Trester Family Medical Group
LBN: Trester Family Medical Group
Trester Family Medical Group is an health care organization with primary practice located at 900 E Park Blvd Suite 280, Plano TX 75074-5465. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Trester Family Medical Group can be contacted via phone (972) 424-7000, or through Trester, Kimberly Keen via phone (972) 424-7000.
Contact Information
Primary practice address
900 E Park Blvd Suite 280
Plano TX 75074-5465
Phone: (972) 424-7000
Fax: (972) 424-7001
Website:
Authorized official contact:
Name: Trester, Kimberly Keen Nurse Practitioner (NP)
Phone: (972) 424-7000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | F4313 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 633384 | Texas |
Profile Details
| NPI number | 1457465486 |
|---|---|
| LBN Legal business name | Trester Family Medical Group |
| DBA Doing business as | |
| Authorized official | Trester, Kimberly Keen Nurse Practitioner (NP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457465486 | NPPES |
| Texas | MEDICAID | 15443 | |
| Texas | Other | 0056MS | |
| Texas | MEDICAID | 10011656 |
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