Mr Rawn Edward Bosley, MD | |
925 E Southlake Blvd Ste 200, Southlake, TX 76092-1476 | |
(817) 329-1350 | |
(817) 329-1366 |
Full Name | Mr Rawn Edward Bosley |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 13 Years |
Location | 925 E Southlake Blvd Ste 200, Southlake, 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 |
---|---|---|---|
1295027910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | R1001 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pdp Of Texas, Pllc | 2466455050 | 57 |
Prism Dermatology Pllc | 9931444528 | 2 |
Entity Name | Pdp Of Texas, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629025739 PECOS PAC ID: 2466455050 Enrollment ID: O20060822000094 |
Entity Name | Prism Dermatology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043795743 PECOS PAC ID: 9931444528 Enrollment ID: O20190102000128 |
Mailing Address | Practice Location Address |
---|---|
Mr Rawn Edward Bosley, MD 925 E Southlake Blvd Ste 200, Southlake, TX 76092-1476 Ph: (817) 329-1350 | Mr Rawn Edward Bosley, MD 925 E Southlake Blvd Ste 200, Southlake, TX 76092-1476 Ph: (817) 329-1350 |
Dr. Holly V Debuys, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3065 W Southlake Blvd # 140, Southlake, TX 76092 Phone: 817-380-5911 Fax: 817-385-6579 | |
Dr. Sara Heldt Greer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1170 N Carroll Ave, Southlake, TX 76092 Phone: 817-251-6500 Fax: 817-442-0550 | |
Kathrene A Tajnert, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Ste 300, Southlake, TX 76092 Phone: 817-251-6500 |