Christopher W Conner, MD | |
4513 Williams Dr, Georgetown, TX 78633-1302 | |
(512) 930-3909 | |
(512) 869-5868 |
Full Name | Christopher W Conner |
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Gender | Male |
Speciality | Dermatology - Mohs-micrographic Surgery |
Location | 4513 Williams Dr, Georgetown, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477501005 | NPI | - | NPPES |
358577001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | F1471 (Texas) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | F1471 (Texas) | Primary |
Entity Name | Mountain West Derm - Austin Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396267332 PECOS PAC ID: 8628344280 Enrollment ID: O20171026000092 |
Mailing Address | Practice Location Address |
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Christopher W Conner, MD 4513 Williams Dr, Georgetown, TX 78633-1302 Ph: (512) 930-3909 | Christopher W Conner, MD 4513 Williams Dr, Georgetown, TX 78633-1302 Ph: (512) 930-3909 |
Christopher Jones Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3010 Williams Dr, Suite 177, Georgetown, TX 78628 Phone: 512-930-3909 Fax: 512-240-5469 | |
Dr. Mary A Evers, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr Ste 2208, Georgetown, TX 78626 Phone: 512-868-9800 Fax: 512-868-9811 | |
Elaine Otchere, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4513 Williams Dr, Georgetown, TX 78633 Phone: 512-930-3909 Fax: 512-869-5868 | |
Eric A Adelman, D.O. Dermatology Medicare: Medicare Enrolled Practice Location: 4513 Williams Dr, Georgetown, TX 78633 Phone: 512-930-3909 Fax: 512-869-5868 | |
Elizabeth Cabrera, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4513 Williams Dr, Georgetown, TX 78633 Phone: 512-930-3909 Fax: 512-869-5868 | |
Dr. Eugen Stancut, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr Ste 2208, Georgetown, TX 78626 Phone: 512-868-9800 Fax: 512-868-9811 | |
Dr. Jean Elizze Mabute Charles, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4235 Williams Dr, Georgetown, TX 78628 Phone: 512-279-3376 Fax: 512-666-3244 |