Dr Julio Bracero-rodriguez, MD | |
10925 Estate Ln Ste W302, Dallas, TX 75238-2315 | |
(214) 256-1867 | |
(214) 292-9743 |
Full Name | Dr Julio Bracero-rodriguez |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 10925 Estate Ln Ste W302, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376870253 | NPI | - | NPPES |
352582602 | Medicaid | TX | |
352582604 | Medicaid | TX | |
352582603 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | Q3150 (Texas) | Primary |
Entity Name | Martin Luther King Jr Family Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851492557 PECOS PAC ID: 1456248673 Enrollment ID: O20040302001300 |
Mailing Address | Practice Location Address |
---|---|
Dr Julio Bracero-rodriguez, MD 10925 Estate Ln Ste W302, Dallas, TX 75238-2315 Ph: (214) 256-1867 | Dr Julio Bracero-rodriguez, MD 10925 Estate Ln Ste W302, Dallas, TX 75238-2315 Ph: (214) 256-1867 |
Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438 | |
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754 | |
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180 | |
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437 | |
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604 | |
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130 | |
Sana Jamil Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-0488 Fax: 214-456-4486 |