | Angelica Soto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508258716 PECOS PAC ID: 0648564591 Enrollment ID: I20160816000527 |
| Provider Name | Sadia Ayesha Khandaker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124447230 PECOS PAC ID: 5092021600 Enrollment ID: I20180522000490 |
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 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Mi Familia Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Abounding Prosperity, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1619 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 469-778-0017 Fax: 469-778-0019 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Emmanuel Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2665 Villa Creek Dr # 180, Dallas, TX 75234 Phone: 469-567-9974 |