| Howard M Kussman, Md, Pa | |
|
3600 Communications Pkwy Ste 675 Plano TX 75093-8162 | |
| (214) 518-8206 | |
| (469) 200-4815 |
| Full Name | Howard M Kussman, Md, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3600 Communications Pkwy Ste 675, Plano, Texas |
| Authorized Official Name and Position | Howard M Kussman (OWNER) |
| Authorized Official Contact | 2145188206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard M Kussman, Md, Pa 3600 Communications Pkwy Ste 675 Plano TX 75093-8162 Ph: (214) 518-8206 | Howard M Kussman, Md, Pa 3600 Communications Pkwy Ste 675 Plano TX 75093-8162 Ph: (214) 518-8206 |
| NPI Number | 1578508313 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 0446159230 |
|---|---|
| Medicare Enrollment ID | O20031231000055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578508313 | NPI | - | NPPES |
| 163096401 | Medicaid | TX | |
| 0077PU | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Howard M Kussman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447293287 PECOS PAC ID: 3375442163 Enrollment ID: I20031231000109 |
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