| Associates Of Internal Medicine | |
|
2260 College Ave Fort Worth TX 76110-1952 | |
| (682) 268-1152 | |
| (877) 772-0063 |
| Full Name | Associates Of Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2260 College Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Pavani Bellary (PHYSICIAN, OWNER) |
| Authorized Official Contact | 6822681152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates Of Internal Medicine Po Box 12056 Fort Worth TX 76110-8056 Ph: (682) 268-1152 | Associates Of Internal Medicine 2260 College Ave Fort Worth TX 76110-1952 Ph: (682) 268-1152 |
| NPI Number | 1023146594 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 09/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023146594 | NPI | - | NPPES |
| 1765463 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L8281 (Texas) | Primary |
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