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4500 Hillcrest Rd Ste 115 Frisco TX 75035-5403 | |
| (469) 213-6400 | |
| (469) 213-6473 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4500 Hillcrest Rd Ste 115, Frisco, Texas |
| Authorized Official Name and Position | Furqan Rizvi (MEDICAL DOCTOR) |
| Authorized Official Contact | 4692136400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
952 Stardrift Ave Frisco TX 75034-1607 Ph: (469) 213-6400 | 4500 Hillcrest Rd Ste 115 Frisco TX 75035-5403 Ph: (469) 213-6400 |
| NPI Number | 1770029977 |
|---|---|
| Provider Enumeration Date | 01/11/2017 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 0143505941 |
|---|---|
| Medicare Enrollment ID | O20170317000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770029977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | Q2611 (Texas) | Primary |
| Provider Name | Furqan Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891044434 PECOS PAC ID: 0143535815 Enrollment ID: I20150811003953 |
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