| Fort Worth Institute Of Medical Sciences Llc | |
|
1023 Lipscomb St Ste 200 Fort Worth TX 76104-3102 | |
| (972) 544-6600 | |
| (972) 544-6604 |
| Full Name | Fort Worth Institute Of Medical Sciences Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1023 Lipscomb St Ste 200, Fort Worth, Texas |
| Authorized Official Name and Position | Ravi Siripurapu (OWNER/MD) |
| Authorized Official Contact | 9725446600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Institute Of Medical Sciences Llc Po Box 271600 Flower Mound TX 75027-1600 Ph: (972) 544-6600 | Fort Worth Institute Of Medical Sciences Llc 1023 Lipscomb St Ste 200 Fort Worth TX 76104-3102 Ph: (972) 544-6600 |
| NPI Number | 1689455685 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Medicare PECOS PAC ID | 4688021306 |
|---|---|
| Medicare Enrollment ID | O20231116002868 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689455685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Suresh B Kankanala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922211697 PECOS PAC ID: 0042364234 Enrollment ID: I20100513000161 |
| Provider Name | Ifeoma A Kalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417150509 PECOS PAC ID: 8527254861 Enrollment ID: I20101129000169 |
| Provider Name | Ravi S Siripurapu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467570895 PECOS PAC ID: 6103902085 Enrollment ID: I20110308000426 |
| Provider Name | Johanna Hernaiz Baez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881914349 PECOS PAC ID: 4284864992 Enrollment ID: I20210521002053 |
| Provider Name | Sean T Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558868760 PECOS PAC ID: 6002212032 Enrollment ID: I20210831000817 |
| Provider Name | Taylor G Meyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609505585 PECOS PAC ID: 6204219215 Enrollment ID: I20220823003411 |
| Provider Name | Rahul Paryani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699126763 PECOS PAC ID: 4486993011 Enrollment ID: I20220829003640 |
| Provider Name | Manpreet K Rattan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831722412 PECOS PAC ID: 3870967839 Enrollment ID: I20230315000927 |
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 |