| Mall Family Care Pa | |
|
13576 Mercedes Ln Frisco TX 75035-0649 | |
| (714) 598-7578 | |
| (714) 740-5876 |
| Full Name | Mall Family Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 13576 Mercedes Ln, Frisco, Texas |
| Authorized Official Name and Position | Sanjeev Kumar Mall (OWNER) |
| Authorized Official Contact | 7145987578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mall Family Care Pa 13576 Mercedes Ln Frisco TX 75035-0649 Ph: (714) 598-7578 | Mall Family Care Pa 13576 Mercedes Ln Frisco TX 75035-0649 Ph: (714) 598-7578 |
| NPI Number | 1528464138 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Medicare PECOS PAC ID | 9133443211 |
|---|---|
| Medicare Enrollment ID | O20150120001779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528464138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P1100 (Texas) | Primary |
| Provider Name | Sanjeev K Mall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659527331 PECOS PAC ID: 6204998941 Enrollment ID: I20140108000311 |
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