| Dr Larry Wade Lynn, MD | |
|
4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | |
| (855) 984-5121 | |
| Not Available |
| Full Name | Dr Larry Wade Lynn |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4055 Valley View Ln Ste 700, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396879292 | NPI | - | NPPES |
| 100356530 | Medicaid | IN | |
| P01456893 | Other | IN | MEDICARE RAILROAD PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01037887A (Indiana) | Secondary |
| 208000000X | Pediatrics | 01037887 (Indiana) | Primary |
| Entity Name | Columbus Regional Health Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336510098 PECOS PAC ID: 1052612314 Enrollment ID: O20151211000054 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Larry Wade Lynn, MD 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 Ph: (855) 984-5121 | Dr Larry Wade Lynn, MD 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 Ph: (855) 984-5121 |
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754 |
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180 |
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437 |
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604 |
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130 |
Amanda June Clark, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 615-943-4809 |
Dr. Jamie M Truscott, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 144-565-9592 |