Dr Ezhilarasi Manickavasagam, MD | |
2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504-7011 | |
(877) 800-5722 | |
Not Available |
Full Name | Dr Ezhilarasi Manickavasagam |
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Gender | Female |
Speciality | Pediatrics |
Location | 2112 Sw H K Dodgen Loop Ste 110, Temple, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013171412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | S2837 (Texas) | Primary |
Entity Name | Lone Star Circle Of Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184 |
Mailing Address | Practice Location Address |
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Dr Ezhilarasi Manickavasagam, MD 205 E University Ave Ste 200, Georgetown, TX 78626-6821 Ph: (512) 686-0207 | Dr Ezhilarasi Manickavasagam, MD 2112 Sw H K Dodgen Loop Ste 110, Temple, TX 76504-7011 Ph: (877) 800-5722 |
Dr. Madhava Reddy Beeram, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-935-4000 | |
Dr. Michael C. Smith, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Edwin Hernandez Caro, Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 Phone: 254-724-5437 | |
Dr. Alisa Ana Acosta, MD, MPH Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Holly Mead Fatter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-5092 | |
Parneet Dhaliwal, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 South 31st Street, Ms-ck 300, Temple, TX 76508 Phone: 254-935-5063 |