| Primary Care Doctors Of North Texas Pllc | |
|
4927 Lake Ridge Pkwy Ste 150 Grand Prairie TX 75052-3069 | |
| (313) 505-2932 | |
| Not Available |
| Full Name | Primary Care Doctors Of North Texas Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4927 Lake Ridge Pkwy Ste 150, Grand Prairie, Texas |
| Authorized Official Name and Position | Chaitanya Chavda (MANAGER) |
| Authorized Official Contact | 3135052932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Doctors Of North Texas Pllc 2120 Vanco Dr Irving TX 75061-8816 Ph: (313) 505-2932 | Primary Care Doctors Of North Texas Pllc 4927 Lake Ridge Pkwy Ste 150 Grand Prairie TX 75052-3069 Ph: (313) 505-2932 |
| NPI Number | 1760147490 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 11/08/2021 |
| Medicare PECOS PAC ID | 1355738642 |
|---|---|
| Medicare Enrollment ID | O20220505001838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760147490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pannaben H Nangha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699958579 PECOS PAC ID: 5698833762 Enrollment ID: I20120329000769 |
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