| Dr Charles E Herlihy Jr, MD | |
|
530 Silicon Dr, Suite 103, Southlake, TX 76092-9017 | |
| (817) 442-0200 | |
| (817) 442-0204 |
| Full Name | Dr Charles E Herlihy Jr |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 49 Years |
| Location | 530 Silicon Dr, Southlake, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992788491 | NPI | - | NPPES |
| 000009927 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 00008022 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Texas Southwestern Medical Center At Dallas | 0648188250 | 2784 |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Total Md Physicians Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982031852 PECOS PAC ID: 7012313521 Enrollment ID: O20210909000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles E Herlihy Jr, MD 104 Sycamore Ct, Grapevine, TX 76051-8259 Ph: (251) 490-7527 | Dr Charles E Herlihy Jr, MD 530 Silicon Dr, Suite 103, Southlake, TX 76092-9017 Ph: (817) 442-0200 |
Dr. Mahta Ostadian, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 541 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-539-6819 Fax: 817-539-6870 | |
Dr. Nishant Rajesh Patel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 541 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-539-6819 | |
Dr. Joe Boyd Bates, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 Corporate Cir Ste 7, Southlake, TX 76092 Phone: 417-761-5006 Fax: 417-761-5065 | |
Viktoria Zatkalik, NP-C Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 109 River Oaks Dr Ste 150, Southlake, TX 76092 Phone: 817-379-9922 Fax: 817-379-9998 | |
Rodolfo Molina, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2485 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-873-0595 | |
Dr. Lisa C. Diamond, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2131 Kirkwood Blvd Ste 100, Southlake, TX 76092 Phone: 817-210-4856 | |
Dr. James Francesconi, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 109 River Oaks Dr Ste 150, Southlake, TX 76092 Phone: 817-379-9922 Fax: 817-379-9998 |