Physician Services Of Jacksboro Pa | |
709 N 4th St Jacksboro TX 76458-1132 | |
(817) 565-0922 | |
Not Available |
Full Name | Physician Services Of Jacksboro Pa |
---|---|
Speciality | Internal Medicine |
Location | 709 N 4th St, Jacksboro, Texas |
Authorized Official Name and Position | Syed Jamal (OWNER) |
Authorized Official Contact | 8175650922 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Physician Services Of Jacksboro Pa Po Box 907 Frisco TX 75034 Ph: (817) 565-0922 | Physician Services Of Jacksboro Pa 709 N 4th St Jacksboro TX 76458-1132 Ph: (817) 565-0922 |
NPI Number | 1457657371 |
---|---|
Provider Enumeration Date | 02/10/2011 |
Last Update Date | 11/23/2011 |
Medicare PECOS PAC ID | 0345426383 |
---|---|
Medicare Enrollment ID | O20110509000807 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457657371 | NPI | - | NPPES |
0036XB | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | J8000 (Texas) | Primary |
Provider Name | Patricia L Roberts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053382846 PECOS PAC ID: 6204808702 Enrollment ID: I20040806000138 |
Provider Name | Syed M A Jamal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437157419 PECOS PAC ID: 8628007762 Enrollment ID: I20050809000248 |
Provider Name | Ralph A Brooks |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1467565762 PECOS PAC ID: 5698847952 Enrollment ID: I20080701000297 |
Provider Name | Wanda Villard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700180197 PECOS PAC ID: 3779763057 Enrollment ID: I20110920000899 |
Provider Name | Beauford Basped |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1851431035 PECOS PAC ID: 7214187525 Enrollment ID: I20121023000304 |
Provider Name | Zaineb Shams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487905709 PECOS PAC ID: 5496905556 Enrollment ID: I20121025000612 |
Provider Name | Benson Ongaya Shitote |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740688530 PECOS PAC ID: 7315262953 Enrollment ID: I20150203000207 |
Provider Name | Shanda Ladawn Neve |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972260263 PECOS PAC ID: 5597155457 Enrollment ID: I20211208001150 |
Provider Name | Donna Marie Echols |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770293185 PECOS PAC ID: 3375912173 Enrollment ID: I20221219001420 |
Faith Community Hospital Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-567-6633 Fax: 940-567-2895 | |
Robert Cooper, M.d., Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-567-5528 | |
Global Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-217-5969 | |
Lara Pierce, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 W Belknap St, Jacksboro, TX 76458 Phone: 940-567-8114 Fax: 940-521-5511 | |
Sushil B. Chokshi, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Belknap St, Jacksboro, TX 76458 Phone: 940-567-2101 Fax: 940-567-5522 | |
Faith Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 215 Chisholm Trl, Jacksboro, TX 76458 Phone: 940-567-6633 Fax: 940-567-2895 |