Bruce E Maniet Do Pa | |
101 S Broadway St Bells TX 75414-2696 | |
(903) 965-7700 | |
(903) 965-7623 |
Full Name | Bruce E Maniet Do Pa |
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Speciality | Family Medicine |
Location | 101 S Broadway St, Bells, Texas |
Authorized Official Name and Position | Bruce E Maniet (PHYSICIAN) |
Authorized Official Contact | 9039657700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bruce E Maniet Do Pa Po Box 207 Bells TX 75414-0207 Ph: (903) 965-7700 | Bruce E Maniet Do Pa 101 S Broadway St Bells TX 75414-2696 Ph: (903) 965-7700 |
NPI Number | 1841516739 |
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Provider Enumeration Date | 04/16/2010 |
Last Update Date | 04/26/2010 |
Medicare PECOS PAC ID | 1951438845 |
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Medicare Enrollment ID | O20100426000029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841516739 | NPI | - | NPPES |
114610201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H8741 (Texas) | Primary |
Provider Name | Bruce Maniet |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568449825 PECOS PAC ID: 6406983386 Enrollment ID: I20100426000022 |
Provider Name | Kelly T Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588034722 PECOS PAC ID: 5294033098 Enrollment ID: I20160412000539 |
Provider Name | Tina R Harrison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821413501 PECOS PAC ID: 6103149356 Enrollment ID: I20160520001048 |
Provider Name | Lcena Dexheimer Bateman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245003557 PECOS PAC ID: 2567602584 Enrollment ID: I20231212000568 |
Provider Name | Alexandra Lee Maniet |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700668811 PECOS PAC ID: 8022455872 Enrollment ID: I20240328001403 |