| North Central Texas Community Health Care Center Inc. | |
|
3713 W 15th St Ste 401 Plano TX 75075-7754 | |
| (972) 596-5900 | |
| Not Available |
| Full Name | North Central Texas Community Health Care Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3713 W 15th St Ste 401, Plano, Texas |
| Authorized Official Name and Position | Allen Patterson, Chief Executive Officer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9407666306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Central Texas Community Health Care Center Inc. 200 Mlk Jr Blvd Wichita Falls TX 76301-1152 Ph: (940) 397-2609 | North Central Texas Community Health Care Center Inc. 3713 W 15th St Ste 401 Plano TX 75075-7754 Ph: (972) 596-5900 |
| NPI Number | 1093415457 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Medicare PECOS PAC ID | 9931099215 |
|---|---|
| Medicare Enrollment ID | O20230515001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093415457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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