Nannette F Crow, MD | |
2125 W Southlake Blvd Ste 107, Southlake, TX 76092-6758 | |
(817) 680-9858 | |
Not Available |
Full Name | Nannette F Crow |
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Gender | Female |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 2125 W Southlake Blvd Ste 107, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588642318 | NPI | - | NPPES |
043467204 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | H7416 (Texas) | Primary |
208000000X | Pediatrics | H7416 (Texas) | Secondary |
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 |
---|---|
Nannette F Crow, MD 2606 Parker Ct, Southlake, TX 76092-3240 Ph: (214) 803-2769 | Nannette F Crow, MD 2125 W Southlake Blvd Ste 107, Southlake, TX 76092-6758 Ph: (817) 680-9858 |
Daniel Peckenpaugh, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-748-8700 | |
Robert Frank Lutz Iii, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-557-8205 | |
Kent Alan Taub, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Fairway View Ter, Southlake, TX 76092 Phone: 214-649-1444 | |
Kristina Marie Dennington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Avenue, Ste #100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 | |
Meredith S Krebel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050 | |
James Alan Dennington, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 N Kimball Ave, Ste#100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 |