| Keith Lepak, MD | |
|
2700 E Eldorado Pkwy, Ste 104, Little Elm, TX 75068-5999 | |
| (972) 987-4935 | |
| (972) 987-4574 |
| Full Name | Keith Lepak |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2700 E Eldorado Pkwy, Little Elm, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992771745 | NPI | - | NPPES |
| 133591103 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | H9670 (Texas) | Primary |
| Entity Name | Southlake Emergicare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598172033 PECOS PAC ID: 9638398258 Enrollment ID: O20140915000506 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Cec Tyler Er Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013375740 PECOS PAC ID: 7416226584 Enrollment ID: O20170705001353 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Lepak, MD 6501 Preston Rd, Ste 102, Plano, TX 75024-2610 Ph: (972) 403-1155 | Keith Lepak, MD 2700 E Eldorado Pkwy, Ste 104, Little Elm, TX 75068-5999 Ph: (972) 987-4935 |
Mostafa Soliman Elsakka, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1395 E Eldorado Pkwy, Little Elm, TX 75068 Phone: 469-200-5974 Fax: 469-200-5214 |