Dr Angela Nnebuchi Moemeka, MD | |
165 E. State Highway 121, Suite 110, Coppell, TX 75019-4237 | |
(972) 325-2005 | |
(972) 325-4175 |
Full Name | Dr Angela Nnebuchi Moemeka |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 165 E. State Highway 121, Suite 110, Coppell, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043246424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 045322 (Connecticut) | Secondary |
208000000X | Pediatrics | MD423227 (Pennsylvania) | Secondary |
208000000X | Pediatrics | Q5495 (Texas) | Primary |
Entity Name | Mark9health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952966475 PECOS PAC ID: 5799014387 Enrollment ID: O20191031002614 |
Mailing Address | Practice Location Address |
---|---|
Dr Angela Nnebuchi Moemeka, MD 165 E. State Highway 121, Suite 110, Coppell, TX 75019-4237 Ph: (972) 325-2005 | Dr Angela Nnebuchi Moemeka, MD 165 E. State Highway 121, Suite 110, Coppell, TX 75019-4237 Ph: (972) 325-2005 |
Dr. James Robert Ulanoski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 South Denton Tap Road, Suite 116, Coppell, TX 75077 Phone: 972-304-0091 Fax: 972-393-0959 | |
Tammi Lyn Schlichtemeier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1705 E Belt Line Rd, Coppell, TX 75019 Phone: 972-393-8687 Fax: 972-393-4975 | |
Sayaka Imagawa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 878 S Denton Tap Rd Ste 250, Coppell, TX 75019 Phone: 972-636-4016 Fax: 972-737-1069 | |
Dr. Julie Ann Taylor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 652 E Sandy Lake Road, Coppell, TX 75019 Phone: 972-304-9240 Fax: 972-304-9240 | |
Dr. Darletta Joan Kincaid, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019 Phone: 972-420-1475 Fax: 214-222-2435 | |
Dr. Mark Walker Holt, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019 Phone: 972-420-1475 Fax: 214-222-2435 |