| Baze Medical Pllc | |
|
1709 Precinct Line Rd Hurst TX 76054-3131 | |
| (817) 281-0402 | |
| (817) 281-6364 |
| Full Name | Baze Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1709 Precinct Line Rd, Hurst, Texas |
| Authorized Official Name and Position | Jonathan Welschmeyer (PRACTICE MANAGER) |
| Authorized Official Contact | 8172810402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baze Medical Pllc 1709 Precinct Line Rd Hurst TX 76054-3131 Ph: (817) 281-0402 | Baze Medical Pllc 1709 Precinct Line Rd Hurst TX 76054-3131 Ph: (817) 281-0402 |
| NPI Number | 1770913592 |
|---|---|
| Provider Enumeration Date | 11/14/2013 |
| Last Update Date | 12/18/2013 |
| Medicare PECOS PAC ID | 6204845159 |
|---|---|
| Medicare Enrollment ID | O20060420000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770913592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charmaine R Lobo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730162645 PECOS PAC ID: 7315087202 Enrollment ID: I20091228000541 |
| Provider Name | Christy A Baze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659684892 PECOS PAC ID: 4981891702 Enrollment ID: I20101206001195 |
| Provider Name | Annie M Botchway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659765592 PECOS PAC ID: 0547580615 Enrollment ID: I20150514000163 |
| Provider Name | Mehak Nangrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649567660 PECOS PAC ID: 2860403409 Enrollment ID: I20150916000474 |
| Provider Name | Irene N Jideofor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700436292 PECOS PAC ID: 9537593793 Enrollment ID: I20191220000439 |
| Provider Name | Candace S Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285190470 PECOS PAC ID: 0941611628 Enrollment ID: I20201202000039 |
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