| Carrollton First Care Medical Center Pllc | |
|
2625 Old Denton Rd Ste 415 Carrollton TX 75007-5112 | |
| (972) 242-3361 | |
| (972) 242-5678 |
| Full Name | Carrollton First Care Medical Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2625 Old Denton Rd Ste 415, Carrollton, Texas |
| Authorized Official Name and Position | Jong Yoo (OWNER) |
| Authorized Official Contact | 5415313990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrollton First Care Medical Center Pllc 2625 Old Denton Rd Ste 415 Carrollton TX 75007-5112 Ph: (972) 242-3361 | Carrollton First Care Medical Center Pllc 2625 Old Denton Rd Ste 415 Carrollton TX 75007-5112 Ph: (972) 242-3361 |
| NPI Number | 1851057079 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 8022408186 |
|---|---|
| Medicare Enrollment ID | O20211203000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851057079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jong Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932111614 PECOS PAC ID: 7416958699 Enrollment ID: I20211203000462 |
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