| Vigor Integrated Health Services Pllc | |
|
13351 Leeson Ln Frisco TX 75035-0802 | |
| (469) 471-2091 | |
| (208) 460-7610 |
| Full Name | Vigor Integrated Health Services Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13351 Leeson Ln, Frisco, Texas |
| Authorized Official Name and Position | Marcus Richardson (OFFICE MANAGER) |
| Authorized Official Contact | 2149605690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vigor Integrated Health Services Pllc 13351 Leeson Ln Frisco TX 75035-0802 Ph: (469) 471-2091 | Vigor Integrated Health Services Pllc 13351 Leeson Ln Frisco TX 75035-0802 Ph: (469) 471-2091 |
| NPI Number | 1144805987 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 4789081191 |
|---|---|
| Medicare Enrollment ID | O20210928002871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144805987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Shameem R Nazeer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427034313 PECOS PAC ID: 5698732501 Enrollment ID: I20041213000565 |
| Provider Name | Dale Ann Mary Marco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952303547 PECOS PAC ID: 8527003631 Enrollment ID: I20050620000945 |
| Provider Name | Sailaja Seethamraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861788549 PECOS PAC ID: 7214252295 Enrollment ID: I20150216000233 |
| Provider Name | Beena Abraham Josef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386365708 PECOS PAC ID: 6204204274 Enrollment ID: I20221122003116 |
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