BESTAWROUS FAMILY CLINIC (NPI# 1265600308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265600308 |
| Entity Type | Organization |
| Organization Name | BESTAWROUS FAMILY CLINIC |
| Practice Address |
1200 Keller Pkwy 100 Keller TX 76248 |
| Mailing Address |
1200 Keller Pkwy Suite 100 Keller TX 76248 |
| Practice Telephone | 8177418011 |
| Practice Fax Number | 8177418005 |
| Mailing Telephone | 8177418011 |
| Mailing Fax Number | 8177418005 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-12-24 |
| Authorized Official Name | DR. REDA S BESTAWROUS (OWNER PHYSICIAN) |
| Authorized Official Telephone | 8177418011 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K3989 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8X1830 | 01 |
| Street Address |
1200 KELLER PKWY 100 |
| City | KELLER |
| State | TX |
| Zip Code | 76248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556145 | Tyler Woodall | Counselor | 1668 Keller Parkway, Suite 200, Keller, TX 76248 | 2020-07-28 |
| 1396366456 | Kelcie Dao | Speech-Language Pathologist | 630 B Stoneglen Drive, Keller, TX 76248 | 2020-04-29 |
| 1003447384 | Alliance Orthotics and Prosthetics, L.L.C. | Prosthetic/Orthotic Supplier | 101 Bourland Rd Suite A, Keller, TX 76248 | 2020-01-27 |
| 1033759832 | Everest Rehabilitation Hospital Keller, LLC | Rehabilitation Hospital | 955 S. Main St., Keller, TX 76248 | 2020-01-09 |
| 1750934253 | Pediatric Dentistry of Keller Pllc | Dentist | 1627 Keller Parkway, Suite 100, Keller, TX 76248 | 2019-07-23 |
| 1306345293 | Jaqui Otto | Psychologist | 1664 Keller Parkway Ste 102, Keller, TX 76248 | 2018-02-06 |
| 1194223404 | Hartman Samuel Ian Watson | Chiropractor | 1211 S Main St Ste 300h, Keller, TX 76248 | 2018-02-01 |
| 1760900997 | Md First Watch Healthcare Pllc | Clinic/Center | 310 Keller Parkway, Keller, TX 76248 | 2017-09-08 |
| 1588104541 | Elias Alharari | Nurse Practitioner | 651 S Main St Ste 102, Keller, TX 76248 | 2017-02-24 |
| 1730631698 | Alliance Counseling and Education Center | Social Worker | 1540 Keller Parkway, Ste. 108-205, Keller, TX 76248 | 2016-10-26 |
| Find all providers in zip 76248 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043755457 | Xtreme Medical Rehab | Family Medicine | 1710 Rufe Snow Dr, 120, Keller, TX 76248-5745 | 2016-12-21 |
| 1679016984 | T Off Men's Health Keller, LLC | Family Medicine | 8739 Davis Blvd, A, Keller, TX 76248-0309 | 2016-11-18 |
| 1013381250 | First Keller Healthcare | Family Medicine | 891 E. Keller Pkwy Ste 101, Keller, TX 76248-2486 | 2015-11-27 |
| 1770898306 | William L. Musgrave | Family Medicine | 1750 Keller Parkway, Keller, TX 76248-3704 | 2010-08-06 |
| 1669666822 | Ryan Buffington | Family Medicine | 1141 Keller Pkwy Ste B, Keller, TX 76248-1628 | 2007-08-30 |
| 1265626550 | Buffington Family Medicine Pllc | Family Medicine | 12461 Timberland Boulevard, Suite 309, Keller, TX 76177 | 2007-08-30 |
| 1275747842 | Yun Tzu Tran | Family Medicine | 8553 N. Beach St Pmb 379, Keller, TX 76244 | 2007-05-10 |
| 1194882258 | Tommy Brent Duncan | Family Medicine | 3529 Heritage Trace Pkwy, Ste 137, Keller, TX 76248-0970 | 2007-01-01 |
| 1932260668 | Smita Kasat Rumalla | Family Medicine | 816 Keller Pkwy Ste 102, Keller, TX 76248-2479 | 2006-12-13 |
| 1326111527 | Howard J Eliason | Family Medicine | 1608 Greenhill Ct, Keller, TX 76248-5454 | 2006-11-16 |
| Find all providers in KELLER | ||||
Please comment or provide details below to improve the information on BESTAWROUS FAMILY CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.