| High Baldy Pllc | |
|
169 Lake Park Rd Lewisville TX 75057-2303 | |
| (385) 454-5027 | |
| Not Available |
| Full Name | High Baldy Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 169 Lake Park Rd, Lewisville, Texas |
| Authorized Official Name and Position | Aaron Anderson (OWNER) |
| Authorized Official Contact | 3854545027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Baldy Pllc 13894 S Bangerter Pkwy Ste 200 Draper UT 84020-5320 Ph: (385) 454-5027 | High Baldy Pllc 169 Lake Park Rd Lewisville TX 75057-2303 Ph: (385) 454-5027 |
| NPI Number | 1225851579 |
|---|---|
| Provider Enumeration Date | 11/05/2024 |
| Last Update Date | 11/05/2024 |
| Medicare PECOS PAC ID | 6002337243 |
|---|---|
| Medicare Enrollment ID | O20250305000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225851579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aaron Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730317348 PECOS PAC ID: 4082751896 Enrollment ID: I20250305000506 |
| Provider Name | Ryan Coil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851786081 PECOS PAC ID: 7315227311 Enrollment ID: I20250305000637 |
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