| Fernando Davalos Jr, MD | |
|
4340 N Josey Ln, Suite 204, Carrollton, TX 75010-4602 | |
| (469) 800-4900 | |
| (469) 800-4909 |
| Full Name | Fernando Davalos Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 4340 N Josey Ln, Carrollton, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578765848 | NPI | - | NPPES |
| 198099701 | Medicaid | TX | |
| 198099703 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7932 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Castle Hills Medical Group | 0345644159 | 3 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Castle Hills Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922612977 PECOS PAC ID: 0345644159 Enrollment ID: O20210802000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Davalos Jr, MD 4340 N Josey Ln, Suite 204, Carrollton, TX 75010-4602 Ph: (469) 800-4900 | Fernando Davalos Jr, MD 4340 N Josey Ln, Suite 204, Carrollton, TX 75010-4602 Ph: (469) 800-4900 |
Dr. Thuan Phuong Huynh, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3740 N Josey Ln Ste 212, Carrollton, TX 75007 Phone: 972-418-1778 Fax: 972-418-5773 | |
Erin Alexis Case, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4360 N Josey Ln, Carrollton, TX 75010 Phone: 972-242-0185 Fax: 972-242-5786 | |
Dr. Sam Rostami, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1017 W Hebron Pkwy, Carrollton, TX 75010 Phone: 972-939-9495 Fax: 972-939-0230 | |
Christine Young, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1915 Sandy Lake Rd Trlr 63, Carrollton, TX 75006 Phone: 805-458-4922 | |
Dr. Simon Lim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3044 Old Denton Rd, Suite 115, Carrollton, TX 75007 Phone: 972-245-2876 Fax: 972-905-7487 | |
Dr. Anam Rehman Tharoo, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1790 King Arthur Blvd, Ste 140, Carrollton, TX 75010 Phone: 972-529-4545 | |
Jeffrey R Hischke, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4333 N Josey Ln, #302, Carrollton, TX 75010 Phone: 972-394-8844 |