| Daniel S Dube, MD | |
|
1500 S Main St, Fort Worth, TX 76104-4917 | |
| (817) 702-3431 | |
| (817) 702-6839 |
| Full Name | Daniel S Dube |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 1500 S Main St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629214028 | NPI | - | NPPES |
| 0578-855-9 | Other | TX | ECFMG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 41618 (Iowa) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | N1618 (Texas) | Primary |
| Entity Name | Mercy Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134161151 PECOS PAC ID: 5799694063 Enrollment ID: O20031118000075 |
| Entity Name | Trinity Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel S Dube, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Daniel S Dube, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-3431 |
Ricardo Villarreal Jr., MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-250-3117 | |
Gayane Tumyan, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420 | |
Natalie Vidal Jimenez, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2755 Ellis Ave, Fort Worth, TX 76164 Phone: 888-478-8432 | |
Charles A Carlton, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Christian Nguyen, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815 |