| Endoneuro At Home Pllc | |
|
6275 W Plano Pkwy Plano TX 75093-4943 | |
| (630) 715-1348 | |
| Not Available |
| Full Name | Endoneuro At Home Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6275 W Plano Pkwy, Plano, Texas |
| Authorized Official Name and Position | Vinh Tuan Mai (OWNER/PRESIDENT) |
| Authorized Official Contact | 6307151348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endoneuro At Home Pllc 6275 W Plano Pkwy Plano TX 75093-4943 Ph: () - | Endoneuro At Home Pllc 6275 W Plano Pkwy Plano TX 75093-4943 Ph: (630) 715-1348 |
| NPI Number | 1043035785 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Medicare PECOS PAC ID | 2163951773 |
|---|---|
| Medicare Enrollment ID | O20250128002317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043035785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vinh Mai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255651279 PECOS PAC ID: 9335360155 Enrollment ID: I20141021000613 |
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