| Dr Anne Georgulas, MD | |
|
150 S Denton Tap Rd Ste 116, Coppell, TX 75019-3323 | |
| (972) 304-0091 | |
| (972) 393-0959 |
| Full Name | Dr Anne Georgulas |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 150 S Denton Tap Rd Ste 116, 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 |
|---|---|---|---|
| 1538248091 | NPI | - | NPPES |
| P0017BU5 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | J2379 (Texas) | Primary |
| Entity Name | Northeast Valley Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anne Georgulas, MD 150 S Denton Tap Rd Ste 116, Coppell, TX 75019-3323 Ph: (972) 304-0091 | Dr Anne Georgulas, MD 150 S Denton Tap Rd Ste 116, Coppell, TX 75019-3323 Ph: (972) 304-0091 |
Dr. Angela Nnebuchi Moemeka, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 165 E. State Highway 121, Suite 110, Coppell, TX 75019 Phone: 972-325-2005 Fax: 972-325-4175 | |
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 | |
Whitney Bledsoe, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 878 S Denton Tap Rd Ste 250, Coppell, TX 75019 Phone: 972-636-4016 | |
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 |