| Raisa Nguyen Broadwell, MD | |
|
11801 South Fwy, Burleson, TX 76028-7021 | |
| (817) 293-9110 | |
| Not Available |
| Full Name | Raisa Nguyen Broadwell |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 12 Years |
| Location | 11801 South Fwy, Burleson, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275944282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | R9114 (Texas) | Primary |
| 207L00000X | Anesthesiology | T-2831 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Iii Pa | 0042630501 | 393 |
| Entity Name | Northstar Anesthesia PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Northstar Anesthesia III PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356968952 PECOS PAC ID: 0042630501 Enrollment ID: O20201022000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Raisa Nguyen Broadwell, MD 6225 State Hwy 161 Ste 200, Irving, TX 75038-2241 Ph: (214) 687-0001 | Raisa Nguyen Broadwell, MD 11801 South Fwy, Burleson, TX 76028-7021 Ph: (817) 293-9110 |
Lakiesha Kitchen Crawford, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2780 Sw Wilshire Blvd, Burleson, TX 76028 Phone: 817-378-4777 Fax: 817-378-4777 |
Phillip T Evans, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 12001 S. Fwy, Suite 101, Burleson, TX 76028 Phone: 817-615-4400 |
Jay Rajen Vyas, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 121 Nw Newton Dr, Burleson, TX 76028 Phone: 817-615-8840 Fax: 682-285-2468 |