| Kfc Medical Pllc | |
|
5045 Lorimar Dr Suite 290 Plano TX 75093-5720 | |
| (972) 403-1463 | |
| (972) 403-1465 |
| Full Name | Kfc Medical Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5045 Lorimar Dr, Plano, Texas |
| Authorized Official Name and Position | Brian Flanagan (MANAGER) |
| Authorized Official Contact | 2148207246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kfc Medical Pllc Po Box 650444 Dept 121 Dallas TX 75265-0444 Ph: (972) 479-1115 | Kfc Medical Pllc 5045 Lorimar Dr Suite 290 Plano TX 75093-5720 Ph: (972) 403-1463 |
| NPI Number | 1215397294 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 03/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215397294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | J8977 (Texas) | Primary |
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