Provider Demographics
NPI:1386894772
Name:EAR NOSE AND THROAT ASSOCIATES OF FRISCO PA
Entity type:Organization
Organization Name:EAR NOSE AND THROAT ASSOCIATES OF FRISCO PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEELESH
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHENDALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-731-7654
Mailing Address - Street 1:6717 W ELDORADO PKWY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-5635
Mailing Address - Country:US
Mailing Address - Phone:972-731-7654
Mailing Address - Fax:
Practice Address - Street 1:6717 W ELDORADO PKWY
Practice Address - Street 2:SUITE 140
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-5635
Practice Address - Country:US
Practice Address - Phone:972-731-7654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7828207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty