Dr Goddy T Corpuz, MD | |
910 E Whitestone Blvd, Cedar Park, TX 78613-9093 | |
(512) 260-6100 | |
Not Available |
Full Name | Dr Goddy T Corpuz |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 910 E Whitestone Blvd, Cedar Park, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205958964 | NPI | - | NPPES |
278782200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME98600 (Florida) | Secondary |
208000000X | Pediatrics | N7244 (Texas) | Primary |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Dr Goddy T Corpuz, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Dr Goddy T Corpuz, MD 910 E Whitestone Blvd, Cedar Park, TX 78613-9093 Ph: (512) 260-6100 |
Dr. Brent G Nick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 E Whitestone Blvd Ste C, Cedar Park, TX 78613 Phone: 512-259-3467 | |
Dr. Betzi Sarah Mathew, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 345 Cypress Creek Rd, Suite 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 | |
Carrie Adele Danner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd, Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 | |
Lee Keegan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 345 Cypress Creek Rd, Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 | |
Kellie A Rice-monteiro, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 801 E Whitestone Blvd, Bldg C, Cedar Park, TX 78613 Phone: 512-259-3467 Fax: 512-406-7303 | |
Lindsey Nicole Moore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 |