| United Wound & Vascular Institute Texas Pllc | |
|
4500 Mercantile Plaza Dr Ste 300 Fort Worth TX 76137-4206 | |
| (888) 402-0202 | |
| (888) 860-2960 |
| Full Name | United Wound & Vascular Institute Texas Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 4500 Mercantile Plaza Dr Ste 300, Fort Worth, Texas |
| Authorized Official Name and Position | Kimberly Miller (DIRECTOR OF RCM) |
| Authorized Official Contact | 2483317908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Wound & Vascular Institute Texas Pllc Po Box 809105 Chicago IL 60680-9105 Ph: (248) 607-0037 | United Wound & Vascular Institute Texas Pllc 4500 Mercantile Plaza Dr Ste 300 Fort Worth TX 76137-4206 Ph: (888) 402-0202 |
| NPI Number | 1184482309 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 1456792639 |
|---|---|
| Medicare Enrollment ID | O20240520000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184482309 | NPI | - | NPPES |
| Provider Name | Ayeza Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619235264 PECOS PAC ID: 4385948942 Enrollment ID: I20240520001759 |
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