| Ralph T Wynn, MD | |
|
1845 Precinct Line Rd Ste 209, Hurst, TX 76054-3109 | |
| (817) 632-5803 | |
| (817) 632-5803 |
| Full Name | Ralph T Wynn |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 45 Years |
| Location | 1845 Precinct Line Rd Ste 209, Hurst, 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 |
|---|---|---|---|
| 1043297195 | NPI | - | NPPES |
| G3923 | Other | TX | TEXAS MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 234251 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | G3923 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Granbury Medical Center | Granbury, TX | Hospital |
| Glen Rose Medical Center | Glen rose, TX | Hospital |
| Medical City Weatherford | Weatherford, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Singleton Associates Pa | 6305731118 | 635 |
| Entity Name | Rose Imaging Specialists Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164478186 PECOS PAC ID: 7517853351 Enrollment ID: O20040226001097 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | Consultants In Radiology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922034602 PECOS PAC ID: 9931157609 Enrollment ID: O20050110000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph T Wynn, MD 1845 Precinct Line Rd Ste 209, Hurst, TX 76054-3109 Ph: (817) 632-5803 | Ralph T Wynn, MD 1845 Precinct Line Rd Ste 209, Hurst, TX 76054-3109 Ph: (817) 632-5803 |
Nidhi Kacholiya, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1845 Precinct Line Rd Ste 209, Second Floor, Hurst, TX 76054 Phone: 817-336-4638 Fax: 817-336-7637 | |
Lloyd Glenwood Wilbert Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1845 Precinct Line Rd Ste 209, Hurst, TX 76054 Phone: 817-336-4638 Fax: 817-336-1331 | |
Lynn Bakeerah Hassan Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 1845 Precinct Line Rd Ste 209, Hurst, TX 76054 Phone: 817-632-5803 Fax: 817-632-5803 | |
Padmavathi N Srinivasan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1845 Precinct Line Rd Ste 209, Hurst, TX 76054 Phone: 817-336-4638 Fax: 817-336-1331 | |
Jeffrey K Leitko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1845 Precinct Line Rd Ste 209, Second Floor, Hurst, TX 76054 Phone: 817-336-4638 Fax: 817-336-7637 | |
Dr. Tanja Minova Foster, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1845 Precinct Line Rd, Ste 209, Hurst, TX 76054 Phone: 817-321-0937 Fax: 469-522-6889 |