| Doc D Medical Consulting, Pllc | |
|
6913 Camp Bowie Blvd Ste 107 Fort Worth TX 76116-7164 | |
| (817) 367-9289 | |
| (817) 382-5217 |
| Full Name | Doc D Medical Consulting, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6913 Camp Bowie Blvd Ste 107, Fort Worth, Texas |
| Authorized Official Name and Position | Shelly Shea (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8174846274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc D Medical Consulting, Pllc 6913 Camp Bowie Blvd Ste 107 Fort Worth TX 76116-7164 Ph: (817) 367-9289 | Doc D Medical Consulting, Pllc 6913 Camp Bowie Blvd Ste 107 Fort Worth TX 76116-7164 Ph: (817) 367-9289 |
| NPI Number | 1629650791 |
|---|---|
| Provider Enumeration Date | 04/27/2021 |
| Last Update Date | 04/27/2021 |
| Medicare PECOS PAC ID | 4082023312 |
|---|---|
| Medicare Enrollment ID | O20210517001789 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629650791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard T Dombroski |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144209552 PECOS PAC ID: 3476719071 Enrollment ID: I20150317001829 |
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