| Your Family Medical | |
|
1305 Airport Freeway Suite 302 Bedford TX 76021 | |
| (817) 283-6995 | |
| (817) 283-6901 |
| Full Name | Your Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 1305 Airport Freeway, Bedford, Texas |
| Authorized Official Name and Position | Rodolfo A Herrera (OWNER) |
| Authorized Official Contact | 8172836995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Medical 1305 Airport Fwy Ste 302a Bedford TX 76021-6604 Ph: (817) 283-6995 | Your Family Medical 1305 Airport Freeway Suite 302 Bedford TX 76021 Ph: (817) 283-6995 |
| NPI Number | 1508078452 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 02/25/2022 |
| Medicare PECOS PAC ID | 8820187172 |
|---|---|
| Medicare Enrollment ID | O20071210000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508078452 | NPI | - | NPPES |
| Provider Name | William C Moore |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1891736138 PECOS PAC ID: 7012914377 Enrollment ID: I20061030000115 |
| Provider Name | Rodolfo A Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154524668 PECOS PAC ID: 8426129339 Enrollment ID: I20080620000255 |
| Provider Name | Fatma Esen Antakli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962869990 PECOS PAC ID: 6709184856 Enrollment ID: I20200723001778 |
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