Dr Theodore Gill Hart, MD | |
3551 Roger Brooke Dr, Dept Of Vascular Surgery, Fort Sam Houston, TX 78234 | |
(210) 916-1174 | |
Not Available |
Full Name | Dr Theodore Gill Hart |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 3551 Roger Brooke Dr, 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 |
---|---|---|---|
1679987671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | T3098 (Texas) | Secondary |
2086S0129X | Surgery - Vascular Surgery | T3098 (Texas) | Primary |
Entity Name | University Of Texas Health Science Center At San Antonio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
Entity Name | San Antonio Vascular And Endovascular Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578085791 PECOS PAC ID: 7911263744 Enrollment ID: O20171113000576 |
Mailing Address | Practice Location Address |
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Dr Theodore Gill Hart, MD 3551 Roger Brooke Dr, Dept Of Vascular Surgery, Fort Sam Houston, TX 78234 Ph: (210) 916-1174 | Dr Theodore Gill Hart, MD 3551 Roger Brooke Dr, Dept Of Vascular Surgery, Fort Sam Houston, TX 78234 Ph: (210) 916-1174 |
Dr. George Earl Peoples Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4235 Fax: 210-916-5102 | |
Dr. Jeremy Tyler Bolin, MD Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Candace Ward, MD, MPH Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500 | |
Penelope Anne Herder, DO Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Tommy Alan Brown Ii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3400 | |
Dr. Pamela Christine Masella, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0393 | |
Dr. Bradley A Rittenhouse, MD Surgery Medicare: Medicare Enrolled Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |