| Austin Fares, | |
|
590 Medical Center Road, Fort Cavazos, TX 76544 | |
| (254) 288-8000 | |
| Not Available |
| Full Name | Austin Fares |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 590 Medical Center Road, Fort Cavazos, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700382496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | U2194 (Texas) | Primary |
| Entity Name | Chi Health Clinic Specialty Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Fares, 7677 E Corto Rd, Anaheim, CA 92808-1348 Ph: () - | Austin Fares, 590 Medical Center Road, Fort Cavazos, TX 76544 Ph: (254) 288-8000 |
Dr. Leah Marie Triolo, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-288-8190 Fax: 254-286-7628 | |
Dr. Erickson George Andrews, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Dr. Priscilla A West, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Carl R. Darnall Army Medical Center, Fort Cavazos, TX 76544 Phone: 254-288-8190 |