Lifeseasons North Texas Medical Clinic Pllc | |
4370 Medical Arts Dr Ste 315 Flower Mound TX 75028-1746 | |
(469) 470-0726 | |
Not Available |
Full Name | Lifeseasons North Texas Medical Clinic Pllc |
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Speciality | Family Medicine |
Location | 4370 Medical Arts Dr Ste 315, Flower Mound, Texas |
Authorized Official Name and Position | Rachael W Nelson (PRACTICE MANAGER) |
Authorized Official Contact | 4694700726 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lifeseasons North Texas Medical Clinic Pllc 4370 Medical Arts Dr Ste 315 Flower Mound TX 75028-1746 Ph: (469) 470-0726 | Lifeseasons North Texas Medical Clinic Pllc 4370 Medical Arts Dr Ste 315 Flower Mound TX 75028-1746 Ph: (469) 470-0726 |
NPI Number | 1972067239 |
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Provider Enumeration Date | 01/30/2019 |
Last Update Date | 01/30/2019 |
Medicare PECOS PAC ID | 8729328240 |
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Medicare Enrollment ID | O20190320001830 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972067239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Margaret Apostol |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518288901 PECOS PAC ID: 4880833763 Enrollment ID: I20190320002548 |
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