| Coppell Adult Medicine Specialist | |
|
722 S Denton Tap Rd # 190 Coppell TX 75019 | |
| (972) 393-1200 | |
| (972) 393-1234 |
| Full Name | Coppell Adult Medicine Specialist |
|---|---|
| Speciality | Internal Medicine |
| Location | 722 S Denton Tap Rd, Coppell, Texas |
| Authorized Official Name and Position | Bina Sharma (PRESIDENT) |
| Authorized Official Contact | 9723931200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coppell Adult Medicine Specialist 722 S Denton Tap Rd # 190 Coppell TX 75019 Ph: (972) 393-1200 | Coppell Adult Medicine Specialist 722 S Denton Tap Rd # 190 Coppell TX 75019 Ph: (972) 393-1200 |
| NPI Number | 1962584771 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 10/12/2010 |
| Medicare PECOS PAC ID | 8628265568 |
|---|---|
| Medicare Enrollment ID | O20101206000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962584771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K9899 (Texas) | Primary |
| Provider Name | Bina Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699980417 PECOS PAC ID: 9537356472 Enrollment ID: I20101206000098 |
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Dfw Family Health & Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 W. State Hwy 121 Bypass, Suite 100, Coppell, TX 75019 Phone: 469-848-0844 | |
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