| Dfw Primary Care | |
|
2612 Harwood Rd Ste A Bedford TX 76021-8308 | |
| (817) 718-0155 | |
| Not Available |
| Full Name | Dfw Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 2612 Harwood Rd Ste A, Bedford, Texas |
| Authorized Official Name and Position | Durga Ram Prasad Tanneru (PHYSICIAN) |
| Authorized Official Contact | 8177180155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Primary Care 2612 Harwood Rd Ste A Bedford TX 76021-8308 Ph: (817) 718-0155 | Dfw Primary Care 2612 Harwood Rd Ste A Bedford TX 76021-8308 Ph: (817) 718-0155 |
| NPI Number | 1265186712 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265186712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
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