Amanda E Hathaway, MD | |
1595 Lake Front Cir, The Woodlands, TX 77380-3604 | |
(281) 292-8980 | |
(281) 292-8070 |
Full Name | Amanda E Hathaway |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1595 Lake Front Cir, The Woodlands, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326319880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | P1873 (Texas) | Secondary |
208000000X | Pediatrics | P1873 (Texas) | Primary |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Mailing Address | Practice Location Address |
---|---|
Amanda E Hathaway, MD 1595 Lake Front Cir, The Woodlands, TX 77380-3604 Ph: (281) 292-8980 | Amanda E Hathaway, MD 1595 Lake Front Cir, The Woodlands, TX 77380-3604 Ph: (281) 292-8980 |
Dr. Joan Saunders Purcell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 W Panther Creek Dr, Ste 100, The Woodlands, TX 77381 Phone: 281-364-8600 Fax: 281-298-2005 | |
Roland Flanagan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4545 Research Forest Dr, A, The Woodlands, TX 77381 Phone: 281-367-5100 | |
Natasha Irani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4545 Research Forest Dr, A, The Woodlands, TX 77381 Phone: 281-367-5100 | |
Krystal I Wilson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4800 W Panther Creek Dr, Ste 100, The Woodlands, TX 77381 Phone: 281-364-8600 Fax: 281-298-2005 | |
Dr. Tiffany Leah Molina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9250 Pinecroft Drive, The Woodlands, TX 77380 Phone: 713-897-2573 Fax: 713-897-2522 | |
Richard Vadala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Medical Plaza Dr, 220, The Woodlands, TX 77380 Phone: 281-296-9119 | |
Tabasam Roohey, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 9250 Pinecroft Dr, Nicu, The Woodlands, TX 77380 Phone: 281-364-2573 Fax: 281-364-2522 |