| Michael Rhodes Md Ms Pa | |
|
101 Nw Renfro St Suite 100 Burleson TX 76028-4111 | |
| (817) 295-6322 | |
| (844) 270-6809 |
| Full Name | Michael Rhodes Md Ms Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Nw Renfro St, Burleson, Texas |
| Authorized Official Name and Position | Karyl Lee Rhodes (OFFICE MANAGER) |
| Authorized Official Contact | 8172956322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Rhodes Md Ms Pa 101 Nw Renfro St Suite 100 Burleson TX 76028-4111 Ph: (817) 295-6322 | Michael Rhodes Md Ms Pa 101 Nw Renfro St Suite 100 Burleson TX 76028-4111 Ph: (817) 295-6322 |
| NPI Number | 1184755571 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 01/13/2015 |
| Medicare PECOS PAC ID | 6305971599 |
|---|---|
| Medicare Enrollment ID | O20100312000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184755571 | NPI | - | NPPES |
| 210685802 | Medicaid | TX | |
| 210685801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K4207 (Texas) | Primary |
| Provider Name | Michael Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699738062 PECOS PAC ID: 2860527058 Enrollment ID: I20100312000510 |
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