| Achala Ellepola, MD | |
|
8200 O'brian Way, North Richland Hills, TX 76180 | |
| (817) 702-4855 | |
| (817) 428-4413 |
| Full Name | Achala Ellepola |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 8200 O'brian Way, North Richland Hills, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881703023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | K6576 (Texas) | Primary |
| Entity Name | Health Services Of North Texas, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235154824 PECOS PAC ID: 0244211852 Enrollment ID: O20040528000992 |
| Entity Name | Acclaim Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Achala Ellepola, MD Po Box 732973, Dallas, TX 75373-2973 Ph: (817) 702-8450 | Achala Ellepola, MD 8200 O'brian Way, North Richland Hills, TX 76180 Ph: (817) 702-4855 |
Dr. Babatunde I Dosu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6905 Davis Blvd Ste 200, North Richland Hills, TX 76182 Phone: 817-922-0800 Fax: 817-922-0805 | |
Dr. Vibha Honkan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6101 Lake Way, North Richland Hills, TX 76180 Phone: 915-204-1268 | |
Chioma Muoghalu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6905 Davis Blvd Ste 200, North Richland Hills, TX 76182 Phone: 817-922-0800 Fax: 817-922-0805 |