Trace Heavener, DO | |
1605 S 31st St, Temple, TX 76508-0001 | |
(254) 724-2111 | |
Not Available |
Full Name | Trace Heavener |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1605 S 31st St, Temple, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841646726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R4558 (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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Mailing Address | Practice Location Address |
---|---|
Trace Heavener, DO Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Trace Heavener, DO 1605 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2111 |
Raagsudha Jhavar, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1605 S 31st St, Temple, TX 76508 Phone: 254-215-0100 Fax: 254-215-0636 | |
Dr. Farrukh Sarmad Badsha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St # Msa1300, Temple, TX 76508 Phone: 254-935-5820 | |
Dr. Seetha Kannan, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2409 Pin Oak Dr, Temple, TX 76502 Phone: 254-774-8060 | |
Jennifer D Moran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Douglas Randall Bretzing, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2364 | |
Dr. Katherine M. Jew, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 S 1st St, Temple, TX 76504 Phone: 254-778-4148 | |
Niket Sonpal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |