Organization
BESTAWROUS FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REDA S BESTAWROUS MD (OWNER PHYSICIAN)
(817) 741-8011
Entity
Organization
Contact information
Practice address
1200 KELLER PKWY, 100, KELLER, TX 76248
(817) 741-8011
(817) 741-8005
Mailing address
1200 KELLER PKWY, SUITE 100, KELLER, TX 76248
(817) 741-8011
(817) 741-8005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K3989
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8X1830
BCBS
TX
Enumeration date
02/12/2008
Last updated
12/24/2008
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