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NPI Code Detail

MEDICARE: BADAR KANWAR M.D P.A

MEDICARE: BADAR KANWAR M.D P.A
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
1174400000XSpecialistM6219TX

General Provider Information

NPI Number : 1134477953
Entity Type Code : Organization
Provider Name (Legal Business Name) : BADAR KANWAR M.D P.A
Provider Business Mailing Address
First Line : 1615 HOSPITAL BLVD
Second Line : SUITE C
City : GAINESVILLE
State : TX
Zip : 76240-2020
Country : US
Telephone Number : 940-612-1990
Fax Number : 940-612-1985
Provider Business Practice Location Address
First Line : 1615 HOSPITAL BLVD
Second Line : SUITE C
City : GAINESVILLE
State : TX
Zip : 76240-2020
Country : US
Telephone Number : 940-612-1990
Fax Number : 940-612-1985
Authorized Official
Title or Position : BILLING MANAGER
Name : SHERRI L SCHWARTZ
Credential :
Telephone Number : 940-595-6102
Provider Enumeration Date : 08/28/2012
Last Update Date : 08/28/2012

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