Dr Alexandria Lynn Lutley, MD | |
1500 Cooper St, Fort Worth, TX 76104-2710 | |
(682) 885-2500 | |
Not Available |
Full Name | Dr Alexandria Lynn Lutley |
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Gender | Female |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 1500 Cooper St, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699036129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | T9736 (Texas) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
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Dr Alexandria Lynn Lutley, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483 | Dr Alexandria Lynn Lutley, MD 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-2500 |
Mandeep Singh Chahil, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 713 Grainger St, Fort Worth, TX 76104 Phone: 817-336-3968 Fax: 817-336-3917 | |
Dr. Melissa Pennington, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-3636 | |
Syed Muhammad Ali Imran Bukhari, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6200 Overton Ridge Blvd, Fort Worth, TX 76132 Phone: 817-361-1991 | |
Prema Manjunath, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769 | |
Jose Ramon Silvas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769 | |
Ramakrishna Veluri, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5560 Mesa Springs Dr, Fort Worth, TX 76123 Phone: 682-477-3534 Fax: 682-477-3602 | |
Holly Cannon, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2400 |