| Dr Marc A Wilson, MD | |
|
323 N Bonnie Brae Street, Denton, TX 76201 | |
| (940) 484-7100 | |
| (940) 484-7101 |
| Full Name | Dr Marc A Wilson |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 323 N Bonnie Brae Street, Denton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154352060 | NPI | - | NPPES |
| 144688203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | L0704 (Texas) | Primary |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Jena Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20151027000436 |
| Entity Name | Concord North Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20160429000472 |
| Entity Name | Cait Care Providers Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114685708 PECOS PAC ID: 7315338399 Enrollment ID: O20211230000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc A Wilson, MD 323 N Bonnie Brae Street, Denton, TX 76201 Ph: (940) 484-7100 | Dr Marc A Wilson, MD 323 N Bonnie Brae Street, Denton, TX 76201 Ph: (940) 484-7100 |
Dr. Indrani N Reddy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3537 S Interstate 35 E, Suite 214, Denton, TX 76210 Phone: 940-320-2745 Fax: 940-565-1215 | |
Chevelta A Bostick-smith, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2805 S Mayhill Rd, Denton, TX 76208 Phone: 940-591-6700 Fax: 940-320-1220 | |
Sangeetha R Vulichi, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3321 Unicorn Lake Blvd Ste 121, Denton, TX 76210 Phone: 940-387-6248 Fax: 940-381-1881 | |
Mahnaz Sameeha Rahman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2665 Scripture St, Denton, TX 76201 Phone: 940-387-8763 Fax: 940-535-5901 | |
Antonio Asis, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2665 Scripture St, Denton, TX 76201 Phone: 940-387-8763 Fax: 940-535-5901 | |
Dr. Audrey Rachelle Puentes, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2665 Scripture St, Denton, TX 76201 Phone: 940-387-8763 Fax: 940-535-5901 |