Dr James Manning Lackey, MD | |
2235 Thousand Oaks Dr, Suite #117, San Antonio, TX 78232-3966 | |
(210) 490-1000 | |
(210) 496-3590 |
Full Name | Dr James Manning Lackey |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 2235 Thousand Oaks Dr, San Antonio, 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 |
---|---|---|---|
1730255050 | NPI | - | NPPES |
216649801 | Medicaid | TX | |
216649802 | Medicaid | TX | |
Y29190 | Other | TX | UPIN NUMBER |
L5014 | Other | TX | TX LICENSE NUMBER |
8CJ355 | Other | TX | BLUECROSS BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L5014 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prophylaxis Healthcare Llc | 3072784289 | 21 |
Entity Name | Prophylaxis Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538453923 PECOS PAC ID: 3072784289 Enrollment ID: O20110920000575 |
Mailing Address | Practice Location Address |
---|---|
Dr James Manning Lackey, MD 1045 Central Parkway North, Suite 200, San Antonio, TX 78232-5024 Ph: (210) 541-4500 | Dr James Manning Lackey, MD 2235 Thousand Oaks Dr, Suite #117, San Antonio, TX 78232-3966 Ph: (210) 490-1000 |
Dr. Obinna C. Uzowulu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22250 Bulverde Rd, Suite 111, San Antonio, TX 78261 Phone: 210-899-4490 Fax: 210-592-8195 | |
Dr. Salima Jaffer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22800 Bulverde Rd Apt 2202, San Antonio, TX 78261 Phone: 210-878-4033 | |
David A. Ramos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-534-0890 | |
Patricia May B. Lacsina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 903 W Martin St, San Antonio, TX 78207 Phone: 210-358-3441 Fax: 210-358-5944 | |
Adriana S Sanchez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9000 | |
Anuoluwapo Adediji, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-4775 | |
Dr. Aneela N. Hussain, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4610 E Southcross Blvd, San Antonio, TX 78222 Phone: 210-648-1491 |