| Dr Susan G Moster, DO | |
|
900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 | |
| (817) 870-7300 | |
| (817) 335-9529 |
| Full Name | Dr Susan G Moster |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 900 W Magnolia Ave, 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 |
|---|---|---|---|
| 1558352112 | NPI | - | NPPES |
| 113878602 | Medicaid | TX | |
| 113878602 | Other | AETNA | |
| 8GF863 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | H2624 (Texas) | Primary |
| Entity Name | Texas Digestive Disease Consultants, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan G Moster, DO Po Box 35629, Dallas, TX 75235-0629 Ph: (214) 424-2200 | Dr Susan G Moster, DO 900 W Magnolia Ave, Ste 100, Fort Worth, TX 76104-8517 Ph: (817) 870-7300 |
Ricardo Villarreal Jr., MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-250-3117 | |
Gayane Tumyan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420 | |
Natalie Vidal Jimenez, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2755 Ellis Ave, Fort Worth, TX 76164 Phone: 888-478-8432 | |
Charles A Carlton, MD Gastroenterology 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 Gastroenterology 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 Gastroenterology 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 Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815 |