Dr Roberto Victor Hennessy, MD | |
3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 | |
(210) 916-1006 | |
Not Available |
Full Name | Dr Roberto Victor Hennessy |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3551 Roger Brooke Dr Dept Of, 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 |
---|---|---|---|
1922098573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 058193 (Georgia) | Secondary |
207P00000X | Emergency Medicine | N3080 (Texas) | Primary |
Entity Name | University Of Texas Health Science Center At San Antonio |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
Entity Name | Cec Dezavala Er Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528453495 PECOS PAC ID: 7517201395 Enrollment ID: O20181205001370 |
Entity Name | Cec San Antonio Er Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124364302 PECOS PAC ID: 3173954955 Enrollment ID: O20200511003066 |
Mailing Address | Practice Location Address |
---|---|
Dr Roberto Victor Hennessy, MD 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 | Dr Roberto Victor Hennessy, MD 3551 Roger Brooke Dr Dept Of, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-1006 |
Sara Birdsong, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Mrs. Robyn Ruth Lombardo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Jacob Powell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3851 Roger Brooke Dr # 3600, Department Of Emergency Medicine, Fort Sam Houston, TX 78234 Phone: 210-916-6129 | |
Dr. Mark A. Antonacci, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 850-687-0316 | |
Jason Michael Dillashaw, P.A. - C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141 | |
Dr. Evan Morris Baines, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
John Garr, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |