| Z1k, Pa | |
|
870 N Coit Rd Suite 2660 Richardson TX 75080-5420 | |
| (972) 235-2459 | |
| (972) 235-9435 |
| Full Name | Z1k, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 870 N Coit Rd, Richardson, Texas |
| Authorized Official Name and Position | Maya Aranovich (A/R MANAGER) |
| Authorized Official Contact | 9724954926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Z1k, Pa 870 N Coit Rd Suite 2660 Richardson TX 75080-5420 Ph: (972) 235-2459 | Z1k, Pa 870 N Coit Rd Suite 2660 Richardson TX 75080-5420 Ph: (972) 235-2459 |
| NPI Number | 1972941896 |
|---|---|
| Provider Enumeration Date | 06/13/2013 |
| Last Update Date | 06/13/2013 |
| Medicare PECOS PAC ID | 5395069488 |
|---|---|
| Medicare Enrollment ID | O20150120001937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972941896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K9291 (Texas) | Primary |
| Provider Name | Vladimir A Grebennikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952399313 PECOS PAC ID: 8022070002 Enrollment ID: I20041102000215 |
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