Endocrine & Thyroid Center | |
7141 Colleyville Blvd Colleyville TX 76034-6240 | |
(817) 410-9993 | |
Not Available |
Full Name | Endocrine & Thyroid Center |
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Speciality | Internal Medicine |
Location | 7141 Colleyville Blvd, Colleyville, Texas |
Authorized Official Name and Position | Henry M. Prost (OWNER & PRESIDENT) |
Authorized Official Contact | 8177933422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Endocrine & Thyroid Center 7141 Collyville Blvd Colleyville TX 76034-6240 Ph: (817) 410-9993 | Endocrine & Thyroid Center 7141 Colleyville Blvd Colleyville TX 76034-6240 Ph: (817) 410-9993 |
NPI Number | 1659300549 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 01/26/2024 |
Medicare PECOS PAC ID | 4284665498 |
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Medicare Enrollment ID | O20050827000159 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659300549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Roopa Sathyaprakash |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1588706519 PECOS PAC ID: 9133228430 Enrollment ID: I20070627000596 |
Provider Name | Henry M Prost |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1841229812 PECOS PAC ID: 8921150152 Enrollment ID: I20111024000587 |
Provider Name | Melida V Nichols |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245719319 PECOS PAC ID: 0345591384 Enrollment ID: I20181001002725 |
Provider Name | Basil Omar Burney |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1043414485 PECOS PAC ID: 8921278953 Enrollment ID: I20200528001104 |
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