Crystal Michelle De La Cerda, MD | |
333 N Santa Rosa St, San Antonio, TX 78207-3108 | |
(210) 704-3718 | |
(210) 704-4520 |
Full Name | Crystal Michelle De La Cerda |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 333 N Santa Rosa St, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437477460 | NPI | - | NPPES |
8CR137 | Other | BCBS TX | |
212706002 | Other | TX | CSN |
N5644 | Other | TX | TEXAS MEDICAL LICENSE |
212706001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | N5644 (Texas) | Secondary |
208000000X | Pediatrics | N5644 (Texas) | Primary |
Entity Name | Val Verde Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639239239 PECOS PAC ID: 0941112023 Enrollment ID: O20041006001392 |
Entity Name | Baylor College Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285079764 PECOS PAC ID: 0648405738 Enrollment ID: O20131025000939 |
Mailing Address | Practice Location Address |
---|---|
Crystal Michelle De La Cerda, MD 18318 Snorkel Cv, San Antonio, TX 78255-3341 Ph: (210) 912-2059 | Crystal Michelle De La Cerda, MD 333 N Santa Rosa St, San Antonio, TX 78207-3108 Ph: (210) 704-3718 |
Sarah Haley Gross, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14615 San Pedro Ave Ste 218-220, San Antonio, TX 78232 Phone: 210-644-3650 Fax: 210-702-6979 | |
Dr. Wilson Wayne Grant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5282 Medical Dr, Ste 310, San Antonio, TX 78229 Phone: 210-614-8687 Fax: 210-614-7529 | |
Dr. Jane T Atkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7922 Ewing Halsell Dr, Suite 270, San Antonio, TX 78229 Phone: 210-614-2828 Fax: 210-614-2558 | |
Pedro Nelson Chavez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 Madison Oak Dr, Suite 103, San Antonio, TX 78258 Phone: 210-297-8640 Fax: 210-297-8640 | |
Dr. Jose F Pascual-baralt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7419 Round Mtn, San Antonio, TX 78255 Phone: 210-695-2906 | |
Mr. Byron Scott Dooley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Oak Centre, Suite 350, San Antonio, TX 78258 Phone: 210-297-4560 Fax: 210-297-0451 | |
Dr. Elizabeth Christiane Diltz Menking, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7700 Floyd Curl, San Antonio, TX 78229 Phone: 210-871-4409 Fax: 210-524-9599 |