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1600 Coit Rd Suite #104 Plano TX 75075 | |
| (972) 566-5411 | |
| (972) 519-8337 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1600 Coit Rd, Plano, Texas |
| Authorized Official Name and Position | William M. Smitham (PRESIDENT) |
| Authorized Official Contact | 9724019807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1600 Coit Rd Suite #104 Plano TX 75075 Ph: (972) 566-5411 | 1600 Coit Rd Suite #104 Plano TX 75075 Ph: (972) 566-5411 |
| NPI Number | 1851624027 |
|---|---|
| Provider Enumeration Date | 09/04/2009 |
| Last Update Date | 01/28/2015 |
| Medicare PECOS PAC ID | 6709927528 |
|---|---|
| Medicare Enrollment ID | O20091230000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851624027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Osman Mir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821273590 PECOS PAC ID: 7214086107 Enrollment ID: I20090526000227 |
| Provider Name | Paul A Hansen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023218906 PECOS PAC ID: 1951548080 Enrollment ID: I20130509000470 |
| Provider Name | Parita Bhuva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164669701 PECOS PAC ID: 2062650849 Enrollment ID: I20130606000552 |
| Provider Name | Alexander P Venizelos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063601110 PECOS PAC ID: 5092955179 Enrollment ID: I20130715000007 |
| Provider Name | Albert J Yoo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205861598 PECOS PAC ID: 6901842269 Enrollment ID: I20150625000410 |
| Provider Name | Jazba H Soomro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841555760 PECOS PAC ID: 3678876539 Enrollment ID: I20181108000468 |
| Provider Name | Jessica L Whitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538636444 PECOS PAC ID: 1658604392 Enrollment ID: I20190611003155 |
| Provider Name | Shonda T Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114308251 PECOS PAC ID: 5890003305 Enrollment ID: I20210924001671 |
| Provider Name | Cara Guthrie-chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730622937 PECOS PAC ID: 9032517214 Enrollment ID: I20211004000816 |
| Provider Name | Huy Quoc Nguyen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275988602 PECOS PAC ID: 6709279763 Enrollment ID: I20220215002351 |
| Provider Name | Yahya Atalay |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730592460 PECOS PAC ID: 2264754423 Enrollment ID: I20230808004112 |
| Provider Name | Dan Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205127610 PECOS PAC ID: 0143429019 Enrollment ID: I20230907002331 |
| Provider Name | Abdelrahman Beltagy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013250216 PECOS PAC ID: 0840592572 Enrollment ID: I20240613001707 |
| Provider Name | Carlos De La Garza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932660750 PECOS PAC ID: 9133662216 Enrollment ID: I20240617003994 |
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