| Boppana Primary Care Clinic, Pllc | |
|
2460 N Central Expy Suite 101 Richardson TX 75080-2713 | |
| (972) 644-1100 | |
| (972) 644-1107 |
| Full Name | Boppana Primary Care Clinic, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2460 N Central Expy, Richardson, Texas |
| Authorized Official Name and Position | Sita M Boppana (PRESIDENT) |
| Authorized Official Contact | 9726441100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boppana Primary Care Clinic, Pllc Po Box 830066 Richardson TX 75083-0066 Ph: (972) 644-1100 | Boppana Primary Care Clinic, Pllc 2460 N Central Expy Suite 101 Richardson TX 75080-2713 Ph: (972) 644-1100 |
| NPI Number | 1326168139 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 11/05/2018 |
| Medicare PECOS PAC ID | 1759307663 |
|---|---|
| Medicare Enrollment ID | O20051020000313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326168139 | NPI | - | NPPES |
| 151198201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sita M Boppana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689629123 PECOS PAC ID: 3476564402 Enrollment ID: I20091205000130 |
Cubic Care Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 N Jupiter Rd, Ste 160, Richardson, TX 75081 Phone: 972-754-6417 | |
Trinity Family Health Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 S Central Expy Ste 5h, Richardson, TX 75080 Phone: 463-544-3556 | |
Your Medical Home, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S Coit Rd, Ste 317, Richardson, TX 75080 Phone: 972-437-9090 Fax: 972-234-6474 | |
Internal Medicine And Pediatric Associates Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2821 E President George Bush Hwy, Ste 501, Richardson, TX 75082 Phone: 214-239-1053 Fax: 214-239-1058 | |
Id Clinic Consultants Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 Audelia Rd, Ste 200 #323, Richardson, TX 75081 Phone: 972-947-3200 Fax: 972-947-3201 | |
American Institute Of Gastric Banding Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 N Coit Rd, Suite 2200, Richardson, TX 75080 Phone: 972-331-9503 | |
Richardson Physician Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 W Campbell Rd, Attn: Shirley Butler, Richardson, TX 75080 Phone: 972-498-4700 Fax: 972-498-4883 |