| Dr Chijioke F Isinguzo, MD | |
|
2990 N Broadway Ave, Tyler, TX 75702-2149 | |
| (903) 593-1892 | |
| Not Available |
| Full Name | Dr Chijioke F Isinguzo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2990 N Broadway Ave, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831360304 | NPI | - | NPPES |
| 201539804 | Medicaid | TX | |
| 45-2578435 | Other | TX | TRICARE |
| 8DL017 | Other | TX | BCBS |
| 201539803 | Medicaid | TX | |
| 8AP486 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | PENDING (Arizona) | Secondary |
| 208000000X | Pediatrics | N1688 (Texas) | Primary |
| 207P00000X | Emergency Medicine | N1688 (Texas) | Secondary |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Victoria Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407917164 PECOS PAC ID: 7911005087 Enrollment ID: O20070613000507 |
| Entity Name | Barrier Reef Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275761512 PECOS PAC ID: 4789738360 Enrollment ID: O20090817000309 |
| Entity Name | Lone Star Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457709040 PECOS PAC ID: 7113054446 Enrollment ID: O20100419000563 |
| Entity Name | Nueces Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215314364 PECOS PAC ID: 4284955501 Enrollment ID: O20150611000871 |
| Entity Name | Memorial Hermann Hospital Based Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295363497 PECOS PAC ID: 4385075480 Enrollment ID: O20200505001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chijioke F Isinguzo, MD Po Box 844273, Dallas, TX 75284-4273 Ph: (903) 324-6450 | Dr Chijioke F Isinguzo, MD 2990 N Broadway Ave, Tyler, TX 75702-2149 Ph: (903) 593-1892 |
Krystal Castle, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 305 W Rusk St, Tyler, TX 75701 Phone: 903-592-7304 | |
Daniel Jun Park, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942 | |
Mrs. Valerie B Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 E Richards St, Tyler, TX 75702 Phone: 903-531-9455 Fax: 903-526-3118 | |
Ms. Yanique Tavia Ellis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2900 North Broadway Ave, Tyler, TX 75702 Phone: 903-593-1892 | |
Kristina Orey Mitchell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St Ste 100, Tyler, TX 75701 Phone: 903-596-3862 Fax: 903-590-5005 | |
Adelina G. Meadows, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 706 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-595-3942 | |
Dr. Michael David Austin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 E 5th St, Tyler, TX 75701 Phone: 903-594-2450 Fax: 903-939-0610 |