Dr Yolande Mfondoum Pengetnze, MD | |
4200 W University Dr, Prosper, TX 75078-9805 | |
(945) 204-4100 | |
(682) 885-1903 |
Full Name | Dr Yolande Mfondoum Pengetnze |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 4200 W University Dr, Prosper, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952574055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | N1059 (Texas) | Primary |
208000000X | Pediatrics | N1059 (Texas) | Secondary |
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 Yolande Mfondoum Pengetnze, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Dr Yolande Mfondoum Pengetnze, MD 4200 W University Dr, Prosper, TX 75078-9805 Ph: (945) 204-4100 |
Dai Nguyen, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Dr. Yetunde Olabosipo Kare-opaneye, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Nicole Kristen Nieman, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 | |
Kristi K Goodson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4100 W University Dr, Prosper, TX 75078 Phone: 945-204-4100 Fax: 682-885-1903 |