Gaps Collaborative Tx | |
3301 View St Fort Worth TX 76103-2425 | |
(212) 734-6621 | |
Not Available |
Full Name | Gaps Collaborative Tx |
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Speciality | Family Medicine |
Location | 3301 View St, Fort Worth, Texas |
Authorized Official Name and Position | Yitty Falkowitz (DIRECTOR) |
Authorized Official Contact | 2127346621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gaps Collaborative Tx 250 Skillman St Ste 202 Brooklyn NY 11205-1218 Ph: (212) 734-6621 | Gaps Collaborative Tx 3301 View St Fort Worth TX 76103-2425 Ph: (212) 734-6621 |
NPI Number | 1992372981 |
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Provider Enumeration Date | 06/08/2021 |
Last Update Date | 01/19/2023 |
Medicare PECOS PAC ID | 8426455619 |
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Medicare Enrollment ID | O20210930003212 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992372981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James Cochran |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154304467 PECOS PAC ID: 8224946389 Enrollment ID: I20050308000895 |
Provider Name | Kenneth Dean Archer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083654123 PECOS PAC ID: 6800897075 Enrollment ID: I20070131000227 |
Provider Name | Abdulrahman M Saei |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932574399 PECOS PAC ID: 9931401668 Enrollment ID: I20160112001495 |
Provider Name | Kevin Scott Jensen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306284211 PECOS PAC ID: 2769608256 Enrollment ID: I20160801001774 |
Provider Name | Shynesta Renea Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508350612 PECOS PAC ID: 9537320981 Enrollment ID: I20180830000885 |
Provider Name | Andrea Michelle Langston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518420439 PECOS PAC ID: 0547597270 Enrollment ID: I20190802002892 |
Provider Name | Ling Li |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396988416 PECOS PAC ID: 7214185826 Enrollment ID: I20191017000702 |
Provider Name | Jerome Wilborn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750351516 PECOS PAC ID: 2163412834 Enrollment ID: I20200721003803 |
Provider Name | Rudo Madondo Gwitira |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396351474 PECOS PAC ID: 2961811690 Enrollment ID: I20210511000697 |
Provider Name | Lejany Ramos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881360345 PECOS PAC ID: 0143618132 Enrollment ID: I20211025001056 |
Provider Name | Teia C Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306517941 PECOS PAC ID: 2062804966 Enrollment ID: I20220127000597 |
Provider Name | Kimberly Diane Strickland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477210599 PECOS PAC ID: 6204220486 Enrollment ID: I20220304000208 |
Provider Name | Connie Michelle Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053051615 PECOS PAC ID: 8921480724 Enrollment ID: I20220726002376 |
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