| Ata Healthcare And Wellness Pllc | |
|
8501 Wade Blvd Ste 1160 Frisco TX 75034-5894 | |
| (469) 384-2350 | |
| Not Available |
| Full Name | Ata Healthcare And Wellness Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8501 Wade Blvd Ste 1160, Frisco, Texas |
| Authorized Official Name and Position | Mohammed A Alhezayen (OWNER) |
| Authorized Official Contact | 2142441468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ata Healthcare And Wellness Pllc 8501 Wade Blvd Ste 1160 Frisco TX 75034-5894 Ph: (469) 384-2350 | Ata Healthcare And Wellness Pllc 8501 Wade Blvd Ste 1160 Frisco TX 75034-5894 Ph: (469) 384-2350 |
| NPI Number | 1538727227 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 08/08/2019 |
| Medicare PECOS PAC ID | 1052648391 |
|---|---|
| Medicare Enrollment ID | O20190809001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538727227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Martha L Santamaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174713754 PECOS PAC ID: 9931288768 Enrollment ID: I20080506000274 |
| Provider Name | Mohammed Alhezayen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780635599 PECOS PAC ID: 7416984158 Enrollment ID: I20110923000516 |
| Provider Name | Aman Jyoti Grewal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942674270 PECOS PAC ID: 3779889415 Enrollment ID: I20160331002236 |
| Provider Name | Jolene Aden-else |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306384136 PECOS PAC ID: 3971870007 Enrollment ID: I20170522000963 |
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