Dr Gustavo E Villarreal, MD | |
2510 E Main St Ste 108, Alice, TX 78332-4188 | |
(361) 661-8105 | |
Not Available |
Full Name | Dr Gustavo E Villarreal |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2510 E Main St Ste 108, Alice, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649227653 | NPI | - | NPPES |
079740902 | Medicaid | TX | |
079740901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G6038 (Texas) | Primary |
174400000X | Specialist | 742380876 (Texas) | Secondary |
Entity Name | Christus Trinity Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Mailing Address | Practice Location Address |
---|---|
Dr Gustavo E Villarreal, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400 | Dr Gustavo E Villarreal, MD 2510 E Main St Ste 108, Alice, TX 78332-4188 Ph: (361) 661-8105 |
Jerry Liles, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 E 6th St, Alice, TX 78332 Phone: 361-668-8888 | |
Carlos Rafael Elizondo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 S Gulf St, Alice, TX 78332 Phone: 361-664-0303 Fax: 866-845-0933 | |
Dr. Oscar Reynolds Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 Flournoy Rd, Suite 2a, Alice, TX 78332 Phone: 361-664-1417 Fax: 361-664-3218 | |
David Carter, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Main St, Alice, TX 78332 Phone: 361-661-8000 | |
Dr. Beauford Basped Jr., D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Main St, Alice, TX 78332 Phone: 361-664-6504 Fax: 361-664-6531 | |
Dr. Alejandro Lopez Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Mariposa, Alice, TX 78332 Phone: 361-664-8811 Fax: 361-664-8992 |