Wilfred L Raine, MD | |
3131 S Center St, Arlington, TX 76014-2007 | |
(817) 375-1413 | |
(817) 261-0013 |
Full Name | Wilfred L Raine |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3131 S Center St, Arlington, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144305384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G2616 (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 |
---|---|
Wilfred L Raine, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Wilfred L Raine, MD 3131 S Center St, Arlington, TX 76014-2007 Ph: (817) 375-1413 |
Dalila Vite Riojas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4201 Interway Place, Arlington, TX 76018 Phone: 817-652-9192 Fax: 817-652-3011 | |
Dr. Linh Doan-pham, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3120 Matlock Rd, Suite 201, Arlington, TX 76015 Phone: 817-467-0889 | |
Dr. Shehla Rizvi Shah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2624 Matlock Rd Ste 110, Arlington, TX 76015 Phone: 817-275-8131 Fax: 817-795-9700 | |
Dr. Tram T Nguyen, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 912 E Park Row Dr, Arlington, TX 76010 Phone: 817-277-2977 Fax: 817-277-4750 | |
Dr. Keith Hanna Harmon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 950 N Davis Dr, Suite 4, Arlington, TX 76012 Phone: 817-460-0104 Fax: 817-860-2184 | |
Dr. Edward E Moayyad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2624 Matlock Rd Ste 110, Arlington, TX 76015 Phone: 817-275-8131 Fax: 817-795-9700 | |
Dr. Scott Christopher Tisdell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 W Randol Mill, Arlington, TX 76012 Phone: 817-548-6514 Fax: 817-548-6173 |