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3413 Spectrum Blvd Ste 100 Richardson TX 75082-9705 | |
| (469) 616-1992 | |
| (469) 519-1877 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3413 Spectrum Blvd Ste 100, Richardson, Texas |
| Authorized Official Name and Position | Yu Zhao (PHYSICIAN) |
| Authorized Official Contact | 4696161922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5756 Bernay Ln Plano TX 75024-2911 Ph: (469) 616-1922 | 3413 Spectrum Blvd Ste 100 Richardson TX 75082-9705 Ph: (469) 616-1992 |
| NPI Number | 1235721796 |
|---|---|
| Provider Enumeration Date | 02/05/2021 |
| Last Update Date | 07/30/2022 |
| Certification Date | 07/30/2022 |
| Medicare PECOS PAC ID | 5597171421 |
|---|---|
| Medicare Enrollment ID | O20210301002187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235721796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Yu Zhao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992148977 PECOS PAC ID: 4587803614 Enrollment ID: I20180702000520 |
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