| Cait Care Providers Pllc | |
|
600 E Rosedale St Ste 125 Fort Worth TX 76104-5175 | |
| (682) 207-3598 | |
| Not Available |
| Full Name | Cait Care Providers Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 E Rosedale St Ste 125, Fort Worth, Texas |
| Authorized Official Name and Position | Nicholas Cain (REPRESENTATIVE) |
| Authorized Official Contact | 4056501413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cait Care Providers Pllc 600 E Rosedale St Ste 125 Fort Worth TX 76104-5175 Ph: (682) 207-3598 | Cait Care Providers Pllc 600 E Rosedale St Ste 125 Fort Worth TX 76104-5175 Ph: (682) 207-3598 |
| NPI Number | 1114685708 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 7315338399 |
|---|---|
| Medicare Enrollment ID | O20211230000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114685708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rowena J Maclin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316936941 PECOS PAC ID: 2668405481 Enrollment ID: I20050913000646 |
| Provider Name | Marc A Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154352060 PECOS PAC ID: 7416900808 Enrollment ID: I20061023000046 |
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