| Signature Internal Medicine Pllc | |
|
13108 Dallas Pkwy Ste 430 Frisco TX 75033-4246 | |
| (469) 200-5301 | |
| Not Available |
| Full Name | Signature Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13108 Dallas Pkwy Ste 430, Frisco, Texas |
| Authorized Official Name and Position | Dina Diehl (OWNER) |
| Authorized Official Contact | 4692005301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Internal Medicine Pllc 13108 Dallas Pkwy Ste 430 Frisco TX 75033-4246 Ph: (469) 200-5301 | Signature Internal Medicine Pllc 13108 Dallas Pkwy Ste 430 Frisco TX 75033-4246 Ph: (469) 200-5301 |
| NPI Number | 1215681176 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 02/09/2022 |
| Medicare PECOS PAC ID | 5395126569 |
|---|---|
| Medicare Enrollment ID | O20220723000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215681176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Humera Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326268400 PECOS PAC ID: 0244320380 Enrollment ID: I20071213000347 |
| Provider Name | Dina R Diehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083732812 PECOS PAC ID: 8123112513 Enrollment ID: I20080825000570 |
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