| Bruce E Maniet Do Pa | |
|
101 S Broadway St Bells TX 75414-2696 | |
| (903) 965-7700 | |
| (903) 965-7623 |
| Full Name | Bruce E Maniet Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 101 S Broadway St, Bells, Texas |
| Authorized Official Name and Position | Bruce E Maniet (PHYSICIAN) |
| Authorized Official Contact | 9039657700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce E Maniet Do Pa Po Box 207 Bells TX 75414-0207 Ph: (903) 965-7700 | Bruce E Maniet Do Pa 101 S Broadway St Bells TX 75414-2696 Ph: (903) 965-7700 |
| NPI Number | 1841516739 |
|---|---|
| Provider Enumeration Date | 04/16/2010 |
| Last Update Date | 04/26/2010 |
| Medicare PECOS PAC ID | 1951438845 |
|---|---|
| Medicare Enrollment ID | O20100426000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841516739 | NPI | - | NPPES |
| 114610201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H8741 (Texas) | Primary |
| Provider Name | Bruce Maniet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568449825 PECOS PAC ID: 6406983386 Enrollment ID: I20100426000022 |
| Provider Name | Kelly T Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588034722 PECOS PAC ID: 5294033098 Enrollment ID: I20160412000539 |
| Provider Name | Tina R Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821413501 PECOS PAC ID: 6103149356 Enrollment ID: I20160520001048 |
| Provider Name | Lcena Dexheimer Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245003557 PECOS PAC ID: 2567602584 Enrollment ID: I20231212000568 |