MEDICARE: BINSY EASOW

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
1	363LF0000X	Family Nurse Practitioner	136128	TX

General Provider Information

NPI Number	:	1164939534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BINSY EASOW

Provider Business Mailing Address
First Line	:	13082 BAVARIAN DR
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75033-0902
Country	:	US
Telephone Number	:	469-222-9687
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N VALLEY PKWY STE 101
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75067-3479
Country	:	US
Telephone Number	:	972-420-8777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2018
Last Update Date	:	01/06/2018

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Directions to “ BINSY EASOW ” Practice Location

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