# TEXAS PREMIER INFECTIOUS DISEASE CONSULTANTS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891168316
- **Authorized official:** VIMON SERIBURI (MANAGER)
- **Authorized official phone:** (917) 519-3765

## Contact information

- **Practice address:** 6300 W PARKER RD, MOB 2, STE 128, PLANO, TX 75093-8100
- **Practice address phone:** (972) 981-8658
- **Practice address fax:** (915) 207-2200
- **Mailing address:** 5960 W PARKER RD, \#278-137, PLANO, TX 75093-7767
- **Mailing address fax:** (915) 207-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | P4819 | TX | — |
| 207RI0200X | Infectious Disease Physician | P4819 | TX | Yes |
| 208M00000X | Hospitalist Physician | P4819 | TX | — |

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 11/29/2016