Carlos Pancorvo (NPI# 1417928573, PAC ID# 0446374979) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1417928573 |
| PAC ID by PECOS | 0446374979 |
| Professional Enrollment ID | I20100903000735 |
| Full Name | Carlos Pancorvo |
| Organization Legal Name | DALLAS NEPHROLOGY ASSOCIATES |
| Address |
120 W Belt Line Rd Cedar Hill TX 75104-2011 |
| Phone Number | 9722938178 |
| Gender | M |
| Graduation Year | 1993 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 3870403819 |
| Number of Group Practice Members | 107 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450723 | METHODIST CHARLTON MEDICAL CENTER |
| 450372 | BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE |
| Address | Phone | Organization |
|---|---|---|
| 120 W Belt Line Rd, Cedar Hill, TX 75104-2011 | 9722938178 | DALLAS NEPHROLOGY ASSOCIATES |
| 1420 Viceroy Dr, Dallas, TX 75235-2208 | 2143582300 | DALLAS NEPHROLOGY ASSOCIATES |
| 2651 Bolton Boone Dr, Desoto, TX 75115-2011 | 2143582300 | DALLAS NEPHROLOGY ASSOCIATES |
| 2651 Bolton Boone Dr, Bldg B, Desoto, TX 75115-2011 | 9727805991 | DALLAS NEPHROLOGY ASSOCIATES |
| Organization Legal Name | DALLAS NEPHROLOGY ASSOCIATES |
| Physicians | 101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Xunxi Susan Guo | Nephrology | Dallas Nephrology Associates | 1420 Viceroy Dr, Dallas, TX 75235-2208 |
| Akinwande A Akinfolarin | Nephrology | Dallas Nephrology Associates | 900 N Polk St, Suite 146, Desoto, TX 75115-4017 |
| Eyerusalem Bayssa | Nephrology | Dallas Nephrology Associates | 10850 Frisco St, Suite 300, Frisco, TX 75033-3586 |
| Asa D Koganti | Nephrology | Dallas Nephrology Associates | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 |
| Lauren A Mcdonald | Nephrology | Dallas Nephrology Associates | 3317 Essex Dr, Suite 150, Richardson, TX 75082-9714 |
| Russell Lee Silverstein | Nephrology | Dallas Nephrology Associates | 13154 Coit Rd, Suite 100, Dallas, TX 75240-5787 |
| Jayanti Venkatesan | Nephrology | Dallas Nephrology Associates | 1301 Custer Rd, Suite 524, Plano, TX 75075-9400 |
| Michael R Wiederkehr | Nephrology | Dallas Nephrology Associates | 1650 Republic Pkwy, Suite 100, Mesquite, TX 75150-6920 |
| Jeffrey B Siegel | Diagnostic Radiology | Dallas Nephrology Associates | 3604 Live Oak St, Suite 100, Dallas, TX 75204-6169 |
| Archana Rao | Nephrology | Dallas Nephrology Associates | 5308 N Galloway Ave, Suite 200, Mesquite, TX 75150-1176 |
| Street Address |
120 W BELT LINE RD |
| City | CEDAR HILL |
| State | TX |
| Zip | 75104-2011 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafael Adolfo Garcia | Optometry | Optometric Associates of Texas P.a. | 305 W Fm, 1382 Bldg 500 Suite 500, Cedar Hill, TX 75104 |
| Jennifer Marie Wiernas | Optometry | Optometric Associates of Texas P.a. | 305 W Fm, 1382 Bldg 500 Suite 500, Cedar Hill, TX 75104 |
| Jack Ibrahim | Optometry | Optometric Associates of Texas P.a. | 305 W Fm, 1382 Bldg 500 Suite 500, Cedar Hill, TX 75104 |
| Sherry L Bowers | Podiatry | 2020 Molton Ct, Cedar Hill, TX 75104-1024 | |
| Atemnkeng F Dibaki | Nurse Practitioner | 318 W Belt Line Rd, Suite 304, Cedar Hill, TX 75104-1103 | |
| Gene Bigham | Internal Medicine | Promontory Geriatrics LLC | 214 W Belt Line Rd, Suite B, Cedar Hill, TX 75104-1105 |
| Cecil C Bailey | Internal Medicine | 1121 N Joe Wilson Rd, Heritage Inter Med Pllc, Cedar Hill, TX 75104-1430 | |
| Robert L Jones | Optometry | Robert L Jones Od Pa | 305 W Fm 1382, Cedar Hill, TX 75104-1890 |
| Trang T Dao | Optometry | 305 W Fm, 524b, Cedar Hill, TX 75104-1890 | |
| Kymber Blaschke | Optometry | Infocus Vision, P.C. | 305 W Fm, 524b, Cedar Hill, TX 75104-1890 |
| Find all physicians in zip 75104 | |||
| City | CEDAR HILL |
| Zip Code | 75104 |
| Specialty | NEPHROLOGY |
| City + Specialty | CEDAR HILL + NEPHROLOGY |
Please comment or provide details below to improve the information on Carlos Pancorvo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.