| Beverly Hills Pain Management | |
|
3019 South Fwy Fort Worth TX 76104-7234 | |
| (323) 868-8099 | |
| Not Available |
| Full Name | Beverly Hills Pain Management |
|---|---|
| Speciality | General Practice |
| Location | 3019 South Fwy, Fort Worth, Texas |
| Authorized Official Name and Position | Kenneth M Yaker (OWNER) |
| Authorized Official Contact | 8179265800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Hills Pain Management 3019 South Fwy Fort Worth TX 76104-7234 Ph: (323) 868-8099 | Beverly Hills Pain Management 3019 South Fwy Fort Worth TX 76104-7234 Ph: (323) 868-8099 |
| NPI Number | 1104581800 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104581800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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