| Dr Nicole Fawn Dupre, MD | |
|
5950 Saratoga Blvd, Corpus Christi, TX 78414-4100 | |
| (361) 985-5811 | |
| Not Available |
| Full Name | Dr Nicole Fawn Dupre |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 5950 Saratoga Blvd, Corpus Christi, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215954755 | NPI | - | NPPES |
| 176537202 | Medicaid | TX | |
| 176537201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34812 (Iowa) | Secondary |
| 207P00000X | Emergency Medicine | 22275 (Nebraska) | Secondary |
| 207P00000X | Emergency Medicine | M1663 (Texas) | Primary |
| Entity Name | Conner Emergency Medicine Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013415934 PECOS PAC ID: 8628339215 Enrollment ID: O20180222000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicole Fawn Dupre, MD 14493 Spid Dr Ste A, #380, Corpus Christi, TX 78418-5939 Ph: (361) 445-9306 | Dr Nicole Fawn Dupre, MD 5950 Saratoga Blvd, Corpus Christi, TX 78414-4100 Ph: (361) 985-5811 |
John Herrick, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2606 Hospital Blvd, Corpus Christi, TX 78405 Phone: 361-902-4000 | |
Ben A Leeson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2606 Hospital Blvd, Emergency Department-memorial, Corpus Christi, TX 78405 Phone: 361-902-4151 | |
Dr. Kimberly Anne Barnes Leeson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2606 Hospital Blvd, Corpus Christi, TX 78405 Phone: 361-902-4151 | |
Dr. Phillip Jackson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4609 Schwerin Lake Dr, Corpus Christi, TX 78413 Phone: 361-808-9383 Fax: 361-808-9383 | |
Marita Rafael, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-694-5100 | |
Louis Needleman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5310 Javelina, Corpus Christi, TX 78413 Phone: 361-985-0470 | |
Larry D Johnson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3614 Ocean Dr., Corpus Christi, TX 78411 Phone: 361-549-1758 Fax: 281-784-1555 |