Dr. Astrid Gutsmann Pa | |
411 E Mcdermott Dr Allen TX 75002-2854 | |
(972) 227-3464 | |
(877) 879-2911 |
Full Name | Dr. Astrid Gutsmann Pa |
---|---|
Speciality | Family Medicine |
Location | 411 E Mcdermott Dr, Allen, Texas |
Authorized Official Name and Position | Astrid Gutsmann (MEDICAL DIRECTOR) |
Authorized Official Contact | 9722273464 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr. Astrid Gutsmann Pa 411 E Mcdermott Dr Allen TX 75002-2854 Ph: (972) 227-3464 | Dr. Astrid Gutsmann Pa 411 E Mcdermott Dr Allen TX 75002-2854 Ph: (972) 227-3464 |
NPI Number | 1780614966 |
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Provider Enumeration Date | 07/04/2006 |
Last Update Date | 12/14/2010 |
Medicare PECOS PAC ID | 6103838362 |
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Medicare Enrollment ID | O20060707000149 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780614966 | NPI | - | NPPES |
0031NK | Other | TX | BCBS |
181071501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M0422 (Texas) | Primary |
Provider Name | Astrid Gutsmann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003851676 PECOS PAC ID: 4284646449 Enrollment ID: I20060707000156 |
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