| Webb Royal Medical Group | |
|
2138 N Josey Ln Ste 102 Carrollton TX 75006-3034 | |
| (214) 350-9334 | |
| Not Available |
| Full Name | Webb Royal Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2138 N Josey Ln Ste 102, Carrollton, Texas |
| Authorized Official Name and Position | Nauman Anwar (PRESIDENT) |
| Authorized Official Contact | 2143509334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Webb Royal Medical Group P.o. Box 251268 Plano TX 75025-1268 Ph: () - | Webb Royal Medical Group 2138 N Josey Ln Ste 102 Carrollton TX 75006-3034 Ph: (214) 350-9334 |
| NPI Number | 1497936579 |
|---|---|
| Provider Enumeration Date | 11/17/2007 |
| Last Update Date | 08/30/2013 |
| Medicare PECOS PAC ID | 7214909845 |
|---|---|
| Medicare Enrollment ID | O20040812000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497936579 | NPI | - | NPPES |
| DG1284 | Other | TX | MEDICARE B - RAIL ROAD |
| 171747201 | Medicaid | TX | |
| 2749HM | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K2403 (Texas) | Primary |
| Provider Name | Nauman Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780697920 PECOS PAC ID: 1759353386 Enrollment ID: I20040907000237 |
| Provider Name | Kimberly J Poritz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295882215 PECOS PAC ID: 7113240474 Enrollment ID: I20141218000769 |
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