| Dr Samir S Keblawi, MD | |
|
202 Sw 25th Ave, Mineral Wells, TX 76067-8298 | |
| (940) 463-7237 | |
| (940) 463-7240 |
| Full Name | Dr Samir S Keblawi |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 202 Sw 25th Ave, Mineral Wells, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790777472 | NPI | - | NPPES |
| 8018798 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | V6962 (Texas) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Community Health Association of Spokane |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326005851 PECOS PAC ID: 9638063217 Enrollment ID: O20040212000971 |
| Entity Name | Deer Park Family Care Clinic PS |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294150 PECOS PAC ID: 1759271836 Enrollment ID: O20040319001408 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samir S Keblawi, MD 202 Sw 25th Ave, Mineral Wells, TX 76067-8298 Ph: (940) 463-7237 | Dr Samir S Keblawi, MD 202 Sw 25th Ave, Mineral Wells, TX 76067-8298 Ph: (940) 463-7237 |
Dr. Anantha R Bhandari, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 102 Holly Hill Rd, Mineral Wells, TX 76067 Phone: 940-325-0789 Fax: 940-325-0780 |