| Ng100m, P.c. | |
|
2730 Virginia Pkwy # 200a Mckinney TX 75071-5088 | |
| (800) 975-3859 | |
| (800) 975-3859 |
| Full Name | Ng100m, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2730 Virginia Pkwy # 200a, Mckinney, Texas |
| Authorized Official Name and Position | Momin Zafarullah (DIRECTER OF OPERATIONS) |
| Authorized Official Contact | 2108624199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ng100m, P.c. 2730 Virginia Pkwy # 200a Mckinney TX 75071-5088 Ph: (800) 975-3859 | Ng100m, P.c. 2730 Virginia Pkwy # 200a Mckinney TX 75071-5088 Ph: (800) 975-3859 |
| NPI Number | 1609599554 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Medicare PECOS PAC ID | 8022483510 |
|---|---|
| Medicare Enrollment ID | O20230414001814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609599554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Aaron Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023455649 PECOS PAC ID: 5193952968 Enrollment ID: I20131226001553 |
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