| Dr Sowdhamini Shettigar Wallace, DO | |
|
6621 Fannin St Ste A210, Texas Children's Hospital, Pediatric Hospital Medicine, Houston, TX 77030-2303 | |
| (713) 839-0492 | |
| Not Available |
| Full Name | Dr Sowdhamini Shettigar Wallace |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6621 Fannin St Ste A210, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346459542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | N0540 (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 Sowdhamini Shettigar Wallace, DO 9113 Harbor Hills Dr, Houston, TX 77054-6009 Ph: (440) 554-4093 | Dr Sowdhamini Shettigar Wallace, DO 6621 Fannin St Ste A210, Texas Children's Hospital, Pediatric Hospital Medicine, Houston, TX 77030-2303 Ph: (713) 839-0492 |
Sonia Ann Monteiro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 |
Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6410 Fannin St, Houston, TX 77030 Phone: 832-325-6516 Fax: 713-500-5711 |
Meenakshi G Hegde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 |
Rebecca Jean Chancey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6621a Fannin St., Houston, TX 77030 Phone: 713-770-5454 |
Lisa R Lapeze, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18338 Kingsland Blvd, Suite 210, Houston, TX 77094 Phone: 281-599-7334 Fax: 281-599-7040 |
Elvis Aaron Cavazos, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14730 Barryknoll Ln, Houston, TX 77079 Phone: 281-496-9700 Fax: 281-496-7821 |
Marlene D. Typaldos Sanchez, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6701 Fannin St Ste 1040, Houston, TX 77030 Phone: 832-822-3309 Fax: 832-825-3308 |