Lise Amy Labiche, | |
3535 S Interstate 35 E, Denton, TX 76210-6850 | |
(940) 384-3535 | |
(303) 306-7753 |
Full Name | Lise Amy Labiche |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Neurology |
Location | 3535 S Interstate 35 E, Denton, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487621306 | NPI | - | NPPES |
158290002 | Medicaid | TX | |
100221656 | Medicaid | WI | |
K9830 | Other | TX | TEXAS MEDICAL LICENSE |
P00477936 | Other | TX | RR MEDICARE |
Entity Name | Carle West Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20220607001523 |
Mailing Address | Practice Location Address |
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Lise Amy Labiche, Po Box 678186, Dallas, TX 75267-8186 Ph: (303) 306-7783 | Lise Amy Labiche, 3535 S Interstate 35 E, Denton, TX 76210-6850 Ph: (940) 384-3535 |
Charles F Yackulic, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 914 N Locust St, Denton, TX 76201 Phone: 940-387-6250 Fax: 940-387-6274 | |
Meena Piyush Patel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2519 Scripture St, Denton, TX 76201 Phone: 940-381-5000 Fax: 940-382-3707 | |
Dr. Imraan A Qureshi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2519 Scripture St, Denton, TX 76201 Phone: 940-381-5000 | |
Atique A Khan, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2026 W University Dr, Denton, TX 76201 Phone: 940-320-8100 | |
Wallace Robert Townsend-parchman, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 207 West Hickory St, Ste 110, Denton, TX 76201 Phone: 940-243-9367 Fax: 940-243-0398 | |
Dr. Jayaraman Ravindran, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3120 Medpark Dr, Ste 100, Denton, TX 76208 Phone: 940-383-1770 Fax: 940-566-2214 |