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Organization

PHYSICIAN ACUTE CARE SERVICES PLANO, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA SHORT M.D. (CHIEF EXECUTIVE OFFICER)
(936) 525-9216
Entity
Organization

Contact information

Practice address
2000 DALLAS PKWY, SUITE 100, PLANO, TX 75093-4312
(972) 378-7878
Mailing address
PO BOX 190, NEW WAVERLY, TX 77358-0190
(936) 525-9216
(713) 808-9176

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H000J1Z101
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/11/2016
Last updated
05/02/2018
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