| Magda Fawzy, MD | |
|
2727 E Southlake Blvd, Southlake, TX 76092-6613 | |
| (682) 885-6000 | |
| (682) 885-6026 |
| Full Name | Magda Fawzy |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2727 E Southlake Blvd, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396855946 | NPI | - | NPPES |
| 0050NC | Other | TX | BCBSTX GRP PIN |
| 1640359 | Other | TX | CCN PIN |
| 4043747 | Other | TX | AETNA PIN |
| 1912978891 | Other | GRP NPI NUMBER | |
| 12686008 | Medicaid | TX | |
| 170994101 | Medicaid | TX | |
| 100297967 | Other | TX | AMERIGROUP PIN |
| 112554100 | Other | TX | FIRSTCARE PIN |
| 1640359 | Other | TX | FIRSTHEALTH PIN |
| 080626701 | Medicaid | TX | |
| 126586006 | Medicaid | TX | |
| 163314101 | Medicaid | TX | |
| 2793448 | Other | TX | CIGNA PIN |
| 413453 | Other | TX | PHCS PIN |
| 126586007 | Medicaid | TX | |
| 88B2075 | Other | TX | BCBSTX IND PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | K1431 (Texas) | Primary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Magda Fawzy, MD Po Box 99213, Fort Worth, TX 76199-0213 Ph: (682) 885-4446 | Magda Fawzy, MD 2727 E Southlake Blvd, Southlake, TX 76092-6613 Ph: (682) 885-6000 |
Dr. Atoosa Kourosh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1170 N Carroll Ave, Southlake, TX 76092 Phone: 214-702-6550 Fax: 214-894-4182 | |
Michelle M Mckane, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050 | |
Dr. Arthur Eric Benzick, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, 100, Southlake, TX 76092 Phone: 817-424-3366 Fax: 817-552-8540 | |
Dr. Erica J Zwernemann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 731 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-912-8800 Fax: 817-912-8810 | |
Roger S Knapp Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 480 W Southlake Blvd, Ste 133, Southlake, TX 76092 Phone: 817-329-9234 Fax: 817-329-9239 | |
Jacqueline R Hanna, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026 |