Crescent Psychiatry Pllc | |
1604 Hospital Pkwy Ste 203 Bedford TX 76022-6930 | |
(817) 354-2888 | |
Not Available |
Full Name | Crescent Psychiatry Pllc |
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Speciality | Psychiatry & Neurology |
Location | 1604 Hospital Pkwy Ste 203, Bedford, Texas |
Authorized Official Name and Position | Sabahat Faheem (MD) |
Authorized Official Contact | 8173542888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crescent Psychiatry Pllc 2852 Gibraltar St Irving TX 75062-5298 Ph: () - | Crescent Psychiatry Pllc 1604 Hospital Pkwy Ste 203 Bedford TX 76022-6930 Ph: (817) 354-2888 |
NPI Number | 1043560642 |
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Provider Enumeration Date | 09/12/2012 |
Last Update Date | 10/30/2012 |
Medicare PECOS PAC ID | 3779733704 |
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Medicare Enrollment ID | O20121026000651 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043560642 | NPI | - | NPPES |
TXB166118 | Other | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Sabahat Faheem |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1497812549 PECOS PAC ID: 4486810793 Enrollment ID: I20120731000439 |
Provider Name | Florence F Oni |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033389994 PECOS PAC ID: 8921155029 Enrollment ID: I20161109002541 |
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