| Phoenix Integrative Medical Center Pllc | |
|
6380 Preston Rd Frisco TX 75034-6384 | |
| (214) 616-0234 | |
| Not Available |
| Full Name | Phoenix Integrative Medical Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6380 Preston Rd, Frisco, Texas |
| Authorized Official Name and Position | Bryan Paul Hoffman (OWNER) |
| Authorized Official Contact | 2146160234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Integrative Medical Center Pllc 6380 Preston Rd Frisco TX 75034-6384 Ph: (214) 616-0234 | Phoenix Integrative Medical Center Pllc 6380 Preston Rd Frisco TX 75034-6384 Ph: (214) 616-0234 |
| NPI Number | 1689222945 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 08/29/2019 |
| Medicare PECOS PAC ID | 7315377892 |
|---|---|
| Medicare Enrollment ID | O20200423003617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689222945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bryan P Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013965045 PECOS PAC ID: 8820021488 Enrollment ID: I20090122000734 |
| Provider Name | Rose Ukundwa Tuguta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457502023 PECOS PAC ID: 1759518269 Enrollment ID: I20131209000054 |
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