| Dr Goddy T Corpuz, MD | |
|
910 E Whitestone Blvd, Cedar Park, TX 78613-9093 | |
| (512) 260-6100 | |
| Not Available |
| Full Name | Dr Goddy T Corpuz |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 910 E Whitestone Blvd, Cedar Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205958964 | NPI | - | NPPES |
| 278782200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME98600 (Florida) | Secondary |
| 208000000X | Pediatrics | N7244 (Texas) | Primary |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Goddy T Corpuz, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Dr Goddy T Corpuz, MD 910 E Whitestone Blvd, Cedar Park, TX 78613-9093 Ph: (512) 260-6100 |
Dr. Brent G Nick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 E Whitestone Blvd Ste C, Cedar Park, TX 78613 Phone: 512-259-3467 | |
Dr. Betzi Sarah Mathew, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd, Suite 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 | |
Carrie Adele Danner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd, Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 | |
Lee Keegan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd, Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 Fax: 512-336-2778 | |
Kellie A Rice-monteiro, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 E Whitestone Blvd, Bldg C, Cedar Park, TX 78613 Phone: 512-259-3467 Fax: 512-406-7303 | |
Lindsey Nicole Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 345 Cypress Creek Rd Ste 104, Cedar Park, TX 78613 Phone: 512-336-2777 |