Eldad Erez, MD | |
1500 Cooper St, Fort Worth, TX 76104-2710 | |
(682) 885-6400 | |
(682) 885-6101 |
Full Name | Eldad Erez |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 1500 Cooper St, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366552051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | M2317 (Texas) | Primary |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
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Eldad Erez, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Eldad Erez, MD 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-6400 |
Ghassan M Baslaim, Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-6400 Fax: 682-885-6101 | |
Dr. Carlos L Macias, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1325 Pennsylvania Ave Ste 550, Fort Worth, TX 76104 Phone: 817-250-7190 | |
Edo Kweku Setsoafia Bedzra, M.D., M.B.A. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-6400 | |
Phillip T. Burch, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-6400 | |
Dr. James E Anderson Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 900 W Rosedale St, Fort Worth, TX 76104 Phone: 817-885-7442 Fax: 817-885-7443 | |
S M Reza Khalafi, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 900 W Rosedale St, Fort Worth, TX 76104 Phone: 817-885-7442 Fax: 817-885-7443 | |
Dr. Paul Edosa Aifesehi, M.D., MPH Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-250-3117 |