| Internal Medicine Care Group | |
|
2260 College Ave Fort Worth TX 76110-1952 | |
| (817) 870-3627 | |
| (817) 870-3636 |
| Full Name | Internal Medicine Care Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2260 College Ave, Fort Worth, Texas |
| Authorized Official Name and Position | Nadeem Zaman Kayani (MANAGER) |
| Authorized Official Contact | 6107510698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Care Group Po Box 92459 Southlake TX 76092-0104 Ph: (610) 751-0698 | Internal Medicine Care Group 2260 College Ave Fort Worth TX 76110-1952 Ph: (817) 870-3627 |
| NPI Number | 1780133512 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 08/24/2017 |
| Medicare PECOS PAC ID | 0648551838 |
|---|---|
| Medicare Enrollment ID | O20161230000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780133512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N8796 (Texas) | Primary |
| Provider Name | Aasia Daud Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043517402 PECOS PAC ID: 7012177447 Enrollment ID: I20120322000254 |
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