| Lake Forest Family Health, Pllc | |
|
4987 W University Dr Suite 150 Mckinney TX 75071-5072 | |
| (972) 542-8464 | |
| (972) 542-8468 |
| Full Name | Lake Forest Family Health, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4987 W University Dr, Mckinney, Texas |
| Authorized Official Name and Position | Washington Ken (PRESIDENT) |
| Authorized Official Contact | 6153725170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Forest Family Health, Pllc 4987 W University Dr Suite 150 Mckinney TX 75071-5072 Ph: (972) 542-8464 | Lake Forest Family Health, Pllc 4987 W University Dr Suite 150 Mckinney TX 75071-5072 Ph: (972) 542-8464 |
| NPI Number | 1770817322 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 07/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770817322 | NPI | - | NPPES |
| P00942831 | Other | TX | RAILROAD MEDICARE |
| 284230401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K6565 (Texas) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | K6565 (Texas) | Secondary |
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