Katherine Elizabeth Thaller, MD | |
120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 | |
(254) 202-6100 | |
(254) 202-6195 |
Full Name | Katherine Elizabeth Thaller |
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Gender | Female |
Speciality | Pediatrics |
Location | 120 Hillcrest Medical Blvd Ste 100, Waco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144632530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L4145 (Texas) | Primary |
Entity Name | Hillcrest Family Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891796694 PECOS PAC ID: 4183612278 Enrollment ID: O20040505001729 |
Mailing Address | Practice Location Address |
---|---|
Katherine Elizabeth Thaller, MD Po Box 848476, Dallas, TX 75284-8476 Ph: (254) 202-4655 | Katherine Elizabeth Thaller, MD 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712-8949 Ph: (254) 202-6100 |
Dr. Mark A Lorenzen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301b Richland West Cir, Waco, TX 76712 Phone: 254-772-2722 Fax: 254-772-4075 | |
Dr. Priyadarshini Srinivasan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712 Phone: 254-297-0400 Fax: 254-297-0404 | |
Brian Edward Barkley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712 Phone: 254-202-6100 Fax: 254-202-6195 | |
Dr. Darrell Stafford Wheeler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Hillcrest Baptist Medical Blvd., Waco, TX 76712 Phone: 254-202-2911 Fax: 254-202-2919 | |
Oluwarotimi Oluwakemi Adesina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7125 New Sanger Ave Ste 516, Waco, TX 76712 Phone: 254-752-9638 | |
Dr. Cessley Marsellus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-297-0400 |