| Dr Nicholas Aaron Broughton, DO | |
| 5668 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109-4109 | |
| (817) 764-1554 | |
| (817) 764-1565 | 
| Full Name | Dr Nicholas Aaron Broughton | 
|---|---|
| Gender | Male | 
| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine | 
| Location | 5668 Edwards Ranch Rd Ste 101, 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 | 
|---|---|---|---|
| 1164042339 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | U5080 (Texas) | Secondary | 
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | U5080 (Texas) | Primary | 
| Entity Name | Renovo Wound And Hyperbarics Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629683602 PECOS PAC ID: 6002236379 Enrollment ID: O20201027000401 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nicholas Aaron Broughton, DO 401 N Valley Pkwy Ste 380, Lewisville, TX 75067-3472 Ph: (469) 904-6427 | Dr Nicholas Aaron Broughton, DO 5668 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109-4109 Ph: (817) 764-1554 | 
| Dr. Scott Charles Taylor, D.O. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 6916 Desert Highlands Dr, Fort Worth, TX 76132 Phone: 817-715-7290 Fax: 817-370-9772 | |
| Dr. Guillermo J. Salazar, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 Meacham Blvd, Faa, Asw-300, Fort Worth, TX 76137 Phone: 817-222-5301 Fax: 817-222-5965 | |
| Roy G Kreusel, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 West Fwy, Suite 100, Fort Worth, TX 76102 Phone: 615-778-4066 | |
| Dr. Michael Robert Jarrard, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: Bnsf Railway, 2500 Lou Menk Dr Aob-gl, Fort Worth, TX 76131 Phone: 817-352-1604 Fax: 817-352-7507 | |
| Dr. Prathima Nagireddy, M.D Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Beach St Ste 104, Fort Worth, TX 76111 Phone: 817-831-1750 | |
| Dr. Maya Irene Srimushnam Batista, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 5668 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109 Phone: 817-764-1554 Fax: 817-764-1565 | |
| Dr. Robin K.b. Chan, D.O. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Baylor All Saints - Department Of Emergency Medicine, Fort Worth, TX 76104 Phone: 817-926-2544 |