Marvic Maria Taborda Alvarez, | |
4018 El Indio Hwy, Eagle Pass, TX 78852-6690 | |
(830) 872-3460 | |
(830) 872-3470 |
Full Name | Marvic Maria Taborda Alvarez |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 4018 El Indio Hwy, Eagle Pass, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083100614 | NPI | - | NPPES |
1346380870 | Medicaid | NY | |
4302259-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | S9805 (Texas) | Primary |
Entity Name | United Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710980669 PECOS PAC ID: 7618957135 Enrollment ID: O20040817000497 |
Mailing Address | Practice Location Address |
---|---|
Marvic Maria Taborda Alvarez, Po Box 1470, Eagle Pass, TX 78853-1470 Ph: (830) 773-8917 | Marvic Maria Taborda Alvarez, 4018 El Indio Hwy, Eagle Pass, TX 78852-6690 Ph: (830) 872-3460 |
Dr. Gaston Ittay Zylberg, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2525 N Veterans Blvd, Eagle Pass, TX 78852 Phone: 830-773-8917 Fax: 830-773-6432 | |
Eduardo Jose Quintanilla Jerez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1975 N Veterans Blvd Ste 5, Eagle Pass, TX 78852 Phone: 830-773-9449 | |
Jacqueline Heredia Gracia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2192 Rosita Valley Rd, Eagle Pass, TX 78852 Phone: 830-421-5349 Fax: 830-421-5417 | |
Dr. Guillermo Augusto Urueta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2198 E Garrison St, Eagle Pass, TX 78852 Phone: 830-773-7662 Fax: 830-773-7664 | |
Dr. Janet E. Boone, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4018 El Indio Hwy, Eagle Pass, TX 78852 Phone: 830-872-3460 Fax: 830-872-3470 | |
Ricardo De Los Santos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Williams St, Eagle Pass, TX 78852 Phone: 830-773-1103 Fax: 830-757-8366 |