| Prime Psychiatry Pa | |
|
11330 Legacy Dr Ste 103 Frisco TX 75033-1210 | |
| (469) 777-4691 | |
| (469) 777-4542 |
| Full Name | Prime Psychiatry Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11330 Legacy Dr Ste 103, Frisco, Texas |
| Authorized Official Name and Position | Efosa Airuehia (PHYSICIAN) |
| Authorized Official Contact | 4697774691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Psychiatry Pa 11330 Legacy Dr Ste 103 Frisco TX 75033-1210 Ph: (469) 777-4691 | Prime Psychiatry Pa 11330 Legacy Dr Ste 103 Frisco TX 75033-1210 Ph: (469) 777-4691 |
| NPI Number | 1295117554 |
|---|---|
| Provider Enumeration Date | 06/23/2015 |
| Last Update Date | 10/16/2025 |
| Certification Date | 10/16/2025 |
| Medicare PECOS PAC ID | 1557678844 |
|---|---|
| Medicare Enrollment ID | O20150918001640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295117554 | NPI | - | NPPES |
| Provider Name | Efosa Airuehia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972767986 PECOS PAC ID: 3375784085 Enrollment ID: I20150824000147 |
| Provider Name | Oluwatobiloba Odunsi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154772986 PECOS PAC ID: 3779861802 Enrollment ID: I20220324002966 |
| Provider Name | Tina Thy Vu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831659135 PECOS PAC ID: 3870952005 Enrollment ID: I20230706003292 |
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