Graciela Beatriz Villadoniga, MD | |
2901 E 29th St Ste 123, Bryan, TX 77802-2691 | |
(979) 776-9400 | |
(979) 774-8903 |
Full Name | Graciela Beatriz Villadoniga |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2901 E 29th St Ste 123, Bryan, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588660930 | NPI | - | NPPES |
004000263A | Other | WI | HUMANA |
34156200 | Medicaid | WI | |
7767338 | Other | WI | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 43963 (Wisconsin) | Secondary |
208000000X | Pediatrics | N0531 (Texas) | Primary |
Entity Name | St Joseph Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669557179 PECOS PAC ID: 5294727921 Enrollment ID: O20040401000670 |
Mailing Address | Practice Location Address |
---|---|
Graciela Beatriz Villadoniga, MD 2901 E 29th St Ste 123, Bryan, TX 77802-2691 Ph: (979) 776-9400 | Graciela Beatriz Villadoniga, MD 2901 E 29th St Ste 123, Bryan, TX 77802-2691 Ph: (979) 776-9400 |
Dr. Damyanti S Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201a Briarcrest Dr, Bryan, TX 77802 Phone: 979-776-9400 Fax: 979-774-8903 | |
Dr. Daniel D. Quigley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3370 S Texas Ave, Suite B, Bryan, TX 77802 Phone: 979-595-1700 Fax: 979-595-1740 | |
Elizabeth Tien Nguyen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3121 University Dr E Ste 100, Bryan, TX 77802 Phone: 799-776-0169 Fax: 799-776-1342 | |
Dr. Mark S. Sicilio, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2900 E 29th St Ste 200, Bryan, TX 77802 Phone: 979-776-8440 Fax: 877-601-5854 | |
Amanda Michelle Burdett-cruz, LVN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5137 Old Spanish Trl, Bryan, TX 77807 Phone: 979-676-2697 | |
Dr. Kimberly Iero Buenger, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Memorial Dr, Bryan, TX 77802 Phone: 979-731-4520 Fax: 979-596-5853 |