Anjanette Tan Md Pa | |
6844 Harris Pkwy Ste 300 Ft Worth TX 76132-4301 | |
(817) 263-0007 | |
(817) 263-1118 |
Full Name | Anjanette Tan Md Pa |
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Speciality | Internal Medicine |
Location | 6844 Harris Pkwy Ste 300, Ft Worth, Texas |
Authorized Official Name and Position | Anjanette Tan (PRESIDENT) |
Authorized Official Contact | 8172630007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anjanette Tan Md Pa 6844 Harris Pkwy Ste 300 Fort Worth TX 76132-4301 Ph: (817) 263-0007 | Anjanette Tan Md Pa 6844 Harris Pkwy Ste 300 Ft Worth TX 76132-4301 Ph: (817) 263-0007 |
NPI Number | 1649989237 |
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Provider Enumeration Date | 11/22/2022 |
Last Update Date | 11/09/2023 |
Medicare PECOS PAC ID | 2668729831 |
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Medicare Enrollment ID | O20221212002681 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649989237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Anjanette Sia Lin Tan |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1154326627 PECOS PAC ID: 7416936919 Enrollment ID: I20100129000301 |
Provider Name | Lisa D Mijares |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134513401 PECOS PAC ID: 1557689841 Enrollment ID: I20150416002350 |
Provider Name | Rachel Martha Mansheim |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386286037 PECOS PAC ID: 8325370745 Enrollment ID: I20191104001713 |
Provider Name | Suzanne Sophia Wombough |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124634621 PECOS PAC ID: 9739594722 Enrollment ID: I20210225001911 |
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