Ma Theresa M Villanos, MD | |
4801 Alberta Ave, El Paso, TX 79905 | |
(915) 215-5700 | |
(915) 215-8697 |
Full Name | Ma Theresa M Villanos |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4801 Alberta Ave, El Paso, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386704914 | NPI | - | NPPES |
181613401 | Medicaid | TX | |
8H0439 | Other | TX | BCBS OF TEXAS |
S0149254 | Other | TX | DPS REGISTRATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M5564 (Texas) | Primary |
Entity Name | Texas Tech University Health Sciences Center El Paso |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
Mailing Address | Practice Location Address |
---|---|
Ma Theresa M Villanos, MD 440 Raynolds St, El Paso, TX 79905-1613 Ph: (915) 215-4480 | Ma Theresa M Villanos, MD 4801 Alberta Ave, El Paso, TX 79905 Ph: (915) 215-5700 |
Dr. Kristina Kypuros, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4800 Alberta Ave Ste 101, El Paso, TX 79905 Phone: 915-545-6720 | |
Dr. Larry Jay Tremper, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 E Schuster Ave, 5b, El Paso, TX 79902 Phone: 915-544-3229 Fax: 915-544-3091 | |
Maha S. Salloum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7102 Westwind Dr, El Paso, TX 79912 Phone: 915-581-5100 Fax: 915-581-6100 | |
Ms. Maria Lourdes Asiain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2900 N. Kansas St., El Paso, TX 79902 Phone: 915-584-2712 | |
Dr. Ei Ei Khin, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5400 Alameda Ave Bldg B, El Paso, TX 79905 Phone: 915-242-8402 Fax: 915-242-8404 | |
Dr. Paul C Nowak, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1225 E Cliff Dr, Bldg. 3 Suite 100, El Paso, TX 79902 Phone: 915-545-2600 Fax: 915-533-8950 | |
Ruth Bernal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8061 Alameda Ave, El Paso, TX 79915 Phone: 915-859-7545 |