| Laurel Rose Persa, | |
|
9835 N Lake Creek Pkwy, Austin, TX 78717-6210 | |
| (737) 229-2000 | |
| Not Available |
| Full Name | Laurel Rose Persa |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 9835 N Lake Creek Pkwy, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235661588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ML60759504 (Washington) | Secondary |
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | V3411 (Texas) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Rose Persa, 9835 N Lake Creek Pkwy, Austin, TX 78717-6210 Ph: (737) 229-2000 | Laurel Rose Persa, 9835 N Lake Creek Pkwy, Austin, TX 78717-6210 Ph: (737) 229-2000 |
Dr. Kimberly Elizabeth Idoko, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1401 Lavaca St # 322, Austin, TX 78701 Phone: 888-618-5288 | |
Dr. Chad Alan Hooten, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-2000 | |
Kristin Yeung Lasseter, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4022 Menchaca Rd, Austin, TX 78704 Phone: 512-982-4116 Fax: 512-265-9008 | |
Priyanka Gurru, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1201 W 38th St, Austin, TX 78705 Phone: 512-495-5555 | |
Kira Allison, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1500 Red River St, Austin, TX 78701 Phone: 512-495-5555 | |
Robert Feinstein, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1601 Trinity St, Austin, TX 78712 Phone: 833-882-2737 Fax: 888-698-8329 | |
Ava M. Lee, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 56 East Ave, Austin, TX 78701 Phone: 512-472-4357 Fax: 512-703-1394 |