| True Medicine, Pa | |
|
300 Trophy Club Dr Ste 300 Trophy Club TX 76262-5415 | |
| (817) 490-9841 | |
| (817) 490-9838 |
| Full Name | True Medicine, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Trophy Club Dr, Trophy Club, Texas |
| Authorized Official Name and Position | Jonathan R Matthews (OWNER) |
| Authorized Official Contact | 8174909841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| True Medicine, Pa 300 Trophy Club Dr Suite 300 Trophy Club TX 76262-5415 Ph: (817) 490-9841 | True Medicine, Pa 300 Trophy Club Dr Ste 300 Trophy Club TX 76262-5415 Ph: (817) 490-9841 |
| NPI Number | 1952550352 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 02/20/2015 |
| Medicare PECOS PAC ID | 1355498841 |
|---|---|
| Medicare Enrollment ID | O20090421000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952550352 | NPI | - | NPPES |
| DO8115 | Other | TX | RAILROAD MEDICARE |
| 0002RW | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan R Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750432688 PECOS PAC ID: 0042319311 Enrollment ID: I20070627000437 |
| Provider Name | Anamika Minampally Nagavender Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164681144 PECOS PAC ID: 6507913506 Enrollment ID: I20101105000188 |
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