| Ken D Novak, PA | |
|
800 W. Eldorado Pkwy, Little Elm, TX 75068 | |
| (972) 292-0300 | |
| Not Available |
| Full Name | Ken D Novak |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 800 W. Eldorado Pkwy, Little Elm, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780608760 | NPI | - | NPPES |
| 182410403 | Medicaid | TX | |
| 182410401 | Medicaid | TX | |
| 182410404 | Medicaid | TX | |
| 182410405 | Medicaid | TX | |
| 182410402 | Medicaid | TX | |
| 182410406 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02025 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ken D Novak, PA 800 W. Eldorado Pkwy, Little Elm, TX 75068 Ph: (972) 292-0300 | Ken D Novak, PA 800 W. Eldorado Pkwy, Little Elm, TX 75068 Ph: (972) 292-0300 |
Synedra Inez Brumfield, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2652 Lake Ridge Dr, Little Elm, TX 75068 Phone: 469-693-1577 | |
Elechi N Oti, M.D AND PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2664 Whispering Trl, Little Elm, TX 75068 Phone: 214-718-0650 Fax: 214-494-2602 |