| Natalia Ivanova, DO | |
|
3430 Center St, Deer Park, TX 77536-5056 | |
| (832) 548-5000 | |
| Not Available |
| Full Name | Natalia Ivanova |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3430 Center St, Deer Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942640123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | Q6948 (Texas) | Primary |
| Entity Name | C H Wilkinson Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20041203000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Natalia Ivanova, DO Po Box 66308, Houston, TX 77266-6308 Ph: (832) 548-5000 | Natalia Ivanova, DO 3430 Center St, Deer Park, TX 77536-5056 Ph: (832) 548-5000 |
Dr. Neelima J Kale, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3430 Center St, Deer Park, TX 77536 Phone: 832-548-5000 | |
Donald R Metz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2910 Center St, Deer Park, TX 77536 Phone: 281-479-5941 Fax: 281-542-1861 | |
Andrew Sparks Metz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2910 Center St., Deer Park, TX 77536 Phone: 281-479-5941 Fax: 281-479-7056 | |
Dr. Judith Martin Cadore, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 125 E 8th St, Deer Park, TX 77536 Phone: 281-930-8555 Fax: 281-930-9870 |