| Bna Medical Group, Inc | |
|
150 Brand Rd Ste 700 Murphy TX 75094-3734 | |
| (469) 445-2445 | |
| Not Available |
| Full Name | Bna Medical Group, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 150 Brand Rd Ste 700, Murphy, Texas |
| Authorized Official Name and Position | Bashar Niman Alshareef (OWNER) |
| Authorized Official Contact | 9735731774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bna Medical Group, Inc 3515 Arista Blvd Apt 27 Texarkana TX 75503-1196 Ph: (973) 573-1774 | Bna Medical Group, Inc 150 Brand Rd Ste 700 Murphy TX 75094-3734 Ph: (469) 445-2445 |
| NPI Number | 1922523042 |
|---|---|
| Provider Enumeration Date | 08/09/2017 |
| Last Update Date | 07/13/2021 |
| Certification Date | 07/13/2021 |
| Medicare PECOS PAC ID | 5597021485 |
|---|---|
| Medicare Enrollment ID | O20171109000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922523042 | NPI | - | NPPES |
| NA | Other | NOT SURE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P2900X | Psychiatry & Neurology - Pain Medicine | P0534 (Texas) | Primary |
| Provider Name | Bashar N Alshareef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912142969 PECOS PAC ID: 9537225008 Enrollment ID: I20140614000089 |
| Provider Name | Sarah Dawn Allende |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528623931 PECOS PAC ID: 5294061768 Enrollment ID: I20190723001034 |
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