| Nannette F Crow, MD | |
|
2125 W Southlake Blvd Ste 107, Southlake, TX 76092-6758 | |
| (817) 680-9858 | |
| Not Available |
| Full Name | Nannette F Crow |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2125 W Southlake Blvd Ste 107, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588642318 | NPI | - | NPPES |
| 043467204 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | H7416 (Texas) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Nannette F Crow, MD 2606 Parker Ct, Southlake, TX 76092-3240 Ph: (214) 803-2769 | Nannette F Crow, MD 2125 W Southlake Blvd Ste 107, Southlake, TX 76092-6758 Ph: (817) 680-9858 |
Dr. Atoosa Kourosh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1170 N Carroll Ave, Southlake, TX 76092 Phone: 214-702-6550 Fax: 214-894-4182 | |
Michelle M Mckane, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050 | |
Dr. Arthur Eric Benzick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, 100, Southlake, TX 76092 Phone: 817-424-3366 Fax: 817-552-8540 | |
Magda Fawzy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026 | |
Dr. Erica J Zwernemann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-912-8800 Fax: 817-912-8810 | |
Roger S Knapp Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 480 W Southlake Blvd, Ste 133, Southlake, TX 76092 Phone: 817-329-9234 Fax: 817-329-9239 | |
Jacqueline R Hanna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026 |