Fernando T Avila Iii, MD | |
700 S Saint Marys St, San Antonio, TX 78205-3435 | |
(210) 223-1181 | |
(210) 226-1268 |
Full Name | Fernando T Avila Iii |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 700 S Saint Marys St, 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 |
---|---|---|---|
1538158050 | NPI | - | NPPES |
742548575 | Other | TX | ANESTHESIA PRACTICE |
126164601 | Medicaid | TX | |
742609895 | Other | TX | PAIN MANAGEMENT PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G2899 (Texas) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | G2899 (Texas) | Primary |
Entity Name | Fenando T. Avila Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376839399 PECOS PAC ID: 0244497469 Enrollment ID: O20120131000275 |
Entity Name | Spine Care & Pain Management Of San Antonio Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114375482 PECOS PAC ID: 5092006049 Enrollment ID: O20160622000138 |
Mailing Address | Practice Location Address |
---|---|
Fernando T Avila Iii, MD 231 Washington, San Antonio, TX 78204-1336 Ph: (210) 226-0029 | Fernando T Avila Iii, MD 700 S Saint Marys St, San Antonio, TX 78205-3435 Ph: (210) 223-1181 |
Timothy J Rutz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr Ste 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Scott Taylor Kane, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Dr. Dane Bailey, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-4509 | |
John Jeffrey Hartman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1642 Lockhill Selma Rd, San Antonio, TX 78213 Phone: 210-233-9331 Fax: 210-233-9454 | |
Nita Elizabeth Kuttikandathil, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr # 7838, San Antonio, TX 78229 Phone: 281-750-5341 | |
Dr. Kamala Rao, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 San Pedro Ave, San Antonio, TX 78205 Phone: 210-224-2424 Fax: 210-224-2040 | |
Mark E Crum, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 |