| 786 Medical Pllc | |
|
493 Westpark Way Euless TX 76040-3957 | |
| (817) 354-7500 | |
| (817) 354-7502 |
| Full Name | 786 Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 493 Westpark Way, Euless, Texas |
| Authorized Official Name and Position | Anila I Khan (PHYSICIAN) |
| Authorized Official Contact | 8173131140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 786 Medical Pllc 493 Westpark Way Euless TX 76040-3957 Ph: (817) 354-7500 | 786 Medical Pllc 493 Westpark Way Euless TX 76040-3957 Ph: (817) 354-7500 |
| NPI Number | 1841436110 |
|---|---|
| Provider Enumeration Date | 12/17/2008 |
| Last Update Date | 12/16/2019 |
| Medicare PECOS PAC ID | 5294899399 |
|---|---|
| Medicare Enrollment ID | O20090205000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841436110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nadeem Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902809486 PECOS PAC ID: 0345259081 Enrollment ID: I20060407000488 |
| Provider Name | Anila Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063415545 PECOS PAC ID: 9032139597 Enrollment ID: I20070315000167 |
| Provider Name | Lekeytra Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518395268 PECOS PAC ID: 3173846136 Enrollment ID: I20141223001010 |
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