| Sravani Kilaru, | |
|
905 N Gulf Blvd, Freeport, TX 77541-3907 | |
| (281) 824-1480 | |
| Not Available |
| Full Name | Sravani Kilaru |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 905 N Gulf Blvd, Freeport, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932984366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39964 (Texas) | Primary |
| Entity Name | Stephen F. Austin Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578730818 PECOS PAC ID: 6204977127 Enrollment ID: O20100113000886 |
| Mailing Address | Practice Location Address |
|---|---|
| Sravani Kilaru, 12400 Shadow Creek Pkwy Apt 2105, Pearland, TX 77584-7359 Ph: (571) 479-9154 | Sravani Kilaru, 905 N Gulf Blvd, Freeport, TX 77541-3907 Ph: (281) 824-1480 |
Dr. Jeffrey L Copeland, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1723 N Avenue K, Freeport, TX 77541 Phone: 979-233-1581 | |
Dr. Isaiah L Harris Jr., D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1723 N Avenue K, Freeport, TX 77541 Phone: 979-233-1581 Fax: 979-233-8355 | |
Farh El Alfy, Dentist Medicare: Medicare Enrolled Practice Location: 905 N Gulf Blvd, Freeport, TX 77541 Phone: 281-824-1490 Fax: 281-220-6407 | |
Dr. Lorena Chacon-smith, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 905 N Gulf Blvd, Freeport, TX 77541 Phone: 281-824-1490 Fax: 281-220-6407 |