Darnell D Pettway, MD | |
4000 Spencer Hwy, Pasadena, TX 77504-1202 | |
(713) 359-2000 | |
(713) 359-1004 |
Full Name | Darnell D Pettway |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4000 Spencer Hwy, Pasadena, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275513426 | NPI | - | NPPES |
154206002 | Medicaid | TX | |
8G4110 | Other | TX | BC/BS PROVIDER NUMBER |
154206001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | L4644 (Texas) | Primary |
Entity Name | Travis County Emergency Physicians Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
Entity Name | Acs Primary Care Physicians Southwest Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
Entity Name | Kirby Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568699445 PECOS PAC ID: 7517010093 Enrollment ID: O20090730000543 |
Mailing Address | Practice Location Address |
---|---|
Darnell D Pettway, MD Po Box 200993, Houston, TX 77216-0993 Ph: (281) 784-1111 | Darnell D Pettway, MD 4000 Spencer Hwy, Pasadena, TX 77504-1202 Ph: (713) 359-2000 |
Corey H Anderson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Spencer Hwy, Pasadena, TX 77504 Phone: 713-359-2000 Fax: 713-359-1004 | |
Dr. Bryan Singh Kharbanda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Spencer Hwy, Pasadena, TX 77504 Phone: 713-359-1440 | |
William O Appiah, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Spencer Hwy, Pasadena, TX 77504 Phone: 713-359-2000 Fax: 713-359-1004 | |
Dr. Thomas W. Porter Iii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 927 Shaw Ave, Pasadena, TX 77506 Phone: 713-982-5900 Fax: 281-431-9181 | |
Ms. Allison Daum, M.D. ON 5/24/09 Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5161 E Sam Houston Pkwy S, Pasadena, TX 77505 Phone: 346-907-5300 | |
Earl L Miller Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4000 Spencer Hwy, Pasadena, TX 77504 Phone: 713-359-2000 Fax: 713-359-1004 | |
Thomas Rambo Lindsay, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Spencer Hwy, Pasadena, TX 77504 Phone: 713-359-2000 Fax: 713-359-1004 |