Care Md Clinic Pllc | |
2601 Little Elm Pkwy Ste 1404 Little Elm TX 75068-1922 | |
(972) 638-0033 | |
(972) 777-1090 |
Full Name | Care Md Clinic Pllc |
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Speciality | Internal Medicine |
Location | 2601 Little Elm Pkwy Ste 1404, Little Elm, Texas |
Authorized Official Name and Position | Taek Soo Shin (PHYSICIAN/OWNER) |
Authorized Official Contact | 9729724234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Care Md Clinic Pllc 2601 Little Elm Pkwy Ste 1404 Little Elm TX 75068-1922 Ph: (972) 638-0033 | Care Md Clinic Pllc 2601 Little Elm Pkwy Ste 1404 Little Elm TX 75068-1922 Ph: (972) 638-0033 |
NPI Number | 1265150148 |
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Provider Enumeration Date | 08/17/2022 |
Last Update Date | 01/31/2023 |
Medicare PECOS PAC ID | 6002292125 |
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Medicare Enrollment ID | O20220927002660 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265150148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Taek Soo Md Shin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417169376 PECOS PAC ID: 9931209855 Enrollment ID: I20211105002547 |
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