| Jerrad Michael Stoddard, PA | |
|
2410 Round Rock Ave Ste 150, Round Rock, TX 78681-4019 | |
| (512) 341-8724 | |
| (512) 687-0295 |
| Full Name | Jerrad Michael Stoddard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2410 Round Rock Ave Ste 150, Round Rock, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013326792 | NPI | - | NPPES |
| 342213101 | Medicaid | TX | |
| 342213102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09361 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerrad Michael Stoddard, PA Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Jerrad Michael Stoddard, PA 2410 Round Rock Ave Ste 150, Round Rock, TX 78681-4019 Ph: (512) 341-8724 |
Hirut Nicodimos, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Elizabeth D Bishop, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7200 Wyoming Spgs, Ste 300, Round Rock, TX 78681 Phone: 512-244-2273 Fax: 512-244-3179 | |
Donna Marie Prokop-fettig, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1201 Sam Bass Rd, Round Rock, TX 78681 Phone: 512-388-1861 Fax: 512-388-0373 | |
Shelby E Wasil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 Fax: 512-244-2895 | |
Christopher Carl Hanson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16020 Park Valley Dr, Round Rock, TX 78681 Phone: 512-244-0766 | |
Mrs. Shobha Mathew David, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 |