MEDICARE: RELIABLE MEDICAL & SURGICAL CARE

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	208600000X	Surgery Physician	P1846	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P1846	OTHER	TX	MEDICAL LICENSE P-1846

General Provider Information

NPI Number	:	1306370416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE MEDICAL & SURGICAL CARE

Provider Business Mailing Address
First Line	:	4455 CAMP BOWIE BLVD # 114-187
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-3826
Country	:	US
Telephone Number	:	469-223-4193
Fax Number	:	682-214-7094

Provider Business Practice Location Address
First Line	:	2301 MARSH LN
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-8497
Country	:	US
Telephone Number	:	817-250-6210
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	HOSSEIN BAGSHAHI
Credential	:	MD
Telephone Number	:	817-289-4200

Provider Enumeration Date	:	04/14/2017
Last Update Date	:	05/18/2026

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