| John Edward Willard, MD | |
|
1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 | |
| (817) 252-5000 | |
| (817) 252-5060 |
| Full Name | John Edward Willard |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Interventional Cardiology |
| Location | 1300 W Terrell Ave Ste 500, 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 |
|---|---|---|---|
| 1083602452 | NPI | - | NPPES |
| 110182266 | Other | TX | RAIL ROAD MEDICARE |
| 85K271 | Other | TX | BLUE CROSS |
| 1378788-01 | Medicaid | TX | |
| 137878812 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | H0940 (Texas) | Primary |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| John Edward Willard, MD 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 Ph: (817) 252-5000 | John Edward Willard, MD 1300 W Terrell Ave Ste 500, Fort Worth, TX 76104-2810 Ph: (817) 252-5000 |
Ricardo Villarreal Jr., MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-250-3117 |
Gayane Tumyan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420 |
Natalie Vidal Jimenez, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2755 Ellis Ave, Fort Worth, TX 76164 Phone: 888-478-8432 |
Charles A Carlton, MD Internal 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 Internal 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 Internal 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 Internal 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 |