Dr Michelle Burnside Fowers, MD | |
400 W Ih 635 Fwy, Suite 250, Irving, TX 75063-3718 | |
(972) 481-6400 | |
(972) 831-9794 |
Full Name | Dr Michelle Burnside Fowers |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 400 W Ih 635 Fwy, Irving, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043243744 | NPI | - | NPPES |
151910001 | Medicaid | TX | |
8F3458 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L3302 (Texas) | Primary |
Entity Name | Healthtexas Provider Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
---|---|
Dr Michelle Burnside Fowers, MD 400 W Ih 635 Fwy, Suite 250, Irving, TX 75063-3718 Ph: (972) 481-6400 | Dr Michelle Burnside Fowers, MD 400 W Ih 635 Fwy, Suite 250, Irving, TX 75063-3718 Ph: (972) 481-6400 |
Vicky R Taylor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6724 Verde #228, Irving, TX 75039 Phone: 972-978-7473 | |
Joan P Kay, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2021 N Macarthur Blvd, Suite 250, Irving, TX 75061 Phone: 972-253-4310 Fax: 972-253-4326 | |
Dr. Satish Goel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8850 N. Macarthur Boulevard, 102, Irving, TX 75766 Phone: 972-444-8632 Fax: 972-444-8691 | |
Darlene Annie Kurian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6750 N Macarthur Blvd, Ste 206, Irving, TX 75039 Phone: 972-253-4345 Fax: 972-253-6425 | |
Hiren Anil Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 204 Seva Ct, Irving, TX 75061 Phone: 121-499-8632 | |
Agboola O Fatiregun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3501 N Macarthur Blvd Ste 450, Irving, TX 75062 Phone: 972-786-0330 Fax: 972-739-2894 |