| Peter S Lazarus, MD | |
|
6421 Mccart Ave, Fort Worth, TX 76133-4702 | |
| (817) 263-7500 | |
| (817) 423-4140 |
| Full Name | Peter S Lazarus |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 6421 Mccart Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518050608 | NPI | - | NPPES |
| 134642104 | Medicaid | TX | |
| 134642105 | Medicaid | TX | |
| 138412505 | Medicaid | TX | |
| 1392539 | Other | TX | UHC PIN |
| 10028668 | Other | TX | AMERIGROUP PIN |
| 138412507 | Medicaid | TX | |
| 413475 | Other | TX | PHCS PIN |
| 00U87Z | Other | TX | BCBSTX GRP PIN |
| 113052 | Other | TX | SUPERIOR PIN |
| 1640382 | Other | TX | FIRSTHEALTH PIN |
| 1750369203 | Other | GRP NPI NUMBER | |
| 82V082 | Other | TX | BCBSTX IND PIN |
| 9239598 | Other | TX | CIGNA PIN |
| 117492100 | Other | TX | FIRSTCARE PIN |
| 4391266 | Other | TX | AETNA PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | E7157 (Texas) | Primary |
| 208M00000X | Hospitalist | E7157 (Texas) | Secondary |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter S Lazarus, MD Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Peter S Lazarus, MD 6421 Mccart Ave, Fort Worth, TX 76133-4702 Ph: (817) 263-7500 |
Dr. Heidi Danielle Tomlinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Pennsylvania Ave, Department Of Neonatology, Fort Worth, TX 76104 Phone: 817-250-2892 | |
Rachel Marie Souers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-6726 Fax: 682-885-6729 | |
Gregory Barker, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2140 Fax: 817-332-2506 | |
Anne Marcum Kirk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
Hina Aziz Rehman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014 | |
Khalid H Syed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 | |
Dr. Phuong Thi Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 |