| Tarrant Endocrine Associates, Pllc | |
|
1615 Hospital Pkwy Ste 202 Bedford TX 76022-5935 | |
| (817) 684-5175 | |
| (817) 684-5180 |
| Full Name | Tarrant Endocrine Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1615 Hospital Pkwy Ste 202, Bedford, Texas |
| Authorized Official Name and Position | Vani Kotha (MD) |
| Authorized Official Contact | 8176845175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarrant Endocrine Associates, Pllc 1615 Hospital Pkwy Ste 202 Bedford TX 76022-5935 Ph: (817) 684-5175 | Tarrant Endocrine Associates, Pllc 1615 Hospital Pkwy Ste 202 Bedford TX 76022-5935 Ph: (817) 684-5175 |
| NPI Number | 1831666460 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 11/01/2018 |
| Medicare PECOS PAC ID | 5193064616 |
|---|---|
| Medicare Enrollment ID | O20190228000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831666460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Vani Kotha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124233846 PECOS PAC ID: 6305939455 Enrollment ID: I20070905000379 |
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