| Texas Chronic Care Clinic Pa | |
|
7500 Stonebrook Pkwy Suite 100 Frisco TX 75034-5377 | |
| (972) 914-4310 | |
| Not Available |
| Full Name | Texas Chronic Care Clinic Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 7500 Stonebrook Pkwy, Frisco, Texas |
| Authorized Official Name and Position | Christopher A Bloom (OWNER) |
| Authorized Official Contact | 2142061445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Chronic Care Clinic Pa 7500 Stonebrook Pkwy Suite 100 Frisco TX 75034-5377 Ph: (972) 914-4310 | Texas Chronic Care Clinic Pa 7500 Stonebrook Pkwy Suite 100 Frisco TX 75034-5377 Ph: (972) 914-4310 |
| NPI Number | 1619343985 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619343985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| 363L00000X | Nurse Practitioner | (Texas) | Secondary |
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