| Delc Medical Center | |
|
5285 Independence Pkwy Ste 400 Frisco TX 75035-4646 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Delc Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 5285 Independence Pkwy Ste 400, Frisco, Texas |
| Authorized Official Name and Position | Lynda E Mbah (CEO) |
| Authorized Official Contact | 4693532400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delc Medical Center 5285 Independence Pkwy Ste 400 Frisco TX 75035-4646 Ph: (469) 353-2400 | Delc Medical Center 5285 Independence Pkwy Ste 400 Frisco TX 75035-4646 Ph: (000) 000-0000 |
| NPI Number | 1932670643 |
|---|---|
| Provider Enumeration Date | 12/07/2018 |
| Last Update Date | 03/14/2019 |
| Medicare PECOS PAC ID | 8224379698 |
|---|---|
| Medicare Enrollment ID | O20190411002511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932670643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lynda E Mbah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669799060 PECOS PAC ID: 3173793890 Enrollment ID: I20131015001765 |
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