MEDICARE: BODY FOCUS PA

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
1	261Q00000X	Clinic/Center	K0932	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1023429602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BODY FOCUS PA

Provider Business Mailing Address
First Line	:	1700 W FM 700
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4120
Country	:	US
Telephone Number	:	432-164-1900
Fax Number	:	432-264-1901

Provider Business Practice Location Address
First Line	:	1700 W FM 700
Second Line	:
City	:	BIG SPRING
State	:	TX
Zip	:	79720-4120
Country	:	US
Telephone Number	:	432-164-1900
Fax Number	:	432-264-1901

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	DR. STEVE SAEED AHMED
Credential	:	M.D.
Telephone Number	:	432-264-1900

Provider Enumeration Date	:	05/16/2014
Last Update Date	:	05/16/2014

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Directions to “BODY FOCUS PA ” Practice Location

Language	Start Address	Practice Location

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