Charles Niziol, MD | |
1000 Pine St, Texarkana, TX 75501-5100 | |
(903) 798-8887 | |
Not Available |
Full Name | Charles Niziol |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1000 Pine St, Texarkana, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073552741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | E18041 (Texas) | Primary |
Entity Name | Ess Of South Texas Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
Entity Name | Ess Of Port Lavaca Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922546936 PECOS PAC ID: 2769766005 Enrollment ID: O20170303001868 |
Mailing Address | Practice Location Address |
---|---|
Charles Niziol, MD 2815 Kings Forest Dr, Kingwood, TX 77339-2450 Ph: (281) 359-3314 | Charles Niziol, MD 1000 Pine St, Texarkana, TX 75501-5100 Ph: (903) 798-8887 |
Osei Kwame Asamoah, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-999-9999 | |
Dr. Mark Mccrary, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8868 Fax: 903-798-8879 | |
Jack Menges Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 | |
Alex Wade Ayers, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 | |
Dr. Malcolm Machauer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8880 Fax: 903-798-8879 | |
Dewitt Charles Fortenberry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr, Suite 302, Texarkana, TX 75503 Phone: 903-336-2391 |