T4men Llc | |
1455 E Whitestone Blvd Ste 128 Cedar Park TX 78613-7722 | |
(512) 688-7630 | |
(512) 692-2878 |
Full Name | T4men Llc |
---|---|
Speciality | Internal Medicine |
Location | 1455 E Whitestone Blvd Ste 128, Cedar Park, Texas |
Authorized Official Name and Position | Apurva Trivedi (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 3366714511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
T4men Llc 105 N Austin Ave Apt 3306 Georgetown TX 78626-4242 Ph: (336) 671-4511 | T4men Llc 1455 E Whitestone Blvd Ste 128 Cedar Park TX 78613-7722 Ph: (512) 688-7630 |
NPI Number | 1558879221 |
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Provider Enumeration Date | 01/16/2018 |
Last Update Date | 01/16/2018 |
Medicare PECOS PAC ID | 0648518951 |
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Medicare Enrollment ID | O20190212002263 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558879221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | P2800 (Texas) | Primary |
Provider Name | Apurva Trivedi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871771857 PECOS PAC ID: 6305911207 Enrollment ID: I20120816000964 |
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