Organization
CLINIC 21 OF COLLIN COUNTY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHARLES PACKO MD (PRESIDENT)
(330) 493-4443
Entity
Organization
Contact information
Practice address
5680 FRISCO SQUARE BLVD STE 1200, FRISCO, TX 75034-3300
(214) 618-8390
(214) 618-8419
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 451-4142
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/06/2015
Last updated
10/05/2015
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