Jonathan Stout, MD | |
12446 West Ave Ste 200, San Antonio, TX 78216-2530 | |
(210) 525-1668 | |
Not Available |
Full Name | Jonathan Stout |
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Gender | Male |
Speciality | Internal Medicine |
Location | 12446 West Ave Ste 200, 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 |
---|---|---|---|
1306250253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | S0230 (Texas) | Primary |
Entity Name | Complete Care Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609350024 PECOS PAC ID: 5698029882 Enrollment ID: O20181106001641 |
Mailing Address | Practice Location Address |
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Jonathan Stout, MD 700 E Marshall Ave, Longview, TX 75601-5580 Ph: (903) 315-2000 | Jonathan Stout, MD 12446 West Ave Ste 200, San Antonio, TX 78216-2530 Ph: (210) 525-1668 |
Dr. Dennis Anthony Ruff, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112 | |
Eduardo N. Pollono, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960 | |
Zarema J Singson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952 | |
Sapna Raghunathan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065 | |
Dr. Jonathan Edward Slovik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-0647 | |
Mr. Paul Joseph Fanucchi, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Marianist Residence, 520 Fondham, San Antonio, TX 78228 Phone: 210-434-4157 Fax: 210-433-6005 | |
Socrates B Aramburu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212 Phone: 210-271-3204 Fax: 210-222-2761 |