| Fort Worth Infectious Disease Consultants Pllc | |
|
11803 South Fwy Ste 111 Burleson TX 76028-7028 | |
| (817) 349-9500 | |
| (817) 349-9501 |
| Full Name | Fort Worth Infectious Disease Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11803 South Fwy Ste 111, Burleson, Texas |
| Authorized Official Name and Position | Krishna Kanth Bobbili (OWNER) |
| Authorized Official Contact | 7048774690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Infectious Disease Consultants Pllc 11803 South Fwy Ste 111 Burleson TX 76028-7028 Ph: (817) 349-9500 | Fort Worth Infectious Disease Consultants Pllc 11803 South Fwy Ste 111 Burleson TX 76028-7028 Ph: (817) 349-9500 |
| NPI Number | 1790154102 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 01/03/2018 |
| Medicare PECOS PAC ID | 1658674072 |
|---|---|
| Medicare Enrollment ID | O20160119001958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790154102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | N5578 (Texas) | Primary |
| Provider Name | Geeta Manthena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326257163 PECOS PAC ID: 1951496678 Enrollment ID: I20101123000901 |
| Provider Name | Krishna K Bobbili |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851364699 PECOS PAC ID: 4082680129 Enrollment ID: I20160119002147 |
| Provider Name | Scarlet Yalile Herrarte Fornos |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255606679 PECOS PAC ID: 1557630522 Enrollment ID: I20170706002358 |
| Provider Name | Megan Lucille Mckenna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598027344 PECOS PAC ID: 5193076990 Enrollment ID: I20180918001367 |
| Provider Name | Joong Yong Kwon |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942422886 PECOS PAC ID: 0648303529 Enrollment ID: I20190320001107 |
Rediclinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 951 Sw Wilshire Blvd, Burleson, TX 76028 Phone: 866-607-7334 | |
Delta Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12001 South Fwy, Suite 210, Burleson, TX 76028 Phone: 817-293-8797 | |
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 |