| Peter J Damico Md Pa | |
|
6010 Curzon Ave Fort Worth TX 76116-5531 | |
| (817) 738-9268 | |
| (817) 738-9271 |
| Full Name | Peter J Damico Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6010 Curzon Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Peter J Damico (PRESIDENT) |
| Authorized Official Contact | 8177389268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter J Damico Md Pa 6010 Curzon Ave Fort Worth TX 76116-5531 Ph: (817) 738-9268 | Peter J Damico Md Pa 6010 Curzon Ave Fort Worth TX 76116-5531 Ph: (817) 738-9268 |
| NPI Number | 1851793988 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Medicare PECOS PAC ID | 0941522791 |
|---|---|
| Medicare Enrollment ID | O20141204002134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851793988 | NPI | - | NPPES |
| 114601102 | Medicaid | TX | |
| 080018812 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Peter J Damico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821022401 PECOS PAC ID: 8921275223 Enrollment ID: I20120126000471 |
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