| Noaak Healthcare Llc | |
|
4759 South Fwy Ste 101 Fort Worth TX 76115-3655 | |
| (817) 382-0005 | |
| (682) 334-7238 |
| Full Name | Noaak Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4759 South Fwy Ste 101, Fort Worth, Texas |
| Authorized Official Name and Position | Katherine Khen Zama Mbuh (OWNER) |
| Authorized Official Contact | 4436943931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noaak Healthcare Llc Po Box 788 Aledo TX 76008-0788 Ph: (817) 382-0005 | Noaak Healthcare Llc 4759 South Fwy Ste 101 Fort Worth TX 76115-3655 Ph: (817) 382-0005 |
| NPI Number | 1578040580 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 04/22/2020 |
| Medicare PECOS PAC ID | 8921343393 |
|---|---|
| Medicare Enrollment ID | O20181213001768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578040580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | AP132859 (Texas) | Primary |
| Provider Name | Katherine Zama Mbuh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568907202 PECOS PAC ID: 7719249242 Enrollment ID: I20180322000275 |
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