| Landon Bernhardt Lorenz, MD | |
|
201 Walls Dr Ste 503, Cleburne, TX 76033-4006 | |
| (817) 984-9057 | |
| Not Available |
| Full Name | Landon Bernhardt Lorenz |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 201 Walls Dr Ste 503, Cleburne, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376684878 | NPI | - | NPPES |
| 1427182682 | Other | NM | GROUP NPI |
| NM001M59 | Other | NM | BCBS PROVIDER ID |
| 343208 | Medicaid | AZ | |
| MD2008-0332 | Other | NM | NEW MEXICO STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 23983 (Oklahoma) | Secondary |
| 207V00000X | Obstetrics & Gynecology | R3555 (Texas) | Primary |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Landon Bernhardt Lorenz, MD 201 Walls Dr Ste 503, Cleburne, TX 76033-4006 Ph: (817) 984-9057 | Landon Bernhardt Lorenz, MD 201 Walls Dr Ste 503, Cleburne, TX 76033-4006 Ph: (817) 984-9057 |
Michael Timothy Glover, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 201 Walls Dr Ste 503, Cleburne, TX 76033 Phone: 817-984-9057 | |
Naomi Regina Harman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 219 N Ridgeway Dr Ste A, Cleburne, TX 76033 Phone: 817-774-2123 Fax: 817-774-2128 | |
Mr. Nabil K Aboukhair, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 825 N Nolan River Rd, Cleburne, TX 76033 Phone: 817-558-1888 Fax: 817-645-1506 | |
Steven Amir Farzam, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 505 N Ridgeway Dr Ste 160, Cleburne, TX 76033 Phone: 817-774-2774 Fax: 817-774-2776 |