Taina Aracelis Trevino, MD | |
855 Montgomery St, Fort Worth, TX 76107-2553 | |
(817) 735-2000 | |
Not Available |
Full Name | Taina Aracelis Trevino |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 855 Montgomery 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 |
---|---|---|---|
1841453164 | NPI | - | NPPES |
341515002 | Medicaid | TX | |
8FQ962 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | Q1041 (Texas) | Primary |
Entity Name | Acclaim Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
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Taina Aracelis Trevino, MD Po Box 99335, Fort Worth, TX 76199-0335 Ph: () - | Taina Aracelis Trevino, MD 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 735-2000 |
Dr. Heidi Danielle Tomlinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Pennsylvania Ave, Department Of Neonatology, Fort Worth, TX 76104 Phone: 817-250-2892 | |
Rachel Marie Souers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-6726 Fax: 682-885-6729 | |
Gregory Barker, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2140 Fax: 817-332-2506 | |
Anne Marcum Kirk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
Hina Aziz Rehman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014 | |
Khalid H Syed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 | |
Dr. Phuong Thi Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 |