| Dr Rebecca Wald Diaz, MD | |
|
500 W 4th St, Odessa, TX 79761-5001 | |
| (432) 640-2201 | |
| (432) 640-2205 |
| Full Name | Dr Rebecca Wald Diaz |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 500 W 4th St, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477753218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | N5017 (Texas) | Primary |
| Entity Name | Basin Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831337724 PECOS PAC ID: 0244397826 Enrollment ID: O20090326000107 |
| 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 Rebecca Wald Diaz, MD 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-2201 | Dr Rebecca Wald Diaz, MD 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-2201 |
Dr. Steven Wiese, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4236 E Everglade Ave, Odessa, TX 79762 Phone: 979-575-8119 | |
Jeffery M Pinnow, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 | |
Derrick Randdolf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5375 Fax: 432-703-5238 | |
Kyungho Scott Choi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 | |
Cordell Cunningham, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-6000 | |
Farshid D Kayfan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1190 Fax: 432-640-3489 | |
Navneet Kaur, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5238 |