Sophie Lung, | |
106 Vision Park Blvd, Shenandoah, TX 77384-3000 | |
(713) 442-1800 | |
Not Available |
Full Name | Sophie Lung |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 106 Vision Park Blvd, Shenandoah, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285863449 | NPI | - | NPPES |
204041204 | Medicaid | TX | |
204041202 | Medicaid | TX | |
204041203 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | N1745 (Texas) | Primary |
Entity Name | Kelsey-seybold Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Mailing Address | Practice Location Address |
---|---|
Sophie Lung, 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Sophie Lung, 106 Vision Park Blvd, Shenandoah, TX 77384-3000 Ph: (713) 442-1800 |
Mr. Alfred John Martinez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9250 Pinecroft Dr, Shenandoah, TX 77380 Phone: 713-897-2304 | |
Asma Nihal Siddiqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Vision Park Blvd, Shenandoah, TX 77384 Phone: 713-442-1800 | |
Dr. Amanda T Schuck-phan, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 920 Medical Plaza Dr Ste 140, Shenandoah, TX 77380 Phone: 713-486-6760 Fax: 713-486-6784 | |
Dr. Paula Jean Kruppstadt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Pine Forest Dr Ste 701, Shenandoah, TX 77384 Phone: 281-725-6767 Fax: 888-886-9009 | |
Sadiya Hakim Jamal, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Vision Park Blvd, Shenandoah, TX 77384 Phone: 713-442-1800 | |
Nathan Ryan Sinsheimer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Vision Park Blvd, Shenandoah, TX 77384 Phone: 713-442-1800 |