Shirley Desousa Lima, MD | |
210 Lake Rd Ste 300, Lake Jackson, TX 77566 | |
(979) 292-0502 | |
(979) 292-0531 |
Full Name | Shirley Desousa Lima |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 210 Lake Rd Ste 300, Lake Jackson, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740591858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | Q6060 (Texas) | Primary |
Entity Name | Baylor St Lukes Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
Entity Name | Brazosport Regional Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588982987 PECOS PAC ID: 9830375815 Enrollment ID: O20110510000309 |
Entity Name | Bayou City Hospitalists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114562261 PECOS PAC ID: 4789012204 Enrollment ID: O20200302000554 |
Mailing Address | Practice Location Address |
---|---|
Shirley Desousa Lima, MD Po Box 4105, Lake Jackson, TX 77566 Ph: (979) 292-0502 | Shirley Desousa Lima, MD 210 Lake Rd Ste 300, Lake Jackson, TX 77566 Ph: (979) 292-0502 |
Dr. Samatha Krishna Kadiyala, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 506 This Way St, Lake Jackson, TX 77566 Phone: 979-266-9544 Fax: 979-529-9737 | |
Ron Paul, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 220 Blackstock Ln, Lake Jackson, TX 77566 Phone: 979-265-6000 |