Andrey Shalomov, MD, MPH | |
1103 N Gray St, Killeen, TX 76541-3420 | |
(254) 774-1163 | |
(833) 464-5455 |
Full Name | Andrey Shalomov |
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Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 1103 N Gray St, Killeen, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750813499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | S6040 (Texas) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | S6040 (Texas) | Primary |
Entity Name | Tri-county Clinical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336456227 PECOS PAC ID: 1153502869 Enrollment ID: O20110228000657 |
Entity Name | Health And Human Services Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
Entity Name | The Center For Child And Family Psychiatry, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659012839 PECOS PAC ID: 0941688204 Enrollment ID: O20220527002219 |
Mailing Address | Practice Location Address |
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Andrey Shalomov, MD, MPH Po Box 11, Killeen, TX 76540-0011 Ph: (254) 774-1163 | Andrey Shalomov, MD, MPH 1103 N Gray St, Killeen, TX 76541-3420 Ph: (254) 774-1163 |
Dr. William J Hwang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2405 Clear Creek Rd, Killeen, TX 76549 Phone: 254-245-9045 | |
David Horvat, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Killeen, TX 76544 Phone: 254-553-3779 | |
Edward B Freeman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3901 E Stan Schlueter Loop Ste 202, Killeen, TX 76542 Phone: 254-634-4244 Fax: 254-634-8809 | |
Vijay Jampala, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2407 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-628-0246 Fax: 254-200-4090 | |
Kenneth J Brock, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3901 E Stan Schlueter Loop Ste 202, Killeen, TX 76542 Phone: 254-634-4244 Fax: 254-634-8809 | |
Lisa J Beisel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2127 S Clear Creek Rd, Killeen, TX 76549 Phone: 254-634-4244 Fax: 254-634-8809 |