Mr Thomas E Deacon, MD | |
2828 Duke Of Gloucester St, Suite 106, Desoto, TX 75115-2067 | |
(972) 298-3888 | |
(972) 296-0838 |
Full Name | Mr Thomas E Deacon |
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Gender | Male |
Speciality | Pediatrics |
Location | 2828 Duke Of Gloucester St, Desoto, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265493282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | H4275 (Texas) | Primary |
Entity Name | Dallas Physician Medical Services For Children Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194153650 PECOS PAC ID: 1759607906 Enrollment ID: O20150305000673 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas E Deacon, MD 228 Royal Vista Dr, Cedar Hill, TX 75104-4800 Ph: (972) 293-6658 | Mr Thomas E Deacon, MD 2828 Duke Of Gloucester St, Suite 106, Desoto, TX 75115-2067 Ph: (972) 298-3888 |
Dr. Tesneem Issa, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 947 Scotland Dr Ste 101, Desoto, TX 75115 Phone: 214-217-4011 | |
Mr. Mark D Towns, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2828 Duke Of Gloucester St, Suite 106, Desoto, TX 75115 Phone: 972-298-3888 Fax: 972-296-0838 | |
Jerry Meldon Morgan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2727 Bolton Boone Suite 101, Desoto, TX 75115 Phone: 972-298-3308 Fax: 972-780-9006 | |
Joselita D Rodriguez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2727 Bolton Boone Dr Ste 111, Desoto, TX 75115 Phone: 972-298-1878 Fax: 972-298-1952 | |
Dr. Ghadir Abdelhadi Issa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 947 Scotland Dr Ste 101, Desoto, TX 75115 Phone: 214-217-4011 Fax: 217-217-4016 | |
Mr. Louis A. Hunke, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2828 Duke Of Gloucester St, Suite 106, Desoto, TX 75115 Phone: 972-298-3888 Fax: 972-296-0838 |