| Fort Worth Internal Medicine Pa | |
|
654 Saint Louis Ave Fort Worth TX 76104-3358 | |
| (817) 386-9818 | |
| Not Available |
| Full Name | Fort Worth Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 654 Saint Louis Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Adebola Sulaiman Olatunji (DIRECTOR) |
| Authorized Official Contact | 8173869818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Internal Medicine Pa 654 Saint Louis Ave Fort Worth TX 76104-3358 Ph: (817) 386-9818 | Fort Worth Internal Medicine Pa 654 Saint Louis Ave Fort Worth TX 76104-3358 Ph: (817) 386-9818 |
| NPI Number | 1851432462 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 0749381572 |
|---|---|
| Medicare Enrollment ID | O20070724000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851432462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L9833 (Texas) | Primary |
| Provider Name | Adebola S Olatunji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356308381 PECOS PAC ID: 8426027335 Enrollment ID: I20040928000680 |
| Provider Name | Olawale O Akinmerese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194918649 PECOS PAC ID: 9234327222 Enrollment ID: I20101216000984 |
| Provider Name | Olubukola T Amudipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346366333 PECOS PAC ID: 6406942929 Enrollment ID: I20160910000009 |
| Provider Name | Adebayo T Olatunji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376054718 PECOS PAC ID: 0244590388 Enrollment ID: I20180209000079 |
| Provider Name | Ambika Mishra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316582794 PECOS PAC ID: 8123455771 Enrollment ID: I20200221000085 |
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 |