| Bestawrous Family Clinic | |
|
1200 Keller Pkwy 100 Keller TX 76248 | |
| (817) 741-8011 | |
| (817) 741-8005 |
| Full Name | Bestawrous Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Keller Pkwy, Keller, Texas |
| Authorized Official Name and Position | Reda S Bestawrous (OWNER PHYSICIAN) |
| Authorized Official Contact | 8177418011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bestawrous Family Clinic 1200 Keller Pkwy Suite 100 Keller TX 76248 Ph: (817) 741-8011 | Bestawrous Family Clinic 1200 Keller Pkwy 100 Keller TX 76248 Ph: (817) 741-8011 |
| NPI Number | 1265600308 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 12/24/2008 |
| Medicare PECOS PAC ID | 4284795352 |
|---|---|
| Medicare Enrollment ID | O20081208000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265600308 | NPI | - | NPPES |
| 8X1830 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K3989 (Texas) | Primary |
| Provider Name | Reda S Bestawrous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811995723 PECOS PAC ID: 7517028772 Enrollment ID: I20081205000416 |
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