| Zidon Internal Medicine | |
|
10695 Astoria Dr Frisco TX 75035-9063 | |
| (214) 872-1827 | |
| (214) 872-1827 |
| Full Name | Zidon Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 10695 Astoria Dr, Frisco, Texas |
| Authorized Official Name and Position | Uchenna Christopher Ozuah (OWNER) |
| Authorized Official Contact | 2148721827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zidon Internal Medicine 10695 Astoria Dr Frisco TX 75035-9063 Ph: (214) 872-1827 | Zidon Internal Medicine 10695 Astoria Dr Frisco TX 75035-9063 Ph: (214) 872-1827 |
| NPI Number | 1194269886 |
|---|---|
| Provider Enumeration Date | 12/14/2016 |
| Last Update Date | 12/14/2016 |
| Medicare PECOS PAC ID | 1658655626 |
|---|---|
| Medicare Enrollment ID | O20170313000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194269886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Uchenna Christopher Ozuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578883377 PECOS PAC ID: 9830367432 Enrollment ID: I20130916000294 |
| Provider Name | Obianamma N Ozuah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407182983 PECOS PAC ID: 9537345764 Enrollment ID: I20150505000954 |
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