| Jason Victor Terk, MD | |
|
1601 Keller Pkwy, Keller, TX 76248-3703 | |
| (817) 431-1450 | |
| (817) 431-0424 |
| Full Name | Jason Victor Terk |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1601 Keller Pkwy, Keller, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528039880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | K3864 (Texas) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| 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 |
|---|---|
| Jason Victor Terk, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Jason Victor Terk, MD 1601 Keller Pkwy, Keller, TX 76248-3703 Ph: (817) 431-1450 |
Jiny Elizabeth Coronado, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10601 N Riverside Dr, Keller, TX 76244 Phone: 817-347-2600 Fax: 817-347-2670 | |
Sara Y Garza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Keller Pkwy, Keller, TX 76248 Phone: 817-431-1450 Fax: 817-431-0424 | |
Catherine F Hampton, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Keller Pkwy, Keller, TX 76248 Phone: 817-431-1450 Fax: 817-431-0424 | |
Anjanette Moore Selzer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 230 N Rufe Snow Dr, Keller, TX 76248 Phone: 817-337-5503 | |
Rochelle Annette Benson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10601 N Riverside Dr, Keller, TX 76244 Phone: 817-347-2600 Fax: 817-347-2670 | |
Dr. Omar A. Gomez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 230 N Rufe Snow Dr, Keller, TX 76248 Phone: 817-337-5503 Fax: 817-337-0110 | |
Kim P Mangham, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Keller Pkwy, Keller, TX 76248 Phone: 817-431-1450 Fax: 817-431-0424 |