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NPI Code Detail

MEDICARE: PLANO GROUP HEALTH, LLC

MEDICARE: PLANO GROUP HEALTH, 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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1043925803
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANO GROUP HEALTH, LLC
Provider Business Mailing Address
First Line : 16131 N ELDRIDGE PKWY STE 100
Second Line :
City : TOMBALL
State : TX
Zip : 77377-9130
Country : US
Telephone Number : 832-585-2747
Fax Number :
Provider Business Practice Location Address
First Line : 5953 DALLAS PKWY STE 200B
Second Line :
City : PLANO
State : TX
Zip : 75093-8189
Country : US
Telephone Number : 281-429-8526
Fax Number :
Authorized Official
Title or Position : BILLING MANAGER
Name : FELISHA WALKER
Credential :
Telephone Number : 281-429-8526
Provider Enumeration Date : 01/17/2023
Last Update Date : 01/17/2023

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