| Dr Madhavi Gavirneni, MD | |
| 
					2909 Mitchell Blvd, Ft Worth, TX 76105-4642  | |
| (817) 625-4254 | |
| (817) 740-8612 | 
| Full Name | Dr Madhavi Gavirneni | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 2909 Mitchell Blvd, Ft 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 | 
|---|---|---|---|
| 1275897076 | NPI | - | NPPES | 
| 3714470 | Other | TN | GROUP MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 53236 (Tennessee) | Secondary | 
| 208000000X | Pediatrics | Q8890 (Texas) | Primary | 
| Entity Name | North Texas Area Community Health Centers Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568420800 PECOS PAC ID: 9931124450 Enrollment ID: O20051221000461  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Madhavi Gavirneni, MD 2909 Mitchell Blvd, Fort Worth, TX 76105-4642 Ph: (817) 625-4254  | Dr Madhavi Gavirneni, MD 2909 Mitchell Blvd, Ft Worth, TX 76105-4642 Ph: (817) 625-4254  | 
Dr. Bert Milton Franks, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6812 Riverridge Rd, Ft Worth, TX 76116 Phone: 817-737-8322  | |
Dr. Moneta B De Castro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4445 Oak Park Lane, #201, Ft Worth, TX 76109 Phone: 817-922-0798 Fax: 817-922-0976  | |
Dr. Burton W Schwartz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Drive, Brown Lupton Health Center Tcu, Ft Worth, TX 76109 Phone: 817-257-7940 Fax: 817-257-7279  | |
Sudath Gunadeera Rannulu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4759 South Fwy, Ste 101, Ft Worth, TX 76115 Phone: 972-293-6300 Fax: 972-293-6301  |