| Texas Diagnostic Services Pllc | |
|
3308 Preston Rd Ste 350-321 Plano TX 75093-7453 | |
| (469) 931-0684 | |
| (469) 931-0712 |
| Full Name | Texas Diagnostic Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3308 Preston Rd Ste 350-321, Plano, Texas |
| Authorized Official Name and Position | Timothy Mcauliff (OWNER) |
| Authorized Official Contact | 4699310684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Diagnostic Services Pllc 3308 Preston Rd Ste 350-321 Plano TX 75093-7453 Ph: (469) 931-0684 | Texas Diagnostic Services Pllc 3308 Preston Rd Ste 350-321 Plano TX 75093-7453 Ph: (469) 931-0684 |
| NPI Number | 1740752211 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 09/22/2021 |
| Medicare PECOS PAC ID | 5496183923 |
|---|---|
| Medicare Enrollment ID | O20200317001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740752211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Timothy M Mcauliff |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1821320177 PECOS PAC ID: 4183852155 Enrollment ID: I20140121000867 |
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