| Transformations With Dr. Y | |
|
1921 Preston Rd Ste 2066 Plano TX 75093-5200 | |
| (214) 272-9899 | |
| (877) 513-4005 |
| Full Name | Transformations With Dr. Y |
|---|---|
| Speciality | Internal Medicine |
| Location | 1921 Preston Rd Ste 2066, Plano, Texas |
| Authorized Official Name and Position | Sandy Blanco (BILLING MANAGER) |
| Authorized Official Contact | 4696044525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transformations With Dr. Y 1921 Preston Rd Ste 2066 Plano TX 75093-5200 | Transformations With Dr. Y 1921 Preston Rd Ste 2066 Plano TX 75093-5200 Ph: (214) 272-9899 |
| NPI Number | 1568238665 |
|---|---|
| Provider Enumeration Date | 11/29/2023 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Medicare PECOS PAC ID | 8325499510 |
|---|---|
| Medicare Enrollment ID | O20240112000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568238665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Sobia Yaqub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366656993 PECOS PAC ID: 9234389297 Enrollment ID: I20200512002003 |
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