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Organization
PLANO PRIMARY CARE CLINIC PA
Active
Organization
PLANO PRIMARY CARE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD MOIN FAROOQI M.D. (MEDICAL DOCTOR)
(972) 398-8161
Entity
Organization
Contact information
Practice address
4101 W SPRING CREEK PKWY, SUITE 300, PLANO, TX 75024-5307
(972) 398-8161
(972) 398-8121
Mailing address
4101 W SPRING CREEK PKWY, SUITE 300, PLANO, TX 75024-5307
(972) 398-8161
(972) 398-8121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K4055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0028EE
BLUE CROSS BLUE SHIELD
TX
01
—
00675N
MEDICARE
TX
05
—
080985701
—
TX
Enumeration date
11/14/2007
Last updated
11/14/2013
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