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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