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Organization
ALLCARE PHYSICIANS GROUP
Active
Organization
ALLCARE PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DEJESUS (CEO)
(817) 576-6665
Entity
Organization
Contact information
Practice address
1111 S MAIN ST STE 119, GRAPEVINE, TX 76051
(817) 576-6665
(817) 576-6663
Mailing address
1111 S MAIN ST STE 119, GRAPEVINE, TX 76051-5577
(817) 576-6665
(817) 576-6663
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
NULL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
NULL
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/18/2016
Last updated
12/03/2020
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