Mario Quintanilla, MD | |
2500 E Main St, Alice, TX 78332-4169 | |
(361) 354-2000 | |
Not Available |
Full Name | Mario Quintanilla |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 41 Years |
Location | 2500 E Main St, Alice, Texas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093732620 | NPI | - | NPPES |
139017122 | Medicaid | TX | |
139017120 | Medicaid | TX | |
139017117 | Medicaid | TX | |
139017118 | Medicaid | TX | |
139017121 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G5506 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bellaire Rapid Response Team Llc | 1254626120 | 2 |
Entity Name | Bellaire Rapid Response Team Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467818831 PECOS PAC ID: 1254626120 Enrollment ID: O20160817002193 |
Mailing Address | Practice Location Address |
---|---|
Mario Quintanilla, MD Po Box 849881, Dallas, TX 75284-0001 Ph: (866) 916-5259 | Mario Quintanilla, MD 2500 E Main St, Alice, TX 78332-4169 Ph: (361) 354-2000 |
Dr. Michael Thomas Money Jr., D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2500 E Main St, Alice, TX 78332 Phone: 361-661-8000 Fax: 361-660-5112 | |
Dr. Michael Christian Vince Mccarty, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 E Main St, Alice, TX 78332 Phone: 361-661-8000 Fax: 361-660-5112 | |
Vandana Kamat, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Flournoy Rd Ste 2a, Alice, TX 78332 Phone: 361-664-1417 Fax: 361-384-4368 |