INTERNAL MEDICINE ASSOCIATES OF PLANO PA

Provider Demographics

• NPI: 1487817151
• Name: INTERNAL MEDICINE ASSOCIATES OF PLANO PA
• Entity Type: Organization
• Organization Name: INTERNAL MEDICINE ASSOCIATES OF PLANO PA
• Authorized Official - Title/Position: PRACTICE MANAGER
• Authorized Official - Prefix: MRS
• Authorized Official - First Name: PATRICIA
• Authorized Official - Last Name: CORTEZ
• Authorized Official - Phone: 972-815-6856
• Mailing Address - Street 1: 6124 W PARKER RD
• Mailing Address - Street 2: MOB III SUITE 234
• Mailing Address - City: PLANO
• Mailing Address - State: TX
• Mailing Address - Zip Code: 75093-8124
• Mailing Address - Country: US
• Mailing Address - Phone: 972-981-7500
• Mailing Address - Fax: 972-981-3600
• Practice Address - Street 1: 6124 W PARKER RD
• Practice Address - Street 2: MOB III SUITE 234
• Practice Address - City: PLANO
• Practice Address - State: TX
• Practice Address - Zip Code: 75093-8124
• Practice Address - Country: US
• Practice Address - Phone: 972-981-7500
• Practice Address - Fax: 972-981-3600
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2008-07-03
• Last Update Date: 2023-07-14

Provider Licenses

State	License ID	Taxonomies
TX	K7510	207QA0505X
TX	M6414	207QA0505X
TX	N7347	207QA0505X
TX	H6269	207R00000X
TX	K3141	207R00000X
		207RE0101X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207QA0505X	Allopathic & Osteopathic Physicians	Family Medicine	Adult Medicine	Group - Multi-Specialty
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207RE0101X	Allopathic & Osteopathic Physicians	Internal Medicine	Endocrinology, Diabetes & Metabolism	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
TX	116942701	Medicaid
TX	8BL891	Other	BCBS
TX	1053373001	Other	TYPE I NPI
TX	8BL893	Other	BCBS TX SOLO
TX	0064RP	Other	BCBS GROUP
TX	1871501874	Other	TYPE I NPI NUMBER
TX	DN8858	Other	RAILROAD MEDICARE GROUP PTAN
TX	1770523821	Other	TYPE I NPI
TX	P00644332	Other	RAILROAD MEDICARE PTAN
TX	1194933739	Other	TYPE I NPI
TX	8BL890	Other	BCBS
TX	1417926783	Other	TYPE I NPI
TX	8BL892	Other	BCBS SOLO
TX	8DW621	Other	BCBS SOLO
TX	TXB111428	Medicare PIN
TX	1770523821	Other	TYPE I NPI
TX	8DW621	Other	BCBS SOLO
TX	8F8676	Medicare PIN
TX	8BL893	Other	BCBS TX SOLO
TX	TXB140229	Medicare PIN