Dr Dalyssa Renee Gonzalez, OD | |
24165 Ih 10 W Ste 125, San Antonio, TX 78257-1160 | |
(210) 698-2020 | |
(210) 698-7886 |
Full Name | Dr Dalyssa Renee Gonzalez |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 4 Years |
Location | 24165 Ih 10 W Ste 125, San Antonio, 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 |
---|---|---|---|
1336767466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 10013TG (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rachel Duran Tellez Od Pa | 6103991583 | 2 |
Provider Name | Rachel Duran Tellez Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962422774 PECOS PAC ID: 6103991583 Enrollment ID: O20080819000888 |
Mailing Address | Practice Location Address |
---|---|
Dr Dalyssa Renee Gonzalez, OD 24165 Ih 10 W Ste 125, San Antonio, TX 78257-1160 Ph: (210) 698-2020 | Dr Dalyssa Renee Gonzalez, OD 24165 Ih 10 W Ste 125, San Antonio, TX 78257-1160 Ph: (210) 698-2020 |
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