| Doctor Is In, Pa | |
|
4812 Roberts St Greenville TX 75401-5669 | |
| (903) 455-1234 | |
| (903) 455-2122 |
| Full Name | Doctor Is In, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4812 Roberts St, Greenville, Texas |
| Authorized Official Name and Position | Hassan Farooq (PHYSICIAN OWNER) |
| Authorized Official Contact | 9034551234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Is In, Pa 4812 Roberts St Greenville TX 75401-5669 Ph: (903) 455-1234 | Doctor Is In, Pa 4812 Roberts St Greenville TX 75401-5669 Ph: (903) 455-1234 |
| NPI Number | 1093736985 |
|---|---|
| Provider Enumeration Date | 07/23/2006 |
| Last Update Date | 10/12/2020 |
| Medicare PECOS PAC ID | 9537165576 |
|---|---|
| Medicare Enrollment ID | O20061013000290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093736985 | NPI | - | NPPES |
| 189004801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K4421 (Texas) | Primary |
| Provider Name | Hassan Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154370179 PECOS PAC ID: 8123061348 Enrollment ID: I20050608000242 |
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