MEDICARE: DR. SREEKUMARAN NAIR M.D.

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	174400000X	Specialist	J8071	TX
2	2084N0400X	Neurology Physician	J8071	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
2	00656D	OTHER	TX	BLUE CROSS BLUE SHIELD
3	10028895	OTHER	TX	AMERIGROUP
4	75043	OTHER	TX	AMERICAID

General Provider Information

NPI Number	:	1578519856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SREEKUMARAN NAIR M.D.

Provider Business Mailing Address
First Line	:	915 S MAIN ST STE A
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3408
Country	:	US
Telephone Number	:	817-336-2026
Fax Number	:	817-336-5996

Provider Business Practice Location Address
First Line	:	915 S MAIN ST STE A
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3408
Country	:	US
Telephone Number	:	817-336-2026
Fax Number	:	817-336-5996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	02/12/2024

Similar Medicare Providers

1356771752 — SUPER PLUS HOSPICE INC
Practice Location Address:

915 S MAIN ST , SUITE C
FORT WORTH, TX
76104-3408

Practice Phone: 817-528-1832
Practice Fax:

1508153917 — LINDA J. DAVIS LBSW
Practice Location Address:

11 LUCAS LN
FORT WORTH, TX
76134-3408

Practice Phone: 817-615-8152
Practice Fax: 817-615-8152

1982146833 — CADY MILLER
Practice Location Address:

3408 CLAYTON RD E STE 200
FORT WORTH, TX
76116-7382

Practice Phone: 817-201-4268
Practice Fax:

1306584651 — MS. ALEENA KANNER ATC
Practice Location Address:

432 SAMUELS AVE APT 3408
FORT WORTH, TX
76102-2488

Practice Phone: 516-388-1010
Practice Fax:

1346930765 — LITTLE VOICES SPEECH AND LANGUAGE THERAPY
Practice Location Address:

3408 CLAYTON RD E STE 200
FORT WORTH, TX
76116-7382

Practice Phone: 817-201-4268
Practice Fax:

1871275404 — MRS. CHRISTINE ELIZABETH COCHRAN MA., CCC-SLP
Practice Location Address:

3408 CLAYTON RD E
FORT WORTH, TX
76116-7382

Practice Phone: 956-369-0223
Practice Fax:

Directions to “ DR. SREEKUMARAN NAIR M.D.” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.