| Dfwpma Fcvc | |
|
425 N Highland Ave Ste 260 Sherman TX 75092-7377 | |
| (903) 957-0082 | |
| (903) 957-0351 |
| Full Name | Dfwpma Fcvc |
|---|---|
| Speciality | Internal Medicine |
| Location | 425 N Highland Ave Ste 260, Sherman, Texas |
| Authorized Official Name and Position | Delilah Brandt (CEO) |
| Authorized Official Contact | 9039570082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfwpma Fcvc 425 N Highland Ave Ste 260 Sherman TX 75092-7377 Ph: (903) 957-0082 | Dfwpma Fcvc 425 N Highland Ave Ste 260 Sherman TX 75092-7377 Ph: (903) 957-0082 |
| NPI Number | 1376014076 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 10/20/2023 |
| Certification Date | 10/20/2023 |
| Medicare PECOS PAC ID | 8820493000 |
|---|---|
| Medicare Enrollment ID | O20210826000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376014076 | NPI | - | NPPES |
| 376759204 | Medicaid | TX |
| Provider Name | Alain Z Tocatjian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740201011 PECOS PAC ID: 9830276484 Enrollment ID: I20100407000154 |
| Provider Name | Barbara Anne Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013903061 PECOS PAC ID: 2365679768 Enrollment ID: I20150605000308 |
| Provider Name | Sainath Gaddam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912142985 PECOS PAC ID: 0648435503 Enrollment ID: I20171023002912 |
| Provider Name | Mehnaz A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841411873 PECOS PAC ID: 0143498998 Enrollment ID: I20210902001914 |
| Provider Name | Aniwelyn Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477056356 PECOS PAC ID: 7416353826 Enrollment ID: I20210910000742 |
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