| Birch Medical & Wellness | |
|
1400 Hospital Pkwy # 200 Bedford TX 76022-6927 | |
| (214) 960-5681 | |
| Not Available |
| Full Name | Birch Medical & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 Hospital Pkwy # 200, Bedford, Texas |
| Authorized Official Name and Position | Tung Tran (CEO) |
| Authorized Official Contact | 2149605681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Medical & Wellness 1400 Hospital Pkwy # 200 Bedford TX 76022-6927 Ph: (214) 960-5681 | Birch Medical & Wellness 1400 Hospital Pkwy # 200 Bedford TX 76022-6927 Ph: (214) 960-5681 |
| NPI Number | 1306582929 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/10/2022 |
| Medicare PECOS PAC ID | 8921449745 |
|---|---|
| Medicare Enrollment ID | O20240510002317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306582929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Petra L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760857684 PECOS PAC ID: 8820382872 Enrollment ID: I20160815000081 |
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