| Arlington Infectious Disease Associates, Pa | |
|
3132 Matlock Rd Suite 309 Arlington TX 76015-2910 | |
| (817) 417-0260 | |
| (817) 417-4834 |
| Full Name | Arlington Infectious Disease Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3132 Matlock Rd, Arlington, Texas |
| Authorized Official Name and Position | Elleni Woldesenbet (OWNER) |
| Authorized Official Contact | 8174170260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arlington Infectious Disease Associates, Pa 2718 Shadow Wood Dr Arlington TX 76006-2724 Ph: (817) 608-0625 | Arlington Infectious Disease Associates, Pa 3132 Matlock Rd Suite 309 Arlington TX 76015-2910 Ph: (817) 417-0260 |
| NPI Number | 1083803787 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 12/14/2007 |
| Medicare PECOS PAC ID | 4183681737 |
|---|---|
| Medicare Enrollment ID | O20041215000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083803787 | NPI | - | NPPES |
| 0094LZ | Other | TX | BCBS OF TX |
| DC6184 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | L0707 (Texas) | Primary |
| Provider Name | Elleni Woldesenbet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861459869 PECOS PAC ID: 1456318005 Enrollment ID: I20041215000223 |
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