| Mrunalini Radkar Md Pllc | |
|
2020 Berkley Dr Wichita Falls TX 76308-1345 | |
| (940) 766-5629 | |
| Not Available |
| Full Name | Mrunalini Radkar Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2020 Berkley Dr, Wichita Falls, Texas |
| Authorized Official Name and Position | Mrunalini Radkar (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 9407665629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mrunalini Radkar Md Pllc 2020 Berkley Dr Wichita Falls TX 76308-1345 Ph: (940) 766-5629 | Mrunalini Radkar Md Pllc 2020 Berkley Dr Wichita Falls TX 76308-1345 Ph: (940) 766-5629 |
| NPI Number | 1104256189 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 12/20/2013 |
| Medicare PECOS PAC ID | 2264669191 |
|---|---|
| Medicare Enrollment ID | O20131220000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104256189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mrunalini V Radkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972530400 PECOS PAC ID: 6800816463 Enrollment ID: I20051129000444 |
| Provider Name | Brent J Wetendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134437346 PECOS PAC ID: 4688997935 Enrollment ID: I20141218000289 |
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