Dr Theodora E Paul, DO | |
13954 W Waddell Rd, Suite 307, Surprise, AZ 85379-8750 | |
(623) 584-0760 | |
(623) 546-0344 |
Full Name | Dr Theodora E Paul |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 13954 W Waddell Rd, Surprise, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588868103 | NPI | - | NPPES |
396843 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4324 (Arizona) | Primary |
Entity Name | Heavenly Soles Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114342169 PECOS PAC ID: 9739403478 Enrollment ID: O20150128001487 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodora E Paul, DO 13954 W Waddell Rd, Suite 307, Surprise, AZ 85379-8750 Ph: (623) 584-0760 | Dr Theodora E Paul, DO 13954 W Waddell Rd, Suite 307, Surprise, AZ 85379-8750 Ph: (623) 584-0760 |
Jacqueline Kristina Dumagpi, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13995 W Statler Blvd, Surprise, AZ 85374 Phone: 623-478-3100 | |
Dr. Dapinderjit Singh Gill, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 623-583-3001 | |
Vicki Denise Copeland, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092 Fax: 623-815-9253 | |
Neena K Uppal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14674 W Mountain View Blvd # 200, Surprise, AZ 85374 Phone: 623-544-6860 Fax: 623-544-6861 | |
Gurvinder Singh Dhaliwal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13995 W Statler Blvd Ste 200, Surprise, AZ 85374 Phone: 623-478-3100 Fax: 623-478-3300 | |
Mr. Walter Richard Hadikin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14973 W Bell Rd, Ste #100, Surprise, AZ 85374 Phone: 623-815-2900 Fax: 623-583-1319 | |
Michael Raymond Brady, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12100 N Dysart Rd Ste 104, Surprise, AZ 85379 Phone: 602-491-0703 |