| Frisco Family Healthcare Clinic | |
|
9555 Lebanon Rd Ste 1003 Frisco TX 75035-6088 | |
| (214) 872-1232 | |
| Not Available |
| Full Name | Frisco Family Healthcare Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 9555 Lebanon Rd Ste 1003, Frisco, Texas |
| Authorized Official Name and Position | Oyetokunbo Lemoru (OWNER) |
| Authorized Official Contact | 2148721232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frisco Family Healthcare Clinic 539 W Commerce St # 5584 Dallas TX 75208-1953 Ph: (917) 332-8593 | Frisco Family Healthcare Clinic 9555 Lebanon Rd Ste 1003 Frisco TX 75035-6088 Ph: (214) 872-1232 |
| NPI Number | 1447827324 |
|---|---|
| Provider Enumeration Date | 06/08/2021 |
| Last Update Date | 01/27/2022 |
| Medicare PECOS PAC ID | 2163815697 |
|---|---|
| Medicare Enrollment ID | O20220207000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447827324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Oyetokunbo Oyebola Lemoru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780192203 PECOS PAC ID: 3072906502 Enrollment ID: I20220207000345 |
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