| Regenesys Physical Medicine Pllc | |
|
425 Old Newman Rd Ste 100 Frisco TX 75036-4773 | |
| (972) 712-5556 | |
| (972) 712-5579 |
| Full Name | Regenesys Physical Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 425 Old Newman Rd Ste 100, Frisco, Texas |
| Authorized Official Name and Position | Brandon B Wilson (OWNER) |
| Authorized Official Contact | 9727125556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenesys Physical Medicine Pllc 425 Old Newman Rd Ste 100 Frisco TX 75036-4773 Ph: (972) 712-5556 | Regenesys Physical Medicine Pllc 425 Old Newman Rd Ste 100 Frisco TX 75036-4773 Ph: (972) 712-5556 |
| NPI Number | 1518467059 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 01/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518467059 | NPI | - | NPPES |
| 10828 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
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