| Medpeds Medical Clinic Pa | |
|
2111 Fort Worth Hwy Weatherford TX 76086-4834 | |
| (817) 596-3700 | |
| Not Available |
| Full Name | Medpeds Medical Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2111 Fort Worth Hwy, Weatherford, Texas |
| Authorized Official Name and Position | Nusrat A Khan (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8175975632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medpeds Medical Clinic Pa 4925 Corriente Ln Benbrook TX 76126-1853 Ph: (817) 597-5632 | Medpeds Medical Clinic Pa 2111 Fort Worth Hwy Weatherford TX 76086-4834 Ph: (817) 596-3700 |
| NPI Number | 1134206139 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134206139 | NPI | - | NPPES |
| 00X703 | Other | TX | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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