| Montasermd Pllc | |
|
101 E Park Blvd Ste 600 Plano TX 75074-8818 | |
| (469) 960-3861 | |
| (737) 200-8310 |
| Full Name | Montasermd Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 101 E Park Blvd Ste 600, Plano, Texas |
| Authorized Official Name and Position | Ahmed Montaser (OWNER) |
| Authorized Official Contact | 6822350036 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montasermd Pllc 101 E Park Blvd Ste 600 Plano TX 75074-8818 Ph: (469) 960-3861 | Montasermd Pllc 101 E Park Blvd Ste 600 Plano TX 75074-8818 Ph: (469) 960-3861 |
| NPI Number | 1760138150 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 10/24/2022 |
| Certification Date | 10/24/2022 |
| Medicare PECOS PAC ID | 1658748306 |
|---|---|
| Medicare Enrollment ID | O20221109000992 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760138150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ahmed A Montaser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255714390 PECOS PAC ID: 2163848086 Enrollment ID: I20220519001968 |
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