| Fort Worth Physicians PLLC | |
|
6201 Overton Ridge Blvd Fort Worth TX 76132-3613 | |
| (203) 224-8568 | |
| Not Available |
| Full Name | Fort Worth Physicians PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6201 Overton Ridge Blvd, Fort Worth, Texas |
| Authorized Official Name and Position | Vishnu Ilineni (OWNER) |
| Authorized Official Contact | 2032248568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Physicians PLLC 400 Montpelier Dr Southlake TX 76092-1335 | Fort Worth Physicians PLLC 6201 Overton Ridge Blvd Fort Worth TX 76132-3613 Ph: (203) 224-8568 |
| NPI Number | 1568248987 |
|---|---|
| Provider Enumeration Date | 09/01/2023 |
| Last Update Date | 09/01/2023 |
| Certification Date | 09/01/2023 |
| Medicare PECOS PAC ID | 2163878182 |
|---|---|
| Medicare Enrollment ID | O20231027001504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568248987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Vishnu Ilineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033413307 PECOS PAC ID: 7113151978 Enrollment ID: I20200917000436 |
Southwest Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Bryant Irvin Rd, Suite 203, Fort Worth, TX 76132 Phone: 817-346-4000 Fax: 817-263-9398 |
University of North Texas Health Science Center at Fort Worth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2000 |
Hanson Internal Medicine, P.A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Harris Pkwy, Suite 240, Fort Worth, TX 76132 Phone: 817-504-5699 |
Feliz Family Medical Clinic PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3109 6th Ave, Fort Worth, TX 76110 Phone: 817-923-7055 Fax: 817-923-7902 |
Symetria- Fort Worth Outpatient Rehab & Suboxone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7229 Hawkins View Dr, Fort Worth, TX 76132 Phone: 682-350-4444 |
Associates of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 College Ave, Fort Worth, TX 76110 Phone: 682-268-1152 Fax: 877-772-0063 |