Dr Alfredo R Andaya, MD | |
1311 General Cavazos Blvd, Suite 301, Kingsville, TX 78363 | |
(361) 595-5526 | |
(361) 595-1050 |
Full Name | Dr Alfredo R Andaya |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1311 General Cavazos Blvd, Kingsville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578583001 | NPI | - | NPPES |
742085274 | Other | TX | TAXPAYER IDENTIFICATION |
126915106 | Medicaid | TX | |
126915102 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | J4694 (Texas) | Primary |
Entity Name | Community Action Corporation Of South Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063529642 PECOS PAC ID: 9032003504 Enrollment ID: O20040615001126 |
Mailing Address | Practice Location Address |
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Dr Alfredo R Andaya, MD 1311 General Cavazos Blvd, Suite 301, Kingsville, TX 78363-7129 Ph: (361) 595-5526 | Dr Alfredo R Andaya, MD 1311 General Cavazos Blvd, Suite 301, Kingsville, TX 78363 Ph: (361) 595-5526 |
Alliskair Anibal Ortiz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1311 E General Cavazos Blvd Ste 303c, Kingsville, TX 78363 Phone: 361-592-3237 Fax: 361-221-1856 | |
Dr. Unam Cho, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1311 General Cavazos Blvd, Suite A, Kingsville, TX 78363 Phone: 361-595-4441 Fax: 361-595-4448 | |
Anil C Patel, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1018 S 14th St, Kingsville, TX 78363 Phone: 361-592-0223 Fax: 361-592-0883 | |
Dr. Julio C O'ryan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1311 General Cavazos Blvd Ste 303c, Kingsville, TX 78363 Phone: 361-925-3237 |