| Abilene Internal Medicine Associates, Pllc | |
|
6200 Regional Plz Suite 1450 Abilene TX 79606-5250 | |
| (325) 795-9288 | |
| Not Available |
| Full Name | Abilene Internal Medicine Associates, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6200 Regional Plz, Abilene, Texas |
| Authorized Official Name and Position | Brian R Ganesh (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3257959288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abilene Internal Medicine Associates, Pllc 6200 Regional Plz Suite 1450 Abilene TX 79606-5250 Ph: (325) 795-9288 | Abilene Internal Medicine Associates, Pllc 6200 Regional Plz Suite 1450 Abilene TX 79606-5250 Ph: (325) 795-9288 |
| NPI Number | 1487034120 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 06/08/2015 |
| Medicare PECOS PAC ID | 4284944463 |
|---|---|
| Medicare Enrollment ID | O20151102000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487034120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1049 (Texas) | Primary |
| Provider Name | Brian R Ganesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316946841 PECOS PAC ID: 6901902568 Enrollment ID: I20080529000413 |
| Provider Name | Melissa Beth Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124347455 PECOS PAC ID: 9931483021 Enrollment ID: I20190715000875 |
Agency Of The State Of Texas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2616 S Clack, Ste 160, Abilene, TX 79606 Phone: 325-690-5131 Fax: 325-690-5228 | |
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