| |
3880 Parkwood Blvd Ste 303 Frisco TX 75034-1930 | |
(214) 705-2246 | |
(214) 908-2719 |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 3880 Parkwood Blvd Ste 303, Frisco, Texas |
Authorized Official Name and Position | Alice A Sanchez (MEDICAL DIRECTOR) |
Authorized Official Contact | 2147052246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5729 Lebanon Rd Ste 144-436 Frisco TX 75034-7260 Ph: (214) 705-2246 | 3880 Parkwood Blvd Ste 303 Frisco TX 75034-1930 Ph: (214) 705-2246 |
NPI Number | 1922230416 |
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Provider Enumeration Date | 08/17/2009 |
Last Update Date | 11/19/2024 |
Certification Date | 11/19/2024 |
Medicare PECOS PAC ID | 2769538073 |
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Medicare Enrollment ID | O20090928000514 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922230416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | M8312 (Texas) | Primary |
Provider Name | Alice A Sanchez |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053516534 PECOS PAC ID: 3577653674 Enrollment ID: I20071213000059 |
Provider Name | Onyebuchi Nelson Chiakpo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659046373 PECOS PAC ID: 3779953245 Enrollment ID: I20221227000438 |
Provider Name | Christienne Felice Solis Callasan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821698754 PECOS PAC ID: 8224573944 Enrollment ID: I20240717002022 |
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