Roger S Knapp Ii, MD | |
480 W Southlake Blvd, Ste 133, Southlake, TX 76092-6162 | |
(817) 329-9234 | |
(817) 329-9239 |
Full Name | Roger S Knapp Ii |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 480 W Southlake Blvd, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457436602 | NPI | - | NPPES |
87350S | Other | TX | BCBSTX IND PIN |
KNARC17962 | Other | TX | CCHIP PIN |
152424 | Other | TX | PHCS PIN |
4369262 | Other | TX | AETNA PIN |
737821 | Other | TX | FIRSTHEALTH PIN |
00U87Z | Other | TX | BCBSTX GRP PIN |
1750369203 | Other | GRP NPI NUMBER | |
117218102 | Medicaid | TX | |
140442831 | Medicaid | TX | |
47652 | Other | TX | UHC PIN |
140442870 | Medicaid | TX | |
2961700 | Other | TX | CIGNA PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E1001 (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 |
---|---|
Roger S Knapp Ii, MD Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Roger S Knapp Ii, MD 480 W Southlake Blvd, Ste 133, Southlake, TX 76092-6162 Ph: (817) 329-9234 |
Dr. Atoosa Kourosh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1170 N Carroll Ave, Southlake, TX 76092 Phone: 214-702-6550 Fax: 214-894-4182 | |
Michelle M Mckane, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050 | |
Dr. Arthur Eric Benzick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, 100, Southlake, TX 76092 Phone: 817-424-3366 Fax: 817-552-8540 | |
Magda Fawzy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026 | |
Dr. Erica J Zwernemann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-912-8800 Fax: 817-912-8810 | |
Jacqueline R Hanna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026 |