| George Jeha, MD | |
|
1640 Fm 544 Ste 100, Lewisville, TX 75056-7013 | |
| (972) 395-1101 | |
| Not Available |
| Full Name | George Jeha |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 1640 Fm 544 Ste 100, Lewisville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407437965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | V6036 (Texas) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | V6036 (Texas) | Secondary |
| Entity Name | Epiphany Dermatology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
| Mailing Address | Practice Location Address |
|---|---|
| George Jeha, MD 7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255 Ph: (512) 628-0465 | George Jeha, MD 1640 Fm 544 Ste 100, Lewisville, TX 75056-7013 Ph: (972) 395-1101 |
Carolyn B Lyde, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 324 W Main St, Suite 330, Lewisville, TX 75057 Phone: 972-436-0358 Fax: 972-353-3750 | |
Dr. Stanislav Nickolaevich Tolkachjov, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1640 Fm 544 Ste 100, Lewisville, TX 75056 Phone: 972-395-1101 | |
Dennis E Newton Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 324 W Main St, Suite 200, Lewisville, TX 75057 Phone: 972-436-0358 Fax: 972-353-3750 |