| Nasa Healthcare Services Llc | |
|
1201 Fallow Deer Dr Burleson TX 76028-6857 | |
| (317) 701-7296 | |
| Not Available |
| Full Name | Nasa Healthcare Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1201 Fallow Deer Dr, Burleson, Texas |
| Authorized Official Name and Position | Agnes Mongina Aondo (OWNER) |
| Authorized Official Contact | 3177017296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nasa Healthcare Services Llc 1201 Fallow Deer Dr Burleson TX 76028-6857 Ph: (317) 701-7296 | Nasa Healthcare Services Llc 1201 Fallow Deer Dr Burleson TX 76028-6857 Ph: (317) 701-7296 |
| NPI Number | 1982287942 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Medicare PECOS PAC ID | 8325457013 |
|---|---|
| Medicare Enrollment ID | O20210510002279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982287942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Agnes Aondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265982698 PECOS PAC ID: 2466730817 Enrollment ID: I20161105000208 |
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