| Pediatric & Family Physicians Pa | |
|
4900 Long Prairie Rd Suite 100 Flower Mound TX 75028-2287 | |
| (972) 691-4100 | |
| (972) 691-4118 |
| Full Name | Pediatric & Family Physicians Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4900 Long Prairie Rd, Flower Mound, Texas |
| Authorized Official Name and Position | Harminder S Dhaliwal (PARTNER) |
| Authorized Official Contact | 9726914100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric & Family Physicians Pa 4900 Long Prairie Rd Suite 100 Flower Mound TX 75028-2287 Ph: (972) 691-4100 | Pediatric & Family Physicians Pa 4900 Long Prairie Rd Suite 100 Flower Mound TX 75028-2287 Ph: (972) 691-4100 |
| NPI Number | 1053531210 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 11/05/2010 |
| Medicare PECOS PAC ID | 6204841752 |
|---|---|
| Medicare Enrollment ID | O20060220000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053531210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K5790 (Texas) | Primary |
| 208000000X | Pediatrics | K4040 (Texas) | Secondary |
| Provider Name | Navjot Bajwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487604567 PECOS PAC ID: 3476568924 Enrollment ID: I20101228000437 |
| Provider Name | Smriti Shrestha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457526485 PECOS PAC ID: 6305014853 Enrollment ID: I20180426001939 |
| Provider Name | Sidra Usman Saeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245689694 PECOS PAC ID: 4385936251 Enrollment ID: I20210324000356 |
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