Deborah M Fernon, DO | |
6411 Fannin St, Houston, TX 77030-1501 | |
(713) 500-7878 | |
(713) 704-4203 |
Full Name | Deborah M Fernon |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 6411 Fannin St, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902830805 | NPI | - | NPPES |
122138405 | Other | TX | CSHCN |
122138403 | Medicaid | TX | |
88682F | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | H0340 (Texas) | Primary |
Entity Name | Ut Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
Mailing Address | Practice Location Address |
---|---|
Deborah M Fernon, DO Po Box 201088, Houston, TX 77216-1088 Ph: (713) 500-3500 | Deborah M Fernon, DO 6411 Fannin St, Houston, TX 77030-1501 Ph: (713) 500-7878 |
Dr. Taketo Baba, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Aisha C Haynie, MD, MPA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2223 West Loop S, Houston, TX 77027 Phone: 713-439-6913 | |
Hashim Zaidi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Fannin St, Houston, TX 77030 Phone: 713-500-7878 | |
Lesley Anne Osborn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6431 Fannin St, Suite Jjl 431, Houston, TX 77030 Phone: 713-500-7878 Fax: 713-500-0758 | |
Dr. Miguel A Nieto, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Emergency Center, Houston, TX 77030 Phone: 713-873-7045 | |
Dr. Louis Bruno Fornage, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 713-873-3060 Fax: 713-873-2325 | |
Thomas Alan Gerbus, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St Ste Jjl 431, Houston, TX 77030 Phone: 713-500-7878 Fax: 713-500-0758 |