MEDICARE: METROPLEX CARE GROUP

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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1043627870	OTHER	TX	GROUP NPI NUMBER

General Provider Information

NPI Number	:	1902516867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPLEX CARE GROUP

Provider Business Mailing Address
First Line	:	700 N PEARL ST STE N510
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-2863
Country	:	US
Telephone Number	:	214-580-7277
Fax Number	:	214-999-9363

Provider Business Practice Location Address
First Line	:	5971 VIRGINIA PKWY STE 100
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-5618
Country	:	US
Telephone Number	:	972-318-9059
Fax Number	:	214-999-9363

Authorized Official
Title or Position	:	CEO
Name	:	SNEHA RAMESH PATEL
Credential	:
Telephone Number	:	214-580-7277

Provider Enumeration Date	:	12/01/2022
Last Update Date	:	12/01/2022

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Directions to “METROPLEX CARE GROUP ” Practice Location

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