Mr Peter Holtz, CRNA | |
3333 N Foster Maldonado Blvd, Eagle Pass, TX 78852-5893 | |
(830) 773-5321 | |
Not Available |
Full Name | Mr Peter Holtz |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3333 N Foster Maldonado Blvd, Eagle Pass, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477552172 | NPI | - | NPPES |
NM006869 | Other | NM | INDIVIDUAL BCBS NM |
96583 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R32442 (New Mexico) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP114181 (Texas) | Primary |
Entity Name | Presbyterian Healthcare Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Entity Name | D.m.c. Hospitalist, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578729000 PECOS PAC ID: 1658428917 Enrollment ID: O20101202001044 |
Mailing Address | Practice Location Address |
---|---|
Mr Peter Holtz, CRNA 3204 Rayburn St, Las Vegas, NM 87701-5124 Ph: (573) 686-5550 | Mr Peter Holtz, CRNA 3333 N Foster Maldonado Blvd, Eagle Pass, TX 78852-5893 Ph: (830) 773-5321 |
Juan Manuel Gonzalez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Foster Maldonado Blvd, Eagle Pass, TX 78852 Phone: 830-773-5321 | |
Miguel Angel Valencia Duarte, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2137 Foxborough, Eagle Pass, TX 78852 Phone: 830-335-9726 | |
Mr. Hanson Uy Tesy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1893 Misty Hollow Dr, Eagle Pass, TX 78852 Phone: 832-643-6107 | |
Mrs. Jeanette Anilus Courageux, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Foster Maldonado Blvd, Eagle Pass, TX 78852 Phone: 830-773-5321 | |
Mei Sheung Ho, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Foster Maldonado Blvd, Eagle Pass, TX 78852 Phone: 830-773-5321 |