| Premier Provider Health Pa | |
|
9301 N Central Expy Ste 340 Dallas TX 75231-0804 | |
| (214) 466-2828 | |
| (214) 382-9798 |
| Full Name | Premier Provider Health Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9301 N Central Expy Ste 340, Dallas, Texas |
| Authorized Official Name and Position | Han Ngoc Pham - Hulen (MD PA) |
| Authorized Official Contact | 2142741507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Provider Health Pa Po Box 3409 Pflugerville TX 78691-3409 Ph: (513) 252-7792 | Premier Provider Health Pa 9301 N Central Expy Ste 340 Dallas TX 75231-0804 Ph: (214) 466-2828 |
| NPI Number | 1235280496 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235280496 | NPI | - | NPPES |
| 0021NB | Other | TX | BCBS |
| DG0245 | Other | TX | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M0223 (Texas) | Primary |
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Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
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