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NPI Code Detail

MEDICARE: CONNECTIONS PRIMARY CARE FRISCO

MEDICARE: CONNECTIONS PRIMARY CARE FRISCO
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 : 1407409311
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONNECTIONS PRIMARY CARE FRISCO
Provider Business Mailing Address
First Line : 2701 SHORELINE DR STE 151
Second Line :
City : DENTON
State : TX
Zip : 76210-0176
Country : US
Telephone Number : 469-222-3152
Fax Number :
Provider Business Practice Location Address
First Line : 255 W LEBANON STE 124
Second Line :
City : FRISCO
State : TX
Zip : 75036-3412
Country : US
Telephone Number : 469-222-3152
Fax Number :
Authorized Official
Title or Position : CEO
Name : LANDON AWSTIN GREGG
Credential : LCSW, LCDC
Telephone Number : 469-222-3152
Provider Enumeration Date : 07/19/2019
Last Update Date : 07/19/2019

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Directions to “CONNECTIONS PRIMARY CARE FRISCO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.