Larry R Davis, MD | |
4330 Medical Dr Ste 105, San Antonio, TX 78229-3342 | |
(210) 692-7228 | |
(210) 692-9671 |
Full Name | Larry R Davis |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 4330 Medical Dr Ste 105, 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 |
---|---|---|---|
1386628998 | NPI | - | NPPES |
102107301 | Medicaid | TX | |
110206520 | Other | TX | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | F3888 (Texas) | Primary |
Entity Name | Vitas Health Services Of Texas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740566017 PECOS PAC ID: 7012160518 Enrollment ID: O20130112000023 |
Mailing Address | Practice Location Address |
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Larry R Davis, MD 7142 San Pedro Ave, Suite 120, San Antonio, TX 78216-6256 Ph: (210) 661-5622 | Larry R Davis, MD 4330 Medical Dr Ste 105, San Antonio, TX 78229-3342 Ph: (210) 692-7228 |
Dr. Dennis Anthony Ruff, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112 | |
Eduardo N. Pollono, MD Nephrology 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. Nephrology 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 Nephrology 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 Nephrology 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 Nephrology 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 Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212 Phone: 210-271-3204 Fax: 210-222-2761 |