Igho C Olobia, MD | |
541 W Main St Ste 110, Lewisville, TX 75057 | |
(469) 702-6633 | |
(469) 702-6636 |
Full Name | Igho C Olobia |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 541 W Main St Ste 110, Lewisville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376517524 | NPI | - | NPPES |
040592001 | Medicaid | TX | |
040592007 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | K4178 (Texas) | Primary |
Entity Name | Star Pediatric Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174008692 PECOS PAC ID: 4183955503 Enrollment ID: O20191015003241 |
Mailing Address | Practice Location Address |
---|---|
Igho C Olobia, MD 541 W Main St Ste 110, Lewisville, TX 75057-3628 Ph: (469) 702-6633 | Igho C Olobia, MD 541 W Main St Ste 110, Lewisville, TX 75057 Ph: (469) 702-6633 |
Kathryn Hasson Levy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2141 S Edmonds Ln, Lewisville, TX 75067 Phone: 972-315-8500 Fax: 972-315-8512 | |
Alfredo O Santesteban, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Winnipeg Dr, Revenue Management, Lewisville, TX 75077 Phone: 469-464-3150 | |
Lizy Varughese, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Fm 544 Ste 100, Lewisville, TX 75056 Phone: 972-316-7400 Fax: 972-316-0907 | |
Sindhu E Philip, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 541 W Main St Ste 110, Lewisville, TX 75057 Phone: 469-702-6633 Fax: 469-702-6636 | |
John G. Ogden, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2141 S Edmonds Ln, Lewisville, TX 75067 Phone: 972-315-8500 Fax: 972-315-8512 | |
Dr. Afser Tasneem, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 541 W Main St Ste 110, Lewisville, TX 75057 Phone: 469-702-6633 Fax: 469-702-6633 |