Agboola O Fatiregun, MD | |
3501 N Macarthur Blvd Ste 450, Irving, TX 75062-3651 | |
(972) 786-0330 | |
(972) 739-2894 |
Full Name | Agboola O Fatiregun |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3501 N Macarthur Blvd Ste 450, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134128101 | NPI | - | NPPES |
189208501 | Medicaid | TX | |
8W4546 | Other | TX | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 220389 (New York) | Secondary |
208000000X | Pediatrics | M7173 (Texas) | Primary |
Entity Name | Texomacare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740233592 PECOS PAC ID: 3678555307 Enrollment ID: O20040604000868 |
Entity Name | Macarthur Medical Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326320367 PECOS PAC ID: 8426102625 Enrollment ID: O20090824000109 |
Entity Name | Open Arms Healthcare Of Texas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639656325 PECOS PAC ID: 9436400579 Enrollment ID: O20180928000718 |
Mailing Address | Practice Location Address |
---|---|
Agboola O Fatiregun, MD 3501 N Macarthur Blvd Ste 500, Irving, TX 75062-3675 Ph: (972) 256-3700 | Agboola O Fatiregun, MD 3501 N Macarthur Blvd Ste 450, Irving, TX 75062-3651 Ph: (972) 786-0330 |
Dr. Michelle Burnside Fowers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 W Ih 635 Fwy, Suite 250, Irving, TX 75063 Phone: 972-481-6400 Fax: 972-831-9794 | |
Vicky R Taylor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6724 Verde #228, Irving, TX 75039 Phone: 972-978-7473 | |
Joan P Kay, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2021 N Macarthur Blvd, Suite 250, Irving, TX 75061 Phone: 972-253-4310 Fax: 972-253-4326 | |
Dr. Satish Goel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8850 N. Macarthur Boulevard, 102, Irving, TX 75766 Phone: 972-444-8632 Fax: 972-444-8691 | |
Darlene Annie Kurian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6750 N Macarthur Blvd, Ste 206, Irving, TX 75039 Phone: 972-253-4345 Fax: 972-253-6425 | |
Hiren Anil Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 204 Seva Ct, Irving, TX 75061 Phone: 121-499-8632 |