Cubic Care Incorporated | |
905 N Jupiter Rd Ste 160 Richardson TX 75081-7712 | |
(972) 754-6417 | |
Not Available |
Full Name | Cubic Care Incorporated |
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Speciality | Family Medicine |
Location | 905 N Jupiter Rd, Richardson, Texas |
Authorized Official Name and Position | Thien-an Nguyen (PRESIDENT) |
Authorized Official Contact | 9727546417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cubic Care Incorporated 905 N Jupiter Rd Ste 160 Richardson TX 75081-7712 Ph: () - | Cubic Care Incorporated 905 N Jupiter Rd Ste 160 Richardson TX 75081-7712 Ph: (972) 754-6417 |
NPI Number | 1003171927 |
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Provider Enumeration Date | 07/06/2012 |
Last Update Date | 07/06/2012 |
Medicare PECOS PAC ID | 1052568722 |
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Medicare Enrollment ID | O20120831000279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003171927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | N5909 (Texas) | Primary |
Provider Name | Thien-an Nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669663654 PECOS PAC ID: 4688798812 Enrollment ID: I20100901000934 |
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