Mr Rodrigo Benjamin Interiano, MD | |
1500 Cooper St, Fort Worth, TX 76104-2710 | |
(682) 885-7080 | |
(682) 885-7085 |
Full Name | Mr Rodrigo Benjamin Interiano |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 1500 Cooper St, 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 |
---|---|---|---|
1508182494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | S6215 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Entity Name | Magella Medical Associates Billing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Mailing Address | Practice Location Address |
---|---|
Mr Rodrigo Benjamin Interiano, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Mr Rodrigo Benjamin Interiano, MD 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-7080 |
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 |