| Corvinus Medical Group LLC | |
|
4100 Heritage Ave Suite 102 Grapevine TX 76051-5714 | |
| (817) 271-4551 | |
| Not Available |
| Full Name | Corvinus Medical Group LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 Heritage Ave, Grapevine, Texas |
| Authorized Official Name and Position | Eniko Barthel (OWNER) |
| Authorized Official Contact | 8172714551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corvinus Medical Group LLC 3413 Dillon Ct Hurst TX 76054-6047 Ph: (817) 271-4551 | Corvinus Medical Group LLC 4100 Heritage Ave Suite 102 Grapevine TX 76051-5714 Ph: (817) 271-4551 |
| NPI Number | 1063858629 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 05/22/2013 |
| Medicare PECOS PAC ID | 5799928776 |
|---|---|
| Medicare Enrollment ID | O20130822000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063858629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N0635 (Texas) | Primary |
| Provider Name | Eniko K Barthel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558365130 PECOS PAC ID: 7911951777 Enrollment ID: I20090114000116 |
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