| Texas Modern Gastroenterology | |
|
1216 Church St Sulphur Springs TX 75482-2108 | |
| (903) 588-2222 | |
| (903) 588-2225 |
| Full Name | Texas Modern Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 1216 Church St, Sulphur Springs, Texas |
| Authorized Official Name and Position | Vivian Sami Ebrahim (PHYSICIAN OWNER/PHYSICIAN) |
| Authorized Official Contact | 2147290111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Modern Gastroenterology 1216 Church St Sulphur Springs TX 75482-2108 Ph: (903) 588-2222 | Texas Modern Gastroenterology 1216 Church St Sulphur Springs TX 75482-2108 Ph: (903) 588-2222 |
| NPI Number | 1902494743 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 7618381054 |
|---|---|
| Medicare Enrollment ID | O20210127000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902494743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Vivian Ebrahim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073870440 PECOS PAC ID: 9739434747 Enrollment ID: I20180615000170 |
| Provider Name | Mena Milad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912265968 PECOS PAC ID: 8224389010 Enrollment ID: I20180918001155 |
Trinity Optical - Sulphur Springs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Mockingbird Ln, Sulphur Springs, TX 75482 Phone: 903-439-2020 | |
Jordan's Place Pediatrics, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 | |
Darren J. Arnecke M.d.,p.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 Medical Cir, Sulphur Springs, TX 75482 Phone: 903-439-0205 Fax: 903-439-2990 | |
Memorial Clinic Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1339 S Broadway St, Sulphur Springs, TX 75482 Phone: 903-885-3181 | |
Carevide Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Medical Circle, Sulphur Springs, TX 75482 Phone: 903-885-1730 Fax: 903-885-0050 | |
Jordan's Place Pediatrics, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 | |
Access Physicians Pulmonary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Airport Rd, Suite Number 301, Sulphur Springs, TX 75482 Phone: 903-353-9544 |