| Premier Medical Center Llc | |
|
6501 Preston Rd Plano TX 75024-2603 | |
| (214) 888-9000 | |
| Not Available |
| Full Name | Premier Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6501 Preston Rd, Plano, Texas |
| Authorized Official Name and Position | Marsel Yousef (CEO) |
| Authorized Official Contact | 2148889000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Center Llc 6501 Preston Rd Plano TX 75024-2603 Ph: (214) 888-9000 | Premier Medical Center Llc 6501 Preston Rd Plano TX 75024-2603 Ph: (214) 888-9000 |
| NPI Number | 1841036373 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 11/08/2024 |
| Medicare PECOS PAC ID | 1850823311 |
|---|---|
| Medicare Enrollment ID | O20241022002747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841036373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Rose Santiago Benny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043349756 PECOS PAC ID: 9335672450 Enrollment ID: I20241029000925 |
| Provider Name | Daimel Perez Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932974813 PECOS PAC ID: 4880127497 Enrollment ID: I20241104001341 |
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