Stonebridge Adult Medicine Pa | |
3550 Parkwood Blvd Ste 100 Frisco TX 75034-1903 | |
(214) 618-9715 | |
(214) 618-9716 |
Full Name | Stonebridge Adult Medicine Pa |
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Speciality | Internal Medicine |
Location | 3550 Parkwood Blvd, Frisco, Texas |
Authorized Official Name and Position | Hui Paul Wang (OWNER) |
Authorized Official Contact | 9724152249 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stonebridge Adult Medicine Pa 3550 Parkwood Blvd Ste 100 Frisco TX 75034-1903 Ph: (214) 618-9715 | Stonebridge Adult Medicine Pa 3550 Parkwood Blvd Ste 100 Frisco TX 75034-1903 Ph: (214) 618-9715 |
NPI Number | 1922263565 |
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Provider Enumeration Date | 07/23/2008 |
Last Update Date | 03/04/2009 |
Medicare PECOS PAC ID | 3375602998 |
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Medicare Enrollment ID | O20081111000390 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922263565 | NPI | - | NPPES |
0073RZ | Other | TX | BLUECROSS BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M0601 (Texas) | Primary |
Provider Name | Hui P Wang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356341465 PECOS PAC ID: 3274582804 Enrollment ID: I20050120000572 |
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