Dr Nnenna Gebechi Agim, MD | |
8144 Walnut Hill Ln Ste 1300, Dallas, TX 75231-4365 | |
(214) 420-7070 | |
(214) 420-7380 |
Full Name | Dr Nnenna Gebechi Agim |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 8144 Walnut Hill Ln Ste 1300, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962603639 | NPI | - | NPPES |
BP2-0026679 | Other | INSTITUTIONAL PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | M8472 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639808652 PECOS PAC ID: 3779471701 Enrollment ID: O20220629000019 |
Mailing Address | Practice Location Address |
---|---|
Dr Nnenna Gebechi Agim, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Nnenna Gebechi Agim, MD 8144 Walnut Hill Ln Ste 1300, Dallas, TX 75231-4365 Ph: (214) 420-7070 |
Titilola Sode, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-590-8000 | |
Dr. Jon Davis Pruett, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8201 Preston Rd Ste 440, Dallas, TX 75225 Phone: 214-675-3227 | |
Dr. Daniel D. Witheiler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1411 N Beckley Ave, Pavilion Iii, Suite 470, Dallas, TX 75203 Phone: 214-941-7546 Fax: 214-941-2442 | |
Dr. Lynne Jeanine Roberts, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 8144 Walnut Hill Ln, Ste 360, Dallas, TX 75231 Phone: 469-232-9300 Fax: 469-232-9850 | |
Patrick Henry Mcdonough, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6162 E Mockingbird Ln, Suite 120, Dallas, TX 75214 Phone: 214-463-8328 | |
Juliet F Gibson, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8144 Walnut Hill Ln Ste 1300, Dallas, TX 75231 Phone: 214-420-7070 Fax: 214-420-7380 | |
Dr. Martin Alan Menter, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3900 Junius St, Suite 145, Dallas, TX 75246 Phone: 972-386-7546 Fax: 972-701-8008 |