Sonia Mathai Koshy, DO | |
12500 Judson Rd Ste 210, Live Oak, TX 78233-4146 | |
(210) 878-0090 | |
(210) 878-0037 |
Full Name | Sonia Mathai Koshy |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 12500 Judson Rd Ste 210, Live Oak, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588185862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5101023544 (Michigan) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | V3627 (Texas) | Primary |
Entity Name | Vitalmd Group Holding Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
Entity Name | Ob Hospitalist Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710647334 PECOS PAC ID: 5193866838 Enrollment ID: O20100104000363 |
Mailing Address | Practice Location Address |
---|---|
Sonia Mathai Koshy, DO 12500 Judson Rd Ste 210, Live Oak, TX 78233-4146 Ph: (210) 878-0090 | Sonia Mathai Koshy, DO 12500 Judson Rd Ste 210, Live Oak, TX 78233-4146 Ph: (210) 878-0090 |
Allison Kellogg, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12709 Toepperwein Rd Ste 309, Live Oak, TX 78233 Phone: 210-657-4099 | |
Mallory Kimbell Thompson, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12709 Toepperwein Rd Ste 309, Live Oak, TX 78233 Phone: 106-574-0992 Fax: 210-599-9137 | |
Dr. Cesar Reyes, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12709 Toepperwein Rd, Suite 309, Live Oak, TX 78233 Phone: 210-657-4099 Fax: 210-599-9137 | |
Susan Ann Crockett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12602 Toepperwein Rd Ste 208, Live Oak, TX 78233 Phone: 210-878-0090 Fax: 210-878-0037 | |
Dr. Ronald A Valdez, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12709 Toepperwein Rd, Suite 309, Live Oak, TX 78233 Phone: 210-657-4099 Fax: 210-599-9137 | |
Karen T. Allsup, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 12500 Judson Rd Ste 210, Live Oak, TX 78233 Phone: 210-878-0090 Fax: 210-878-0037 |