Parham Bahador Pllc | |
6701 Oakmont Blvd Fort Worth TX 76132-2957 | |
(817) 370-4700 | |
(817) 242-8059 |
Full Name | Parham Bahador Pllc |
---|---|
Speciality | Family Medicine |
Location | 6701 Oakmont Blvd, Fort Worth, Texas |
Authorized Official Name and Position | Parham Bahador (OWNER) |
Authorized Official Contact | 8173704700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Parham Bahador Pllc 6701 Oakmont Blvd Fort Worth TX 76132-2957 Ph: (817) 370-4700 | Parham Bahador Pllc 6701 Oakmont Blvd Fort Worth TX 76132-2957 Ph: (817) 370-4700 |
NPI Number | 1043098635 |
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Provider Enumeration Date | 09/15/2023 |
Last Update Date | 09/15/2023 |
Medicare PECOS PAC ID | 2769836253 |
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Medicare Enrollment ID | O20231003000905 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043098635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Parham Bahador |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518352954 PECOS PAC ID: 7618271198 Enrollment ID: I20201012000487 |
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