| Plano Primary Care Clinic Pa | |
|
4101 W Spring Creek Pkwy Suite 300 Plano TX 75024-5307 | |
| (972) 398-8161 | |
| (972) 398-8121 |
| Full Name | Plano Primary Care Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4101 W Spring Creek Pkwy, Plano, Texas |
| Authorized Official Name and Position | Muhammad Moin Farooqi (MEDICAL DOCTOR) |
| Authorized Official Contact | 9723988161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Plano Primary Care Clinic Pa 4101 W Spring Creek Pkwy Suite 300 Plano TX 75024-5307 Ph: (972) 398-8161 | Plano Primary Care Clinic Pa 4101 W Spring Creek Pkwy Suite 300 Plano TX 75024-5307 Ph: (972) 398-8161 |
| NPI Number | 1528249992 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 11/14/2013 |
| Medicare PECOS PAC ID | 8921296021 |
|---|---|
| Medicare Enrollment ID | O20101215001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528249992 | NPI | - | NPPES |
| 00675N | Other | TX | MEDICARE |
| 0028EE | Other | TX | BLUE CROSS BLUE SHIELD |
| 080985701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K4055 (Texas) | Primary |
| Provider Name | Muhammad Moin Farooqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093896938 PECOS PAC ID: 7416030549 Enrollment ID: I20101215001190 |
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