| Mary D Blomquist, MD | |
|
6100 Windcom Ct, Suite 101, Plano, TX 75093-7886 | |
| (972) 398-3500 | |
| (972) 398-3512 |
| Full Name | Mary D Blomquist |
|---|---|
| Gender | Female |
| Speciality | Allergy & Immunology |
| Location | 6100 Windcom Ct, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275597791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | H0189 (Texas) | Primary |
| Entity Name | John Allen Van Wagoner, Md, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316063993 PECOS PAC ID: 9335273390 Enrollment ID: O20100813000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary D Blomquist, MD 6100 Windcom Ct, Suite 101, Plano, TX 75093-7886 Ph: (972) 398-3500 | Mary D Blomquist, MD 6100 Windcom Ct, Suite 101, Plano, TX 75093-7886 Ph: (972) 398-3500 |
Gregg M Santilli, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3600 Communications Pkwy, Suite 675, Plano, TX 75093 Phone: 972-473-7544 Fax: 972-473-7545 | |
Dr. Eric Kavosh, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 5904 Chapel Hill Blvd Ste 103, Plano, TX 75093 Phone: 972-473-2532 Fax: 972-473-2535 | |
Leslie A Weisberg, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 6300 W Parker Rd, Ste 220, Plano, TX 75093 Phone: 972-981-8215 Fax: 972-981-3099 | |
Richard F Herrscher, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3600 Communications Pkwy, Suite 675, Plano, TX 75093 Phone: 972-473-7544 Fax: 972-473-7545 | |
Dr. Vara Kantipong, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 3105 W 15th St, Suite C, Plano, TX 75075 Phone: 972-867-7915 Fax: 972-964-0237 | |
Dr. Gene Arthur Devora, MD/PHD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 6300 W Parker Rd Ste G22, Plano, TX 75093 Phone: 972-981-3692 Fax: 972-981-3605 |