| Health 3555 Pllc | |
|
2806 W Fm 544 Wylie TX 75098-7022 | |
| (972) 226-8900 | |
| (972) 218-0554 |
| Full Name | Health 3555 Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2806 W Fm 544, Wylie, Texas |
| Authorized Official Name and Position | Mahvish Ayman (OWNER) |
| Authorized Official Contact | 9722268900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health 3555 Pllc 2806 W Fm 544 Wylie TX 75098-7022 Ph: (972) 226-8900 | Health 3555 Pllc 2806 W Fm 544 Wylie TX 75098-7022 Ph: (972) 226-8900 |
| NPI Number | 1932963246 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 7012354509 |
|---|---|
| Medicare Enrollment ID | O20240320000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932963246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mahvish Ayman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871054726 PECOS PAC ID: 1456720721 Enrollment ID: I20221207003251 |
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