| Dr Amanda T Schuck-phan, DO | |
|
920 Medical Plaza Dr Ste 140, Shenandoah, TX 77380-3751 | |
| (713) 486-6760 | |
| (713) 486-6784 |
| Full Name | Dr Amanda T Schuck-phan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 920 Medical Plaza Dr Ste 140, Shenandoah, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134351539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | P0133 (Texas) | Secondary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | P0133 (Texas) | Primary |
| Entity Name | Ut Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
| Entity Name | Physicians Referral Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda T Schuck-phan, DO Po Box 2018088, Houston, TX 77216-1088 Ph: (134) 866-7607 | Dr Amanda T Schuck-phan, DO 920 Medical Plaza Dr Ste 140, Shenandoah, TX 77380-3751 Ph: (713) 486-6760 |
Mr. Alfred John Martinez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9250 Pinecroft Dr, Shenandoah, TX 77380 Phone: 713-897-2304 | |
Asma Nihal Siddiqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Vision Park Blvd, Shenandoah, TX 77384 Phone: 713-442-1800 | |
Dr. Paula Jean Kruppstadt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Pine Forest Dr Ste 701, Shenandoah, TX 77384 Phone: 281-725-6767 Fax: 888-886-9009 | |
Sadiya Hakim Jamal, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Vision Park Blvd, Shenandoah, TX 77384 Phone: 713-442-1800 | |
Sophie Lung, Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Vision Park Blvd, Shenandoah, TX 77384 Phone: 713-442-1800 | |
Nathan Ryan Sinsheimer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 106 Vision Park Blvd, Shenandoah, TX 77384 Phone: 713-442-1800 |