| Dr Denton Watumull, MD | |
|
3201 George Bush Hwy, #101, Richardson, TX 75082-3566 | |
| (972) 470-5000 | |
| (972) 470-5002 |
| Full Name | Dr Denton Watumull |
|---|---|
| Gender | Male |
| Speciality | Surgery - Plastic And Reconstructive Surgery |
| Location | 3201 George Bush Hwy, Richardson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225073216 | NPI | - | NPPES |
| PO88X1212 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0105X | Surgery - Surgery Of The Hand | G6096 (Texas) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | G6096 (Texas) | Primary |
| Entity Name | Regional Plastic Surgery Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306056999 PECOS PAC ID: 6002869088 Enrollment ID: O20050302000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Denton Watumull, MD 3201 George Bush Hwy, #101, Richardson, TX 75082-3566 Ph: (972) 470-5000 | Dr Denton Watumull, MD 3201 George Bush Hwy, #101, Richardson, TX 75082-3566 Ph: (972) 470-5000 |
Houssam Osman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2805 E President George Bush Hwy, Richardson, TX 75082 Phone: 972-619-3500 Fax: 214-272-8985 | |
Dr. Mark Louis Bailey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3600 Shire Blvd, Ste 104, Richardson, TX 75082 Phone: 972-487-6400 Fax: 972-487-1686 | |
Mr. Christopher Todd Pegram Ii, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 1202 E Arapaho Rd Ste 122, Richardson, TX 75081 Phone: 469-250-4422 | |
Dr. Dhiresh Rohan Jeyarajah, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2805 E President George Bush Hwy, Richardson, TX 75082 Phone: 972-619-3500 Fax: 214-272-8985 | |
Dr. Russ Deacon Birdwell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3600 Shire Blvd, Suite 104, Richardson, TX 75082 Phone: 972-487-6400 Fax: 972-487-1686 | |
Dr. Ronald Dennis Baxter Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3600 Shire Blvd Ste 104, Richardson, TX 75082 Phone: 972-487-6400 Fax: 972-487-1686 |