Dr Kanika Alake Bowen-jallow, MD | |
4200 W University Dr, Prosper, TX 75078-9805 | |
(682) 303-4200 | |
Not Available |
Full Name | Dr Kanika Alake Bowen-jallow |
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Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 4200 W University Dr, Prosper, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760686364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | N3512 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
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Dr Kanika Alake Bowen-jallow, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Dr Kanika Alake Bowen-jallow, MD 4200 W University Dr, Prosper, TX 75078-9805 Ph: (682) 303-4200 |
Dr. Daniel Joseph Rizzo, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 221 N Preston Rd, Prosper, TX 75078 Phone: 972-665-6501 | |
Dr. Sifrance Tran, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4200 W University Dr, Prosper, TX 75078 Phone: 682-303-4200 Fax: 682-303-4242 | |
Dr. Bradley J Hart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 N Preston Rd Ste D, Prosper, TX 75078 Phone: 469-750-2277 Fax: 469-750-2886 |