| Hiyas Dungo Fonte, MD | |
|
731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 | |
| (817) 912-8800 | |
| (817) 912-8810 |
| Full Name | Hiyas Dungo Fonte |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 731 E Southlake Blvd, Southlake, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669405064 | NPI | - | NPPES |
| 187761501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4946929-1205 (Utah) | Secondary |
| 207R00000X | Internal Medicine | M6618 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthtexas Provider Network | 1355254210 | 2048 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Hiyas Dungo Fonte, MD 731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 Ph: (817) 912-8800 | Hiyas Dungo Fonte, MD 731 E Southlake Blvd, Suite 100, Southlake, TX 76092-6377 Ph: (817) 912-8800 |
Joseph Jasser, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 501 King Ranch Rd, Southlake, TX 76092 Phone: 916-851-2600 | |
Unknown Priyanka, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1207 S White Chapel Blvd Ste 275, Southlake, TX 76092 Phone: 682-416-9120 | |
Roshni Patel, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2106 E State Highway 114 Ste 300, Southlake, TX 76092 Phone: 817-552-4300 | |
Rina Sarkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 630 N Kimball Ave, Suite# 110, Southlake, TX 76092 Phone: 817-488-8080 | |
Donna June Klement, NP-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Davis Blvd, Southlake, TX 76092 Phone: 682-212-9104 Fax: 682-212-0704 | |
Dr. Azaan Ramani, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 505 S Nolen Dr Ste A, Southlake, TX 76092 Phone: 817-424-1525 Fax: 817-424-3491 | |
Dr. Sharmila Devidoss, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 Monte Carlo Dr, Southlake, TX 76092 Phone: 817-733-9367 |