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Organization
NORTH EAST HOSPITALIST MANAGEMENT, INC
Active
Organization
NORTH EAST HOSPITALIST MANAGEMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAKASH HEGDE M.D. (PRESIDENT CEO)
(817) 293-4800
Entity
Organization
Contact information
Practice address
11803 SOUTH FWY STE 201, BURLESON, TX 76028-7029
(817) 293-4800
(817) 293-4808
Mailing address
11803 SOUTH FWY STE 201, BURLESON, TX 76028-7029
(817) 293-4800
(817) 293-4808
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
L7415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162179002
—
AR
05
—
184028201
—
TX
01
—
36NP
TEXAS BLUE CROSS
TX
01
—
5F660
ARKANSAS BLUE CROSS
AR
01
—
DF0981
RAILROAD MEDICARE
TX
Enumeration date
06/03/2006
Last updated
09/25/2014
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