Fairway Family Medicine-primary Care, Pllc | |
4100 Fairway Dr 320 Carrollton TX 75010-6525 | |
(972) 236-7608 | |
Not Available |
Full Name | Fairway Family Medicine-primary Care, Pllc |
---|---|
Speciality | Clinic/Center |
Location | 4100 Fairway Dr, Carrollton, Texas |
Authorized Official Name and Position | Hong Xiao (MEDICAL DIRECTOR) |
Authorized Official Contact | 4698789480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fairway Family Medicine-primary Care, Pllc 4100 Fairway Dr 320 Carrollton TX 75010-6525 Ph: (972) 236-7608 | Fairway Family Medicine-primary Care, Pllc 4100 Fairway Dr 320 Carrollton TX 75010-6525 Ph: (972) 236-7608 |
NPI Number | 1508115718 |
---|---|
Provider Enumeration Date | 09/04/2012 |
Last Update Date | 09/04/2012 |
Medicare PECOS PAC ID | 2264689827 |
---|---|
Medicare Enrollment ID | O20120904000606 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508115718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | L3196 (Texas) | Primary |
Provider Name | Thuc-nguyen V Tran |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114995305 PECOS PAC ID: 4385779313 Enrollment ID: I20100316000930 |
Provider Name | Hong Xiao |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669434601 PECOS PAC ID: 3274661533 Enrollment ID: I20100506000377 |
Mysti Blu Management Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2459 E Hebron Pkwy Ste 130, Carrollton, TX 75010 Phone: 972-522-9799 Fax: 469-546-9723 | |
Kuraoka Clinic Texas, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3012 E Hebron Pkwy Ste 104, Carrollton, TX 75010 Phone: 972-306-0808 | |
Mahmood B. Panjwani M.d, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3740 N Josey Ln, Suite 206, Carrollton, TX 75007 Phone: 214-731-0031 Fax: 214-731-0065 | |
Restor Neural Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2340 E Trinity Mills Rd Ste 300, Carrollton, TX 75006 Phone: 214-709-1280 |