Dr Erica J Zwernemann, MD | |
731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 | |
(817) 912-8800 | |
(817) 912-8810 |
Full Name | Dr Erica J Zwernemann |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 731 E Southlake Blvd, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427079300 | NPI | - | NPPES |
85496X | Other | TX | BCBS |
045546101 | Medicaid | TX | |
045546102 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L0731 (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 |
---|---|
Dr Erica J Zwernemann, MD 731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 Ph: (817) 912-8800 | Dr Erica J Zwernemann, MD 731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 Ph: (817) 912-8800 |
Dr. Atoosa Kourosh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1170 N Carroll Ave, Southlake, TX 76092 Phone: 214-702-6550 Fax: 214-894-4182 | |
Michelle M Mckane, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050 | |
Dr. Arthur Eric Benzick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, 100, Southlake, TX 76092 Phone: 817-424-3366 Fax: 817-552-8540 | |
Magda Fawzy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026 | |
Roger S Knapp Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 480 W Southlake Blvd, Ste 133, Southlake, TX 76092 Phone: 817-329-9234 Fax: 817-329-9239 | |
Jacqueline R Hanna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026 |