| Osher Chaim Pllc | |
|
5904 Chapel Hill Blvd Suite 103 Plano TX 75093-5925 | |
| (972) 473-2532 | |
| Not Available |
| Full Name | Osher Chaim Pllc |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 5904 Chapel Hill Blvd, Plano, Texas |
| Authorized Official Name and Position | Eric Rephael Kavosh (OWNER) |
| Authorized Official Contact | 9724732532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osher Chaim Pllc 5904 Chapel Hill Blvd Suite 103 Plano TX 75093-5925 Ph: (972) 473-2532 | Osher Chaim Pllc 5904 Chapel Hill Blvd Suite 103 Plano TX 75093-5925 Ph: (972) 473-2532 |
| NPI Number | 1427353846 |
|---|---|
| Provider Enumeration Date | 01/15/2011 |
| Last Update Date | 02/15/2013 |
| Medicare PECOS PAC ID | 8921284464 |
|---|---|
| Medicare Enrollment ID | O20110517000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427353846 | NPI | - | NPPES |
| 0092WK | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N6414 (Texas) | Secondary |
| 207KI0005X | Allergy & Immunology - Clinical & Laboratory Immunology | N6414 (Texas) | Primary |
| Provider Name | Eric R Kavosh |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1164683249 PECOS PAC ID: 6709070469 Enrollment ID: I20101027000711 |
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