| Staying Healthy Medical Services Llc | |
|
4700 Dexter Dr Suite 300 Plano TX 75093-5294 | |
| (214) 501-8135 | |
| Not Available |
| Full Name | Staying Healthy Medical Services Llc |
|---|---|
| Speciality | Preventive Medicine |
| Location | 4700 Dexter Dr, Plano, Texas |
| Authorized Official Name and Position | Stephanie Han (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4695697162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Staying Healthy Medical Services Llc 4505 Mahogany Ln Copper Canyon TX 75077-8546 Ph: (214) 501-8135 | Staying Healthy Medical Services Llc 4700 Dexter Dr Suite 300 Plano TX 75093-5294 Ph: (214) 501-8135 |
| NPI Number | 1912340720 |
|---|---|
| Provider Enumeration Date | 04/10/2013 |
| Last Update Date | 05/16/2020 |
| Medicare PECOS PAC ID | 2163796046 |
|---|---|
| Medicare Enrollment ID | O20170915000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912340720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | L0903 (Texas) | Primary |
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