| Christopher Dallo, MD | |
|
1401 Medical Parkway Building B, Suite 200, Cedar Park, TX 78613-5026 | |
| (512) 260-1581 | |
| Not Available |
| Full Name | Christopher Dallo |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1401 Medical Parkway Building B, Suite 200, Cedar Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063071199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | V8973 (Texas) | Primary |
| 207N00000X | Dermatology | 2023028374 (Missouri) | Secondary |
| Entity Name | Bothwell Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
| Entity Name | Epiphany Dermatology Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528573342 PECOS PAC ID: 1153689294 Enrollment ID: O20171219003630 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Dallo, MD 6210 E Hwy 290, Austin, TX 78723-1142 Ph: () - | Christopher Dallo, MD 1401 Medical Parkway Building B, Suite 200, Cedar Park, TX 78613-5026 Ph: (512) 260-1581 |
Eliana Figueredo Zamora, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1515 Medical Pkwy Ste 100, Cedar Park, TX 78613 Phone: 512-260-5860 Fax: 512-260-5859 | |
Dr. Christopher Riddell Jones Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 N Lakeline Blvd Ste A, Cedar Park, TX 78613 Phone: 512-617-3000 Fax: 512-309-7034 | |
Aubrey Chad Hartmann, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1401 Medical Pkwy, Building B, Suite 300, Cedar Park, TX 78613 Phone: 512-260-5860 Fax: 512-260-5859 | |
Laura Jeanne Lester, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1401 Medical Pkwy, Building B Suite 300, Cedar Park, TX 78613 Phone: 512-260-5860 | |
Dr. Hubert Martin Chodkiewicz, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 S Lakeline Blvd Ste A, Cedar Park, TX 78613 Phone: 512-617-3000 Fax: 512-572-5186 | |
Dr. Donna Rose Hart, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 S Lakeline Blvd Ste A, Cedar Park, TX 78613 Phone: 512-617-3000 Fax: 512-572-5179 |