J. Todd Carruthers, Md, Pa | |
1120 Raintree Circle Suite 210 Allen TX 75013 | |
(972) 852-1534 | |
(972) 982-7459 |
Full Name | J. Todd Carruthers, Md, Pa |
---|---|
Speciality | Family Medicine |
Location | 1120 Raintree Circle, Allen, Texas |
Authorized Official Name and Position | Jeffrey Todd Carruthers (PRESIDENT) |
Authorized Official Contact | 9728521534 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
J. Todd Carruthers, Md, Pa 1120 Raintree Circle Suite 210 Allen TX 75013 Ph: (972) 852-1534 | J. Todd Carruthers, Md, Pa 1120 Raintree Circle Suite 210 Allen TX 75013 Ph: (972) 852-1534 |
NPI Number | 1306034202 |
---|---|
Provider Enumeration Date | 10/05/2007 |
Last Update Date | 08/08/2018 |
Medicare PECOS PAC ID | 8426328378 |
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Medicare Enrollment ID | O20170725003760 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306034202 | NPI | - | NPPES |
0081NZ | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K5849 (Texas) | Primary |
Provider Name | Jeffrey T Carruthers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386645562 PECOS PAC ID: 5193816486 Enrollment ID: I20070731000617 |
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