| Dr Angela Pilcher Black, MD | |
|
601b Leah Ave, Suite B, San Marcos, TX 78666-7849 | |
| (512) 392-1700 | |
| (512) 396-8743 |
| Full Name | Dr Angela Pilcher Black |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 601b Leah Ave, San Marcos, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972671733 | NPI | - | NPPES |
| 147758001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | L6792 (Texas) | Primary |
| Entity Name | Corridor Primary Care, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124050836 PECOS PAC ID: 4183669070 Enrollment ID: O20050621001307 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Angela Pilcher Black, MD 1010 Mountain View Dr, San Marcos, TX 78666-4937 Ph: (512) 396-0680 | Dr Angela Pilcher Black, MD 601b Leah Ave, Suite B, San Marcos, TX 78666-7849 Ph: (512) 392-1700 |
Dr. Ivri K Messinger, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 | |
Dr. Shawn Jeffrey Walker Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1941 S Interstate 35 Ste 101, San Marcos, TX 78666 Phone: 512-268-8900 | |
Dr. Julie Michele Fisher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 | |
Michelle E Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 | |
Michael J Grady, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 | |
Nicole Hannemann Hartman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 | |
Sue Ann Harrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601b Leah Ave, San Marcos, TX 78666 Phone: 512-392-1700 Fax: 512-396-8743 |