| Lecroy Family Medicine Pa | |
|
6424 Colleyville Blvd Ste 104 Colleyville TX 76034-6470 | |
| (817) 482-9422 | |
| (877) 738-7691 |
| Full Name | Lecroy Family Medicine Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 6424 Colleyville Blvd Ste 104, Colleyville, Texas |
| Authorized Official Name and Position | Kenneth Douglas Lecroy (OWNER) |
| Authorized Official Contact | 8174829422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lecroy Family Medicine Pa 6424 Colleyville Blvd Ste 104 Colleyville TX 76034-6470 Ph: (817) 482-9422 | Lecroy Family Medicine Pa 6424 Colleyville Blvd Ste 104 Colleyville TX 76034-6470 Ph: (817) 482-9422 |
| NPI Number | 1851599690 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 03/21/2025 |
| Medicare PECOS PAC ID | 2961666052 |
|---|---|
| Medicare Enrollment ID | O20120621000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851599690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K2736 (Texas) | Primary |
| Provider Name | Kenneth Douglas Lecroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598848830 PECOS PAC ID: 1658547344 Enrollment ID: I20120629000381 |
Kathryn A. Pifer, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4214 Gateway Dr, Suite 100, Colleyville, TX 76034 Phone: 817-354-7999 Fax: 817-571-2140 | |
Sajida Naeem Md And Muhammad Naeem Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5311 Colleyville Blvd, Colleyville, TX 76034 Phone: 817-823-2966 | |
Kifle Admassu Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 Hawks Ridge Trl, Colleyville, TX 76034 Phone: 817-960-6648 Fax: 817-960-6649 | |
Femclinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7155 Colleyville Blvd, Suite 101, Colleyville, TX 76034 Phone: 817-488-7878 Fax: 817-488-7877 | |
Burnaby Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6909 Benjamin Way, Colleyville, TX 76034 Phone: 405-694-3989 | |
Jonathan Richard, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5009 Thompson Ter, #102, Colleyville, TX 76034 Phone: 817-581-6800 Fax: 817-581-6080 | |
Adrienne L. Prentiss, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Tennison Pkwy Ste 100, Colleyville, TX 76034 Phone: 817-251-1225 |