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 |
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Provider Enumeration Date | 05/29/2019 |
Last Update Date | 08/08/2019 |
Medicare PECOS PAC ID | 1052648391 |
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Medicare Enrollment ID | O20190809001101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538727227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942674270 PECOS PAC ID: 3779889415 Enrollment ID: I20160331002236 |
Provider Name | Melissa A Alhezayen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376904607 PECOS PAC ID: 1153608591 Enrollment ID: I20170511002412 |
Provider Name | Jolene Aden-else |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306384136 PECOS PAC ID: 3971870007 Enrollment ID: I20170522000963 |
Provider Name | Lynsey Voto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619491172 PECOS PAC ID: 3274886213 Enrollment ID: I20181022001963 |
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