| Dr Sudheer M Jayaprabhu, MD | |
|
1002 Texas Blvd, Suite 200, Texarkana, TX 75501-5107 | |
| (903) 792-4808 | |
| (903) 792-2681 |
| Full Name | Dr Sudheer M Jayaprabhu |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 25 Years |
| Location | 1002 Texas Blvd, Texarkana, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639176555 | NPI | - | NPPES |
| 145699804 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | L2351 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Specialists For Women Of Texarkana Pllc | 5991760811 | 2 |
| Entity Name | The Specialists For Women Of Texarkana Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154474674 PECOS PAC ID: 5991760811 Enrollment ID: O20041119000686 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudheer M Jayaprabhu, MD 1002 Texas Blvd, Suite 200, Texarkana, TX 75501-5107 Ph: (903) 792-4808 | Dr Sudheer M Jayaprabhu, MD 1002 Texas Blvd, Suite 200, Texarkana, TX 75501-5107 Ph: (903) 792-4808 |
Dr. Joseph Alexander Rutz Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5911 Richmond Rd Apt 6302, Texarkana, TX 75503 Phone: 318-245-9834 | |
Michael N Holland, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Dr. Vernon C. Shaffer Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2604 Saint Michael Dr, Suite 410, Texarkana, TX 75503 Phone: 903-614-5430 Fax: 903-614-5464 | |
Dandra D Bingham, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Dr. William Jerry Robertson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2604 St Michael Dr, Ste 410, Texarkana, TX 75503 Phone: 903-614-5430 Fax: 903-614-5464 | |
David E Greathouse, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Dr. Marion Arleen Reynolds, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1002 Texas Blvd Ste 501, Texarkana, TX 75501 Phone: 903-794-0888 Fax: 854-854-7171 |