Healthcare Provider Details

I. General information

NPI: 1184806481
Provider Name (Legal Business Name): BIRJIS CHINOY MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 06/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 WARREN PKWY STE 200
FRISCO TX
75034-2292
US

IV. Provider business mailing address

8000 WARREN PKWY STE 200
FRISCO TX
75034-2292
US

V. Phone/Fax

Practice location:
  • Phone: 469-633-1818
  • Fax: 214-618-1915
Mailing address:
  • Phone: 469-633-1818
  • Fax: 214-618-1915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberL7614
License Number StateTX

VIII. Authorized Official

Name: BIRJIS CHINOY
Title or Position: PRESIDENT
Credential: MD
Phone: 469-633-1818