| Avesta Medical Services, Pllc | |
|
1208 Village Creek Dr Ste 104 Plano TX 75093-4452 | |
| (214) 974-4710 | |
| Not Available |
| Full Name | Avesta Medical Services, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1208 Village Creek Dr Ste 104, Plano, Texas |
| Authorized Official Name and Position | Parvane Rashidi-birgani (PRESIDENT) |
| Authorized Official Contact | 2149744710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Avesta Medical Services, Pllc Po Box 250348 Plano TX 75025-0348 Ph: (214) 974-4710 | Avesta Medical Services, Pllc 1208 Village Creek Dr Ste 104 Plano TX 75093-4452 Ph: (214) 974-4710 |
| NPI Number | 1033461553 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 05/24/2022 |
| Medicare PECOS PAC ID | 9436309788 |
|---|---|
| Medicare Enrollment ID | O20121022000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033461553 | NPI | - | NPPES |
| 1477668275 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M5897 (Texas) | Primary |
| Provider Name | Parvane Rashidi-birgani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477668275 PECOS PAC ID: 1557362456 Enrollment ID: I20070723000410 |
| Provider Name | Nazanin Moossavi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255627774 PECOS PAC ID: 0547481285 Enrollment ID: I20141022002603 |
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