| Diana B Reggiardo, MD | |
|
6300 Harry Hines Blvd # 110, Pediatrics Primary Care Clinic, Dallas, TX 75235-5259 | |
| (214) 266-0100 | |
| (214) 266-0113 |
| Full Name | Diana B Reggiardo |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6300 Harry Hines Blvd # 110, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386628808 | NPI | - | NPPES |
| 119089405 | Medicaid | TX | |
| 119089409 | Medicaid | TX | |
| 119089412 | Medicaid | TX | |
| 119089414 | Medicaid | TX | |
| 119089416 | Medicaid | TX | |
| 119089418 | Medicaid | TX | |
| 119089415 | Medicaid | TX | |
| 119089403 | Medicaid | TX | |
| 119089408 | Medicaid | TX | |
| 119089417 | Medicaid | TX | |
| 119089411 | Medicaid | TX | |
| 84679F | Other | TX | BLUE CROSS BLUE SHIELD |
| 119089419 | Medicaid | TX | |
| 119089422 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | H9703 (Texas) | Primary |
| Entity Name | Dallas County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831198506 PECOS PAC ID: 8325934813 Enrollment ID: O20040315000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana B Reggiardo, MD Po Box 660599, Dallas, TX 75266-0599 Ph: () - | Diana B Reggiardo, MD 6300 Harry Hines Blvd # 110, Pediatrics Primary Care Clinic, Dallas, TX 75235-5259 Ph: (214) 266-0100 |
Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438 | |
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754 | |
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180 | |
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437 | |
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604 | |
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130 | |
Amanda June Clark, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 615-943-4809 |