Dr Nicholas Aaron Broughton, DO | |
5668 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109-4109 | |
(817) 764-1554 | |
(817) 764-1565 |
Full Name | Dr Nicholas Aaron Broughton |
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Gender | Male |
Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
Location | 5668 Edwards Ranch Rd Ste 101, 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 |
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1164042339 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | U5080 (Texas) | Secondary |
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | U5080 (Texas) | Primary |
Entity Name | Renovo Wound And Hyperbarics Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629683602 PECOS PAC ID: 6002236379 Enrollment ID: O20201027000401 |
Mailing Address | Practice Location Address |
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Dr Nicholas Aaron Broughton, DO 401 N Valley Pkwy Ste 380, Lewisville, TX 75067-3472 Ph: (469) 904-6427 | Dr Nicholas Aaron Broughton, DO 5668 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109-4109 Ph: (817) 764-1554 |
Dr. Scott Charles Taylor, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6916 Desert Highlands Dr, Fort Worth, TX 76132 Phone: 817-715-7290 Fax: 817-370-9772 | |
Dr. Guillermo J. Salazar, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 Meacham Blvd, Faa, Asw-300, Fort Worth, TX 76137 Phone: 817-222-5301 Fax: 817-222-5965 | |
Roy G Kreusel, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 West Fwy, Suite 100, Fort Worth, TX 76102 Phone: 615-778-4066 | |
Dr. Michael Robert Jarrard, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: Bnsf Railway, 2500 Lou Menk Dr Aob-gl, Fort Worth, TX 76131 Phone: 817-352-1604 Fax: 817-352-7507 | |
Dr. Prathima Nagireddy, M.D Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Beach St Ste 104, Fort Worth, TX 76111 Phone: 817-831-1750 | |
Dr. Robin K.b. Chan, D.O. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Baylor All Saints - Department Of Emergency Medicine, Fort Worth, TX 76104 Phone: 817-926-2544 | |
Mark E Morris, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 West Fwy, Suite 100, Fort Worth, TX 76102 Phone: 615-778-4066 |