| Fort Worth Primary Care, Pllc | |
|
800 8th Ave Ste 626 Fort Worth TX 76104-2605 | |
| (817) 243-7995 | |
| (844) 573-3209 |
| Full Name | Fort Worth Primary Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 8th Ave Ste 626, Fort Worth, Texas |
| Authorized Official Name and Position | Morvarid Rezaie (PHYSICIAN) |
| Authorized Official Contact | 8172437995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Worth Primary Care, Pllc 800 8th Ave Ste 626 Fort Worth TX 76104-2605 Ph: (817) 243-7995 | Fort Worth Primary Care, Pllc 800 8th Ave Ste 626 Fort Worth TX 76104-2605 Ph: (817) 243-7995 |
| NPI Number | 1417458068 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 07/14/2020 |
| Medicare PECOS PAC ID | 8921353194 |
|---|---|
| Medicare Enrollment ID | O20180613000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417458068 | NPI | - | NPPES |
| 1765463 | Medicaid | TX | |
| 1164692026 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M8951 (Texas) | Primary |
| Provider Name | Morvarid Rezaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164692026 PECOS PAC ID: 0547315699 Enrollment ID: I20090826000299 |
| Provider Name | Stuart C Pickell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740261114 PECOS PAC ID: 7113060773 Enrollment ID: I20100204000153 |
| Provider Name | Mrunmayee Barve |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487889705 PECOS PAC ID: 6305006933 Enrollment ID: I20240110002429 |
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