Dr Mazyar Malakouti, MD | |
505 S Nolen Dr Ste A, Southlake, TX 76092-9167 | |
(817) 424-1525 | |
(817) 424-3491 |
Full Name | Dr Mazyar Malakouti |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 11 Years |
Location | 505 S Nolen Dr Ste A, Southlake, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962845305 | NPI | - | NPPES |
371268901 | Medicaid | TX | |
371268902 | Other | TX | CSHCN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R1079 (Texas) | Secondary |
208M00000X | Hospitalist | R1079 (Texas) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | R1079 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Digestive Disease Consultants Pllc | 3375531379 | 538 |
Entity Name | Texas Digestive Disease Consultants Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844 |
Mailing Address | Practice Location Address |
---|---|
Dr Mazyar Malakouti, MD 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 Ph: () - | Dr Mazyar Malakouti, MD 505 S Nolen Dr Ste A, Southlake, TX 76092-9167 Ph: (817) 424-1525 |
Joseph Jasser, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 501 King Ranch Rd, Southlake, TX 76092 Phone: 916-851-2600 | |
Unknown Priyanka, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1207 S White Chapel Blvd Ste 275, Southlake, TX 76092 Phone: 682-416-9120 | |
Rina Sarkar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 630 N Kimball Ave, Suite# 110, Southlake, TX 76092 Phone: 817-488-8080 | |
Dr. Azaan Ramani, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 505 S Nolen Dr Ste A, Southlake, TX 76092 Phone: 817-424-1525 Fax: 817-424-3491 | |
Dr. Sharmila Devidoss, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 701 Monte Carlo Dr, Southlake, TX 76092 Phone: 817-733-9367 | |
Raetasha Sheavette Dabney, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Ste 470, Southlake, TX 76092 Phone: 214-379-2700 Fax: 972-869-3875 | |
Dr. Jeffrey A Smith, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 505 S Nolen Dr, Southlake, TX 76092 Phone: 817-424-1525 Fax: 817-424-3491 |