| Dr Shailendra Das, DO | |
| 1500 Cooper St, Fort Worth, TX 76104-2710 | |
| (682) 885-6299 | |
| (682) 885-1090 | 
| Full Name | Dr Shailendra Das | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Pulmonology | 
| Location | 1500 Cooper St, Fort Worth, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013235233 | NPI | - | NPPES | 
| 282070602 | Medicaid | TX | |
| 282070604 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | M8617 (Texas) | Secondary | 
| 2080P0214X | Pediatrics - Pediatric Pulmonology | M8617 (Texas) | Primary | 
| Entity Name | Texas Childrens Physician Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Shailendra Das, DO Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Dr Shailendra Das, DO 1500 Cooper St, Fort Worth, TX 76104-2710 Ph: (682) 885-6299 | 
| Dr. Heidi Danielle Tomlinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Pennsylvania Ave, Department Of Neonatology, Fort Worth, TX 76104 Phone: 817-250-2892 | |
| Rachel Marie Souers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-6726 Fax: 682-885-6729 | |
| Gregory Barker,  Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2140 Fax: 817-332-2506 | |
| Anne Marcum Kirk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
| Hina Aziz Rehman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014 | |
| Khalid H Syed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 | |
| Dr. Phuong Thi Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 |