| Trester Family Medical Group | |
|
900 E Park Blvd Suite 280 Plano TX 75074-5465 | |
| (972) 424-7000 | |
| (972) 424-7001 |
| Full Name | Trester Family Medical Group |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 900 E Park Blvd, Plano, Texas |
| Authorized Official Name and Position | Kimberly Keen Trester (PRESIDENT) |
| Authorized Official Contact | 9724247000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trester Family Medical Group 900 E Park Blvd Suite 280 Plano TX 75074-5465 Ph: (972) 424-7000 | Trester Family Medical Group 900 E Park Blvd Suite 280 Plano TX 75074-5465 Ph: (972) 424-7000 |
| NPI Number | 1457465486 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457465486 | NPI | - | NPPES |
| 15443 | Medicaid | TX | |
| 0056MS | Other | TX | BC/BS ID NUMBER |
| 10011656 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | F4313 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 633384 (Texas) | Primary |
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