| I Medicine | |
|
2560 Central Park Ave Ste 140 Flower Mound TX 75028-1566 | |
| (972) 410-3803 | |
| Not Available |
| Full Name | I Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2560 Central Park Ave Ste 140, Flower Mound, Texas |
| Authorized Official Name and Position | Bryan Lee Wasson (OWNER) |
| Authorized Official Contact | 9724103803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| I Medicine 2560 Central Park Ave Ste 140 Flower Mound TX 75028-1566 Ph: (972) 410-3803 | I Medicine 2560 Central Park Ave Ste 140 Flower Mound TX 75028-1566 Ph: (972) 410-3803 |
| NPI Number | 1083332480 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 9335512987 |
|---|---|
| Medicare Enrollment ID | O20230323000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083332480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bryan L Wasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972537801 PECOS PAC ID: 3375679301 Enrollment ID: I20100330000363 |
| Provider Name | Regan Nicole Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770219883 PECOS PAC ID: 6608231956 Enrollment ID: I20230420002443 |
| Provider Name | Melissa Noel Neyhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447036918 PECOS PAC ID: 6709240187 Enrollment ID: I20230919001373 |
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