| Healogy Group Pllc | |
|
401 W Campbell Rd Ste 300 Richardson TX 75080-3416 | |
| (210) 941-4886 | |
| (469) 715-5353 |
| Full Name | Healogy Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 W Campbell Rd Ste 300, Richardson, Texas |
| Authorized Official Name and Position | Asma Khatoon (OWNER) |
| Authorized Official Contact | 2109414886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healogy Group Pllc Po Box 940174 Plano TX 75094-0174 Ph: (972) 786-0140 | Healogy Group Pllc 401 W Campbell Rd Ste 300 Richardson TX 75080-3416 Ph: (210) 941-4886 |
| NPI Number | 1003470618 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 04/30/2019 |
| Medicare PECOS PAC ID | 0244565331 |
|---|---|
| Medicare Enrollment ID | O20190711001787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003470618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Asma Khatoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548671647 PECOS PAC ID: 9335448091 Enrollment ID: I20180717001483 |
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