| Dr Karen E Shattuck, MD | |
| 
					3001 E President George Bush Hwy, Ste 250, Richardson, TX 75082-3542  | |
| (888) 822-2855 | |
| (214) 343-2814 | 
| Full Name | Dr Karen E Shattuck | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Neonatal-perinatal Medicine | 
| Location | 3001 E President 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 | 
|---|---|---|---|
| 1902860521 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | G3779 (Texas) | Primary | 
| Entity Name | Utmb Faculty Group Practice | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Karen E Shattuck, MD 301 University Blvd, Galveston, TX 77555-5302 Ph: (409) 772-2815  | Dr Karen E Shattuck, MD 3001 E President George Bush Hwy, Ste 250, Richardson, TX 75082-3542 Ph: (888) 822-2855  | 
Laura Tryphena Hunt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 George Bush Hwy Ste 225, Richardson, TX 75082 Phone: 817-250-2892  | |
Michael D Stanley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 E President George Bush Hwy, Suite 250, Richardson, TX 75082 Phone: 972-437-5099  | |
Sung Hyun Paek, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 George Bush Hwy Ste 250, Richardson, TX 75082 Phone: 214-343-6663 Fax: 214-343-2814  | |
Dr. Beatriz Ruiz-yedwab, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2821 E President George Bush Hwy, Suite 308, Richardson, TX 75082 Phone: 214-320-1661 Fax: 214-320-1691  | |
Dr. Sarah Barber Troendle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1112 N Floyd Rd Ste 7, Richardson, TX 75080 Phone: 972-952-0280  | |
Dr. Gina Page Lummus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3001 E President George Bush Turnpike, Suite 250, Richardson, TX 75082 Phone: 972-437-5099 Fax: 214-343-2814  | |
David Warner Green, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 E President George Bush Hwy Ste 225, Richardson, TX 75082 Phone: 214-343-6663 Fax: 214-343-2814  |