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NPI Code Detail

MEDICARE: ASSOCIATES OF INTERNAL MEDICINE

MEDICARE: ASSOCIATES OF INTERNAL MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianL8281TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023146594
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATES OF INTERNAL MEDICINE
Provider Business Mailing Address
First Line : PO BOX 12056
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-8056
Country : US
Telephone Number : 682-268-1152
Fax Number : 817-818-1766
Provider Business Practice Location Address
First Line : 2260 COLLEGE AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1952
Country : US
Telephone Number : 682-268-1152
Fax Number : 877-772-0063
Authorized Official
Title or Position : PHYSICIAN, OWNER
Name : DR. PAVANI BELLARY
Credential : D.O.
Telephone Number : 682-268-1152
Provider Enumeration Date : 02/28/2007
Last Update Date : 09/17/2020

Similar Medicare Providers

1841297330 — DR. PAVANI BELLARY D.O.
Practice Location Address:
2260 COLLEGE AVE
FORT WORTH, TX
76110-1952
Practice Phone: 682-268-1152
Practice Fax: 817-818-1766
1639196223 — MICHAEL E BROOKS MD
Practice Location Address:
2260 COLLEGE AVENUE
FORT WORTH, TX
76110-1952
Practice Phone: 817-870-0172
Practice Fax: 817-870-0158
1750515946 — MS. LAURA MICHELLE TEWMEY OTR/L
Practice Location Address:
2260 COLLEGE AVE
FORT WORTH, TX
76110-1952
Practice Phone: 214-673-5740
Practice Fax:
1043517402 — AASIA DAUD JANJUA MD
Practice Location Address:
2260 COLLEGE AVE
FORT WORTH, TX
76110-1952
Practice Phone: 817-870-3627
Practice Fax:
1083045041 — BROOKS SURGERY CLINIC, PLLC
Practice Location Address:
2260 COLLEGE AVE
FORT WORTH, TX
76110-1952
Practice Phone: 817-870-0172
Practice Fax: 817-870-0158
1780133512 — INTERNAL MEDICINE CARE GROUP
Practice Location Address:
2260 COLLEGE AVE
FORT WORTH, TX
76110-1952
Practice Phone: 817-870-3627
Practice Fax: 817-870-3636

Directions to “ASSOCIATES OF INTERNAL MEDICINE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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