Gerold Wayne Valentine Jr. (NPI# 1053376913, PAC ID# 3779625876) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1053376913 |
| PAC ID by PECOS | 3779625876 |
| Professional Enrollment ID | I20151112000303 |
| Full Name | Gerold Wayne Valentine Jr. |
| Organization Legal Name | AXIS BRAIN AND BACK INSTITUTE PLLC |
| Address |
9525 N Beach St Suite 405 Fort Worth TX 76244-6395 |
| Phone Number | 8175027411 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0042432015 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9525 N Beach St, Suite 405, Fort Worth, TX 76244-6395 | 8175027411 | AXIS BRAIN AND BACK INSTITUTE PLLC |
| Organization Legal Name | AXIS BRAIN AND BACK INSTITUTE PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Rubin | Neurosurgery | Axis Brain and Back Institute Pllc | 9525 N Beach St, Suite 405, Fort Worth, TX 76244-6395 |
| Dionna M Dalzell | Nurse Practitioner | Axis Brain and Back Institute Pllc | 9525 N Beach St, Suite 405, Fort Worth, TX 76244-6395 |
| Saeid Esmaeily Aryan | Neurosurgery | Axis Brain and Back Institute Pllc | 9525 N Beach St, Suite 405, Fort Worth, TX 76244-6395 |
| Street Address |
9525 N BEACH ST SUITE 405 |
| City | FORT WORTH |
| State | TX |
| Zip | 76244-6395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Rubin | Neurosurgery | Axis Brain and Back Institute Pllc | 9525 N Beach St, Suite 405, Fort Worth, TX 76244-6395 |
| Dionna M Dalzell | Nurse Practitioner | Axis Brain and Back Institute Pllc | 9525 N Beach St, Suite 405, Fort Worth, TX 76244-6395 |
| Saeid Esmaeily Aryan | Neurosurgery | Axis Brain and Back Institute Pllc | 9525 N Beach St, Suite 405, Fort Worth, TX 76244-6395 |
| Ali H Alavi | Internal Medicine | Neuropathy Pain Clinic of Fort Worth LLC | 9525 N Beach St, 421 Dfw Neuropathy, Fort Worth, TX 76244-6395 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bhaveskumar R Patel | Optometry | 12584 N Beach St, Suite 122, Fort Worth, TX 76244-4251 | |
| Julie Nguyen | Dermatology | 3516 Golden Triangle Blvd, Suite 120, Fort Worth, TX 76244-4801 | |
| Ryan M Pond | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Augustine J Lee | Colorectal Surgery (proctology) | 10840 Texas Health Trail, Suite 200, Fort Worth, TX 76244-4897 | |
| Shawn Arthur Leveridge | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Mary Annette Fischer | Physician Assistant | Wfo Group LLC | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Shane A Clark | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Richard W Hazen | Pulmonary Disease | Texas Health Physicians Group | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Oluwaseun O Odumosu | Family Medicine | Texas Health Physicians Group | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Bushra Khalil | Anesthesiology | U S Anesthesia Partners of Texas, Pa | 10864 Texas Health Trl, Fort Worth, TX 76244-4897 |
| Find all physicians in zip 76244 | |||
| City | FORT WORTH |
| Zip Code | 76244 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | FORT WORTH + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.