| Bnaz Llc | |
|
6548 Crown Forest Dr Plano TX 75024-7488 | |
| (516) 425-5822 | |
| Not Available |
| Full Name | Bnaz Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6548 Crown Forest Dr, Plano, Texas |
| Authorized Official Name and Position | Batool Imtiaz (OWNER) |
| Authorized Official Contact | 5164255822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bnaz Llc 6548 Crown Forest Dr Plano TX 75024-7488 Ph: () - | Bnaz Llc 6548 Crown Forest Dr Plano TX 75024-7488 Ph: (516) 425-5822 |
| NPI Number | 1013675131 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Medicare PECOS PAC ID | 8628443769 |
|---|---|
| Medicare Enrollment ID | O20230404000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013675131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Batool Imtiaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386973782 PECOS PAC ID: 0749425353 Enrollment ID: I20230404000187 |
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