Shirley Courim Joslin, MD | |
1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065-5591 | |
(972) 723-1474 | |
(972) 723-9423 |
Full Name | Shirley Courim Joslin |
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Gender | Female |
Speciality | Pediatrics |
Location | 1441 S Midlothian Pkwy, Midlothian, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912940172 | NPI | - | NPPES |
8BR062 | Other | TX | BCBS |
1151011-01 | Medicaid | TX | |
115101105 | Medicaid | TX | |
84Y715 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | J0033 (Texas) | Primary |
Entity Name | Healthtexas Provider Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
---|---|
Shirley Courim Joslin, MD 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065-5591 Ph: (972) 723-1474 | Shirley Courim Joslin, MD 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065-5591 Ph: (972) 723-1474 |
Kimberly Karla Sweet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065 Phone: 972-723-1474 Fax: 972-723-9423 | |
James Ethan Hancock, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 S Midlothian Pkwy Ste 100, Midlothian, TX 76065 Phone: 469-800-9600 | |
Stephanie Pagan Watabe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 S Midlothian Pkwy, Midlothian, TX 76065 Phone: 469-800-9600 |