| Pedro Nosnik, M.d., P.a. | |
|
4100 W 15th St Ste 206 Plano TX 75093-5801 | |
| (972) 985-9048 | |
| (972) 867-2051 |
| Full Name | Pedro Nosnik, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4100 W 15th St Ste 206, Plano, Texas |
| Authorized Official Name and Position | Pedro Nosnik (PRESIDENT) |
| Authorized Official Contact | 9729859048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedro Nosnik, M.d., P.a. 4100 W 15th St Ste 206 Plano TX 75093-5801 Ph: (972) 985-9048 | Pedro Nosnik, M.d., P.a. 4100 W 15th St Ste 206 Plano TX 75093-5801 Ph: (972) 985-9048 |
| NPI Number | 1164626024 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 05/18/2011 |
| Medicare PECOS PAC ID | 9133188113 |
|---|---|
| Medicare Enrollment ID | O20041006000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164626024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | F3569 (Texas) | Primary |
| Provider Name | Pedro Nosnik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689636805 PECOS PAC ID: 3577522556 Enrollment ID: I20041007000194 |
| Provider Name | Kathy A Toler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639172208 PECOS PAC ID: 1456436823 Enrollment ID: I20100825000752 |
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