| Texoma Liver Center Pllc | |
|
5012 S Us Highway 75 Ste 220 Denison TX 75020-4598 | |
| (903) 416-6110 | |
| Not Available |
| Full Name | Texoma Liver Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5012 S Us Highway 75 Ste 220, Denison, Texas |
| Authorized Official Name and Position | Hesham Elgouhari (OWNER) |
| Authorized Official Contact | 9034166110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texoma Liver Center Pllc 5012 S Us Highway 75 Ste 220 Denison TX 75020-4598 Ph: () - | Texoma Liver Center Pllc 5012 S Us Highway 75 Ste 220 Denison TX 75020-4598 Ph: (903) 416-6110 |
| NPI Number | 1174035117 |
|---|---|
| Provider Enumeration Date | 10/31/2017 |
| Last Update Date | 10/31/2017 |
| Medicare PECOS PAC ID | 5890058630 |
|---|---|
| Medicare Enrollment ID | O20180410000715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174035117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RI0008X | Internal Medicine - Hepatology | (* (Not Available)) | Secondary |
| Provider Name | Hesham Mohamed Elgouhari |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104096726 PECOS PAC ID: 0547334989 Enrollment ID: I20180410000824 |
| Provider Name | Leslie A Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003427907 PECOS PAC ID: 5193139079 Enrollment ID: I20210204002116 |
| Provider Name | Lisa M Trubenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417545344 PECOS PAC ID: 7810302916 Enrollment ID: I20210224000075 |
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