| Dfw Sports Medicine, Pllc | |
|
4833 Medical Center Dr Ste 6e Mckinney TX 75069-1898 | |
| (469) 430-9380 | |
| (469) 242-9539 |
| Full Name | Dfw Sports Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4833 Medical Center Dr Ste 6e, Mckinney, Texas |
| Authorized Official Name and Position | Rathna Nuti (PHYSICIAN) |
| Authorized Official Contact | 2147386169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Sports Medicine, Pllc 239 Glen Ridge Dr Murphy TX 75094-4206 Ph: () - | Dfw Sports Medicine, Pllc 4833 Medical Center Dr Ste 6e Mckinney TX 75069-1898 Ph: (469) 430-9380 |
| NPI Number | 1619573532 |
|---|---|
| Provider Enumeration Date | 12/07/2020 |
| Last Update Date | 02/10/2021 |
| Medicare PECOS PAC ID | 0244645604 |
|---|---|
| Medicare Enrollment ID | O20210622000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619573532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Rathna Nuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295171668 PECOS PAC ID: 8729350467 Enrollment ID: I20171020000365 |
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