Susana Calle, MD | |
1515 Holcombe Blvd, Houston, TX 77030-4000 | |
(713) 792-6161 | |
Not Available |
Full Name | Susana Calle |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | 1515 Holcombe Blvd, Houston, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003294042 | NPI | - | NPPES |
8LQ058 | Other | TX | BCBS |
402172701 | Medicaid | TX | |
402172702 | Other | TX | CSHCN (MEDICAID) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 46824 (Texas) | Primary |
2085N0700X | Radiology - Neuroradiology | 46824 (Texas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Referral Service | 7911801410 | 2406 |
Entity Name | Physicians Referral Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
Mailing Address | Practice Location Address |
---|---|
Susana Calle, MD P O Box 4439, Houston, TX 77210-4439 Ph: (713) 792-2991 | Susana Calle, MD 1515 Holcombe Blvd, Houston, TX 77030-4000 Ph: (713) 792-6161 |
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