| Vivekananda Dasari, MD | |
|
340 Hawkins Run Rd Ste 200, Midlothian, TX 76065-6638 | |
| (972) 546-5660 | |
| (469) 672-6733 |
| Full Name | Vivekananda Dasari |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 340 Hawkins Run Rd Ste 200, Midlothian, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396010526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | P2223 (Texas) | Primary |
| Entity Name | Permian Premier Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664763 PECOS PAC ID: 8426051293 Enrollment ID: O20060816000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Vivekananda Dasari, MD 340 Hawkins Run Rd Ste 200, Midlothian, TX 76065-6638 Ph: (972) 546-5660 | Vivekananda Dasari, MD 340 Hawkins Run Rd Ste 200, Midlothian, TX 76065-6638 Ph: (972) 546-5660 |
Kimberly Karla Sweet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065 Phone: 972-723-1474 Fax: 972-723-9423 | |
James Ethan Hancock, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 S Midlothian Pkwy Ste 100, Midlothian, TX 76065 Phone: 469-800-9600 | |
Stephanie Pagan Watabe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 S Midlothian Pkwy, Midlothian, TX 76065 Phone: 469-800-9600 | |
Shirley Courim Joslin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1441 S Midlothian Pkwy, Suite 100, Midlothian, TX 76065 Phone: 972-723-1474 Fax: 972-723-9423 |