Emcc Azle Family Practice Llc | |
601 Northwest Pkwy Ste C Azle TX 76020-2930 | |
(817) 270-0788 | |
Not Available |
Full Name | Emcc Azle Family Practice Llc |
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Speciality | Family Medicine |
Location | 601 Northwest Pkwy Ste C, Azle, Texas |
Authorized Official Name and Position | Michelle Newsom (VP OF OPERATIONS) |
Authorized Official Contact | 8172712583 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Emcc Azle Family Practice Llc 2300 Matlock Rd Ste 35 Mansfield TX 76063-5018 Ph: (469) 830-8200 | Emcc Azle Family Practice Llc 601 Northwest Pkwy Ste C Azle TX 76020-2930 Ph: (817) 270-0788 |
NPI Number | 1104382340 |
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Provider Enumeration Date | 02/12/2019 |
Last Update Date | 05/18/2023 |
Medicare PECOS PAC ID | 2062829799 |
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Medicare Enrollment ID | O20210325001222 |
Identifier | Type | State | Issuer |
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1104382340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Christopher Opella |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134184716 PECOS PAC ID: 8820981244 Enrollment ID: I20040207000184 |
Provider Name | Dana A Wingate |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1881796639 PECOS PAC ID: 0345299079 Enrollment ID: I20050119000951 |
Provider Name | Michael W Hart |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598795189 PECOS PAC ID: 4587790233 Enrollment ID: I20100405000144 |
Health Matters Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 172 Briar Meadows Cir, Azle, TX 76020 Phone: 505-220-6814 | |
Segue Health Of Texas Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6815 Hill Ct, Azle, TX 76020 Phone: 901-626-3515 Fax: 844-364-2629 | |
Laura's Pharmacy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 232 W Main St, Azle, TX 76020 Phone: 817-406-4546 Fax: 817-406-4550 | |
Premier Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 236 Park Pl, Azle, TX 76020 Phone: 817-270-3000 Fax: 817-270-3001 | |
Dr Opie Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Northwest Pkwy Ste C, Azle, TX 76020 Phone: 817-270-0788 Fax: 817-752-2176 | |
2017 Fwuc Medical Professionals Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Northwest Pkwy Ste C, Azle, TX 76020 Phone: 817-270-0777 Fax: 817-421-0036 |