Prabhav K Tella (NPI# 1013942358, PAC ID# 6608961230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1013942358 |
| PAC ID by PECOS | 6608961230 |
| Professional Enrollment ID | I20070927000607 |
| Full Name | Prabhav K Tella |
| Address |
5450 Clearfork Main St Suite 230 Fort Worth TX 76109-3562 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | INTERNAL MEDICINE, INTERVENTIONAL PAIN MANAGEMENT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450079 | BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING |
| Address | Phone | Organization |
|---|---|---|
| 5450 Clearfork Main St, Suite 230, Fort Worth, TX 76109-3562 | ||
| 825 W Royal Ln, Suite 230, Irving, TX 75039-3901 |
| Street Address |
5450 CLEARFORK MAIN ST SUITE 230 |
| City | FORT WORTH |
| State | TX |
| Zip | 76109-3562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samim Giotis | Family Medicine | Medical Clinic of North Texas, Pllc | 5450 Clearfork Main St, Suite 430, Fort Worth, TX 76109-3559 |
| Christian L Carr | General Surgery | Medical Clinic of North Texas, Pllc | 5450 Clearfork Main St, Suite 420, Fort Worth, TX 76109-3559 |
| Allen B. Hornell | Family Medicine | Medical Clinic of North Texas, Pllc | 5450 Clearfork Main St, Suite 200, Fort Worth, TX 76109-3562 |
| Hector M Lopez | Family Medicine | Medical Clinic of North Texas, Pllc | 5450 Clearfork Main St, Suite 300, Fort Worth, TX 76109-3559 |
| Suneetha Jasty | Rheumatology | Medical Clinic of North Texas, Pllc | 5450 Clearfork Main St, Suite 200, Fort Worth, TX 76109-3562 |
| Deidi A Bergestuen | Internal Medicine | Medical Clinic of North Texas, Pllc | 5450 Clearfork Main St, Fort Worth, TX 76109-3559 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anum M Hasan | Physician Assistant | Medspring of Texas Pa | 3701 Vision Dr, Suite 101, Fort Worth, TX 76109-1184 |
| James R Mccarty | Dermatology | Oliver Street 5.01(a) Inc. | 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 |
| Nancy Smith | Nurse Practitioner | Oliver Street 5.01(a) Inc. | 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 |
| Kathryn C Durham | Dermatology | Oliver Street 5.01(a) Inc. | 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 |
| Baylen C Bastible | Physician Assistant | North Texas Lung and Sleep Clinic Pa | 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1530 |
| Makeba S Thomas | Nurse Practitioner | North Texas Lung and Sleep Clinic Pa | 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1530 |
| Lacey A Mcdaniel | Physician Assistant | Mark Lindemann Do Pa | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811 |
| Rose M Julian | Nurse Practitioner | Mark Lindemann Do Pa | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811 |
| Mark A Lindemann | Internal Medicine | Mark Lindemann Do Pa | 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811 |
| Stephen Daniel Ake | Family Medicine | 4545 Bellaire Dr S, Suite 2, Fort Worth, TX 76109-1811 | |
| Find all physicians in zip 76109 | |||
| City | FORT WORTH |
| Zip Code | 76109 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | FORT WORTH + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Prabhav K Tella.
| 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.