| Amanda E Hathaway, MD | |
| 
					1595 Lake Front Cir, The Woodlands, TX 77380-3604  | |
| (281) 292-8980 | |
| (281) 292-8070 | 
| Full Name | Amanda E Hathaway | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1595 Lake Front Cir, The Woodlands, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326319880 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208M00000X | Hospitalist | P1873 (Texas) | Secondary | 
| 208000000X | Pediatrics | P1873 (Texas) | Primary | 
| Entity Name | Pediatrix Medical Group Of Texas Billing Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Amanda E Hathaway, MD 1595 Lake Front Cir, The Woodlands, TX 77380-3604 Ph: (281) 292-8980  | Amanda E Hathaway, MD 1595 Lake Front Cir, The Woodlands, TX 77380-3604 Ph: (281) 292-8980  | 
Dr. Joan Saunders Purcell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 W Panther Creek Dr, Ste 100, The Woodlands, TX 77381 Phone: 281-364-8600 Fax: 281-298-2005  | |
Roland Flanagan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4545 Research Forest Dr, A, The Woodlands, TX 77381 Phone: 281-367-5100  | |
Natasha Irani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4545 Research Forest Dr, A, The Woodlands, TX 77381 Phone: 281-367-5100  | |
Krystal I Wilson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4800 W Panther Creek Dr, Ste 100, The Woodlands, TX 77381 Phone: 281-364-8600 Fax: 281-298-2005  | |
Dr. Metin Erol Goktepe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6707 Sterling Ridge Dr Ste A, The Woodlands, TX 77382 Phone: 281-296-2656 Fax: 281-367-1286  | |
Dr. Tiffany Leah Molina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9250 Pinecroft Drive, The Woodlands, TX 77380 Phone: 713-897-2573 Fax: 713-897-2522  | |
Richard Vadala, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1011 Medical Plaza Dr, 220, The Woodlands, TX 77380 Phone: 281-296-9119  |