| Id Partners Pa | |
|
350 Matlock Rd Ste 201 Mansfield TX 76063 | |
| (817) 539-9091 | |
| (817) 539-9553 |
| Full Name | Id Partners Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Matlock Rd Ste 201, Mansfield, Texas |
| Authorized Official Name and Position | Devak Desai (OWNER) |
| Authorized Official Contact | 8175399091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Partners Pa 350 Matlock Rd Ste 201 Mansfield TX 76063 Ph: (817) 539-9091 | Id Partners Pa 350 Matlock Rd Ste 201 Mansfield TX 76063 Ph: (817) 539-9091 |
| NPI Number | 1174075857 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 03/10/2025 |
| Medicare PECOS PAC ID | 0042593121 |
|---|---|
| Medicare Enrollment ID | O20170215002356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174075857 | NPI | - | NPPES |
| Provider Name | Shantala R Samart |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376720482 PECOS PAC ID: 4688845381 Enrollment ID: I20110928000504 |
| Provider Name | Devak G Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164677613 PECOS PAC ID: 6406018944 Enrollment ID: I20121026000575 |
| Provider Name | Emily Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770891343 PECOS PAC ID: 1759567076 Enrollment ID: I20150326000145 |
| Provider Name | Kathryn L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891073508 PECOS PAC ID: 3678745361 Enrollment ID: I20160121000377 |
| Provider Name | Dana D Ermis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174989917 PECOS PAC ID: 2062704562 Enrollment ID: I20160701000223 |
| Provider Name | Allyson Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245791425 PECOS PAC ID: 2769724566 Enrollment ID: I20190426001312 |
| Provider Name | Faith Ogechukwu Nwawuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720642747 PECOS PAC ID: 3173854106 Enrollment ID: I20191007000362 |
| Provider Name | Austin Paul Akers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245687672 PECOS PAC ID: 6103107230 Enrollment ID: I20210708003556 |
| Provider Name | Cheryl Lynn Wherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669256178 PECOS PAC ID: 2466816020 Enrollment ID: I20230914002722 |
| Provider Name | Obinna Ikechukwu Abaribe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457704355 PECOS PAC ID: 5799182671 Enrollment ID: I20231026003118 |
| Provider Name | Megan Nicole Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487418471 PECOS PAC ID: 5890131395 Enrollment ID: I20240306003698 |
| Provider Name | Shafaq Tariq |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356801138 PECOS PAC ID: 0042545196 Enrollment ID: I20240620004217 |
| Provider Name | Ridwan Naim Faruq |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639708431 PECOS PAC ID: 0547685208 Enrollment ID: I20250312003008 |
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