| Southern Hospitality by Clover Family Medicine | |
|
1125 Legacy Dr Ste 220 Frisco TX 75034-1942 | |
| (469) 294-0210 | |
| (877) 370-4339 |
| Full Name | Southern Hospitality by Clover Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1125 Legacy Dr Ste 220, Frisco, Texas |
| Authorized Official Name and Position | Victoria Herold (CEO/ PHYSICIAN) |
| Authorized Official Contact | 4692940210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Hospitality by Clover Family Medicine 5770 Fm 423 Ste 250-150 Frisco TX 75036 Ph: (469) 294-0210 | Southern Hospitality by Clover Family Medicine 1125 Legacy Dr Ste 220 Frisco TX 75034-1942 Ph: (469) 294-0210 |
| NPI Number | 1053992008 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 09/02/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 5991153983 |
|---|---|
| Medicare Enrollment ID | O20231201000986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053992008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Victoria Herold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659785830 PECOS PAC ID: 5294023248 Enrollment ID: I20170823000727 |
| Provider Name | Anna Kristin Rusk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629431564 PECOS PAC ID: 2466885272 Enrollment ID: I20191210000904 |
| Provider Name | Katy Weatherly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215644026 PECOS PAC ID: 2860929361 Enrollment ID: I20241223001229 |
| Provider Name | Amanda Michelle Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710798160 PECOS PAC ID: 9133641269 Enrollment ID: I20250319000064 |
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