| Trophy Club Family Medicine | |
|
301 Trophy Lake Dr #136 Trophy Club TX 76262-5238 | |
| (817) 430-9111 | |
| (817) 430-8911 |
| Full Name | Trophy Club Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 301 Trophy Lake Dr, Trophy Club, Texas |
| Authorized Official Name and Position | Lainey Gee (BUSINESS MANAGER) |
| Authorized Official Contact | 8174309111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trophy Club Family Medicine 301 Trophy Lake Dr #136 Trophy Club TX 76262-5238 Ph: (817) 430-9111 | Trophy Club Family Medicine 301 Trophy Lake Dr #136 Trophy Club TX 76262-5238 Ph: (817) 430-9111 |
| NPI Number | 1922093061 |
|---|---|
| Provider Enumeration Date | 09/14/2005 |
| Last Update Date | 10/31/2007 |
| Medicare PECOS PAC ID | 4688734056 |
|---|---|
| Medicare Enrollment ID | O20081117000065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922093061 | NPI | - | NPPES |
| 0008JQ | Other | TX | BLUE CROSS BLUE SHIELD |
| 148222601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David C Yi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700899044 PECOS PAC ID: 1153372180 Enrollment ID: I20050207000640 |
| Provider Name | Paula A Lansford-seabaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497919583 PECOS PAC ID: 1254476054 Enrollment ID: I20100304000464 |
| Provider Name | April Enard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558654087 PECOS PAC ID: 5193942407 Enrollment ID: I20140811001291 |
Trophy Club Pediatrics Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2811 Mona Vale Rd, Trophy Club, TX 76262 Phone: 708-574-4199 | |
Trophy Club Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Trophy Lake Dr, Suite 136, Trophy Club, TX 76262 Phone: 817-430-9111 Fax: 817-430-8911 | |
Dfw Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Katie Ln, Trophy Club, TX 76262 Phone: 817-490-9841 Fax: 817-490-9838 | |
Concierge Medical Consultants, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Katie Ln, Trophy Club, TX 76262 Phone: 817-490-9841 Fax: 817-490-0920 | |
True Medicine, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Trophy Club Dr, Ste 300, Trophy Club, TX 76262 Phone: 817-490-9841 Fax: 817-490-9838 |