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General NPI Number Information
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NPI Number | 1972185338
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Entity Type | Organization
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Legal Business Name | TEXOMA PRIMARY CARE ASSOCIATES PLLC
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 5810 MCKINNEY COLLIN PARKWAY SUITE # 202
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City | MCKINNEY
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State | TX
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Zip | 75020-4597
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Country | US
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Telephone | 972-919-0721
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Fax | 972-919-0725
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Provider Business Mailing Address
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Address Line | 5810 COLLIN MCKINNEY PKWY STE 202
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City | MCKINNEY
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State | TX
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Zip | 75070-5111
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Country | US
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Telephone | 972-919-0721
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | UMESH KUMAR
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Credential | MD
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Telephone | 972-919-0721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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