Candid Primary Care | |
546 E Sandy Lake Rd Ste 120 Coppell TX 75019-5793 | |
(469) 619-7192 | |
(401) 340-1848 |
Full Name | Candid Primary Care |
---|---|
Speciality | Internal Medicine |
Location | 546 E Sandy Lake Rd Ste 120, Coppell, Texas |
Authorized Official Name and Position | Monsur Ali (OWNER) |
Authorized Official Contact | 4696197192 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Candid Primary Care 1312 Breanna Way Coppell TX 75019-3658 Ph: (646) 623-4636 | Candid Primary Care 546 E Sandy Lake Rd Ste 120 Coppell TX 75019-5793 Ph: (469) 619-7192 |
NPI Number | 1528795218 |
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Provider Enumeration Date | 08/03/2022 |
Last Update Date | 08/10/2022 |
Medicare PECOS PAC ID | 7113300476 |
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Medicare Enrollment ID | O20220818002663 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528795218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Monsur Ali |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508206095 PECOS PAC ID: 5395969851 Enrollment ID: I20220818002807 |
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