| Sherman Primary Care | |
|
204 Medical Dr # 210 Sherman TX 75092-6366 | |
| (903) 226-9614 | |
| (903) 226-9647 |
| Full Name | Sherman Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 204 Medical Dr # 210, Sherman, Texas |
| Authorized Official Name and Position | Benarji Tegala (OWNER) |
| Authorized Official Contact | 9032269614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherman Primary Care 204 Medical Dr # 210 Sherman TX 75092-6366 Ph: (903) 226-9614 | Sherman Primary Care 204 Medical Dr # 210 Sherman TX 75092-6366 Ph: (903) 226-9614 |
| NPI Number | 1346844347 |
|---|---|
| Provider Enumeration Date | 11/30/2020 |
| Last Update Date | 12/03/2020 |
| Medicare PECOS PAC ID | 3577976521 |
|---|---|
| Medicare Enrollment ID | O20210112000649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346844347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Subhash C Bose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366624421 PECOS PAC ID: 2567514185 Enrollment ID: I20110414000583 |
| Provider Name | Benarji Tegala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518925841 PECOS PAC ID: 8123086287 Enrollment ID: I20140925000463 |
| Provider Name | Leslie A Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003427907 PECOS PAC ID: 5193139079 Enrollment ID: I20210204002116 |
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