| Samer M. Nachawati, Llc | |
|
1817 Independence Ct Grand Prairie TX 75052-1914 | |
| (214) 535-7892 | |
| Not Available |
| Full Name | Samer M. Nachawati, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1817 Independence Ct, Grand Prairie, Texas |
| Authorized Official Name and Position | Samer Nachawati (MEMBER) |
| Authorized Official Contact | 2145357892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samer M. Nachawati, Llc 1817 Independence Ct Grand Prairie TX 75052-1914 Ph: () - | Samer M. Nachawati, Llc 1817 Independence Ct Grand Prairie TX 75052-1914 Ph: (214) 535-7892 |
| NPI Number | 1740717545 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 3870861180 |
|---|---|
| Medicare Enrollment ID | O20170609000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740717545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | Q9689 (Texas) | Primary |
| Provider Name | Samer M Nachawati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073652806 PECOS PAC ID: 7517081706 Enrollment ID: I20161115002363 |
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