| Extra Care Concerns | |
|
2529 E Lancaster Ave Ste A Fort Worth TX 76103-2253 | |
| (817) 534-7300 | |
| Not Available |
| Full Name | Extra Care Concerns |
|---|---|
| Speciality | Family Medicine |
| Location | 2529 E Lancaster Ave Ste A, Fort Worth, Texas |
| Authorized Official Name and Position | Patricia L Roberts (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8175347300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Extra Care Concerns 2529 E Lancaster Ave Ste A Fort Worth TX 76103-2253 Ph: (817) 534-7300 | Extra Care Concerns 2529 E Lancaster Ave Ste A Fort Worth TX 76103-2253 Ph: (817) 534-7300 |
| NPI Number | 1366940470 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 05/01/2026 |
| Certification Date | 05/01/2026 |
| Medicare PECOS PAC ID | 5092073817 |
|---|---|
| Medicare Enrollment ID | O20180215002100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366940470 | NPI | - | NPPES |
| L1186 | Other | TX | MEDICAL LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L1186 (Texas) | Primary |
| Provider Name | Patricia L Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053382846 PECOS PAC ID: 6204808702 Enrollment ID: I20040806000138 |
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