| Miss Anne Rosette Bouele Mboule, MD | |
|
2301 N Collins St, Suite 100, Arlington, TX 76011-2659 | |
| (817) 704-7339 | |
| (682) 558-8008 |
| Full Name | Miss Anne Rosette Bouele Mboule |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2301 N Collins St, Arlington, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700084555 | NPI | - | NPPES |
| 218565403 | Medicaid | TX | |
| 116029 | Medicaid | AL | |
| 218565401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 29656 (Alabama) | Secondary |
| 208000000X | Pediatrics | P6342 (Texas) | Primary |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Anne Rosette Bouele Mboule, MD 2301 N Collins St, Suite 100, Arlington, TX 76011-2659 Ph: (817) 704-7339 | Miss Anne Rosette Bouele Mboule, MD 2301 N Collins St, Suite 100, Arlington, TX 76011-2659 Ph: (817) 704-7339 |
Dalila Vite Riojas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4201 Interway Place, Arlington, TX 76018 Phone: 817-652-9192 Fax: 817-652-3011 | |
Dr. Linh Doan-pham, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3120 Matlock Rd, Suite 201, Arlington, TX 76015 Phone: 817-467-0889 | |
Dr. Shehla Rizvi Shah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2624 Matlock Rd Ste 110, Arlington, TX 76015 Phone: 817-275-8131 Fax: 817-795-9700 | |
Dr. Tram T Nguyen, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 912 E Park Row Dr, Arlington, TX 76010 Phone: 817-277-2977 Fax: 817-277-4750 | |
Dr. Keith Hanna Harmon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 950 N Davis Dr, Suite 4, Arlington, TX 76012 Phone: 817-460-0104 Fax: 817-860-2184 | |
Dr. Edward E Moayyad, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2624 Matlock Rd Ste 110, Arlington, TX 76015 Phone: 817-275-8131 Fax: 817-795-9700 | |
Dr. Scott Christopher Tisdell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 W Randol Mill, Arlington, TX 76012 Phone: 817-548-6514 Fax: 817-548-6173 |