| Patient Sortal Health Pllc | |
|
3201 Dallas Pkwy Ste 200 Frisco TX 75034-9572 | |
| (469) 617-9800 | |
| Not Available |
| Full Name | Patient Sortal Health Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3201 Dallas Pkwy Ste 200, Frisco, Texas |
| Authorized Official Name and Position | Jennifer A. Frangos (SOLE MEMBER) |
| Authorized Official Contact | 3049929622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient Sortal Health Pllc 3201 Dallas Pkwy Ste 200 Frisco TX 75034-9572 Ph: () - | Patient Sortal Health Pllc 3201 Dallas Pkwy Ste 200 Frisco TX 75034-9572 Ph: (469) 617-9800 |
| NPI Number | 1790442077 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 0244617389 |
|---|---|
| Medicare Enrollment ID | O20220511002134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790442077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Lateefa Antrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487017125 PECOS PAC ID: 5698074375 Enrollment ID: I20160502000977 |
| Provider Name | Jennifer Ann Frangos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043416696 PECOS PAC ID: 3678666856 Enrollment ID: I20220511001343 |
| Provider Name | Jill Beavers Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760510481 PECOS PAC ID: 3577694462 Enrollment ID: I20220621001510 |
| Provider Name | Quinton A Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013163849 PECOS PAC ID: 3375689664 Enrollment ID: I20220625000375 |
| Provider Name | Laurenmarie Cormier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700446366 PECOS PAC ID: 2365838448 Enrollment ID: I20220920003423 |
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