Kathleen Anne Cubine, DO | |
2626 N Bryant Blvd, San Angelo, TX 76903-2861 | |
(325) 658-1511 | |
(325) 481-2165 |
Full Name | Kathleen Anne Cubine |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 2626 N Bryant Blvd, San Angelo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356312839 | NPI | - | NPPES |
8V9834 | Other | TX | BLUE CROSS |
8A8895 | Other | TX | BCBS |
130498208 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | J1959 (Texas) | Primary |
Entity Name | Shannon Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Entity Name | Concord Medical Group Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Anne Cubine, DO Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Kathleen Anne Cubine, DO 2626 N Bryant Blvd, San Angelo, TX 76903-2861 Ph: (325) 658-1511 |
Irvin E. Zeitler Jr., DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Gary P Phillips, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Jack P Campbell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 | |
Seth Sturdivant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-6410 | |
Darrell T Herrington, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-949-9555 | |
Christopher C Peterson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-245-4059 Fax: 325-245-4059 | |
Mrs. Ashley Nicole Stovall, MSN, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-747-2660 Fax: 325-747-2665 |