3C Medical Care, PA
Organization Active NPI Family Medicine Physician · Ovilla, TX
NPI 1851765622 · NPPES record last updated Apr 7, 2020
Key facts
- NPI
- 1851765622
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L3651 (TX)
- Legal business name
- 3C MEDICAL CARE, PA
- Practice address
- 105 Ovilla Oaks Dr
Ovilla, TX 75154-5609 - Phone
- (469) 432-4004
- Fax
- (877) 853-9435
- NPI assigned
- Nov 17, 2015
- Organization subpart
- No
Authorized official
- Name
- Sanford Fung, M.D.
- Title
- Director
- Phone
- (469) 432-4004
Practitioners 1
-
Sanford Fung, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160218000654 | TX | Part B Supplier - Clinic/Group Practice | 8820393572 |
Receives reassigned benefits from 1 practitioner Practice locations: Ovilla, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | L3651 | TX | Yes |
Addresses
Primary practice location
105 Ovilla Oaks Dr
Ovilla, TX 75154-5609
Mailing address
105 Ovilla Oaks Dr
Ovilla, TX 75154-5609
Phone (469) 432-4004
Other providers in Ovilla, TX
- Anchorpoint Community Care
- Anv Concepts Home Health Services LLC
- Apn Behavioral Healthcare
- Natarsha Shawntell Asenime
- Ashlee Long Enterprises
All providers in Ovilla, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.