| Diagnostic Partners Of North Texas, P.a. | |
|
5140 Legendary Dr Ste 100 Frisco TX 75034-9042 | |
| (972) 867-9507 | |
| (972) 578-7705 |
| Full Name | Diagnostic Partners Of North Texas, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5140 Legendary Dr Ste 100, Frisco, Texas |
| Authorized Official Name and Position | Vijay K Sharma (PHYSICIAN /PRESIDENT OF THE COMPANY) |
| Authorized Official Contact | 9728679507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Partners Of North Texas, P.a. 5140 Legendary Dr Ste 100 Frisco TX 75034-9042 Ph: (972) 867-9507 | Diagnostic Partners Of North Texas, P.a. 5140 Legendary Dr Ste 100 Frisco TX 75034-9042 Ph: (972) 867-9507 |
| NPI Number | 1013016153 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 12/12/2023 |
| Medicare PECOS PAC ID | 0345272092 |
|---|---|
| Medicare Enrollment ID | O20050902000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013016153 | NPI | - | NPPES |
| 00531T | Other | TX | MEDICARE ID |
| 45D1012942 | Other | CLIA | |
| 930119683 | Other | TX | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vijay K Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962475822 PECOS PAC ID: 5294721817 Enrollment ID: I20040421000283 |
| Provider Name | Tara Christie-martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538753710 PECOS PAC ID: 1052765310 Enrollment ID: I20230920004361 |
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