Olga R Nouri, DMD | |
801 W 1st St, San Juan, TX 78589-2276 | |
(956) 787-8915 | |
(956) 787-2021 |
Full Name | Olga R Nouri |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 801 W 1st St, San Juan, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710093398 | NPI | - | NPPES |
344333502 | Medicaid | TX | |
541522YLAL | Other | TX | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 21116 (Texas) | Primary |
Entity Name | Nuestra Clinica Del Valle, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891793246 PECOS PAC ID: 8921916552 Enrollment ID: O20040426001604 |
Mailing Address | Practice Location Address |
---|---|
Olga R Nouri, DMD 801 W 1st St, San Juan, TX 78589 Ph: (956) 787-8915 | Olga R Nouri, DMD 801 W 1st St, San Juan, TX 78589-2276 Ph: (956) 787-8915 |
Dr. Ricardo Garcia, D.D.S, M.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1203 N Raul Longoria Rd Ste K, San Juan, TX 78589 Phone: 956-783-9595 Fax: 956-783-9519 | |
Thomas Boake Ball, Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 W 6th St, San Juan, TX 78589 Phone: 956-787-3821 | |
Dr. Karl Omer Boltie, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 Raul Longoria Rd., San Juan, TX 78589 Phone: 956-787-4840 Fax: 956-787-4840 | |
Dr. William Nam Vo, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 108 E Fm 495 Ste B, San Juan, TX 78589 Phone: 956-800-2233 | |
Dr. Carolyn Huff, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 801 W 1st St, San Juan, TX 78589 Phone: 956-787-8915 | |
Dr. Ashley Yuridian Zuniga, DDS Dentist Medicare: Medicare Enrolled Practice Location: 801 W 1st St, San Juan, TX 78589 Phone: 956-787-8915 Fax: 956-787-2021 | |
Dr. Thomas Henry Riccardi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 108 E Fm 495, San Juan, TX 78589 Phone: 315-744-0488 |