Rufe Snow Clinic | |
6651 Watauga Rd 104 Watauga TX 76148 | |
(817) 498-6944 | |
(817) 581-3920 |
Full Name | Rufe Snow Clinic |
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Speciality | Family Medicine |
Location | 6651 Watauga Rd, Watauga, Texas |
Authorized Official Name and Position | Reda S Bestawrous (PHYSICIAN OWNER) |
Authorized Official Contact | 8174986944 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rufe Snow Clinic 6651 Watauga Rd Suite 104 Watauga TX 76148 Ph: (817) 498-6944 | Rufe Snow Clinic 6651 Watauga Rd 104 Watauga TX 76148 Ph: (817) 498-6944 |
NPI Number | 1255509097 |
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Provider Enumeration Date | 02/14/2008 |
Last Update Date | 12/24/2008 |
Medicare PECOS PAC ID | 7719048867 |
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Medicare Enrollment ID | O20081208000153 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255509097 | NPI | - | NPPES |
89540X | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K3989 (Texas) | Primary |
Provider Name | Reda S Bestawrous |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811995723 PECOS PAC ID: 7517028772 Enrollment ID: I20081205000416 |
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