| Kyle Mitchell Koelker, PA-C | |
|
222 S Collins Rd Ste 101, Sunnyvale, TX 75182-4645 | |
| (512) 519-1254 | |
| Not Available |
| Full Name | Kyle Mitchell Koelker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 222 S Collins Rd Ste 101, Sunnyvale, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619535366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA12753 (Texas) | Primary |
| Entity Name | Jeff Zhao DO PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346569829 PECOS PAC ID: 3476748690 Enrollment ID: O20101115000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Mitchell Koelker, PA-C 1860 Crestland Dr, Lucas, TX 75002-8566 Ph: (972) 835-9582 | Kyle Mitchell Koelker, PA-C 222 S Collins Rd Ste 101, Sunnyvale, TX 75182-4645 Ph: (512) 519-1254 |
Lianne Bencomo Tejeiro, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2820 N Belt Line Rd Ste 100, Sunnyvale, TX 75182 Phone: 972-288-6189 |
Mr. Rodolfo Guajardo, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2820 N Belt Line Rd Ste 100, Sunnyvale, TX 75182 Phone: 972-288-6189 Fax: 972-698-7641 |
Miss Abigail Sylvia Martin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 182 S Collins Rd Ste 800, Sunnyvale, TX 75182 Phone: 214-466-6943 |
Sharon Anna Shaji, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3107 Caddo Ln, Sunnyvale, TX 75182 Phone: 267-516-2105 |
Jose Ortiz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 490 Us Highway 80 E Ste 200, Sunnyvale, TX 75182 Phone: 972-329-1996 |
Sarah Mcmahon Ouimet, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 341 Wheatfield Dr Ste 100, Sunnyvale, TX 75182 Phone: 972-285-0221 |
Ms. Madison Rose Holland, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 182 S Collins Rd Ste 800, Sunnyvale, TX 75182 Phone: 469-262-2393 Fax: 866-313-9413 |