Marita Rafael, MD | |
3533 S Alameda St, Corpus Christi, TX 78411-1721 | |
(361) 694-5100 | |
Not Available |
Full Name | Marita Rafael |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3533 S Alameda St, Corpus Christi, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033209705 | NPI | - | NPPES |
101107403 | Medicaid | TX | |
101107402 | Other | TX | CSHCN |
80771K | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | K7376 (Texas) | Secondary |
208000000X | Pediatrics | K7376 (Texas) | Primary |
Entity Name | Travis County Emergency Physicians Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
Entity Name | Edinburg Emergency Medicine Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942467113 PECOS PAC ID: 9638246408 Enrollment ID: O20080919000177 |
Entity Name | Nueces Emergency Medicine Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215314364 PECOS PAC ID: 4284955501 Enrollment ID: O20150611000871 |
Mailing Address | Practice Location Address |
---|---|
Marita Rafael, MD 3435 S Alameda St, Corpus Christi, TX 78411-1728 Ph: (361) 855-8201 | Marita Rafael, MD 3533 S Alameda St, Corpus Christi, TX 78411-1721 Ph: (361) 694-5100 |
Melissa Catherine Mizesko, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3533 S. Alameda, Corpus Christi, TX 78411 Phone: 361-694-4864 Fax: 361-851-6867 | |
Vanessa Casanova Gonzalez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-694-5000 | |
Marisa Araceli Calderon, LVN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N Shoreline Blvd Ste 700s, Corpus Christi, TX 78401 Phone: 361-937-7887 | |
Farooq Jameel Husayn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6214 Saratoga Blvd Bldg 3 Ste A, Corpus Christi, TX 78414 Phone: 361-520-4250 Fax: 361-444-5070 | |
Dr. Ashok Jain, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-694-6128 Fax: 361-694-6955 | |
Jennifer Christine Olivarez, FNP-C Pediatrics Medicare: Medicare Enrolled Practice Location: 2120 Baldwin Blvd, Corpus Christi, TX 78405 Phone: 361-500-0096 | |
Anon Srikiatkhachorn, Pediatrics Medicare: Medicare Enrolled Practice Location: 5402 S Staples St, Corpus Christi, TX 78411 Phone: 361-882-3487 |