| Dr Walid Ibn Essayed, MD | |
|
2604 Saint Michael Dr, Texarkana, TX 75503-2379 | |
| (903) 614-5180 | |
| Not Available |
| Full Name | Dr Walid Ibn Essayed |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 2604 Saint Michael Dr, Texarkana, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568812436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 80031 (Minnesota) | Secondary |
| 207T00000X | Neurological Surgery | U4532 (Texas) | Primary |
| Entity Name | Ut Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
| Entity Name | Ut Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265096317 PECOS PAC ID: 2961732193 Enrollment ID: O20191001001287 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walid Ibn Essayed, MD 6400 Fannin St Ste 2070, Houston, TX 77030-1541 Ph: () - | Dr Walid Ibn Essayed, MD 2604 Saint Michael Dr, Texarkana, TX 75503-2379 Ph: (903) 614-5180 |
Mr. Marcus Andrew Smith, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503 Phone: 903-794-4196 Fax: 903-614-5190 | |
Mr. Freddie L Contreras, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 Texas Blvd, Ste 406, Texarkana, TX 75501 Phone: 903-794-4196 Fax: 903-792-7408 | |
Mr. John Brett Dietze, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503 Phone: 903-794-4196 Fax: 903-614-5169 |