| Patient First Medical Group Pa | |
|
7151 Colleyville Blvd Suite 103 Colleyville TX 76034-8029 | |
| (682) 557-4042 | |
| (817) 789-4187 |
| Full Name | Patient First Medical Group Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 7151 Colleyville Blvd, Colleyville, Texas |
| Authorized Official Name and Position | Mohammad N Uddin (OWNER AND CEO) |
| Authorized Official Contact | 6825574042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient First Medical Group Pa Po Box 96221 Southlake TX 76092-0127 Ph: (682) 557-4042 | Patient First Medical Group Pa 7151 Colleyville Blvd Suite 103 Colleyville TX 76034-8029 Ph: (682) 557-4042 |
| NPI Number | 1528206612 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 06/30/2015 |
| Medicare PECOS PAC ID | 4385709914 |
|---|---|
| Medicare Enrollment ID | O20090216000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528206612 | NPI | - | NPPES |
| 0070SD | Other | TX | BCBS |
| 308124201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M8396 (Texas) | Primary |
| 207Q00000X | Family Medicine | N0121 (Texas) | Secondary |
| Provider Name | Mohammad N Uddin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013052406 PECOS PAC ID: 6507886637 Enrollment ID: I20080211000078 |
| Provider Name | Atiya Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013052570 PECOS PAC ID: 5496775520 Enrollment ID: I20081006000605 |
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