Plano Family Clinic Pllc | |
6100 K Ave Suite 108 Plano TX 75074-2538 | |
(972) 509-0752 | |
(972) 509-4926 |
Full Name | Plano Family Clinic Pllc |
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Speciality | Family Medicine |
Location | 6100 K Ave, Plano, Texas |
Authorized Official Name and Position | Adriane Alexander (CREDENTIALING MANAGER) |
Authorized Official Contact | 4694633353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Plano Family Clinic Pllc 6100 K Ave Suite 108 Plano TX 75074-2538 Ph: (972) 509-0752 | Plano Family Clinic Pllc 6100 K Ave Suite 108 Plano TX 75074-2538 Ph: (972) 509-0752 |
NPI Number | 1346787603 |
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Provider Enumeration Date | 01/25/2017 |
Last Update Date | 01/25/2017 |
Medicare PECOS PAC ID | 6002187143 |
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Medicare Enrollment ID | O20170808000545 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346787603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Hanh Dieu Thi Nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710046982 PECOS PAC ID: 2264331131 Enrollment ID: I20050317000775 |
Provider Name | Khanh Thoai Truong |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023637550 PECOS PAC ID: 4981040045 Enrollment ID: I20240311004082 |
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