Dr Fernando San Miguel Angeles, | |
11803 S Interstate 35w, Suite 354, Fort Worth, TX 76115-0000 | |
(817) 293-9140 | |
(817) 293-2392 |
Full Name | Dr Fernando San Miguel Angeles |
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Gender | Male |
Speciality | Surgery |
Location | 11803 S Interstate 35w, 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 |
---|---|---|---|
1053353144 | NPI | - | NPPES |
032272902 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | E7800 (Texas) | Primary |
Entity Name | Rosebud Indian Health Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Mailing Address | Practice Location Address |
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Dr Fernando San Miguel Angeles, 8808 Racquet Club Dr, Fort Worth, TX 76120-2836 Ph: (817) 861-3147 | Dr Fernando San Miguel Angeles, 11803 S Interstate 35w, Suite 354, Fort Worth, TX 76115-0000 Ph: (817) 293-9140 |
Amelia Brooke Tower, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Ste 420, Fort Worth, TX 76104 Phone: 817-250-6570 | |
Dr. Travis Corgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 8th Ave, Suite 306, Fort Worth, TX 76104 Phone: 682-224-3748 Fax: 682-841-0039 | |
Robert G Snow, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2501 Parkview Dr Ste 560, Fort Worth, TX 76102 Phone: 817-850-1100 Fax: 817-850-1104 | |
Mohammad Alqaim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave Ste 200, Fort Worth, TX 76104 Phone: 817-912-8238 | |
Ryan Kostka, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St Fl 2, Fort Worth, TX 76104 Phone: 817-702-3000 Fax: 817-927-3958 | |
Dr. Nabeel M Shabout, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3848 N Tarrant Pkwy Ste 100, Fort Worth, TX 76244 Phone: 817-753-6917 Fax: 817-753-6921 | |
Miss Ruth Ellen Jones, M. D. Surgery Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7080 Fax: 682-885-7085 |