| Skilled Primary Care Pllc | |
|
7460 Warren Pkwy Ste. 160 Frisco TX 75034-4169 | |
| (972) 668-5400 | |
| (972) 668-5401 |
| Full Name | Skilled Primary Care Pllc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 7460 Warren Pkwy, Frisco, Texas |
| Authorized Official Name and Position | Vivek Sastry (PRESIDENT) |
| Authorized Official Contact | 9726685400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skilled Primary Care Pllc Po Box 2306 Frisco TX 75034-0042 Ph: (972) 668-5400 | Skilled Primary Care Pllc 7460 Warren Pkwy Ste. 160 Frisco TX 75034-4169 Ph: (972) 668-5400 |
| NPI Number | 1528384070 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 06/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528384070 | NPI | - | NPPES |
| 214797702 | Medicaid | TX | |
| DQ5280 | Other | TX | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
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