| Mauricio Salicru, MD | |
|
3600 Gaston Ave, Widley Tower #261, Dallas, TX 75246-1800 | |
| (214) 820-3298 | |
| Not Available |
| Full Name | Mauricio Salicru |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 15 Years |
| Location | 3600 Gaston Ave, Dallas, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760732986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | Q3788 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Richardson Medical Center | Richardson, TX | Hospital |
| Methodist Dallas Medical Center | Dallas, TX | Hospital |
| Methodist Mansfield Medical Center | Mansfield, TX | Hospital |
| Methodist Charlton Medical Center | Dallas, TX | Hospital |
| Methodist Southlake Hospital | Southlake, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Laboratory Physicians Association | 4385538065 | 11 |
| Entity Name | Laboratory Physicians Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457381352 PECOS PAC ID: 4385538065 Enrollment ID: O20040212000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Mauricio Salicru, MD 3600 Gaston Ave, Widley Tower #261, Dallas, TX 75246-1800 Ph: (214) 820-3298 | Mauricio Salicru, MD 3600 Gaston Ave, Widley Tower #261, Dallas, TX 75246-1800 Ph: (214) 820-3298 |
Dr. Jaime Albert Campbell, M.D., M.S. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3500 Gaston Ave, Baylor University Medical Center, Dept Of Pathology, Dallas, TX 75246 Phone: 214-820-3772 | |
Brianne Flynn, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2355 N Stemmons Fwy, Dallas, TX 75207 Phone: 214-920-5900 | |
Dr. Timothy Joseph Kirtek, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 7777 Forest Ln Ste C400, Dallas, TX 75230 Phone: 810-516-1285 | |
Keith Allen Wharton Jr., MD PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-1620 Fax: 214-648-4080 | |
Dinesh Rakheja, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-1620 Fax: 214-648-4080 | |
Dr. Emmy L. Kiss, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-590-6494 | |
Thomas Hugh Mcconnell, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3401 Lee Pkwy Apt 304, Dallas, TX 75219 Phone: 214-363-2221 Fax: 214-363-2228 |