Dr Derek Andrew Mathis, MD | |
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | |
(210) 916-4029 | |
(210) 916-3235 |
Full Name | Dr Derek Andrew Mathis |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 25 Years |
Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679796544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZN0500X | Pathology - Neuropathology | N1391 (Texas) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD 025469 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Hospital Stone Oak | San antonio, TX | Hospital |
Methodist Hospital | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Texas Pathology Associates Llp | 6406851054 | 22 |
Entity Name | South Texas Pathology Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912954025 PECOS PAC ID: 6406851054 Enrollment ID: O20061003000621 |
Mailing Address | Practice Location Address |
---|---|
Dr Derek Andrew Mathis, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-4029 | Dr Derek Andrew Mathis, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-4029 |
Dr. Brent Joshua Huddleston, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Quality Services/7th Floor, Attn: Mche-zqq, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-2338 | |
Isaac Mccool, Pathology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-3624 | |
Dr. Jose Brian Gorospe, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Dpals (pathology), Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-3673 |