| Lone Star Progressive Medicine Of Burleson Pa | |
|
1320 Nw John Jones Dr Burleson TX 76028-8040 | |
| (817) 297-7100 | |
| (817) 297-7193 |
| Full Name | Lone Star Progressive Medicine Of Burleson Pa |
|---|---|
| Speciality | General Practice |
| Location | 1320 Nw John Jones Dr, Burleson, Texas |
| Authorized Official Name and Position | Michael Brandon Pettke (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8172977100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Progressive Medicine Of Burleson Pa 1320 Nw John Jones Dr Burleson TX 76028-8040 Ph: (817) 297-7100 | Lone Star Progressive Medicine Of Burleson Pa 1320 Nw John Jones Dr Burleson TX 76028-8040 Ph: (817) 297-7100 |
| NPI Number | 1437668951 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4183981053 |
|---|---|
| Medicare Enrollment ID | O20171130002333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437668951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Michael B Pettke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730107889 PECOS PAC ID: 6709857832 Enrollment ID: I20040805000132 |
| Provider Name | Leamy A Seabert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033505359 PECOS PAC ID: 5193037984 Enrollment ID: I20150708000936 |
| Provider Name | Melissa P Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215340831 PECOS PAC ID: 9739479791 Enrollment ID: I20160602002080 |
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 |