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NPI Code Detail

MEDICARE: ONE CHOICE PHYSICIANS

MEDICARE: ONE CHOICE PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered Nurse
2207QA0505XAdult Medicine Physician
3207QG0300XGeriatric Medicine (Family Medicine) Physician
4208100000XPhysical Medicine & Rehabilitation Physician
5208VP0000XPain Medicine Physician
62251G0304XGeriatric Physical Therapist
72279G0305XGeriatric Care Registered Respiratory Therapist
8363L00000XNurse Practitioner
9363LA2200XAdult Health Nurse Practitioner
10208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1457915027
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONE CHOICE PHYSICIANS
Provider Business Mailing Address
First Line : 4851 MERLOT AVE UNIT 550
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-7380
Country : US
Telephone Number : 940-488-4290
Fax Number : 940-536-0539
Provider Business Practice Location Address
First Line : 4851 MERLOT AVE UNIT 550
Second Line :
City : GRAPEVINE
State : TX
Zip : 76051-7380
Country : US
Telephone Number : 940-488-4290
Fax Number : 940-536-0539
Authorized Official
Title or Position : PRESIDENT
Name : DAVID DEJESUS
Credential :
Telephone Number : 817-751-1811
Provider Enumeration Date : 04/29/2019
Last Update Date : 08/01/2024

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Directions to “ONE CHOICE PHYSICIANS ” Practice Location

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