| Specialists In Family Medicine Pa | |
|
901 Cypress Creek Rd Building 1, Suite 100 Cedar Park TX 78613 | |
| (512) 615-9191 | |
| Not Available |
| Full Name | Specialists In Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 901 Cypress Creek Rd, Cedar Park, Texas |
| Authorized Official Name and Position | Wendy Merola (MD) |
| Authorized Official Contact | 5126159191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialists In Family Medicine Pa 901 Cypress Creek Rd Building 1, Suite 100 Cedar Park TX 78613 Ph: () - | Specialists In Family Medicine Pa 901 Cypress Creek Rd Building 1, Suite 100 Cedar Park TX 78613 Ph: (512) 615-9191 |
| NPI Number | 1720149321 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7113024233 |
|---|---|
| Medicare Enrollment ID | O20070523000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720149321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H9238 (Texas) | Primary |
| Provider Name | Wendy Merola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285603613 PECOS PAC ID: 1658478771 Enrollment ID: I20070523000653 |
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