Organization
FAMILY FIRST HEALTHCARE
Active
Parent organization
GREENVILLE HEALTHCARE ASSOCIATES
Other names
GREENVILLE HEALTHCARE ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENVILLE HEALTHCARE ASSOCIATES
Authorized official
SARAH PATE (OFFICE ADM)
(972) 369-0744
Entity
Organization
Contact information
Practice address
4700 W ELDORADO PKWY, SUITE 210, MCKINNEY, TX 75070-5239
(972) 369-0744
Mailing address
4700 W ELDORADO PKWY, SUITE 210, MCKINNEY, TX 75070-5239
(972) 369-0744
(972) 369-0644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4513
TX
363LF0000X
Family Nurse Practitioner
273121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00332V
MEDICARE GROUP
TX
01
—
0087JY
BCBS
TX
05
—
133516809
—
TX
05
—
163200202
—
TX
01
—
80166325
RR MEDICARE
TX
01
—
8J1200
BCBS
TX
01
—
DA2786
RR MEDICARE
TX
Enumeration date
02/07/2007
Last updated
01/05/2010
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