Dr Nicole Lowery Lanman, MD | |
501 Woodbridge Parkway, Wylie, TX 75098 | |
(972) 442-2300 | |
(972) 442-2180 |
Full Name | Dr Nicole Lowery Lanman |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 501 Woodbridge Parkway, Wylie, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063413201 | NPI | - | NPPES |
174063101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MDL9304 (Texas) | Primary |
Entity Name | Dallas Physician Medical Services For Children Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194153650 PECOS PAC ID: 1759607906 Enrollment ID: O20150305000673 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole Lowery Lanman, MD Po Box 125, Wylie, TX 75098-0125 Ph: (972) 442-2300 | Dr Nicole Lowery Lanman, MD 501 Woodbridge Parkway, Wylie, TX 75098 Ph: (972) 442-2300 |
Dr. Sonia Shukla-ahluwalia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3360 W. Fm 544, #910, Wylie, TX 75098 Phone: 972-429-4800 Fax: 469-757-4890 | |
Dr. Maimoona Qamar, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 303 S Highway 78 Ste 106, Wylie, TX 75098 Phone: 972-801-9689 | |
Dr. George Daniel Mingea, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 189 Mallard Pt, Wylie, TX 75098 Phone: 972-429-5809 | |
Neethu M Mathew, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 Woodbridge Pkwy, Wylie, TX 75098 Phone: 972-442-2300 | |
Dr. Jyotsna Kuppannagari, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 303 S Highway 78 Ste 106, Wylie, TX 75098 Phone: 940-381-1501 Fax: 972-801-9015 | |
Mai Phuong Tran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 Woodbridge Pkwy, Wylie, TX 75098 Phone: 972-442-2300 |