Dr Tanya Marie Rackley, MD | |
1345 Alamo Ranch Pkwy, Ste 203, San Antonio, TX 78253-6440 | |
(210) 767-4000 | |
(210) 688-9418 |
Full Name | Dr Tanya Marie Rackley |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1345 Alamo Ranch Pkwy, 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 |
---|---|---|---|
1184803090 | NPI | - | NPPES |
215387605 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | BP10021876 (Texas) | Secondary |
208000000X | Pediatrics | M8267 (Texas) | Primary |
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 |
Entity Name | Christus Pediatric Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346652575 PECOS PAC ID: 3870860935 Enrollment ID: O20170522002029 |
Mailing Address | Practice Location Address |
---|---|
Dr Tanya Marie Rackley, MD 919 Hidden Rdg, Irving, TX 75038-3813 Ph: (469) 282-2711 | Dr Tanya Marie Rackley, MD 1345 Alamo Ranch Pkwy, Ste 203, San Antonio, TX 78253-6440 Ph: (210) 767-4000 |
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 |