Maricela Soberanes, CRNA | |
3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | |
(512) 454-2554 | |
Not Available |
Full Name | Maricela Soberanes |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3705 Medical Pkwy, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811228612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 705929 (Texas) | Primary |
Entity Name | Upstate Medical Anesthesiology Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851485759 PECOS PAC ID: 8921992389 Enrollment ID: O20040209000612 |
Mailing Address | Practice Location Address |
---|---|
Maricela Soberanes, CRNA 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 Ph: (512) 454-2554 | Maricela Soberanes, CRNA 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 Ph: (512) 454-2554 |
Denise Leger, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8140 N Mopac Expy Ste 3-210, Austin, TX 78759 Phone: 512-343-2292 Fax: 512-343-2745 | |
Cherese Wheelock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Donna M Landry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2304 Hancock Dr Ste 4, Austin, TX 78756 Phone: 512-407-8444 Fax: 512-407-8097 | |
Jeremy Frank Briggs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Genevieve L Woolsey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Dania Northcutt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Mr. Matthew Jeffrey Doherty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12221 N Mopac Expy, Austin, TX 78758 Phone: 512-901-1000 |