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Amber Nicole Komorian

Family Medicine

Allopathic & Osteopathic Physicians

1500 S Main St, Fort Worth, TX 76104-4917

PECOS Enrollment

This provider is enrolled in PECOS as AMBER KOMORIAN.

Based on the most recent information from CMS, provider Amber Nicole Komorian is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1053999896
Provider Type
Individual
Full Name
Komorian, Amber Nicole
Gender
Female

Sole Proprietor
No
Enumeration Date
4/1/2021
Last Updated
5/23/2023

Contact Information

Practice Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 702-1244

Unlisted Fax

Mailing Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 702-1244

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License T9723 Texas

Amber Nicole Komorian

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Harmony Primary Care Partners Pllc

Abadie Sole, Montserrat

Texas Health Care, P.L.L.C.

Slee, Barbara Lynn

Selzer, Kody

Rogers, Amber Rachelle

Higginbotham, John M.

Autry, Heather Lynn

Zeiser, Michael Jonathan

Liddle, Joseph Nathan