| Id Docs Of Dallas Pa | |
|
4401 West Spring Creek Pkwy Suite 400 Plano TX 75021-5331 | |
| (972) 737-8299 | |
| Not Available |
| Full Name | Id Docs Of Dallas Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4401 West Spring Creek Pkwy, Plano, Texas |
| Authorized Official Name and Position | Sheethal M Laxmi (OWNER) |
| Authorized Official Contact | 7322166273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Docs Of Dallas Pa 611 Oak Grove Ln Coppell TX 75019-2407 Ph: (732) 216-6273 | Id Docs Of Dallas Pa 4401 West Spring Creek Pkwy Suite 400 Plano TX 75021-5331 Ph: (972) 737-8299 |
| NPI Number | 1962901538 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 04/17/2024 |
| Medicare PECOS PAC ID | 0446514822 |
|---|---|
| Medicare Enrollment ID | O20180511000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962901538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Sheethal Manipadaga Laxmi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316189673 PECOS PAC ID: 4789805813 Enrollment ID: I20170628000745 |
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