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NPI Code Detail

MEDICARE: NH FRISCO LLC

MEDICARE: NH FRISCO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1427782341
Entity Type Code : Organization
Provider Name (Legal Business Name) : NH FRISCO LLC
Provider Business Mailing Address
First Line : 7109 GARDEN LAUREL CT
Second Line :
City : PLANO
State : TX
Zip : 75024-7476
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3800 GAYLORD PKWY STE 780
Second Line :
City : FRISCO
State : TX
Zip : 75034-8417
Country : US
Telephone Number : 469-430-0511
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : ALEX SPINOSO
Credential : MD
Telephone Number : 469-430-0511
Provider Enumeration Date : 07/15/2022
Last Update Date : 07/15/2022

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Directions to “NH FRISCO LLC ” Practice Location

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