Provider Demographics
NPI:1467166025
Name:PLANO ACCELERATED HEALTH CLINIC, LLC
Entity Type:Organization
Organization Name:PLANO ACCELERATED HEALTH CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:P
Authorized Official - Last Name:KNEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-293-9800
Mailing Address - Street 1:9925 GILLESPIE DR STE 4100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-7534
Mailing Address - Country:US
Mailing Address - Phone:214-891-5460
Mailing Address - Fax:
Practice Address - Street 1:9925 GILLESPIE DR STE 4100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-7534
Practice Address - Country:US
Practice Address - Phone:214-891-5460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty