Jerry Liles, DO | |
1009 E 6th St, Alice, TX 78332-4657 | |
(361) 668-8888 | |
Not Available |
Full Name | Jerry Liles |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 46 Years |
Location | 1009 E 6th St, Alice, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013934645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F1749 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mi Familia Home Health | Alice, TX | Home health agency |
Nurses On Wheels Of Laredo | Laredo, TX | Home health agency |
Christus Spohn Hospital Alice | Alice, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conviva Medical Center Management Of Texas, P.a. | 8729302278 | 91 |
Entity Name | Conviva Medical Center Management Of Texas, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770988990 PECOS PAC ID: 8729302278 Enrollment ID: O20150112000488 |
Mailing Address | Practice Location Address |
---|---|
Jerry Liles, DO 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051 Ph: (305) 500-2000 | Jerry Liles, DO 1009 E 6th St, Alice, TX 78332-4657 Ph: (361) 668-8888 |
Carlos Rafael Elizondo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 S Gulf St, Alice, TX 78332 Phone: 361-664-0303 Fax: 866-845-0933 | |
Dr. Oscar Reynolds Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 Flournoy Rd, Suite 2a, Alice, TX 78332 Phone: 361-664-1417 Fax: 361-664-3218 | |
Dr. Gustavo E Villarreal, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2510 E Main St Ste 108, Alice, TX 78332 Phone: 361-661-8105 | |
David Carter, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Main St, Alice, TX 78332 Phone: 361-661-8000 | |
Dr. Beauford Basped Jr., D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Main St, Alice, TX 78332 Phone: 361-664-6504 Fax: 361-664-6531 | |
Dr. Alejandro Lopez Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Mariposa, Alice, TX 78332 Phone: 361-664-8811 Fax: 361-664-8992 |