A-Care Medical, P.a.
Organization Active NPI Specialist · Richardson, TX
NPI 1053580902 · NPPES record last updated Feb 25, 2008
Key facts
- NPI
- 1053580902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- K9291 (TX)
- Legal business name
- A-CARE MEDICAL, P.A.
- Practice address
- 870 N Coit Rd
Suite 2660
Richardson, TX 75080-5420 - Phone
- (972) 235-2459
- Fax
- (972) 235-9435
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Vladimir A Grebennikov, M.D.
- Title
- Physician
- Phone
- (972) 235-2459
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1007212 | A Care Medical | Certificate of waiver | Dec 10, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | K9291 | TX | Yes |
Addresses
Primary practice location
870 N Coit Rd
Suite 2660
Richardson, TX 75080-5420
Mailing address
870 N Coit Rd
Suite 2660
Richardson, TX 75080-5420
Phone (972) 235-2459
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.