| Shssjv1 Llc | |
|
6400 Pinecrest Dr Ste 300 Plano TX 75024-2960 | |
| (972) 384-7000 | |
| Not Available |
| Full Name | Shssjv1 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6400 Pinecrest Dr, Plano, Texas |
| Authorized Official Name and Position | Lance Spivey (PRESIDENT) |
| Authorized Official Contact | 9723847000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shssjv1 Llc 6400 Pinecrest Dr Ste 300 Plano TX 75024-2960 Ph: (972) 384-7000 | Shssjv1 Llc 6400 Pinecrest Dr Ste 300 Plano TX 75024-2960 Ph: (972) 384-7000 |
| NPI Number | 1538543178 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538543178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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