| Tarrant Internal Medicine & Pediatrics, Pllc | |
|
7355 N Beach St Suite 153 Fort Worth TX 76137-1897 | |
| (817) 881-9534 | |
| Not Available |
| Full Name | Tarrant Internal Medicine & Pediatrics, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7355 N Beach St, Fort Worth, Texas |
| Authorized Official Name and Position | Huy Nguyen (PRESIDENT) |
| Authorized Official Contact | 8178819534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarrant Internal Medicine & Pediatrics, Pllc 7355 N Beach St Suite 153 Fort Worth TX 76137-1897 Ph: (817) 881-9534 | Tarrant Internal Medicine & Pediatrics, Pllc 7355 N Beach St Suite 153 Fort Worth TX 76137-1897 Ph: (817) 881-9534 |
| NPI Number | 1316240617 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 03/14/2011 |
| Medicare PECOS PAC ID | 2062694789 |
|---|---|
| Medicare Enrollment ID | O20110316000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316240617 | NPI | - | NPPES |
| 217749501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K3357 (Louisiana) | Primary |
| 208000000X | Pediatrics | K3357 (Louisiana) | Secondary |
| Provider Name | Ha Chieu Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528014800 PECOS PAC ID: 4789609033 Enrollment ID: I20051006000284 |
| Provider Name | Huy L Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023012002 PECOS PAC ID: 4880888288 Enrollment ID: I20101029000864 |
| Provider Name | Nhung Hong Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720737703 PECOS PAC ID: 3173907268 Enrollment ID: I20220909000520 |
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