Antonio Gamboa, MD | |
7000 North Mopac, #180, Austin, TX 78731 | |
(512) 482-0045 | |
(512) 476-9892 |
Full Name | Antonio Gamboa |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 7000 North Mopac, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154356780 | NPI | - | NPPES |
202793007 | Medicaid | TX | |
202793004 | Medicaid | TX | |
202793006 | Medicaid | TX | |
946999 | Medicaid | AZ | |
202793005 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 33649 (Arizona) | Secondary |
207R00000X | Internal Medicine | M7983 (Texas) | Primary |
208000000X | Pediatrics | 33649 (Arizona) | Secondary |
Entity Name | Curana Health Of Arizona |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467187237 PECOS PAC ID: 5496125569 Enrollment ID: O20230105003010 |
Entity Name | Elite Patient Care New Mexico Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598352015 PECOS PAC ID: 9335553197 Enrollment ID: O20230324000464 |
Entity Name | Ch Specialty Services Az Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982303392 PECOS PAC ID: 7214301621 Enrollment ID: O20230327002334 |
Mailing Address | Practice Location Address |
---|---|
Antonio Gamboa, MD 7000 North Mopac, # 180, Austin, TX 78731 Ph: (512) 482-0045 | Antonio Gamboa, MD 7000 North Mopac, #180, Austin, TX 78731 Ph: (512) 482-0045 |
Dr. Tatiana B. Jacobson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746 Phone: 512-323-5465 Fax: 512-327-1390 | |
Preeti Venkatraman, M.B.B.S. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-7000 | |
Pritesh Harish Gandhi, M.D., M.P.H. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832 | |
Dr. Joshua Lane Davis, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705 Phone: 512-324-3440 | |
Dr. Grace Marie Grant-jennings, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Dr. Debra Ann Patt, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6204 Balcones Dr, Austin, TX 78731 Phone: 512-427-9400 Fax: 512-342-2723 | |
Dr. Matthew Morris Medlock, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247 |