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14660 State Highway 121 Ste 200 Bldg B Frisco TX 75035-4634 | |
| (469) 269-0272 | |
| (469) 854-2143 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 14660 State Highway 121 Ste 200, Frisco, Texas |
| Authorized Official Name and Position | Krishna Chaithanya Tatineni (CEO) |
| Authorized Official Contact | 4692690272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14660 State Highway 121 Ste 200 Bldg B Frisco TX 75035-4634 Ph: (469) 269-0272 | 14660 State Highway 121 Ste 200 Bldg B Frisco TX 75035-4634 Ph: (469) 269-0272 |
| NPI Number | 1164004362 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164004362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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