| Gupta, D.o. & Associates, Llc | |
|
821 E Interstate 20 Weatherford TX 76086-6745 | |
| (817) 596-4313 | |
| (817) 341-2394 |
| Full Name | Gupta, D.o. & Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 821 E Interstate 20, Weatherford, Texas |
| Authorized Official Name and Position | Amit Gupta (PRESIDENT) |
| Authorized Official Contact | 4693488343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gupta, D.o. & Associates, Llc 821 E Interstate 20 Weatherford TX 76086-6745 Ph: (817) 596-4313 | Gupta, D.o. & Associates, Llc 821 E Interstate 20 Weatherford TX 76086-6745 Ph: (817) 596-4313 |
| NPI Number | 1093815078 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 12/19/2025 |
| Medicare PECOS PAC ID | 6305879677 |
|---|---|
| Medicare Enrollment ID | O20050916000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093815078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | J2044 (Texas) | Primary |
| Provider Name | Vicki D Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063469559 PECOS PAC ID: 4183534753 Enrollment ID: I20040129001211 |
| Provider Name | Holly F Heid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386861466 PECOS PAC ID: 6800870726 Enrollment ID: I20040616001562 |
| Provider Name | Kelly J Eisaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730163593 PECOS PAC ID: 7719911783 Enrollment ID: I20050920001023 |
| Provider Name | Sat Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013999549 PECOS PAC ID: 4981514916 Enrollment ID: I20050928000834 |
| Provider Name | Ruth Reeves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205084555 PECOS PAC ID: 5890848634 Enrollment ID: I20110801000143 |
| Provider Name | Hedrine M Nana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760723209 PECOS PAC ID: 4284873167 Enrollment ID: I20130626000088 |
| Provider Name | Kari Lynn Bullard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578994083 PECOS PAC ID: 7618970781 Enrollment ID: I20171023002131 |
| Provider Name | Evelyne Imah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407399645 PECOS PAC ID: 5698030856 Enrollment ID: I20180517002695 |
| Provider Name | Elvira Jasarevic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295199677 PECOS PAC ID: 9830471614 Enrollment ID: I20200827001416 |
| Provider Name | Annette D Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003127143 PECOS PAC ID: 9830426303 Enrollment ID: I20211020001113 |
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