| Prime Family Medicine | |
|
5899 Preston Rd Ste 1002 Frisco TX 75034-9593 | |
| (972) 378-0066 | |
| (972) 378-3222 |
| Full Name | Prime Family Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 5899 Preston Rd Ste 1002, Frisco, Texas |
| Authorized Official Name and Position | Ajay Pathak (OWNER) |
| Authorized Official Contact | 9725332280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Family Medicine 5899 Preston Rd Ste 1002 Frisco TX 75034-9593 Ph: (972) 378-0066 | Prime Family Medicine 5899 Preston Rd Ste 1002 Frisco TX 75034-9593 Ph: (972) 378-0066 |
| NPI Number | 1225395015 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 07/09/2020 |
| Medicare PECOS PAC ID | 9436306230 |
|---|---|
| Medicare Enrollment ID | O20120830000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225395015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J6202 (Texas) | Primary |
| Provider Name | Luis C Trigo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912921990 PECOS PAC ID: 0446221014 Enrollment ID: I20040805000764 |
| Provider Name | Ajay J Pathak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831114156 PECOS PAC ID: 5597781989 Enrollment ID: I20051014000409 |
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