| Regenrx Medical, Pllc | |
|
5850 Town And Country Blvd Ste 1301 Frisco TX 75034-0307 | |
| (972) 335-7994 | |
| Not Available |
| Full Name | Regenrx Medical, Pllc |
|---|---|
| Speciality | General Practice |
| Location | 5850 Town And Country Blvd Ste 1301, Frisco, Texas |
| Authorized Official Name and Position | George Hoogeveen (PRESIDENT) |
| Authorized Official Contact | 9723357994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regenrx Medical, Pllc 5850 Town And Country Blvd Ste 1301 Frisco TX 75034-0307 Ph: (972) 335-7994 | Regenrx Medical, Pllc 5850 Town And Country Blvd Ste 1301 Frisco TX 75034-0307 Ph: (972) 335-7994 |
| NPI Number | 1821582198 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 10/09/2018 |
| Medicare PECOS PAC ID | 1153673512 |
|---|---|
| Medicare Enrollment ID | O20181012000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821582198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Donna K Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841792702 PECOS PAC ID: 1153673520 Enrollment ID: I20181012000746 |
| Provider Name | George L Hoogeveen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720164791 PECOS PAC ID: 5597017954 Enrollment ID: I20191209002383 |
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