| Casper Regenerative And Physical Medicine, Pllc | |
|
701 Highlander Blvd Ste 150 Arlington TX 76015-4602 | |
| (817) 375-0235 | |
| (817) 375-0281 |
| Full Name | Casper Regenerative And Physical Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 701 Highlander Blvd Ste 150, Arlington, Texas |
| Authorized Official Name and Position | Frederick Gerald Casper (OWNER) |
| Authorized Official Contact | 8173750235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casper Regenerative And Physical Medicine, Pllc 701 Highlander Blvd Ste 150 Arlington TX 76015-4602 Ph: (817) 375-0235 | Casper Regenerative And Physical Medicine, Pllc 701 Highlander Blvd Ste 150 Arlington TX 76015-4602 Ph: (817) 375-0235 |
| NPI Number | 1689227233 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 07/23/2019 |
| Medicare PECOS PAC ID | 9537596200 |
|---|---|
| Medicare Enrollment ID | O20200219002533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689227233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kelly D Wilcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275186876 PECOS PAC ID: 6901233675 Enrollment ID: I20200219002509 |
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