Mr Bienvenido Tenedero Levardo Iv, PT | |
1100 Big Easy St, Odessa, TX 79765-2517 | |
(432) 381-9708 | |
Not Available |
Full Name | Mr Bienvenido Tenedero Levardo Iv |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 1100 Big Easy St, Odessa, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407583107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 1229699 (Texas) | Primary |
Entity Name | King County Public Hospital District No 2 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
Entity Name | The Polyclinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
Entity Name | Washington Luna Care Physical Therapy Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1346808052 PECOS PAC ID: 7416283817 Enrollment ID: O20190723002308 |
Mailing Address | Practice Location Address |
---|---|
Mr Bienvenido Tenedero Levardo Iv, PT 1100 Big Easy St, Odessa, TX 79765-2517 Ph: (432) 381-9708 | Mr Bienvenido Tenedero Levardo Iv, PT 1100 Big Easy St, Odessa, TX 79765-2517 Ph: (432) 381-9708 |
Renee Nicole Elston, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5001 Office Park Apt 124, Odessa, TX 79762 Phone: 318-286-8326 | |
Mandeep Singh Othee, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 540 W 5th St Ste 340, Odessa, TX 79761 Phone: 432-640-3774 Fax: 432-640-4774 | |
Kandance Hillis, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2760 N Grandview Ave Ste A, Odessa, TX 79762 Phone: 432-552-7034 Fax: 432-552-7165 | |
Mr. Alvin Costales, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 918 W 20th St, Odessa, TX 79763 Phone: 240-437-8211 | |
Krise P Morado, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 111 Parks Village Dr, Odessa, TX 79765 Phone: 432-563-5707 | |
Dr. Susan Dean Van De Water, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1030 N Grandview Ave, Odessa, TX 79761 Phone: 432-570-0373 Fax: 432-687-3143 |