| Medical Clinic Of North Texas, Pllc | |
|
5501 Independence Parkway Suite 110 Plano TX 75023-2694 | |
| (972) 847-0712 | |
| (817) 419-4605 |
| Full Name | Medical Clinic Of North Texas, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5501 Independence Parkway, Plano, Texas |
| Authorized Official Name and Position | Michael W Bukosky (PRESIDENT PPM) |
| Authorized Official Contact | 9728470712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Clinic Of North Texas, Pllc Po Box 678095 Dallas TX 75267-8095 Ph: (972) 847-0712 | Medical Clinic Of North Texas, Pllc 5501 Independence Parkway Suite 110 Plano TX 75023-2694 Ph: (972) 847-0712 |
| NPI Number | 1912955030 |
|---|---|
| Provider Enumeration Date | 05/04/2006 |
| Last Update Date | 11/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912955030 | NPI | - | NPPES |
| CD2315 | Other | TX | MEDICARE RAILROAD GROUP |
| CC8907 | Other | TX | MEDICARE RAILROAD GROUP |
| 00U61E | Other | TX | MEDICARE OTHER GROUP |
| 112874603 | Other | TX | MEDICAID GROUP NUMBER |
| CG7842 | Other | TX | MEDICARE RAILROAD GROUP |
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