Archana Chandra, Md, Pa | |
502 N Valley Pkwy Ste 1 Lewisville TX 75067-3437 | |
(972) 353-8616 | |
(972) 353-5352 |
Full Name | Archana Chandra, Md, Pa |
---|---|
Speciality | Family Medicine |
Location | 502 N Valley Pkwy, Lewisville, Texas |
Authorized Official Name and Position | Archana Chandra (OWNER) |
Authorized Official Contact | 9723538616 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Archana Chandra, Md, Pa 502 N Valley Pkwy Ste 1 Lewisville TX 75067-3437 Ph: (972) 353-8616 | Archana Chandra, Md, Pa 502 N Valley Pkwy Ste 1 Lewisville TX 75067-3437 Ph: (972) 353-8616 |
NPI Number | 1417091489 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 2860592227 |
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Medicare Enrollment ID | O20070713000588 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417091489 | NPI | - | NPPES |
4156685 | Other | BLUELINK | |
8P9090 | Other | BCBS | |
1442063-14 | Medicaid | TX | |
5635389 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K8724 (Texas) | Primary |
Provider Name | Archana Chandra |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134198013 PECOS PAC ID: 1951360957 Enrollment ID: I20041006000280 |
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