| Reagan Robles, | |
|
3095 Kingswood Blvd, Grand Prairie, TX 75052-4512 | |
| (972) 854-0009 | |
| Not Available |
| Full Name | Reagan Robles |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3095 Kingswood Blvd, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760922025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | T4043 (Texas) | Primary |
| 207P00000X | Emergency Medicine | 390200000 (Oklahoma) | Secondary |
| Entity Name | Farmers Union Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184639122 PECOS PAC ID: 7517949415 Enrollment ID: O20040603001383 |
| Entity Name | Green Country Emergency Physicians Group Of Tulsa, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972698553 PECOS PAC ID: 0345247052 Enrollment ID: O20061021000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Reagan Robles, 1082 Woodbriar Dr, Grapevine, TX 76051-7817 Ph: (214) 668-6378 | Reagan Robles, 3095 Kingswood Blvd, Grand Prairie, TX 75052-4512 Ph: (972) 854-0009 |
Dr. Espiridion Rey Mendez, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 W Main St Ste 110, Grand Prairie, TX 75050 Phone: 814-323-5744 Fax: 814-295-5952 | |
Shabana Parvez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2831 Oak Glen Ct, Grand Prairie, TX 75052 Phone: 682-256-2749 Fax: 833-295-9082 | |
Dr. Wilbur Max Frankum, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2709 Hospital Blvd., Texas General Hospital, Grand Prairie, TX 75051 Phone: 469-999-0000 | |
Dr. Joseph Yun Kim, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 3095 Kingswood Blvd, Grand Prairie, TX 75052 Phone: 972-854-0009 |