| Greenhill Clinic, P.a. | |
|
1105 Central Expy N Suite 2230 Allen TX 75013-6103 | |
| (214) 729-6848 | |
| Not Available |
| Full Name | Greenhill Clinic, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1105 Central Expy N, Allen, Texas |
| Authorized Official Name and Position | Mike M Lee (PRESIDENT) |
| Authorized Official Contact | 2147296848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenhill Clinic, P.a. Po Box 438 Allen TX 75013-0009 Ph: () - | Greenhill Clinic, P.a. 1105 Central Expy N Suite 2230 Allen TX 75013-6103 Ph: (214) 729-6848 |
| NPI Number | 1205956372 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355436338 |
|---|---|
| Medicare Enrollment ID | O20071005000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205956372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mike M Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639299795 PECOS PAC ID: 8325133317 Enrollment ID: I20071005000381 |
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