Dr Ryan Head, MD | |
2714 N University Dr, Ste 100, Nacogdoches, TX 75965-2974 | |
(936) 305-5050 | |
(903) 305-5151 |
Full Name | Dr Ryan Head |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 2714 N University Dr, Nacogdoches, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386873081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 760-L (Mississippi) | Secondary |
208000000X | Pediatrics | Q3007 (Texas) | Primary |
Entity Name | Louisiana State University Health Sciences Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Head, MD 2714 N University Dr, Ste 100, Nacogdoches, TX 75965-2974 Ph: (936) 305-5050 | Dr Ryan Head, MD 2714 N University Dr, Ste 100, Nacogdoches, TX 75965-2974 Ph: (936) 305-5050 |
Dr. Melinda E. Wenner, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2702 N University Dr, Nacogdoches, TX 75965 Phone: 936-205-5805 Fax: 936-205-5997 | |
Dr. James Knox Dowling, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2106 N. Raguet, Nacogdoches, TX 75961 Phone: 936-468-4008 Fax: 936-468-1316 | |
Dr. Flamen Ball, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2106 North Raguet St., Nacogdoches, TX 75961 Phone: 936-468-4008 Fax: 936-468-1316 | |
Mrs. Modupe Arinuke Sokunbi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 626 Russell Blvd, Suite A, Nacogdoches, TX 75965 Phone: 936-552-7216 Fax: 936-552-7274 | |
Dr. Amy Huggins, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3614 N University Dr, Nacogdoches, TX 75965 Phone: 936-560-9000 Fax: 936-560-9009 | |
Dr. Mary F. Barnette, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3614 N University Dr, Nacogdoches, TX 75965 Phone: 936-560-9000 Fax: 936-560-9009 |