Dr Emilio Fentanes, MD | |
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
(210) 539-8414 | |
Not Available |
Full Name | Dr Emilio Fentanes |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1093009276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 13159296-1205 (Utah) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | MD17066 (Hawaii) | Primary |
Entity Name | University Of Utah Adult Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
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Dr Emilio Fentanes, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: () - | Dr Emilio Fentanes, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-8414 |
Dr. Benjamin Lee Hughes, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-2153 Fax: 210-916-0709 | |
Dr. Rosemary Chacko, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 Fax: 210-916-5102 | |
Andre John Ognibene, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-5993 | |
Christopher Paul Irwin, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 916-210-2338 | |
Gilbert Patrick Ancira, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4808 | |
Sarah Dang, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-7074 | |
Dr. Raul A. Rivera, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Brooke Army Medical Center Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-2460 |