Dr Dustin Lane Corgan, MD | |
700 Medical Pkwy, Brenham, TX 77833-5413 | |
(979) 337-5000 | |
Not Available |
Full Name | Dr Dustin Lane Corgan |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 700 Medical Pkwy, Brenham, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821383316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | Q0029 (Texas) | Primary |
Entity Name | Century Integrated Partners, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
Mailing Address | Practice Location Address |
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Dr Dustin Lane Corgan, MD Po Box 650823 Dept #41534, Dallas, TX 75265-0823 Ph: (979) 337-5000 | Dr Dustin Lane Corgan, MD 700 Medical Pkwy, Brenham, TX 77833-5413 Ph: (979) 337-5000 |
Charles Anderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 Medical Pkwy, Brenham, TX 77833 Phone: 979-337-5000 | |
Dr. Chance Lynn Sims, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Medical Pkwy, Brenham, TX 77833 Phone: 979-337-5050 | |
John Thomas Mcdonnold Ii, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2455 Clay Creek Rd, Brenham, TX 77833 Phone: 979-251-8210 |