| William Russell Giles Jr, MD | |
|
126 W Main St, Gun Barrel City, TX 75156-5297 | |
| (903) 713-1582 | |
| (903) 713-1579 |
| Full Name | William Russell Giles Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 126 W Main St, Gun Barrel City, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386662419 | NPI | - | NPPES |
| 8S5838 | Other | TX | BLUE CROSS |
| 174192802 | Medicaid | TX | |
| P00339673 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M0730 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cedar Lake Home Health And Hospice | Malakoff, TX | Home health agency |
| Angels Care Home Health Of Dallas | Greenville, TX | Home health agency |
| Ut Health East Texas Home Health Services | Athens, TX | Home health agency |
| Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| The University Of Texas Health Science Center At Tyler | Tyler, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 373 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| William Russell Giles Jr, MD Po Box 9477, Tyler, TX 75711-9477 Ph: (903) 713-1582 | William Russell Giles Jr, MD 126 W Main St, Gun Barrel City, TX 75156-5297 Ph: (903) 713-1582 |
Asiya Mahmood, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 126 W Main St, Bay 4, Gun Barrel City, TX 75156 Phone: 903-713-1582 Fax: 903-713-1589 |