Douglas Whitley, MD | |
1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 | |
(817) 882-2000 | |
Not Available |
Full Name | Douglas Whitley |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1301 Pennsylvania Ave, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841233301 | NPI | - | NPPES |
00L99C | Other | TX | BCBS |
130568204 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | E9014 (Texas) | Primary |
Entity Name | Integrative Emergency Services Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
Entity Name | Texas Medicine Resources, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
Mailing Address | Practice Location Address |
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Douglas Whitley, MD Po Box 8549, Fort Worth, TX 76124-0549 Ph: (817) 451-4208 | Douglas Whitley, MD 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 Ph: (817) 882-2000 |
Anna Burns Schroeder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6451 Brentwood Stair Rd, Suite 202, Fort Worth, TX 76112 Phone: 713-858-4684 | |
Joey Mayor, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 214-712-2074 Fax: 214-712-2444 | |
Don Stewart Harper, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112 Phone: 817-507-1770 Fax: 817-507-1771 | |
Dr. Britton Michael Devillier, M.D., M.P.H. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4095 Fax: 682-885-7499 | |
Lacey A Mcdaniel, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7001 Granbury Rd, Fort Worth, TX 76133 Phone: 817-346-1925 Fax: 817-292-7237 | |
Dr. Rafael Andres Raya, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3101 N Tarrant Pkwy, Fort Worth, TX 76177 Phone: 817-639-1000 | |
Mr. Karim S Jamal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11801 S. Freeway, Fort Worth, TX 76134 Phone: 817-293-9110 |