Dr Lisa M Madden, MD | |
4410 Medical Dr Ste 550, San Antonio, TX 78229-3755 | |
(210) 575-3817 | |
Not Available |
Full Name | Dr Lisa M Madden |
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Gender | Female |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 4410 Medical Dr Ste 550, 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 |
---|---|---|---|
1861526048 | NPI | - | NPPES |
361904101 | Medicaid | TX | |
8GB634 | Other | TX | BCBS - TX |
361904102 | Medicaid | TX | |
MEDICARE | Other | TX | 523595YLLW |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | Q9189 (Texas) | Secondary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | Q9189 (Texas) | Primary |
Entity Name | Regents Of The Univ Of Ca |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Mailing Address | Practice Location Address |
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Dr Lisa M Madden, MD 4410 Medical Dr, Suite 410, San Antonio, TX 78229-6306 Ph: () - | Dr Lisa M Madden, MD 4410 Medical Dr Ste 550, San Antonio, TX 78229-3755 Ph: (210) 575-3817 |
Sarah Haley Gross, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14615 San Pedro Ave Ste 218-220, San Antonio, TX 78232 Phone: 210-644-3650 Fax: 210-702-6979 | |
Dr. Wilson Wayne Grant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5282 Medical Dr, Ste 310, San Antonio, TX 78229 Phone: 210-614-8687 Fax: 210-614-7529 | |
Dr. Jane T Atkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7922 Ewing Halsell Dr, Suite 270, San Antonio, TX 78229 Phone: 210-614-2828 Fax: 210-614-2558 | |
Pedro Nelson Chavez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 Madison Oak Dr, Suite 103, San Antonio, TX 78258 Phone: 210-297-8640 Fax: 210-297-8640 | |
Dr. Jose F Pascual-baralt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7419 Round Mtn, San Antonio, TX 78255 Phone: 210-695-2906 | |
Mr. Byron Scott Dooley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Oak Centre, Suite 350, San Antonio, TX 78258 Phone: 210-297-4560 Fax: 210-297-0451 | |
Dr. Elizabeth Christiane Diltz Menking, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7700 Floyd Curl, San Antonio, TX 78229 Phone: 210-871-4409 Fax: 210-524-9599 |