| Alexander Charles Deri, MD | |
|
2700 E Broad St, Mansfield, TX 76063-5899 | |
| (682) 242-2000 | |
| Not Available |
| Full Name | Alexander Charles Deri |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2700 E Broad St, Mansfield, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366025934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | V1069 (Texas) | Primary |
| Entity Name | Texas Physician Resources, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639413289 PECOS PAC ID: 7012161375 Enrollment ID: O20130214000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Charles Deri, MD 2700 E Broad St, Mansfield, TX 76063-5899 Ph: (682) 242-2000 | Alexander Charles Deri, MD 2700 E Broad St, Mansfield, TX 76063-5899 Ph: (682) 242-2000 |
Dr. Leroy Paul Foster Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2208 Stonebridge Ln, Mansfield, TX 76063 Phone: 817-453-5123 Fax: 817-453-5124 | |
Dr. Jerry Lamont Mckenzie, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 E Broad St, Mansfield, TX 76063 Phone: 817-453-5912 | |
Kimberli Omwanghe, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 Regency Pkwy Ste 121, Mansfield, TX 76063 Phone: 817-477-5884 Fax: 817-453-8091 | |
Dr. Shawn M. Corwin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 N Walnut Creek Dr, Mansfield, TX 76063 Phone: 817-453-6980 | |
Mr. Warren Paul Roquet, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12012 Saddlehorn Ln, Mansfield, TX 76063 Phone: 979-492-9268 | |
Shoaib H Saya, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 987 N Walnut Creek Dr Ste 101, Mansfield, TX 76063 Phone: 682-214-4405 Fax: 682-214-3404 |