| Zhibo Yang, MD, PHD | |
|
3001 Jbs Pkwy, Odessa, TX 79762-8126 | |
| (432) 640-6772 | |
| (432) 640-4708 |
| Full Name | Zhibo Yang |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3001 Jbs Pkwy, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871930065 | NPI | - | NPPES |
| 344507401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | FR0453669-101 (New York) | Secondary |
| 208000000X | Pediatrics | P7729 (Texas) | Primary |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Zhibo Yang, MD, PHD Po Box 2129, Odessa, TX 79760-2129 Ph: (432) 640-6772 | Zhibo Yang, MD, PHD 3001 Jbs Pkwy, Odessa, TX 79762-8126 Ph: (432) 640-6772 |
Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537 | |
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222 | |
Olajide A Sowemimo, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Texas Tech University Health Sciences Complex, 701 West 5th Street, Odessa, TX 79763 Phone: 432-703-6310 | |
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797 | |
Randa N. A Othman, M.D Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1421 Fax: 432-335-1807 | |
Dr. Venkataramana P. Garikiparthy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5150 | |
Manjula Mudduluru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5310 Fax: 432-335-5354 |