Homero Rivas, MD | |
5323 Harry Hines Blvd, Dallas, TX 75390-7208 | |
(214) 645-2900 | |
Not Available |
Full Name | Homero Rivas |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 5323 Harry Hines Blvd, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588612634 | NPI | - | NPPES |
174339501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | M1321 (Texas) | Primary |
208600000X | Surgery | C53953 (California) | Secondary |
Entity Name | Southwest Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144493040 PECOS PAC ID: 7517941651 Enrollment ID: O20040805001105 |
Mailing Address | Practice Location Address |
---|---|
Homero Rivas, MD 300 Pasteur Dr, H3680, Stanford, CA 94305-2200 Ph: (650) 721-2757 | Homero Rivas, MD 5323 Harry Hines Blvd, Dallas, TX 75390-7208 Ph: (214) 645-2900 |
Cassidy Ann Gafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Brett D Arnoldo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3067 | |
Dr. Gail S Lebovic, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12200 Preston Rd, Dallas, TX 75230 Phone: 972-560-2667 | |
Dr. Russell C Lam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Dr. Brian Ezekian, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7777 Forest Ln Ste C240, Dallas, TX 75230 Phone: 972-566-7000 | |
Nirmal Samuel Jayaseelan, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 7777 Forest Ln, Ste C670, Dallas, TX 75230 Phone: 972-566-2263 Fax: 972-566-2952 | |
Dr. Mirza Shadman Baig, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Inwood Rd, 5th Fl, West Campus Bldg 3, Dallas, TX 75390 Phone: 214-645-0538 Fax: 214-645-0536 |