| Gastroenterology Center Pa | |
|
11801 South Fwy Ste 140 Burleson TX 76028-7021 | |
| (817) 551-6161 | |
| (817) 551-6177 |
| Full Name | Gastroenterology Center Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 11801 South Fwy Ste 140, Burleson, Texas |
| Authorized Official Name and Position | Hani Bismar (CONSULTANT) |
| Authorized Official Contact | 8175516161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Center Pa Po Box 16657 Fort Worth TX 76162-0657 Ph: () - | Gastroenterology Center Pa 11801 South Fwy Ste 140 Burleson TX 76028-7021 Ph: (817) 551-6161 |
| NPI Number | 1992212492 |
|---|---|
| Provider Enumeration Date | 01/05/2018 |
| Last Update Date | 11/19/2020 |
| Medicare PECOS PAC ID | 1052673829 |
|---|---|
| Medicare Enrollment ID | O20180315001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992212492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | L0986 (Texas) | Primary |
| Provider Name | Mike M Bismar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306816392 PECOS PAC ID: 6103897673 Enrollment ID: I20040806000667 |
| Provider Name | James H Vallaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861092470 PECOS PAC ID: 3173939444 Enrollment ID: I20210316001051 |
| Provider Name | Katie M Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841057270 PECOS PAC ID: 0446699979 Enrollment ID: I20240417002017 |
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 |