Premier Care Internal Medicine Pa | |
3783 S Lake Forest Dr Ste 100 Mckinney TX 75070-1913 | |
(972) 808-7111 | |
(972) 548-7112 |
Full Name | Premier Care Internal Medicine Pa |
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Speciality | Internal Medicine |
Location | 3783 S Lake Forest Dr Ste 100, Mckinney, Texas |
Authorized Official Name and Position | Purvi Sanghvi (PRESIDENT) |
Authorized Official Contact | 9728087111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Premier Care Internal Medicine Pa 3783 S Lake Forest Dr Ste 100 Mckinney TX 75070-1913 Ph: (972) 808-7111 | Premier Care Internal Medicine Pa 3783 S Lake Forest Dr Ste 100 Mckinney TX 75070-1913 Ph: (972) 808-7111 |
NPI Number | 1366785578 |
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Provider Enumeration Date | 04/05/2013 |
Last Update Date | 02/15/2022 |
Medicare PECOS PAC ID | 8628203908 |
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Medicare Enrollment ID | O20131022000401 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366785578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0432 (Texas) | Primary |
Provider Name | Purvi J Sanghvi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356495857 PECOS PAC ID: 2668572413 Enrollment ID: I20090129000284 |
Provider Name | Candice A Thornton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922235787 PECOS PAC ID: 6204091531 Enrollment ID: I20211014000068 |
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