| Sung Hyun Paek, MD | |
|
3001 George Bush Hwy Ste 250, Richardson, TX 75082-3552 | |
| (214) 343-6663 | |
| (214) 343-2814 |
| Full Name | Sung Hyun Paek |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 3001 George Bush Hwy Ste 250, Richardson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023209327 | NPI | - | NPPES |
| ZZZ52117Z | Other | CA | BLUE SHIELD # |
| W1508 | Other | CA | CHC-COASTAL MEDICAL CENTER -MEDICARE GROUP NUMBER |
| FHC70593F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A101637 (California) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | S2449 (Texas) | Primary |
| Entity Name | Lpch Medical Group Div Of Lucile |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Sung Hyun Paek, MD 3001 George Bush Hwy Ste 250, Richardson, TX 75082-3552 Ph: (214) 343-6663 | Sung Hyun Paek, MD 3001 George Bush Hwy Ste 250, Richardson, TX 75082-3552 Ph: (214) 343-6663 |
Laura Tryphena Hunt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 George Bush Hwy Ste 225, Richardson, TX 75082 Phone: 817-250-2892 | |
Michael D Stanley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 E President George Bush Hwy, Suite 250, Richardson, TX 75082 Phone: 972-437-5099 | |
Dr. Beatriz Ruiz-yedwab, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2821 E President George Bush Hwy, Suite 308, Richardson, TX 75082 Phone: 214-320-1661 Fax: 214-320-1691 | |
Dr. Sarah Barber Troendle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1112 N Floyd Rd Ste 7, Richardson, TX 75080 Phone: 972-952-0280 | |
Dr. Gina Page Lummus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3001 E President George Bush Turnpike, Suite 250, Richardson, TX 75082 Phone: 972-437-5099 Fax: 214-343-2814 | |
David Warner Green, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3001 E President George Bush Hwy Ste 225, Richardson, TX 75082 Phone: 214-343-6663 Fax: 214-343-2814 |