| Dr Prasanth Boyareddigari, MD | |
|
504 Medical Center Blvd, Conroe, TX 77304-2808 | |
| (936) 539-1111 | |
| Not Available |
| Full Name | Dr Prasanth Boyareddigari |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 504 Medical Center Blvd, Conroe, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427010768 | NPI | - | NPPES |
| 8P5097 | Other | TX | BCBSTX PIN |
| 8S0397 | Other | TX | BLUE SHIELD |
| P00234966 | Other | TX | RR/MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M1031 (Texas) | Primary |
| Entity Name | Memorial Hermann Hospital Based Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295363497 PECOS PAC ID: 4385075480 Enrollment ID: O20200505001521 |
| Entity Name | Round Table Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023439114 PECOS PAC ID: 0547682460 Enrollment ID: O20200623002513 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prasanth Boyareddigari, MD 6873 Staffordshire St, Houston, TX 77030-4107 Ph: (713) 795-0939 | Dr Prasanth Boyareddigari, MD 504 Medical Center Blvd, Conroe, TX 77304-2808 Ph: (936) 539-1111 |
Dr. John Eric Buck, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13265 Meadow Creek Ln, Conroe, TX 77302 Phone: 936-441-0674 | |
Dr. Peter William Harris, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 936-539-7044 | |
Timothy J O'brien, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 409-539-1111 Fax: 409-788-8044 | |
Jason M Lebwohl, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 409-539-1111 Fax: 409-788-8044 | |
Gerald B Cobb, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 409-539-1111 Fax: 409-788-8044 | |
Pamela T Hammond, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 409-539-1111 Fax: 409-788-8044 | |
Dr. Thomas J Patton Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Conroe Medical Dr, Conroe, TX 77304 Phone: 936-539-4004 Fax: 936-521-3964 |