| One Health Family Clinic Llc | |
|
6570 Stage Rd Suite 245 Bartlett TN 38134-2839 | |
| (816) 651-7772 | |
| Not Available |
| Full Name | One Health Family Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6570 Stage Rd, Bartlett, Tennessee |
| Authorized Official Name and Position | Lam Thanh Nguyen (MANAGER) |
| Authorized Official Contact | 6197573451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Health Family Clinic Llc 3364 Wolf Shadow Ln Bartlett TN 38133-2895 Ph: () - | One Health Family Clinic Llc 6570 Stage Rd Suite 245 Bartlett TN 38134-2839 Ph: (816) 651-7772 |
| NPI Number | 1033367651 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 12/26/2008 |
| Medicare PECOS PAC ID | 6103983499 |
|---|---|
| Medicare Enrollment ID | O20090401000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033367651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tri M Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235268517 PECOS PAC ID: 4688744634 Enrollment ID: I20080602000858 |
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