| |
5425 W Spring Creek Pkwy Ste 115, Plano, TX 75024-4333 | |
(972) 899-9797 | |
(469) 771-0268 |
Full Name | |
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Type | Facility |
Speciality | Nurse Practitioner - Family |
Location | 5425 W Spring Creek Pkwy Ste 115, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1275924680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Trace L Alexander |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952307845 PECOS PAC ID: 9335195445 Enrollment ID: I20160610001586 |
Provider Name | Adam A Rodriguez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841365269 PECOS PAC ID: 4284690652 Enrollment ID: I20170125000076 |
Mailing Address | Practice Location Address |
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Po Box 118917, Carrollton, TX 75011-8917 Ph: (972) 899-9797 | 5425 W Spring Creek Pkwy Ste 115, Plano, TX 75024-4333 Ph: (972) 899-9797 |