Tina Isaac, DO | |
2831 E President George Bush Hwy, Richardson, TX 75082-3561 | |
(214) 343-6663 | |
Not Available |
Full Name | Tina Isaac |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2831 E President George Bush Hwy, 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 |
---|---|---|---|
1952637597 | NPI | - | NPPES |
391076201 | Medicaid | TX | |
528794 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | R9082 (Texas) | Secondary |
208000000X | Pediatrics | R9082 (Texas) | Primary |
Entity Name | Magella Medical Associates Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Mailing Address | Practice Location Address |
---|---|
Tina Isaac, DO 1121 E Spring Creek Pkwy, Ste. 110, #319, Plano, TX 75074 Ph: (214) 343-6663 | Tina Isaac, DO 2831 E President George Bush Hwy, Richardson, TX 75082-3561 Ph: (214) 343-6663 |
Laura Tryphena Hunt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 George Bush Hwy Ste 225, Richardson, TX 75082 Phone: 817-250-2892 | |
Michael D Stanley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 E President George Bush Hwy, Suite 250, Richardson, TX 75082 Phone: 972-437-5099 | |
Sung Hyun Paek, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 George Bush Hwy Ste 250, Richardson, TX 75082 Phone: 214-343-6663 Fax: 214-343-2814 | |
Dr. Linda Jane Knox, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 E. George Bush Turnpike, Suite 250, Richardson, TX 75082 Phone: 214-343-6663 Fax: 214-343-2814 | |
Dr. Beatriz Ruiz-yedwab, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2821 E President George Bush Hwy, Suite 308, Richardson, TX 75082 Phone: 214-320-1661 Fax: 214-320-1691 | |
Dr. Sarah Barber Troendle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1112 N Floyd Rd Ste 7, Richardson, TX 75080 Phone: 972-952-0280 | |
Dr. Gina Page Lummus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3001 E President George Bush Turnpike, Suite 250, Richardson, TX 75082 Phone: 972-437-5099 Fax: 214-343-2814 |