Brickey Medical Associates Pllc | |
2821 E President George Bush Hwy Ste 510 Richardson TX 75082-4278 | |
(972) 664-0404 | |
(972) 664-9797 |
Full Name | Brickey Medical Associates Pllc |
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Speciality | Internal Medicine |
Location | 2821 E President George Bush Hwy Ste 510, Richardson, Texas |
Authorized Official Name and Position | Mark Brickey (OWNER) |
Authorized Official Contact | 8176808824 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Brickey Medical Associates Pllc 9330 Lbj Fwy Ste 800 Dallas TX 75243-4310 Ph: (972) 792-5700 | Brickey Medical Associates Pllc 2821 E President George Bush Hwy Ste 510 Richardson TX 75082-4278 Ph: (972) 664-0404 |
NPI Number | 1316766108 |
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Provider Enumeration Date | 10/08/2024 |
Last Update Date | 10/08/2024 |
Medicare PECOS PAC ID | 5597295824 |
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Medicare Enrollment ID | O20250214003409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316766108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mark A Brickey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043620396 PECOS PAC ID: 3274822879 Enrollment ID: I20170828001214 |
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