| Premier Family Medical, Pa | |
|
6800 Alma Dr Plano TX 75023-2006 | |
| (972) 527-6065 | |
| (469) 467-8011 |
| Full Name | Premier Family Medical, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6800 Alma Dr, Plano, Texas |
| Authorized Official Name and Position | Kelly Anh Le (PHYSICIAN) |
| Authorized Official Contact | 9725276065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Medical, Pa 6800 Alma Dr Plano TX 75023-2006 Ph: (972) 527-6065 | Premier Family Medical, Pa 6800 Alma Dr Plano TX 75023-2006 Ph: (972) 527-6065 |
| NPI Number | 1417144627 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 10/02/2007 |
| Medicare PECOS PAC ID | 5496761231 |
|---|---|
| Medicare Enrollment ID | O20060302000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417144627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kelly A Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780619189 PECOS PAC ID: 0840220943 Enrollment ID: I20050818000327 |
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