DR. ANAS AL HALLAK (NPI# 1386059046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386059046 |
| Entity Type | Individual |
| Full Name | DR. ANAS AL HALLAK |
| Credential | MD |
| Practice Address |
1500 S Main St Ft Worth TX 76104-4917 |
| Mailing Address |
1500 S Main St Sound Office Ft Worth TX 76104 |
| Practice Telephone | 8177027211 |
| Mailing Telephone | 2028137037 |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | R1486 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4422 3rd Ave Bldg 3, Dept of Internal Medicine, Bronx, NY 104572545 | 2028137037 |
| Street Address |
1500 S MAIN ST |
| City | FT WORTH |
| State | TX |
| Zip Code | 76104-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306466875 | Scott Brockwell Mathis | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2020-04-24 |
| 1497398531 | Liza Munoz Rodriguez | Nurse Practitioner | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-10-22 |
| 1407418924 | Amanda Rae Arreola | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-07-04 |
| 1053872572 | Samuel Crist | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-03-27 |
| 1104386564 | Jane Elizabeth Gilmore | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2019-03-21 |
| 1306338801 | Joel Ortlip | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4941 | 2018-05-31 |
| 1518461946 | Dwain Paul Strickland | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Ft Worth, TX 76104-4917 | 2018-03-20 |
| 1639673056 | Jonathan Norman Hardy | Emergency Medicine | 1500 S Main St, Ft Worth, TX 76104-4941 | 2018-03-20 |
| 1457803124 | Lashindra Fisher | Nurse Practitioner | 1500 S Main St, Ft Worth, TX 76104-4917 | 2016-10-28 |
| 1518412949 | Jack Ingram | Psychiatry & Neurology | 1500 S Main St, Ft Worth, TX 76104-4917 | 2016-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023153103 | Heather Lea Branstetter | Internal Medicine | 6317 Harris Pkwy Ste 300, Ft Worth, TX 76132-4258 | 2007-02-20 |
| 1619021557 | Surinder K Kwatra | Internal Medicine | 100 N Lamar St, Ft Worth, TX 76102-1954 | 2007-01-22 |
| 1649281296 | Michael Paul Adamo | Internal Medicine | 800 8th Ave Ste 432, Ft Worth, TX 76104-2618 | 2006-08-10 |
| 1639197759 | Stefanie Lynn Addington | Internal Medicine | 7801 Oakmont Blvd Ste 101, Ft Worth, TX 76132-4242 | 2006-07-17 |
| 1649624347 | Timothy James Dobin | Internal Medicine | 900 8th Ave, Ft Worth, TX 76104-3902 | 2016-04-19 |
| 1396163440 | Vincent Lewis Medical, Pa | Internal Medicine | 908 9th Ave, Ft Worth, TX 76104-3904 | 2014-04-04 |
| 1063852846 | Poonam Puri | Internal Medicine | 900 8th Ave, Ft Worth, TX 76104-3902 | 2013-06-26 |
| 1154653418 | Francis Thomas Wiser | Internal Medicine | 1500 S Main St, Ft Worth, TX 76104-4917 | 2010-02-11 |
| 1669607479 | Jingdong Su | Internal Medicine | 1001 12th Ave, Ste. 200, Ft Worth, TX 76104-3926 | 2009-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334936 | Samantha H. Goodman, Md, Pllc | Internal Medicine | 3926 S Treadaway Blvd Ste B2, Abilene, TX 79602-6939 | 2020-10-23 |
| 1750989109 | 3d Regeneration LLC | Internal Medicine | 11610 Bee Caves Rd Ste 230, Austin, TX 78738-5457 | 2020-10-16 |
| 1174121552 | Taiwo Kuye, Md Pa | Internal Medicine | 7135 N Expressway 77 Ste C, Olmito, TX 78575-5204 | 2020-10-16 |
| 1760080014 | Stephanie Kennedy | Internal Medicine | 503 E Sonterra Blvd, San Antonio, TX 78258-4058 | 2020-10-09 |
| 1588262711 | Medicus Internal Medicine & Primary Care Pllc | Internal Medicine | 2822 Dogwood Terrace Ln, Katy, TX 77494-7166 | 2020-10-09 |
| 1588261002 | Cardiac Rhythm Center Pllc | Internal Medicine | 2527 Gramercy St, Houston, TX 77030-3107 | 2020-10-07 |
| 1982210571 | Kim L Rowlands | Internal Medicine | 6101 E Oltorf, None, Austin, TX 78704-7875 | 2020-09-18 |
| 1891301438 | Primary Care of Houston Pllc | Internal Medicine | 19255 Park Row Ste 204b, Houston, TX 77084-7310 | 2020-09-18 |
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1528674561 | Knight Doctor Pllc | Internal Medicine | 1401 Eva St Apt 304, Austin, TX 78704-3069 | 2020-09-16 |
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| 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.