Physician Compare National (NPI:1326144304)

HEALTHCARE PROVIDER: DEBORAH T COMBS CANTRELL MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1326144304
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254424161
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070910000324
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COMBS-CANTRELL
	Individual professional last name
Provider First Name	DEBORAH
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	405 INTERSTATE HWY 121 BYPASS
	Group Practice or individual's line 1 address
Line 2 Street Address	BLDG A SUITE 150
	Group Practice or individual's line 2 address
City	LEWISVILLE
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	750674147
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670068
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH PRESBYTERIAN HOSPITAL FLOWER MOUND
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450893
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAYLOR SCOTT & WHTE THE HEART HOSPITAL - DENTON
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450079
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y