Dr Joseph N Kidd Jr, MD | |
4499 Medical Dr, Suite 347, San Antonio, TX 78229-3735 | |
(210) 615-8757 | |
(210) 615-8789 |
Full Name | Dr Joseph N Kidd Jr |
---|---|
Gender | Male |
Speciality | Surgery - Pediatric Surgery |
Location | 4499 Medical Dr, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184697674 | NPI | - | NPPES |
159269301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | L6467 (Texas) | Primary |
Entity Name | Magella Medical Associates Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph N Kidd Jr, MD 3001 E President George Bush Hwy, Suite 250, Richardson, TX 75082-3542 Ph: (972) 437-5099 | Dr Joseph N Kidd Jr, MD 4499 Medical Dr, Suite 347, San Antonio, TX 78229-3735 Ph: (210) 615-8757 |
Anas Mouchli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr # Mc7742, San Antonio, TX 78229 Phone: 210-567-5711 | |
Dr. Agustin Cornejo Esquerra, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 Camden St Ste 409, San Antonio, TX 78215 Phone: 210-228-9605 Fax: 210-228-9632 | |
Dr. Robert P Thomas, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4499 Medical Dr, Suite 347, San Antonio, TX 78229 Phone: 210-615-8757 Fax: 210-615-8789 | |
Grant Harrison Gershner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-7000 | |
Dr. Donald Howard Jenkins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 | |
Dr. Donald David Dilworth, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8715 Village Dr, Suite 608, San Antonio, TX 78217 Phone: 210-657-2100 Fax: 210-675-2110 | |
Marlin W Causey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3851 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-539-9360 |