| Id Associates Pa | |
|
4461 Coit Rd Ste 409 Frisco TX 75035-0526 | |
| (214) 396-8877 | |
| (214) 983-0983 |
| Full Name | Id Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4461 Coit Rd Ste 409, Frisco, Texas |
| Authorized Official Name and Position | Julie Nahar (PRESIDENT) |
| Authorized Official Contact | 9188532256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Associates Pa 4461 Coit Rd Ste 409 Frisco TX 75035-0526 Ph: (214) 396-8877 | Id Associates Pa 4461 Coit Rd Ste 409 Frisco TX 75035-0526 Ph: (214) 396-8877 |
| NPI Number | 1205442902 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 09/17/2020 |
| Medicare PECOS PAC ID | 0941620611 |
|---|---|
| Medicare Enrollment ID | O20201019001549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205442902 | NPI | - | NPPES |
| N3926 | Other | TX | TX MEDICAL LICENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Julie Nahar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801937529 PECOS PAC ID: 8729125455 Enrollment ID: I20110524000298 |
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