| North Texas Hospitalists, Pllc | |
|
8994 Tour Dr Ste 210 Mckinney TX 75070-2036 | |
| (972) 449-5900 | |
| (972) 449-7100 |
| Full Name | North Texas Hospitalists, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8994 Tour Dr Ste 210, Mckinney, Texas |
| Authorized Official Name and Position | Ken Park (OWNER) |
| Authorized Official Contact | 2146801110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Hospitalists, Pllc 8994 Tour Dr Ste 210 Mckinney TX 75070-2036 Ph: (972) 449-5900 | North Texas Hospitalists, Pllc 8994 Tour Dr Ste 210 Mckinney TX 75070-2036 Ph: (972) 449-5900 |
| NPI Number | 1265858450 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 08/19/2020 |
| Medicare PECOS PAC ID | 3173748894 |
|---|---|
| Medicare Enrollment ID | O20140711002048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265858450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ryan H Heise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578506010 PECOS PAC ID: 0840260352 Enrollment ID: I20040730000253 |
| Provider Name | Tom T Thayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972541381 PECOS PAC ID: 9931151461 Enrollment ID: I20050214000178 |
| Provider Name | Ken Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316980295 PECOS PAC ID: 2466582028 Enrollment ID: I20111215000787 |
| Provider Name | Vijay S Katari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184734733 PECOS PAC ID: 1951306786 Enrollment ID: I20150410000712 |
| Provider Name | Sanju Baino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992218424 PECOS PAC ID: 3072889138 Enrollment ID: I20180425000775 |
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