| Low Testosterone Men's Clinic Fw, Llc | |
|
6115 Camp Bowie Blvd Ste 140 Fort Worth TX 76116-5500 | |
| (817) 416-5698 | |
| Not Available |
| Full Name | Low Testosterone Men's Clinic Fw, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6115 Camp Bowie Blvd Ste 140, Fort Worth, Texas |
| Authorized Official Name and Position | Ivonne Herlinda Braxton (MANAGING MEMBER) |
| Authorized Official Contact | 8174165698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Low Testosterone Men's Clinic Fw, Llc 6115 Camp Bowie Blvd Suite 140 Fort Worth TX 76116-5512 Ph: () - | Low Testosterone Men's Clinic Fw, Llc 6115 Camp Bowie Blvd Ste 140 Fort Worth TX 76116-5500 Ph: (817) 416-5698 |
| NPI Number | 1063895985 |
|---|---|
| Provider Enumeration Date | 07/09/2015 |
| Last Update Date | 06/16/2020 |
| Medicare PECOS PAC ID | 3072031574 |
|---|---|
| Medicare Enrollment ID | O20250519002081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063895985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Donna G Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295867034 PECOS PAC ID: 9931292083 Enrollment ID: I20070905000399 |
| Provider Name | Ivonne Braxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720374515 PECOS PAC ID: 0143741454 Enrollment ID: I20250303003157 |
| Provider Name | Abigail Grace John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821740796 PECOS PAC ID: 9931620085 Enrollment ID: I20250305004377 |
Physicians Family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5701 Bryant Irvin Rd, Suite 203, Fort Worth, TX 76132 Phone: 817-346-4000 Fax: 817-263-9398 | |
University Of North Texas Health Science Center At Fort Worth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2000 | |
Hanson Internal Medicine, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Harris Pkwy, Suite 240, Fort Worth, TX 76132 Phone: 817-504-5699 | |
Feliz Family Medical Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3109 6th Ave, Fort Worth, TX 76110 Phone: 817-923-7055 Fax: 817-923-7902 | |
Symetria Health Of Texas, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7229 Hawkins View Dr, Fort Worth, TX 76132 Phone: 682-350-4444 | |
Associates Of Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2260 College Ave, Fort Worth, TX 76110 Phone: 682-268-1152 Fax: 877-772-0063 | |
Apex Alliance Medical Group Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 Westport Pkwy, Suite 150, Fort Worth, TX 76177 Phone: 817-837-1091 Fax: 817-837-1097 |