| Titilola Sode, | |
|
5323 Harry Hines Blvd, Dallas, TX 75390-7708 | |
| (214) 590-8000 | |
| Not Available |
| Full Name | Titilola Sode |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 5323 Harry Hines Blvd, Dallas, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003203381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0900X | Dermatology - Dermatopathology | S5781 (Texas) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epiphany Dermatology Of Georgia, Llc | 6800798182 | 21 |
| Entity Name | Epiphany Dermatology Of Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265544357 PECOS PAC ID: 6800798182 Enrollment ID: O20040126000887 |
| Entity Name | Peachtree Dermatology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316965213 PECOS PAC ID: 0143210385 Enrollment ID: O20040518000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Titilola Sode, 5310 Harvest Hill Rd, Ste 290, Dallas, TX 75230-5826 Ph: (214) 420-0650 | Titilola Sode, 5323 Harry Hines Blvd, Dallas, TX 75390-7708 Ph: (214) 590-8000 |
Dr. Jon Davis Pruett, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8201 Preston Rd Ste 440, Dallas, TX 75225 Phone: 214-675-3227 | |
Dr. Daniel D. Witheiler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1411 N Beckley Ave, Pavilion Iii, Suite 470, Dallas, TX 75203 Phone: 214-941-7546 Fax: 214-941-2442 | |
Dr. Lynne Jeanine Roberts, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8144 Walnut Hill Ln, Ste 360, Dallas, TX 75231 Phone: 469-232-9300 Fax: 469-232-9850 | |
Patrick Henry Mcdonough, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6162 E Mockingbird Ln, Suite 120, Dallas, TX 75214 Phone: 214-463-8328 | |
Juliet F Gibson, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8144 Walnut Hill Ln Ste 1300, Dallas, TX 75231 Phone: 214-420-7070 Fax: 214-420-7380 | |
Dr. Martin Alan Menter, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3900 Junius St, Suite 145, Dallas, TX 75246 Phone: 972-386-7546 Fax: 972-701-8008 |