Allen Family First Clinic | |
1506 N Greenville Ave Allen TX 75002-8622 | |
(972) 678-4600 | |
(972) 678-4602 |
Full Name | Allen Family First Clinic |
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Speciality | Family Medicine |
Location | 1506 N Greenville Ave, Allen, Texas |
Authorized Official Name and Position | Chanda Reddy (PHYSICIAN) |
Authorized Official Contact | 9726784600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allen Family First Clinic 1506 N Greenville Ave Allen TX 75002-8622 Ph: (972) 678-4600 | Allen Family First Clinic 1506 N Greenville Ave Allen TX 75002-8622 Ph: (972) 678-4600 |
NPI Number | 1538356647 |
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Provider Enumeration Date | 10/02/2007 |
Last Update Date | 10/02/2007 |
Medicare PECOS PAC ID | 7911932827 |
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Medicare Enrollment ID | O20050929000364 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538356647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L7532 (Texas) | Primary |
Provider Name | Chandana A Reddy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700851128 PECOS PAC ID: 2466487376 Enrollment ID: I20050929000377 |
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