Look up the most recent NPI and PECOS records

Premier Medical Center Llc

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Premier Medical Center Llc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1841036373
Provider Type
Organization
Full Name
Premier Medical Center Llc

Subpart
No
Enumeration Date
7/3/2024
Last Updated
11/8/2024

Contact Information

Practice Location

6501 Preston Rd, Plano, TX 75024-2603

(214) 888-9000

Unlisted Fax

Mailing Location

6501 Preston Rd, Plano, TX 75024-2603

(214) 888-9000

Unlisted Fax

Authorized Official

Yousef, Marsel (Ceo)

(214) 888-9000

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207Q00000X	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 208000000X	Description Pediatrics Allopathic & Osteopathic Physicians	License Unlisted Issuer

Premier Medical Center Llc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Poku, Michael

Madhav, Venkatesh Vasantha

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Farooqi, Muhammad Moin

Ramesh, Vani

Hb Pure Health, Pllc.

Trigo, Luis C

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Shah, Ruby Jain

Plano Primary Care Clinic Pa