| Leslie M Hollis, MD | |
|
2014 Ben Merritt Dr Ste B, Decatur, TX 76234-3851 | |
| (940) 627-4400 | |
| (940) 626-4411 |
| Full Name | Leslie M Hollis |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2014 Ben Merritt Dr Ste B, Decatur, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275582777 | NPI | - | NPPES |
| 8GN062 | Other | TX | BCBSTX |
| 092399705 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | K3589 (Texas) | Primary |
| Entity Name | Jack County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790777696 PECOS PAC ID: 5890768675 Enrollment ID: O20040819000032 |
| Entity Name | Wise Clinical Care Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679719801 PECOS PAC ID: 6204988975 Enrollment ID: O20090710000550 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie M Hollis, MD Po Box 2078, Decatur, TX 76234-6156 Ph: (940) 627-4400 | Leslie M Hollis, MD 2014 Ben Merritt Dr Ste B, Decatur, TX 76234-3851 Ph: (940) 627-4400 |
Lisa Ann Minsloff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 S Fm 51 Ste 100, Decatur, TX 76234 Phone: 940-627-8044 Fax: 940-627-8055 | |
Ruth Wessen Stefanos, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 609 Medical Center Dr # 2218, Decatur, TX 76234 Phone: 940-626-2718 Fax: 940-626-1320 | |
Dr. Julie Hwang, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 609 Medical Center Dr Ste 2218, Decatur, TX 76234 Phone: 940-626-2718 Fax: 940-626-1320 | |
Jefferson B Alling, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 W Eagle Dr, Decatur, TX 76234 Phone: 940-627-7443 Fax: 940-627-8326 | |
Dr. Melissa Marie Stroud, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 609 Medical Center Dr Ste 2218, Decatur, TX 76234 Phone: 940-626-2718 Fax: 940-626-1782 | |
Anissa G August, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2401 S Fm 51, Suite100, Decatur, TX 76234 Phone: 940-626-8044 Fax: 940-626-8055 |