| Dr Ildiko Gizella Edenhoffer, MD | |
|
1141 Kinwest Pkwy Ste 150, Irving, TX 75063-3513 | |
| (972) 969-4230 | |
| (972) 409-9016 |
| Full Name | Dr Ildiko Gizella Edenhoffer |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1141 Kinwest Pkwy Ste 150, Irving, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689692212 | NPI | - | NPPES |
| 167970601 | Medicaid | TX | |
| 167970602 | Medicaid | TX | |
| 201313607 | Other | TX | TAX ID |
| J7475 | Other | TX | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | J7475 (Texas) | Primary |
| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ildiko Gizella Edenhoffer, MD 1141 Kinwest Pkwy Ste 150, Irving, TX 75063-3513 Ph: (972) 969-4230 | Dr Ildiko Gizella Edenhoffer, MD 1141 Kinwest Pkwy Ste 150, Irving, TX 75063-3513 Ph: (972) 969-4230 |
Dr. Michelle Burnside Fowers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 W Ih 635 Fwy, Suite 250, Irving, TX 75063 Phone: 972-481-6400 Fax: 972-831-9794 | |
Vicky R Taylor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6724 Verde #228, Irving, TX 75039 Phone: 972-978-7473 | |
Joan P Kay, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2021 N Macarthur Blvd, Suite 250, Irving, TX 75061 Phone: 972-253-4310 Fax: 972-253-4326 | |
Dr. Satish Goel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8850 N. Macarthur Boulevard, 102, Irving, TX 75766 Phone: 972-444-8632 Fax: 972-444-8691 | |
Darlene Annie Kurian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6750 N Macarthur Blvd, Ste 206, Irving, TX 75039 Phone: 972-253-4345 Fax: 972-253-6425 | |
Hiren Anil Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 204 Seva Ct, Irving, TX 75061 Phone: 121-499-8632 | |
Agboola O Fatiregun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3501 N Macarthur Blvd Ste 450, Irving, TX 75062 Phone: 972-786-0330 Fax: 972-739-2894 |