| Chris Bajaj Do Pa | |
|
6844 Harris Pkwy Ste 300 Ft. Worth TX 76132 | |
| (817) 263-0007 | |
| (817) 263-1118 |
| Full Name | Chris Bajaj Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6844 Harris Pkwy Ste 300, Ft. Worth, Texas |
| Authorized Official Name and Position | Chris Prem Bajaj (PHYSICIAN) |
| Authorized Official Contact | 8172630007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Bajaj Do Pa 6844 Harris Parkway Ste 300 Fort Worth TX 76132 Ph: (817) 263-0007 | Chris Bajaj Do Pa 6844 Harris Pkwy Ste 300 Ft. Worth TX 76132 Ph: (817) 263-0007 |
| NPI Number | 1275726630 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 2163504390 |
|---|---|
| Medicare Enrollment ID | O20080128000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275726630 | NPI | - | NPPES |
| 192167801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | L7653 (Texas) | Primary |
| Provider Name | Chris Prem Bajaj |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164454369 PECOS PAC ID: 6002847217 Enrollment ID: I20050827000160 |
| Provider Name | Karis Anna Pasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639152762 PECOS PAC ID: 9133153141 Enrollment ID: I20050920000522 |
| Provider Name | Talya Rebecca Richie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538793310 PECOS PAC ID: 2769810019 Enrollment ID: I20200319001603 |
| Provider Name | Kathryn Ann Wakeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184342339 PECOS PAC ID: 7416326749 Enrollment ID: I20221208002131 |
Superior Evaluation Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Throckmorton Suite 200, Ft. Worth, TX 76102 Phone: 817-863-4315 Fax: 888-575-0212 |