| Strategic Medical Group Tx Pllc | |
|
6100 Harris Pkwy Ste 1240 Fort Worth TX 76132-4248 | |
| (817) 433-5155 | |
| (817) 433-5177 |
| Full Name | Strategic Medical Group Tx Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6100 Harris Pkwy Ste 1240, Fort Worth, Texas |
| Authorized Official Name and Position | Fowad Choudhry (MANAGING EMPLOYEE) |
| Authorized Official Contact | 8177213145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Strategic Medical Group Tx Pllc 4400 Oak Park Ln Fort Worth TX 76109-9534 Ph: (617) 985-7772 | Strategic Medical Group Tx Pllc 6100 Harris Pkwy Ste 1240 Fort Worth TX 76132-4248 Ph: (817) 433-5155 |
| NPI Number | 1053027680 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 05/24/2024 |
| Medicare PECOS PAC ID | 1355707423 |
|---|---|
| Medicare Enrollment ID | O20230515002929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053027680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Randal Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831167956 PECOS PAC ID: 4688657174 Enrollment ID: I20040607001439 |
| Provider Name | Eliazar Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215997259 PECOS PAC ID: 2062518442 Enrollment ID: I20070501000410 |
| Provider Name | Omar F Selod |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962471607 PECOS PAC ID: 4880755727 Enrollment ID: I20081210000302 |
| Provider Name | Morvarid Rezaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164692026 PECOS PAC ID: 0547315699 Enrollment ID: I20090826000299 |
| Provider Name | Bane L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790703098 PECOS PAC ID: 9133260755 Enrollment ID: I20100105000375 |
| Provider Name | Stuart C Pickell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740261114 PECOS PAC ID: 7113060773 Enrollment ID: I20100204000153 |
| Provider Name | Rebecca J Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386913473 PECOS PAC ID: 9436319944 Enrollment ID: I20120320000923 |
| Provider Name | Robert L Caivano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891107561 PECOS PAC ID: 0143440396 Enrollment ID: I20141010000136 |
| Provider Name | Charles Mcwilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221166 PECOS PAC ID: 6406103563 Enrollment ID: I20180719003042 |
| Provider Name | Mari J. Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942575329 PECOS PAC ID: 8325471071 Enrollment ID: I20191210003059 |
| Provider Name | Lisa Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003580945 PECOS PAC ID: 1254736812 Enrollment ID: I20210819000766 |
| Provider Name | Amy Hussey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861755506 PECOS PAC ID: 8123321841 Enrollment ID: I20220127002912 |
| Provider Name | Pamela Saenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417531906 PECOS PAC ID: 9234524554 Enrollment ID: I20220322003109 |
| Provider Name | Shashonne Nyoka Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295407187 PECOS PAC ID: 7315311800 Enrollment ID: I20230323003083 |
| Provider Name | Mrunmayee Barve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487889705 PECOS PAC ID: 6305006933 Enrollment ID: I20240110002429 |
| Provider Name | Tricia Lashun Kelly-hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114607660 PECOS PAC ID: 2163867698 Enrollment ID: I20240223003191 |
Southwest Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Bryant Irvin Rd, Suite 203, Fort Worth, TX 76132 Phone: 817-346-4000 Fax: 817-263-9398 | |
University Of North Texas Health Science Center At Fort Worth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2000 | |
Hanson Internal Medicine, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Harris Pkwy, Suite 240, Fort Worth, TX 76132 Phone: 817-504-5699 | |
Feliz Family Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3109 6th Ave, Fort Worth, TX 76110 Phone: 817-923-7055 Fax: 817-923-7902 | |
Symetria Health Of Texas, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7229 Hawkins View Dr, Fort Worth, TX 76132 Phone: 682-350-4444 | |
Associates Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 College Ave, Fort Worth, TX 76110 Phone: 682-268-1152 Fax: 877-772-0063 | |
Apex Alliance Medical Group Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Westport Pkwy, Suite 150, Fort Worth, TX 76177 Phone: 817-837-1091 Fax: 817-837-1097 |