Aria Medical, Pllc | |
1402 S Custer Rd Ste 401 Mckinney TX 75072-1452 | |
(469) 714-0057 | |
Not Available |
Full Name | Aria Medical, Pllc |
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Speciality | Internal Medicine |
Location | 1402 S Custer Rd Ste 401, Mckinney, Texas |
Authorized Official Name and Position | Tam Nhat Cung (OWNER) |
Authorized Official Contact | 9727010199 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aria Medical, Pllc 1402 S Custer Rd Ste 401 Mckinney TX 75072-1452 Ph: (469) 714-0057 | Aria Medical, Pllc 1402 S Custer Rd Ste 401 Mckinney TX 75072-1452 Ph: (469) 714-0057 |
NPI Number | 1922732817 |
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Provider Enumeration Date | 07/15/2022 |
Last Update Date | 05/28/2024 |
Medicare PECOS PAC ID | 9931578051 |
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Medicare Enrollment ID | O20221213001181 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922732817 | NPI | - | NPPES |
360740002 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Tam Nhat Cung |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194012161 PECOS PAC ID: 1951694710 Enrollment ID: I20160801002096 |
Provider Name | Abhini Joseph |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174282248 PECOS PAC ID: 6002258811 Enrollment ID: I20240524001701 |
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