| Advanced Lifestyle Solutions Pllc | |
|
9560 Legacy Dr Ste 260 Frisco TX 75033-6753 | |
| (469) 486-3811 | |
| Not Available |
| Full Name | Advanced Lifestyle Solutions Pllc |
|---|---|
| Speciality | General Practice |
| Location | 9560 Legacy Dr Ste 260, Frisco, Texas |
| Authorized Official Name and Position | Rita Pannell (REVENUE CYCLE MGR) |
| Authorized Official Contact | 2143106763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Lifestyle Solutions Pllc 1162 Honey Crk New Braunfels TX 78132-3453 Ph: (214) 310-6763 | Advanced Lifestyle Solutions Pllc 9560 Legacy Dr Ste 260 Frisco TX 75033-6753 Ph: (469) 486-3811 |
| NPI Number | 1518577485 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 08/05/2020 |
| Medicare PECOS PAC ID | 8224487970 |
|---|---|
| Medicare Enrollment ID | O20231207000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518577485 | NPI | - | NPPES |
| 200844440A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Steven R Loescher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235484478 PECOS PAC ID: 5092936955 Enrollment ID: I20141020000762 |
| Provider Name | Katie Maureen Hoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225619513 PECOS PAC ID: 2163872508 Enrollment ID: I20231227000653 |
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