| Fmdtx,pllc | |
|
7151 Preston Rd Ste 431d Frisco TX 75034-5859 | |
| (972) 292-9088 | |
| (972) 292-9884 |
| Full Name | Fmdtx,pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7151 Preston Rd Ste 431d, Frisco, Texas |
| Authorized Official Name and Position | Christopher Tiu (DENTIST) |
| Authorized Official Contact | 9722929088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmdtx,pllc 7151 Preston Rd Ste 431d Frisco TX 75034-5859 Ph: (972) 292-9088 | Fmdtx,pllc 7151 Preston Rd Ste 431d Frisco TX 75034-5859 Ph: (972) 292-9088 |
| NPI Number | 1114625522 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 03/08/2023 |
| Medicare PECOS PAC ID | 4688195167 |
|---|---|
| Medicare Enrollment ID | O20250313000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114625522 | NPI | - | NPPES |
| 447833101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Christopher Tiu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1730190950 PECOS PAC ID: 8022539501 Enrollment ID: I20250313001019 |
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