| Mr Randall Wagman, MD | |
|
920 Highway 287 N, Ste 300, Mansfield, TX 76063-2627 | |
| (817) 539-0770 | |
| (817) 539-0772 |
| Full Name | Mr Randall Wagman |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 920 Highway 287 N, Mansfield, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225033574 | NPI | - | NPPES |
| 197913001 | Medicaid | TX | |
| 1667081 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11202R (Louisiana) | Secondary |
| 207Q00000X | Family Medicine | M8410 (Texas) | Primary |
| Entity Name | Questcare Hospitalists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265441620 PECOS PAC ID: 5799785119 Enrollment ID: O20070109000581 |
| Entity Name | Questcare Medical Clinics Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821430166 PECOS PAC ID: 6608010541 Enrollment ID: O20130916000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Randall Wagman, MD 920 Us Highway 287 N, Ste 300, Mansfield, TX 76063-2627 Ph: (817) 539-0770 | Mr Randall Wagman, MD 920 Highway 287 N, Ste 300, Mansfield, TX 76063-2627 Ph: (817) 539-0770 |
John Paul Hood, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1751 Broad Park Cir S Ste 203, Mansfield, TX 76063 Phone: 817-539-7377 Fax: 817-842-5505 | |
Dr. Karla Rae Dick, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 N Highway 157, Mansfield, TX 76063 Phone: 817-473-7962 Fax: 682-518-7912 | |
Christie U. Egbuchunam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Regency Pkwy, Suite 509, Mansfield, TX 76063 Phone: 817-453-2323 Fax: 817-453-2322 | |
Lora Plumlee Boone, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 Highway 157 N, Mansfield, TX 76063 Phone: 817-473-7962 | |
Ricardo Chujutalli, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1670 E Broad St Ste 110, Mansfield, TX 76063 Phone: 682-341-7510 | |
Linda Nguyen Palsky, RN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3020 E Broad St Ste 100, Mansfield, TX 76063 Phone: 682-282-4014 | |
Mr. Doyle Fairchild Gallman Jr., D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2360 Highway 157 N, Mansfield, TX 76063 Phone: 817-453-2123 Fax: 817-453-2151 |