| Harish Muniswamy Md Pa | |
|
762 Chalais Ct Coppell TX 75019-4589 | |
| (646) 894-0807 | |
| Not Available |
| Full Name | Harish Muniswamy Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 762 Chalais Ct, Coppell, Texas |
| Authorized Official Name and Position | Harish Muniswamy (PRESIDENT & CEO) |
| Authorized Official Contact | 6468940807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harish Muniswamy Md Pa 762 Chalais Ct Coppell TX 75019-4589 Ph: (646) 894-0807 | Harish Muniswamy Md Pa 762 Chalais Ct Coppell TX 75019-4589 Ph: (646) 894-0807 |
| NPI Number | 1679962583 |
|---|---|
| Provider Enumeration Date | 01/15/2015 |
| Last Update Date | 01/15/2015 |
| Medicare PECOS PAC ID | 2264758424 |
|---|---|
| Medicare Enrollment ID | O20150305000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679962583 | NPI | - | NPPES |
| N0300 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N0300 (Texas) | Primary |
| Provider Name | Harish Muniswamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205939337 PECOS PAC ID: 0345241774 Enrollment ID: I20081222000644 |
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