Terence F Favazza, MD | |
12709 Toepperwein Rd Ste 206, Live Oak, TX 78233-3260 | |
(210) 564-8000 | |
(210) 679-3732 |
Full Name | Terence F Favazza |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 26 Years |
Location | 12709 Toepperwein Rd Ste 206, Live Oak, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760485098 | NPI | - | NPPES |
413504801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | S5614 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Hospital | San antonio, TX | Hospital |
Baptist Medical Center | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urology San Antonio P A | 3274429311 | 40 |
Entity Name | Urology San Antonio P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346285772 PECOS PAC ID: 3274429311 Enrollment ID: O20040731000077 |
Mailing Address | Practice Location Address |
---|---|
Terence F Favazza, MD 7909 Fredericksburg Rd Ste 110, San Antonio, TX 78229-3400 Ph: (210) 614-4544 | Terence F Favazza, MD 12709 Toepperwein Rd Ste 206, Live Oak, TX 78233-3260 Ph: (210) 564-8000 |
Patrick A Cockerill, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 12709 Toepperwein Rd Ste 206, Live Oak, TX 78233 Phone: 210-564-8000 | |
Dr. Vishal Amrutlal Patel, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 12709 Toepperwein Rd Ste 206, Live Oak, TX 78233 Phone: 210-564-8000 Fax: 210-679-3732 | |
Dr. Lewis Franklin Russell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 12709 Toepperwein Rd, Suite #206, Live Oak, TX 78233 Phone: 210-564-8000 Fax: 210-590-7945 | |
Dr. David R Talley, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 12709 Toepperwein Rd, Suite#206, Live Oak, TX 78233 Phone: 210-564-8000 Fax: 210-590-7945 |