Drake Glenn Lebrun, | |
22751 Professional Dr Ste 250, Kingwood, TX 77339-6028 | |
(281) 668-7205 | |
Not Available |
Full Name | Drake Glenn Lebrun |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery |
Location | 22751 Professional Dr Ste 250, Kingwood, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861997579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | V1526 (Texas) | Secondary |
207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | V1526 (Texas) | Primary |
Entity Name | Ortholonestar Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942860176 PECOS PAC ID: 9931529062 Enrollment ID: O20201012001450 |
Mailing Address | Practice Location Address |
---|---|
Drake Glenn Lebrun, 7401 Main St, Houston, TX 77030-4509 Ph: (713) 799-2300 | Drake Glenn Lebrun, 22751 Professional Dr Ste 250, Kingwood, TX 77339-6028 Ph: (281) 668-7205 |
Michael C Cusick, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22751 Professional Dr Ste 240, Kingwood, TX 77339 Phone: 713-799-2300 Fax: 281-501-5900 | |
Morgan Boren, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 601 Rockmead Dr Ste 100, Kingwood, TX 77339 Phone: 281-955-2650 Fax: 281-955-5875 | |
Dr. Ken M Korthauer, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Rockmead Drive, Kingwood, TX 77339 Phone: 281-359-5115 Fax: 281-359-2835 | |
Philmore Josley Joseph, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 26912 Merlot River Dr, Kingwood, TX 77339 Phone: 281-354-1234 Fax: 281-354-2514 | |
Dr. Lawrence Justus Russo, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1430 Sheltering Oaks Ln, Kingwood, TX 77345 Phone: 281-913-2475 | |
Dr. Joseph O Muscat, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Rockmead Dr, Kingwood, TX 77339 Phone: 281-359-5115 Fax: 281-359-2835 | |
Khang Dang, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 601 Rockmead Dr, Kingwood, TX 77339 Phone: 713-486-5520 |