Deborah Chan Fung, MD | |
505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 | |
(972) 923-1686 | |
(972) 923-9268 |
Full Name | Deborah Chan Fung |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 505 N Highway 77, Waxahachie, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952347353 | NPI | - | NPPES |
037067803 | Medicaid | TX | |
8BR076 | Other | TX | BCBS |
81832S | Other | TX | BCBS |
037067801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | K4650 (Texas) | Primary |
Entity Name | Healthtexas Provider Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
---|---|
Deborah Chan Fung, MD 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 Ph: (972) 923-1686 | Deborah Chan Fung, MD 505 N Highway 77, Suite 200, Waxahachie, TX 75165-1128 Ph: (972) 923-1686 |
Travis Scott Henry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 N Highway 77, Suite 200, Waxahachie, TX 75165 Phone: 972-923-1686 Fax: 972-937-7731 | |
Peggy Fenton Linguist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 411 E Jefferson St, Waxahachie, TX 75165 Phone: 972-923-2440 Fax: 972-923-2445 | |
Haley Elyse Wagner, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 505 N Highway 77, Suite 200, Waxahachie, TX 75165 Phone: 972-923-1686 Fax: 972-923-9268 | |
Mary Jean Strength, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1710 W Highway 287 Business Ste 100, Waxahachie, TX 75165 Phone: 972-937-1221 Fax: 972-937-7878 | |
Dr. Jonathan David Gilmore, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1434 W Us Highway 287 Byp Ste 400, Waxahachie, TX 75165 Phone: 469-550-7050 Fax: 469-550-7051 |