| Gerination Medical Centers, Llc | |
|
3437 W 7th St Fort Worth TX 76107-2718 | |
| (817) 688-1588 | |
| (817) 423-7361 |
| Full Name | Gerination Medical Centers, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3437 W 7th St, Fort Worth, Texas |
| Authorized Official Name and Position | Mark Allen Sanders (PRESIDENT & CEO) |
| Authorized Official Contact | 8177139162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerination Medical Centers, Llc 4811 Merlot Ave Unit 110 Grapevine TX 76051-7389 Ph: (817) 756-8800 | Gerination Medical Centers, Llc 3437 W 7th St Fort Worth TX 76107-2718 Ph: (817) 688-1588 |
| NPI Number | 1548661713 |
|---|---|
| Provider Enumeration Date | 09/08/2014 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 4486961661 |
|---|---|
| Medicare Enrollment ID | O20150921002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548661713 | NPI | - | NPPES |
| Provider Name | Mark Allen Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770544389 PECOS PAC ID: 9638218571 Enrollment ID: I20091205000052 |
| Provider Name | Ronald Maclean Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366869513 PECOS PAC ID: 8820311996 Enrollment ID: I20141222000251 |
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