Medpeds Medical Clinic, Pa | |
2111 Fort Worth Hwy Weatherford TX 76086-4834 | |
(817) 596-3700 | |
(866) 883-0041 |
Full Name | Medpeds Medical Clinic, Pa |
---|---|
Speciality | Internal Medicine |
Location | 2111 Fort Worth Hwy, Weatherford, Texas |
Authorized Official Name and Position | Nusrat A Khan (MEDICAL DIRECTOR) |
Authorized Official Contact | 8175963700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Medpeds Medical Clinic, Pa Po Box 1479 Weatherford TX 76086-1479 Ph: (817) 596-3700 | Medpeds Medical Clinic, Pa 2111 Fort Worth Hwy Weatherford TX 76086-4834 Ph: (817) 596-3700 |
NPI Number | 1548501901 |
---|---|
Provider Enumeration Date | 03/11/2013 |
Last Update Date | 03/11/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548501901 | NPI | - | NPPES |
2176489-02 | Medicaid | TX | |
2176489-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | M5284 (Texas) | Primary |
208000000X | Pediatrics | M5284 (Texas) | Secondary |
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Medpeds Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2111 Fort Worth Hwy, Weatherford, TX 76086 Phone: 817-596-3700 |