| Prestonwood Health Pllc | |
|
5300 Democracy Dr Ste 130 Plano TX 75024-3512 | |
| (214) 500-5357 | |
| Not Available |
| Full Name | Prestonwood Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5300 Democracy Dr Ste 130, Plano, Texas |
| Authorized Official Name and Position | Gus Zhang (MANAGER) |
| Authorized Official Contact | 2145005357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestonwood Health Pllc 5300 Democracy Dr Ste 130 Plano TX 75024-3512 Ph: () - | Prestonwood Health Pllc 5300 Democracy Dr Ste 130 Plano TX 75024-3512 Ph: (214) 500-5357 |
| NPI Number | 1184400434 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 09/04/2023 |
| Certification Date | 09/02/2023 |
| Medicare PECOS PAC ID | 3971952060 |
|---|---|
| Medicare Enrollment ID | O20231214002730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184400434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Gus Q Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114293768 PECOS PAC ID: 5991094559 Enrollment ID: I20160520000966 |
| Provider Name | Alexander Gordon Cole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013303163 PECOS PAC ID: 2567796790 Enrollment ID: I20190621002414 |
| Provider Name | Aaron Jordan Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114314994 PECOS PAC ID: 1850626193 Enrollment ID: I20190709003071 |
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