| Performance Medical Clinics | |
|
809 W Harwood Rd Ste 202 Hurst TX 76054-6233 | |
| (817) 369-3019 | |
| (817) 887-5042 |
| Full Name | Performance Medical Clinics |
|---|---|
| Speciality | General Practice |
| Location | 809 W Harwood Rd Ste 202, Hurst, Texas |
| Authorized Official Name and Position | Brian Rogers (DO) |
| Authorized Official Contact | 8179347828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Medical Clinics 9 Medical Pkwy Ste 108 Farmers Branch TX 75234-7868 Ph: (214) 382-9894 | Performance Medical Clinics 809 W Harwood Rd Ste 202 Hurst TX 76054-6233 Ph: (817) 369-3019 |
| NPI Number | 1770052136 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 08/25/2022 |
| Medicare PECOS PAC ID | 2466799499 |
|---|---|
| Medicare Enrollment ID | O20190129000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770052136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Torrence J Stepteau |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1184601478 PECOS PAC ID: 8224079447 Enrollment ID: I20050518000741 |
| Provider Name | Brian B Rogers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184828261 PECOS PAC ID: 7416089727 Enrollment ID: I20100722000573 |
| Provider Name | Clementina A Ogwuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952570954 PECOS PAC ID: 8628144169 Enrollment ID: I20160422001143 |
| Provider Name | Julli Ann Randol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861957540 PECOS PAC ID: 3870916075 Enrollment ID: I20200707001134 |
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