Melanie G Harston, DO | |
731 Martin Rd, Hurst, TX 76054-2703 | |
(817) 514-0346 | |
(817) 514-0885 |
Full Name | Melanie G Harston |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 731 Martin Rd, Hurst, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356421556 | NPI | - | NPPES |
00U87Z | Other | TX | BCBSTX GRP PIN |
1206706 | Other | TX | UHC PIN |
4565709 | Other | TX | AETNA PIN |
140470100 | Other | TX | FIRSTCARE PIN |
232536 | Other | TX | PHCS PIN |
89500X | Other | TX | BCBSTX IND PIN |
140442868 | Medicaid | TX | |
2760457 | Other | TX | CIGNA PIN |
060610501 | Medicaid | TX | |
140442828 | Medicaid | TX | |
1750369203 | Other | GRP NPI NUMBER | |
HARMF90995 | Other | TX | CCHIP PIN |
800324 | Other | TX | FIRSTHEALTH PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | J6957 (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 |
---|---|
Melanie G Harston, DO Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Melanie G Harston, DO 731 Martin Rd, Hurst, TX 76054-2703 Ph: (817) 514-0346 |
John H Dalton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 731 Martin Rd, Hurst, TX 76054 Phone: 817-514-0346 Fax: 817-514-0885 | |
Melissa B Adams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 731 Martin Rd, Hurst, TX 76054 Phone: 817-514-0346 Fax: 817-514-0885 | |
Prem N Saksena, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 731 Martin Rd, Hurst, TX 76054 Phone: 817-514-0346 Fax: 817-514-0885 | |
Prosanti K Chowdhury, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6316 Precinct Line Rd, Hurst, TX 76054 Phone: 817-605-2504 Fax: 817-605-2505 | |
Shams A Karimi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 731 Martin Rd, Hurst, TX 76054 Phone: 817-514-0346 Fax: 817-514-0885 | |
Diana A Huston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6316 Precinct Line Rd, Hurst, TX 76054 Phone: 817-605-2500 Fax: 817-605-2983 |