First Med | |
1212 N Highway 377 Ste 119 Roanoke TX 76262-6916 | |
(682) 831-1591 | |
Not Available |
Full Name | First Med |
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Speciality | Family Medicine |
Location | 1212 N Highway 377 Ste 119, Roanoke, Texas |
Authorized Official Name and Position | Prakash Bhakta (OWNER) |
Authorized Official Contact | 6828311591 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Med 1212 N Highway 377 Ste 119 Roanoke TX 76262-6916 Ph: (682) 831-1591 | First Med 1212 N Highway 377 Ste 119 Roanoke TX 76262-6916 Ph: (682) 831-1591 |
NPI Number | 1154666758 |
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Provider Enumeration Date | 12/07/2012 |
Last Update Date | 06/10/2013 |
Medicare PECOS PAC ID | 3577701085 |
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Medicare Enrollment ID | O20130522000598 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154666758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Aminidhan D Thakkar |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629058169 PECOS PAC ID: 6103955992 Enrollment ID: I20100604000235 |
Provider Name | Juanita M Martinez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093003105 PECOS PAC ID: 7214108620 Enrollment ID: I20110915000291 |
Provider Name | Ranjit Kumar Dhelaria |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386891315 PECOS PAC ID: 1456539915 Enrollment ID: I20160614002276 |
Provider Name | Jay P Bhakta |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225574155 PECOS PAC ID: 4789968249 Enrollment ID: I20170228001748 |
Provider Name | Jordan M Walsh |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1043790918 PECOS PAC ID: 8527304658 Enrollment ID: I20190110003216 |
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