| Internal Medicine Associates | |
|
1413 Tanglewood Dr Wichita Falls TX 76309 | |
| (940) 322-1411 | |
| (940) 322-4801 |
| Full Name | Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1413 Tanglewood Dr, Wichita Falls, Texas |
| Authorized Official Name and Position | Ashwin N Patel (OWNER) |
| Authorized Official Contact | 9403223950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Associates Po Box 3848 Wichita Falls TX 76301-0848 Ph: (940) 322-1411 | Internal Medicine Associates 1413 Tanglewood Dr Wichita Falls TX 76309 Ph: (940) 322-1411 |
| NPI Number | 1972604569 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 11/19/2008 |
| Medicare PECOS PAC ID | 8527018233 |
|---|---|
| Medicare Enrollment ID | O20050129000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972604569 | NPI | - | NPPES |
| 1714883 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K1613 (Texas) | Secondary |
| 207R00000X | Internal Medicine | K1614 (Texas) | Primary |
| Provider Name | Arti A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730262130 PECOS PAC ID: 3971553686 Enrollment ID: I20050129000174 |
| Provider Name | Ashvin N Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528129871 PECOS PAC ID: 7113835448 Enrollment ID: I20050129000180 |
| Provider Name | Trevon Roshad Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528571759 PECOS PAC ID: 9133483613 Enrollment ID: I20180509001553 |
| Provider Name | Jessica Nicole Parkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114536109 PECOS PAC ID: 4880097559 Enrollment ID: I20210720000422 |
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