Dr Kevin Len Wacasey, MD | |
6400 Colleyville Blvd, Colleyville, TX 76034-6444 | |
(817) 416-6111 | |
(866) 929-9602 |
Full Name | Dr Kevin Len Wacasey |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 6400 Colleyville Blvd, Colleyville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902825946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | K3519 (Texas) | Secondary |
208D00000X | General Practice | K3519 (Texas) | Primary |
Entity Name | Concord Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Entity Name | Concord Medical Group Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Entity Name | Health And Human Services Commission |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Len Wacasey, MD 6400 Colleyville Blvd, Colleyville, TX 76034-6444 Ph: (817) 416-6111 | Dr Kevin Len Wacasey, MD 6400 Colleyville Blvd, Colleyville, TX 76034-6444 Ph: (817) 416-6111 |
Dr. Lawrence Steven Fox, MD General Practice Medicare: Medicare Enrolled Practice Location: 2604 Highland Park Ct, Colleyville, TX 76034 Phone: 817-354-0699 |