| Dr Diana A Prablek, MD | |
| 4055 Valley View Ln, Dallas, TX 75244-5074 | |
| (469) 466-7420 | |
| Not Available | 
| Full Name | Dr Diana A Prablek | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 4055 Valley View Ln, 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 | 
|---|---|---|---|
| 1588689541 | NPI | - | NPPES | 
| 208051730 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 109302 (Missouri) | Secondary | 
| 207R00000X | Internal Medicine | 109302 (Missouri) | Primary | 
| Entity Name | Mercy Clinic Springfield Communities | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 | 
| Entity Name | Vpa Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760706337 PECOS PAC ID: 9234041948 Enrollment ID: O20100818000518 | 
| Entity Name | Southeastern Physician Services Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Diana A Prablek, MD 850 Deaver Ln, Saint Louis, MO 63141-7732 Ph: (314) 941-4896 | Dr Diana A Prablek, MD 4055 Valley View Ln, Dallas, TX 75244-5074 Ph: (469) 466-7420 | 
| Uma B.r.k Pakkivenkata, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 215, Dallas, TX 75231 Phone: 214-396-4950 Fax: 877-423-5360 | |
| Dr. Ariel Marcelo Modrykamien, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246 Phone: 402-972-6078 | |
| Benjamin Seth Martinez, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3111 Fax: 214-648-5461 | |
| Vijaya Mummadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 225, Dallas, TX 75231 Phone: 469-646-8880 Fax: 469-646-8884 | |
| Ting-yi Chen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2800 Fax: 214-645-2808 | |
| William Cook Langmade, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1441 N Beckley Ave, Dallas, TX 75203 Phone: 214-947-2306 | |
| Jacqueline Nicole Horst, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W Colorado Blvd Ste 525, Dallas, TX 75208 Phone: 214-960-5681 |