| Frisco Center For Internal Medicine, Pllc | |
|
12500 Lebanon Rd Ste 103 Frisco TX 75035-9474 | |
| (214) 297-0297 | |
| (214) 297-0298 |
| Full Name | Frisco Center For Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12500 Lebanon Rd Ste 103, Frisco, Texas |
| Authorized Official Name and Position | Neela Shah (MD, OWNER, PARTNER) |
| Authorized Official Contact | 2142970297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frisco Center For Internal Medicine, Pllc 9330 Lbj Fwy Ste 800 Dallas TX 75243-4310 Ph: (972) 792-5700 | Frisco Center For Internal Medicine, Pllc 12500 Lebanon Rd Ste 103 Frisco TX 75035-9474 Ph: (214) 297-0297 |
| NPI Number | 1093185944 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 10/21/2022 |
| Medicare PECOS PAC ID | 1153624762 |
|---|---|
| Medicare Enrollment ID | O20160114001213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093185944 | NPI | - | NPPES |
| M2801 | Other | TX | 207R00000X |
| M6630 | Other | TX | 207R00000X |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Neela G Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407809254 PECOS PAC ID: 8224041934 Enrollment ID: I20060725000341 |
| Provider Name | Maria-raquel Weaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942526892 PECOS PAC ID: 6507000965 Enrollment ID: I20130925000341 |
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