A-CARE MEDICAL P.A. NPI 1053580902

NPI Information

  • NPI: 1053580902
  • Provider Name: A-CARE MEDICAL, P.A.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 870 N COIT RD
    SUITE 2660
    RICHARDSON, TX
    ZIP 75080
  • Phone: (972) 235-2459

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NPI Details

A-CARE MEDICAL, P.A. is a specialist in Richardson, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. A-CARE MEDICAL, P.A. NPI is 1053580902. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

870 N COIT RD
SUITE 2660
RICHARDSON, TX
ZIP 75080-420
Phone: (972) 235-2459
Fax: (972) 235-9435

The provider's authorized official is Vladimir A Grebennikov .
The authorized official title is Physician and has the following contact phone number (972) 235-2459.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 2/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistK9291TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100282ZMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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