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Organization
EAR, NOSE AND THROAT ASSOCIATES OF FRISCO, P.A.
Active
Organization
EAR, NOSE AND THROAT ASSOCIATES OF FRISCO, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEELESH H. MEHENDALE M.D. (PRESIDENT)
(972) 731-7654
Entity
Organization
Contact information
Practice address
4401 COIT RD, SUITE 411, FRISCO, TX 75035-0500
(972) 731-7654
(972) 731-6226
Mailing address
4401 COIT RD, SUITE 411, FRISCO, TX 75035-0500
(972) 731-7654
(972) 731-6226
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015LM
GROUP BCBS ID
TX
01
—
DC5894
GROUP RAILROAD MEDICARE
TX
Enumeration date
03/19/2007
Last updated
08/22/2020
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