| Medi Clinic | |
|
648 W Campbell Rd Ste B Richardson TX 75080-3300 | |
| (214) 346-9999 | |
| (214) 346-9100 |
| Full Name | Medi Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 648 W Campbell Rd Ste B, Richardson, Texas |
| Authorized Official Name and Position | Michael S Tran (PRESIDENT) |
| Authorized Official Contact | 2143469999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi Clinic 648 W Campbell Rd Ste B Richardson TX 75080-3300 Ph: (214) 346-9999 | Medi Clinic 648 W Campbell Rd Ste B Richardson TX 75080-3300 Ph: (214) 346-9999 |
| NPI Number | 1811900111 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 10/27/2020 |
| Medicare PECOS PAC ID | 3173608387 |
|---|---|
| Medicare Enrollment ID | O20080312000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811900111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H4114 (Texas) | Primary |
| Provider Name | Michael S Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578758181 PECOS PAC ID: 0143279612 Enrollment ID: I20050121000688 |
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