| Bebd Telehealth | |
|
2009 Tremont Ave Fort Worth TX 76107-3959 | |
| (817) 437-3077 | |
| Not Available |
| Full Name | Bebd Telehealth |
|---|---|
| Speciality | Clinic/Center |
| Location | 2009 Tremont Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Susan Braddock (CEO) |
| Authorized Official Contact | 8174373077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bebd Telehealth 2009 Tremont Ave Fort Worth TX 76107-3959 Ph: (817) 437-3077 | Bebd Telehealth 2009 Tremont Ave Fort Worth TX 76107-3959 Ph: (817) 437-3077 |
| NPI Number | 1730731688 |
|---|---|
| Provider Enumeration Date | 07/11/2019 |
| Last Update Date | 12/20/2019 |
| Medicare PECOS PAC ID | 3476985185 |
|---|---|
| Medicare Enrollment ID | O20210707003198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730731688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Charles E Morgan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093749673 PECOS PAC ID: 8224201454 Enrollment ID: I20111102000774 |
| Provider Name | Joshua Jiakun Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649665795 PECOS PAC ID: 8729395934 Enrollment ID: I20210624003242 |
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