Dr Lee Bostick Elam, MD | |
208 Oak Dr S Ste 400a, Lake Jackson, TX 77566-5640 | |
(979) 285-2900 | |
Not Available |
Full Name | Dr Lee Bostick Elam |
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Gender | Female |
Speciality | Pediatrics |
Location | 208 Oak Dr S Ste 400a, Lake Jackson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427411552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R9947 (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 |
Mailing Address | Practice Location Address |
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Dr Lee Bostick Elam, MD Po Box 650859, Dept 710, Dallas, TX 75265 Ph: (409) 772-2222 | Dr Lee Bostick Elam, MD 208 Oak Dr S Ste 400a, Lake Jackson, TX 77566-5640 Ph: (979) 285-2900 |
Dr. Loni Lynn Shepherd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 208 Oak Dr S, Suite 400, Lake Jackson, TX 77566 Phone: 979-285-2900 Fax: 979-285-2904 | |
Gerald W Bottenfield, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Lake Rd Ste 600, Lake Jackson, TX 77566 Phone: 979-297-7337 Fax: 979-297-9096 | |
Mr. Sreekar Maruvada, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Lake Rd Ste 800b, Lake Jackson, TX 77566 Phone: 979-299-6400 Fax: 979-299-6401 | |
Alan Douglas Strickland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Waterlily St, Lake Jackson, TX 77566 Phone: 979-265-5435 | |
Dr. Linda Renese Neely Shelmire, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 208 Oak Dr S Ste 400, Lake Jackson, TX 77566 Phone: 979-285-2900 | |
Kalyn Michelle Collard, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 210 Lake Rd Ste 600, Lake Jackson, TX 77566 Phone: 979-297-7337 Fax: 979-266-9076 |