Carey S Penniston


Address: 1910 Laprada Dr, Mesquite, TX 75150-1368

Carey S Penniston (NPI# 1992963334, PAC ID# 2769639301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1992963334
PAC ID by PECOS 2769639301
Professional Enrollment ID I20120904000415
Full Name Carey S Penniston
Address 1910 Laprada Dr
Mesquite
TX 75150-1368
Gender F
Graduation Year 2008
Primary Specialty FAMILY MEDICINE
Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450742 BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE

Other Locations

Address Phone Organization
1910 Laprada Dr, Mesquite, TX 75150-1368

Organization Information

Office Location

Street Address 1910 LAPRADA DR
City MESQUITE
State TX
Zip 75150-1368

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Sajid Iqbal Nephrology Dallas Nephrology Associates 5308 N Galloway Ave, Suite 200, Mesquite, TX 75150-1176
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Competitor

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City MESQUITE
Zip Code 75150
Specialty FAMILY MEDICINE
City + Specialty MESQUITE + FAMILY MEDICINE

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Dataset Information

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.

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