Wedgewood Family Health Associates | |
5703 Westcreek Dr Fort Worth TX 76133-3301 | |
(817) 294-0731 | |
(817) 294-8065 |
Full Name | Wedgewood Family Health Associates |
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Speciality | Family Medicine |
Location | 5703 Westcreek Dr, Fort Worth, Texas |
Authorized Official Name and Position | Nancy G Faigin (DR., OFFICE MANAGER) |
Authorized Official Contact | 8172940731 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wedgewood Family Health Associates 5703 Westcreek Dr Fort Worth TX 76133-3301 Ph: (817) 294-0731 | Wedgewood Family Health Associates 5703 Westcreek Dr Fort Worth TX 76133-3301 Ph: (817) 294-0731 |
NPI Number | 1396868014 |
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Provider Enumeration Date | 04/09/2007 |
Last Update Date | 08/08/2024 |
Medicare PECOS PAC ID | 4082893938 |
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Medicare Enrollment ID | O20110124000996 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396868014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | E4836 (Texas) | Primary |
207Q00000X | Family Medicine | E4837 (Texas) | Secondary |
Provider Name | Al Faigin |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1093757254 PECOS PAC ID: 8426946393 Enrollment ID: I20110126001174 |
Provider Name | Nancy Faigin |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1245262484 PECOS PAC ID: 9830378785 Enrollment ID: I20110126001187 |
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