| Texas Gastroenterology Pllc | |
|
203 Walls Dr Ste 209 Cleburne TX 76033-7029 | |
| (817) 648-0123 | |
| Not Available |
| Full Name | Texas Gastroenterology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 203 Walls Dr Ste 209, Cleburne, Texas |
| Authorized Official Name and Position | Hanmanth R Bejjanki (PHYSICIAN) |
| Authorized Official Contact | 8179945786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Gastroenterology Pllc 6809 Saucon Valley Dr Fort Worth TX 76132-7125 Ph: (817) 994-5786 | Texas Gastroenterology Pllc 203 Walls Dr Ste 209 Cleburne TX 76033-7029 Ph: (817) 648-0123 |
| NPI Number | 1053840017 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/01/2020 |
| Medicare PECOS PAC ID | 7113296997 |
|---|---|
| Medicare Enrollment ID | O20170711001028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053840017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | L0026 (Texas) | Primary |
| Provider Name | Hanmanth R Bejjanki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154348977 PECOS PAC ID: 9335291830 Enrollment ID: I20090714000660 |
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