| Frisco Primary Care, P.a. | |
|
4525 Ohio Drive Frisco TX 75035 | |
| (972) 731-7717 | |
| Not Available |
| Full Name | Frisco Primary Care, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4525 Ohio Drive, Frisco, Texas |
| Authorized Official Name and Position | Karen Brown (ADMINISTRATOR) |
| Authorized Official Contact | 9727317717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frisco Primary Care, P.a. 4525 Ohio Drive Frisco TX 75035 Ph: (972) 731-7717 | Frisco Primary Care, P.a. 4525 Ohio Drive Frisco TX 75035 Ph: (972) 731-7717 |
| NPI Number | 1861667685 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 03/17/2011 |
| Medicare PECOS PAC ID | 7517030448 |
|---|---|
| Medicare Enrollment ID | O20080724000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861667685 | NPI | - | NPPES |
| 195597301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Beth J Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881666048 PECOS PAC ID: 1759286248 Enrollment ID: I20031208000167 |
| Provider Name | Jun Hee Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891795522 PECOS PAC ID: 7618948787 Enrollment ID: I20040803000535 |
| Provider Name | Bo Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386643260 PECOS PAC ID: 5799755120 Enrollment ID: I20040805000605 |
| Provider Name | Subashini Narayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710986864 PECOS PAC ID: 1557377744 Enrollment ID: I20060224000485 |
| Provider Name | Anitha Vyza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144220716 PECOS PAC ID: 2668488859 Enrollment ID: I20060224000553 |
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