| Arapaho Village Medical Association | |
|
403 W Campbell Rd Suite 103 Richardson TX 75080-3465 | |
| (972) 235-8311 | |
| (972) 235-2663 |
| Full Name | Arapaho Village Medical Association |
|---|---|
| Speciality | Family Medicine |
| Location | 403 W Campbell Rd, Richardson, Texas |
| Authorized Official Name and Position | Pat Ross (ACCOUNTING) |
| Authorized Official Contact | 9722358311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arapaho Village Medical Association 403 W Campbell Rd Suite 103 Richardson TX 75080-3465 Ph: (972) 235-8311 | Arapaho Village Medical Association 403 W Campbell Rd Suite 103 Richardson TX 75080-3465 Ph: (972) 235-8311 |
| NPI Number | 1487771523 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/12/2010 |
| Medicare PECOS PAC ID | 7012031511 |
|---|---|
| Medicare Enrollment ID | O20100907000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487771523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Bonnet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982612180 PECOS PAC ID: 2567352479 Enrollment ID: I20100907000547 |
| Provider Name | Paul Yu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497763627 PECOS PAC ID: 5294859799 Enrollment ID: I20100907000777 |
| Provider Name | Sheryl A Cowan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164430302 PECOS PAC ID: 9830213339 Enrollment ID: I20100907000810 |
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