| Karana R. Fairley, M.d., P.a. | |
|
3801 W 15th St Ste 350b Plano TX 75075-7723 | |
| (972) 867-9300 | |
| (972) 867-1700 |
| Full Name | Karana R. Fairley, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3801 W 15th St Ste 350b, Plano, Texas |
| Authorized Official Name and Position | Adriane Alexander (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9728679300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karana R. Fairley, M.d., P.a. 3801 W 15th St Ste 350b Plano TX 75075-7723 Ph: (972) 867-9300 | Karana R. Fairley, M.d., P.a. 3801 W 15th St Ste 350b Plano TX 75075-7723 Ph: (972) 867-9300 |
| NPI Number | 1891083630 |
|---|---|
| Provider Enumeration Date | 07/14/2011 |
| Last Update Date | 10/05/2011 |
| Medicare PECOS PAC ID | 4183648140 |
|---|---|
| Medicare Enrollment ID | O20060118000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891083630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L0160 (Texas) | Primary |
| Provider Name | Karana R Fairley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194771006 PECOS PAC ID: 0547284507 Enrollment ID: I20060118000401 |
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