| Sandra C Peak, MD | |
|
1600 Fm 544 Ste 100, Lewisville, TX 75056-4591 | |
| (972) 316-7400 | |
| (972) 316-0907 |
| Full Name | Sandra C Peak |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1600 Fm 544 Ste 100, Lewisville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871675629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | K2094 (Texas) | Primary |
| 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 |
|---|---|
| Sandra C Peak, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Sandra C Peak, MD 1600 Fm 544 Ste 100, Lewisville, TX 75056-4591 Ph: (972) 316-7400 |
Kathryn Hasson Levy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2141 S Edmonds Ln, Lewisville, TX 75067 Phone: 972-315-8500 Fax: 972-315-8512 | |
Erin Podgorski, PA-C Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 Fm 544 Ste 100, Lewisville, TX 75056 Phone: 972-394-4600 | |
Igho C Olobia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 541 W Main St Ste 110, Lewisville, TX 75057 Phone: 469-702-6633 Fax: 469-702-6636 | |
Alfredo O Santesteban, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Winnipeg Dr, Revenue Management, Lewisville, TX 75077 Phone: 469-464-3150 | |
Lizy Varughese, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Fm 544 Ste 100, Lewisville, TX 75056 Phone: 972-316-7400 Fax: 972-316-0907 | |
Sindhu E Philip, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 541 W Main St Ste 110, Lewisville, TX 75057 Phone: 469-702-6633 Fax: 469-702-6636 | |
John G. Ogden, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2141 S Edmonds Ln, Lewisville, TX 75067 Phone: 972-315-8500 Fax: 972-315-8512 |