Prime Psychiatry Pa | |
11330 Legacy Dr Ste 103 Frisco TX 75033-1210 | |
(469) 777-4691 | |
(469) 777-4542 |
Full Name | Prime Psychiatry Pa |
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Speciality | Psychiatry & Neurology |
Location | 11330 Legacy Dr Ste 103, Frisco, Texas |
Authorized Official Name and Position | Efosa Airuehia (PHYSICIAN) |
Authorized Official Contact | 4697774691 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prime Psychiatry Pa 11330 Legacy Dr Ste 103 Frisco TX 75033-1210 Ph: (469) 777-4691 | Prime Psychiatry Pa 11330 Legacy Dr Ste 103 Frisco TX 75033-1210 Ph: (469) 777-4691 |
NPI Number | 1295117554 |
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Provider Enumeration Date | 06/23/2015 |
Last Update Date | 08/14/2024 |
Certification Date | 08/14/2024 |
Medicare PECOS PAC ID | 1557678844 |
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Medicare Enrollment ID | O20150918001640 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295117554 | NPI | - | NPPES |
Provider Name | Efosa Airuehia |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972767986 PECOS PAC ID: 3375784085 Enrollment ID: I20150824000147 |
Provider Name | Dean A Cochran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003329814 PECOS PAC ID: 8921366915 Enrollment ID: I20171220003184 |
Provider Name | Oluwatobiloba Odunsi |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154772986 PECOS PAC ID: 3779861802 Enrollment ID: I20220324002966 |
Provider Name | Tina Thy Vu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831659135 PECOS PAC ID: 3870952005 Enrollment ID: I20230706003292 |
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