| Dr Jolson Korah Tharakan, MD | |
|
4001 Long Prairie Rd Ste 160, Flower Mound, TX 75028-1528 | |
| (972) 355-1505 | |
| (972) 355-1095 |
| Full Name | Dr Jolson Korah Tharakan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4001 Long Prairie Rd Ste 160, Flower Mound, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275784555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101257823 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | T0015 (Texas) | Primary |
| Entity Name | Virginia Garcia Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992 |
| Entity Name | Lane County Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326138314 PECOS PAC ID: 7416853833 Enrollment ID: O20040309000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jolson Korah Tharakan, MD 648 Grassfield Pkwy, Suite 1, Chesapeake, VA 23322-7465 Ph: (757) 738-1325 | Dr Jolson Korah Tharakan, MD 4001 Long Prairie Rd Ste 160, Flower Mound, TX 75028-1528 Ph: (972) 355-1505 |
Anna Wallace, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Churchill Dr Ste 100, Flower Mound, TX 75022 Phone: 682-683-2300 Fax: 817-337-6866 | |
Brian Dale Glaser, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Long Prairie Road, Suite 200, Flower Mound, TX 75022 Phone: 972-899-6300 Fax: 972-899-6020 | |
Srikanth Gaddam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 Long Prairie Rd, Flower Mound, TX 75028 Phone: 469-322-7481 Fax: 469-322-7807 | |
Melanie Gray, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3101 Churchill Dr Ste 115, Flower Mound, TX 75022 Phone: 469-645-1804 Fax: 817-725-7885 | |
Monica Olivier, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 Long Prairie Rd Ste 160, Flower Mound, TX 75028 Phone: 972-355-1505 Fax: 972-355-1095 | |
Mr. David Conrad Ortmeier, LAT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4900 Wichita Trl, Flower Mound, TX 75022 Phone: 682-237-0232 | |
Roya Seysan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2261 Olympia Dr, Flower Mound, TX 75028 Phone: 972-691-8585 Fax: 972-691-8686 |