William Lawrence Mize, MD | |
400 Harborside Drive, Galveston, TX 77555-0001 | |
(409) 747-7334 | |
(409) 747-8579 |
Full Name | William Lawrence Mize |
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Gender | Male |
Speciality | Pediatrics |
Location | 400 Harborside Drive, Galveston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790776326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 01060385A (Indiana) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
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William Lawrence Mize, MD 301 University Blvd, Provider Enrollment -- Rt. 1022, Galveston, TX 77555-5302 Ph: (409) 747-7334 | William Lawrence Mize, MD 400 Harborside Drive, Galveston, TX 77555-0001 Ph: (409) 747-7334 |
Dr. Ann Blakley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3695 Fax: 832-340-2350 | |
Stephanie Therese Chung, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Oscar W. Brown, Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3303 Fax: 409-747-4995 | |
David P Mccormick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Rt 1022, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Akila Muthukumar, M.D., Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Chanthu Pillai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3365 Fax: 409-747-2213 | |
Shivaiah Balachandra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |