Jesus Ismael Irsula Pacheco
Jesus Ismael Irsula Pacheco is a Nurse Practitioner in Dallas, Texas. Qualified in 2022, 4 years ago. Practices with Powell and Fuselier Medical PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 4
- Licensed in
- TX
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
3434 W Illinois Ave Ste 306Dallas, TX 75211-8813
Phone: (214) 623-1900
Fax: (214) 623-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 1089057 (TX) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 10869057 (TX) |
Record details
| NPI number | 1932559929 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 21, 2016 |
| Last updated in NPPES | November 10, 2022 |
| Certification date | November 10, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Powell And Fuselier Medical Pllc — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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