| Best Choice Medical Clinic | |
|
1305 S Sh 121 Ste C-108 Lewisville TX 75067-5915 | |
| (972) 608-1868 | |
| (972) 943-8644 |
| Full Name | Best Choice Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1305 S Sh 121, Lewisville, Texas |
| Authorized Official Name and Position | Tammy Tickle Komenda (OFFICE MANAGER) |
| Authorized Official Contact | 9726081868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Best Choice Medical Clinic 5944 W Parker Rd Ste 100 Plano TX 75093-6422 Ph: (972) 608-1868 | Best Choice Medical Clinic 1305 S Sh 121 Ste C-108 Lewisville TX 75067-5915 Ph: (972) 608-1868 |
| NPI Number | 1972788628 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972788628 | NPI | - | NPPES |
| 165802301 | Medicaid | TX | |
| 165802302 | Other | TX | MEDICAID HEALTH STEPS |
| 10018514 | Other | TX | AMERIGROUP |
| 8AJ618 | Other | TX | BC/BS INDIVIDUAL |
| 0007QN | Other | TX | BC/BS GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H6350 (Texas) | Primary |
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