| J. Todd Carruthers, MD, PA | |
|
1120 Raintree Circle Suite 210 Allen TX 75013 | |
| (972) 852-1534 | |
| (972) 982-7459 |
| Full Name | J. Todd Carruthers, MD, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 1120 Raintree Circle, Allen, Texas |
| Authorized Official Name and Position | Jeffrey Todd Carruthers (PRESIDENT) |
| Authorized Official Contact | 9728521534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Todd Carruthers, MD, PA 1120 Raintree Circle Suite 210 Allen TX 75013 Ph: (972) 852-1534 | J. Todd Carruthers, MD, PA 1120 Raintree Circle Suite 210 Allen TX 75013 Ph: (972) 852-1534 |
| NPI Number | 1306034202 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 08/08/2018 |
| Medicare PECOS PAC ID | 8426328378 |
|---|---|
| Medicare Enrollment ID | O20170725003760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306034202 | NPI | - | NPPES |
| 0081NZ | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K5849 (Texas) | Primary |
| Provider Name | Jeffrey T Carruthers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386645562 PECOS PAC ID: 5193816486 Enrollment ID: I20070731000617 |
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