Organization
TEXAS PREMIER INFECTIOUS DISEASE CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIMON SERIBURI (MANAGER)
(917) 519-3765
Entity
Organization
Contact information
Practice address
6300 W PARKER RD, MOB 2, STE 128, PLANO, TX 75093-8100
(972) 981-8658
(915) 207-2200
Mailing address
5960 W PARKER RD, #278-137, PLANO, TX 75093-7767
(915) 207-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P4819
TX
207RI0200X
Infectious Disease Physician
Primary
P4819
TX
208M00000X
Hospitalist Physician
P4819
TX
Other
Enumeration date
11/05/2015
Last updated
11/29/2016
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