Lourell E Sutliff, MD | |
225 E Beauregard Ave, San Angelo, TX 76903-5920 | |
(325) 658-1511 | |
Not Available |
Full Name | Lourell E Sutliff |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 225 E Beauregard Ave, 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 |
---|---|---|---|
1558344408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | G2491 (Texas) | Primary |
Entity Name | Obhg Texas Holdings Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
Mailing Address | Practice Location Address |
---|---|
Lourell E Sutliff, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Lourell E Sutliff, MD 225 E Beauregard Ave, San Angelo, TX 76903-5920 Ph: (325) 658-1511 |
Dr. Rosalinda Carrizales, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285 | |
Dr. Jenny Marie Wiggins-smith, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E. Harris, San Angelo, TX 76903 Phone: 325-481-2285 | |
Genevieve P. Mejia, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 East Harris, San Angelo, TX 76903 Phone: 325-658-1511 | |
Jennifer M Moss, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285 Fax: 325-944-9996 | |
Dr. Deborah R Hajovsky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285 | |
Dr. Charles D Harzke, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-949-9555 Fax: 325-224-5024 |