| Eden Rejuvenation Center For Wellbeing Pllc | |
|
6913 Camp Bowie Blvd Fort Worth TX 76116-7163 | |
| (267) 471-7431 | |
| (817) 732-8015 |
| Full Name | Eden Rejuvenation Center For Wellbeing Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6913 Camp Bowie Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Biju Mathew (MD) |
| Authorized Official Contact | 2674717431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Rejuvenation Center For Wellbeing Pllc 5605 Fm 423, Ste 500- 355 Frisco TX 75036-8960 Ph: (817) 731-6121 | Eden Rejuvenation Center For Wellbeing Pllc 6913 Camp Bowie Blvd Fort Worth TX 76116-7163 Ph: (267) 471-7431 |
| NPI Number | 1023602588 |
|---|---|
| Provider Enumeration Date | 02/25/2021 |
| Last Update Date | 07/25/2023 |
| Medicare PECOS PAC ID | 9234547563 |
|---|---|
| Medicare Enrollment ID | O20210426001489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023602588 | NPI | - | NPPES |
| 1700170867 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Adedoyin Aderonmu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518439017 PECOS PAC ID: 3173958980 Enrollment ID: I20200123002035 |
| Provider Name | Biju B Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700170867 PECOS PAC ID: 8820218233 Enrollment ID: I20210217001105 |
| Provider Name | Brenda Jean Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588331771 PECOS PAC ID: 5991189474 Enrollment ID: I20220901000781 |
Southwest Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Bryant Irvin Rd, Suite 203, Fort Worth, TX 76132 Phone: 817-346-4000 Fax: 817-263-9398 | |
University Of North Texas Health Science Center At Fort Worth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2000 | |
Hanson Internal Medicine, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Harris Pkwy, Suite 240, Fort Worth, TX 76132 Phone: 817-504-5699 | |
Feliz Family Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3109 6th Ave, Fort Worth, TX 76110 Phone: 817-923-7055 Fax: 817-923-7902 | |
Symetria Health Of Texas, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7229 Hawkins View Dr, Fort Worth, TX 76132 Phone: 682-350-4444 | |
Associates Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 College Ave, Fort Worth, TX 76110 Phone: 682-268-1152 Fax: 877-772-0063 | |
Apex Alliance Medical Group Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Westport Pkwy, Suite 150, Fort Worth, TX 76177 Phone: 817-837-1091 Fax: 817-837-1097 |