| Mercury Healthcare Management, Inc. | |
|
1307 Sylvan Ct Arlington TX 76012-2400 | |
| (817) 469-6004 | |
| (817) 299-0409 |
| Full Name | Mercury Healthcare Management, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1307 Sylvan Ct, Arlington, Texas |
| Authorized Official Name and Position | Brian K. White (DIRECTOR) |
| Authorized Official Contact | 8174696004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercury Healthcare Management, Inc. 1307 Sylvan Ct Arlington TX 76012-2400 Ph: (817) 469-6004 | Mercury Healthcare Management, Inc. 1307 Sylvan Ct Arlington TX 76012-2400 Ph: (817) 469-6004 |
| NPI Number | 1275783037 |
|---|---|
| Provider Enumeration Date | 09/29/2008 |
| Last Update Date | 09/29/2008 |
| Medicare PECOS PAC ID | 9537222146 |
|---|---|
| Medicare Enrollment ID | O20090108000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275783037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | J4607 (Texas) | Primary |
| Provider Name | Bryan Keith White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104923093 PECOS PAC ID: 3971413162 Enrollment ID: I20050602001124 |
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