North Dallas Primary Care Doctors Pllc | |
8795 Preston Trace Blvd Ste 100 Frisco TX 75033-3010 | |
(214) 705-3728 | |
(214) 308-9464 |
Full Name | North Dallas Primary Care Doctors Pllc |
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Speciality | Internal Medicine |
Location | 8795 Preston Trace Blvd Ste 100, Frisco, Texas |
Authorized Official Name and Position | Suchitra Rao Kamineni (PRESIDENT) |
Authorized Official Contact | 2147053728 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Dallas Primary Care Doctors Pllc 8795 Preston Trace Blvd Ste 100 Frisco TX 75033-3010 Ph: (214) 705-3728 | North Dallas Primary Care Doctors Pllc 8795 Preston Trace Blvd Ste 100 Frisco TX 75033-3010 Ph: (214) 705-3728 |
NPI Number | 1952828279 |
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Provider Enumeration Date | 08/28/2017 |
Last Update Date | 06/27/2024 |
Medicare PECOS PAC ID | 5799042289 |
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Medicare Enrollment ID | O20171208002269 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952828279 | NPI | - | NPPES |
Provider Name | Suchitra R Kamineni |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851548622 PECOS PAC ID: 9234304320 Enrollment ID: I20111220000084 |
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