Patricia W Evans, MD | |
513 Sage Valley Dr, Richardson, TX 75080-2324 | |
(832) 298-6618 | |
Not Available |
Full Name | Patricia W Evans |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 513 Sage Valley Dr, Richardson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861429862 | NPI | - | NPPES |
170807502 | Other | TX | CSHCN |
8P2603 | Other | TX | BCBS |
170807501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L7925 (Texas) | Secondary |
208M00000X | Hospitalist | L7925 (Texas) | Primary |
Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
Mailing Address | Practice Location Address |
---|---|
Patricia W Evans, MD 513 Sage Valley Dr, Richardson, TX 75080-2324 Ph: (832) 298-6618 | Patricia W Evans, MD 513 Sage Valley Dr, Richardson, TX 75080-2324 Ph: (832) 298-6618 |
Mark Brickey, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 331 Melrose Dr Ste 220, Richardson, TX 75080 Phone: 469-828-1903 Fax: 469-374-3851 | |
Brandon Chu Lee, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 2831 East George Bush Highway, Richardson, TX 75082 Phone: 214-343-6663 Fax: 214-343-2814 | |
Tina Isaac, D.O. Hospitalist Medicare: Medicare Enrolled Practice Location: 2831 E President George Bush Hwy, Richardson, TX 75082 Phone: 214-343-6663 |