| Texas Premier Infectious Disease Consultants, Pllc | |
|
6300 W Parker Rd Mob 2, Ste 128 Plano TX 75093-8100 | |
| (972) 981-8658 | |
| (915) 207-2200 |
| Full Name | Texas Premier Infectious Disease Consultants, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6300 W Parker Rd, Plano, Texas |
| Authorized Official Name and Position | Vimon Seriburi (MANAGER) |
| Authorized Official Contact | 9175193765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Premier Infectious Disease Consultants, Pllc 5960 W Parker Rd #278-137 Plano TX 75093-7767 Ph: () - | Texas Premier Infectious Disease Consultants, Pllc 6300 W Parker Rd Mob 2, Ste 128 Plano TX 75093-8100 Ph: (972) 981-8658 |
| NPI Number | 1891168316 |
|---|---|
| Provider Enumeration Date | 11/05/2015 |
| Last Update Date | 11/29/2016 |
| Medicare PECOS PAC ID | 6507168754 |
|---|---|
| Medicare Enrollment ID | O20160106000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891168316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P4819 (Texas) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | P4819 (Texas) | Primary |
| 208M00000X | Hospitalist | P4819 (Texas) | Secondary |
| Provider Name | Vimon Seriburi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174706360 PECOS PAC ID: 7517027139 Enrollment ID: I20130321000597 |
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