| Dr Dimitrios Angelis, MD | |
|
701 W 5th St Ste 3142, Ttuhsc-department Of Pediatrics, Odessa, TX 79763-4206 | |
| (432) 703-5299 | |
| Not Available |
| Full Name | Dr Dimitrios Angelis |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 701 W 5th St Ste 3142, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306082714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | P7605 (Texas) | Primary |
| 208000000X | Pediatrics | P7605 (Texas) | Secondary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dimitrios Angelis, MD 701 W 5th St Ste 3142, Ttuhsc-department Of Pediatrics, Odessa, TX 79763-4206 Ph: (432) 703-5299 | Dr Dimitrios Angelis, MD 701 W 5th St Ste 3142, Ttuhsc-department Of Pediatrics, Odessa, TX 79763-4206 Ph: (432) 703-5299 |
Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537 | |
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222 | |
Olajide A Sowemimo, Pediatrics Medicare: May Accept Medicare Assignments Practice Location: Texas Tech University Health Sciences Complex, 701 West 5th Street, Odessa, TX 79763 Phone: 432-703-6310 | |
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797 | |
Randa N. A Othman, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1421 Fax: 432-335-1807 | |
Manjula Mudduluru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5310 Fax: 432-335-5354 | |
Manuel Castillo, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 East 7th Street, Odessa, TX 79761 Phone: 432-582-2929 Fax: 432-331-9987 |