| Gladys Irene Minor, MD | |
|
835 River Walk Trl, Georgetown, TX 78633-5377 | |
| (512) 943-0914 | |
| Not Available |
| Full Name | Gladys Irene Minor |
|---|---|
| Gender | Female |
| Speciality | Radiology - Radiation Oncology |
| Location | 835 River Walk Trl, Georgetown, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962494914 | NPI | - | NPPES |
| P01155989 | Other | IN | RAILROAD MEDICARE PIN |
| 200374430 | Medicaid | IN | |
| P00103259 | Other | IN | RAILROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 01055972 (Indiana) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | R4433 (Texas) | Primary |
| Entity Name | Texas Oncology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Gladys Irene Minor, MD 835 River Walk Trl, Georgetown, TX 78633-5377 Ph: (512) 943-0914 | Gladys Irene Minor, MD 835 River Walk Trl, Georgetown, TX 78633-5377 Ph: (512) 943-0914 |
Douglas Jason Rivera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Scenic Dr Ste G002, Georgetown, TX 78626 Phone: 512-531-5200 Fax: 512-865-4068 | |
Padmaja Canumalla, Radiology Medicare: Not Enrolled in Medicare Practice Location: 929 Legends Ln, Georgetown, TX 78628 Phone: 424-353-7741 | |
Kerry K Ford, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 E 15th St, Georgetown, TX 78626 Phone: 512-948-7093 | |
Stephen Longmoor Brown, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Scenic Dr Ste G002, Georgetown, TX 78626 Phone: 512-531-5200 Fax: 512-865-4068 | |
Ridwana Binte Ahsan, Radiology Medicare: Not Enrolled in Medicare Practice Location: 228 Shiner Ln, Georgetown, TX 78626 Phone: 512-484-3258 | |
Dr. Laurel Elise Zollars, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 811 Salado Creek Ln, Georgetown, TX 78633 Phone: 512-688-1585 | |
Gregory Kittredge Bell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Scenic Dr Ste G002, Georgetown, TX 78626 Phone: 512-531-5200 Fax: 512-865-4068 |