Delta Medical Clinic | |
12001 South Fwy Suite 210 Burleson TX 76028-7208 | |
(817) 293-8797 | |
Not Available |
Full Name | Delta Medical Clinic |
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Speciality | Internal Medicine |
Location | 12001 South Fwy, Burleson, Texas |
Authorized Official Name and Position | Kofoworola Ekadi (PRESIDENT) |
Authorized Official Contact | 8174128769 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Delta Medical Clinic Po Box 93869 Southlake TX 76092-0118 Ph: (817) 293-8797 | Delta Medical Clinic 12001 South Fwy Suite 210 Burleson TX 76028-7208 Ph: (817) 293-8797 |
NPI Number | 1073550919 |
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Provider Enumeration Date | 05/31/2006 |
Last Update Date | 04/08/2023 |
Medicare PECOS PAC ID | 9638181084 |
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Medicare Enrollment ID | O20060629000096 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073550919 | NPI | - | NPPES |
00W561 | Other | TX | MEDICARE |
P00053593 | Other | TX | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K9263 (Texas) | Primary |
Provider Name | Kofoworola F Ekadi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942262316 PECOS PAC ID: 2466358106 Enrollment ID: I20031216000359 |
Provider Name | Sarah Mitchell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134637820 PECOS PAC ID: 1557607876 Enrollment ID: I20210201000181 |
Rediclinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Sw Wilshire Blvd, Burleson, TX 76028 Phone: 866-607-7334 | |
Well Crest Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11803 South Fwy Ste 205, Burleson, TX 76028 Phone: 817-615-8627 | |
Muhammad Anis Memon M.d. P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E Rendon Crowley Rd, Burleson, TX 76028 Phone: 817-293-9292 | |
Arbor Internal Medicine Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Sw Alsbury Blvd Unit D, Burleson, TX 76028 Phone: 317-450-9811 Fax: 817-285-5556 | |
Texas Health Rx Pharmacy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12333 Bear Plz Ste 100, Burleson, TX 76028 Phone: 817-789-4099 Fax: 800-616-4641 | |
Lalitha Jagadish, M.d., P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11803 South Fwy, Suite 201, Burleson, TX 76028 Phone: 817-293-4800 Fax: 817-293-4808 |