| Lone Star Medical Associates Pllc | |
|
1645 Dorchester Dr Plano TX 75075-6443 | |
| (972) 777-6656 | |
| Not Available |
| Full Name | Lone Star Medical Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1645 Dorchester Dr, Plano, Texas |
| Authorized Official Name and Position | Muzakeer Ahmed Shaik (OWNER) |
| Authorized Official Contact | 4802351079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Medical Associates Pllc 1645 Dorchester Dr Ste A Plano TX 75075-6443 Ph: (469) 777-6656 | Lone Star Medical Associates Pllc 1645 Dorchester Dr Plano TX 75075-6443 Ph: (972) 777-6656 |
| NPI Number | 1457128837 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 1355793993 |
|---|---|
| Medicare Enrollment ID | O20240118002966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457128837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Muzakeer Shaik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114969300 PECOS PAC ID: 6305842550 Enrollment ID: I20081201000367 |
| Provider Name | Drashti Ambrishbhai Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770322786 PECOS PAC ID: 1355888256 Enrollment ID: I20240808001883 |
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