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609 E. Edinburg Ave., Elsa, TX 78543 | |
(956) 262-2020 | |
(956) 262-2080 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 609 E. Edinburg Ave., Elsa, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104900307 | NPI | - | NPPES |
176834301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3344T (Texas) | Primary |
Provider Name | Ricardo R Gonzalez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851475057 PECOS PAC ID: 4284613795 Enrollment ID: I20040719000244 |
Provider Name | Stephanie Leticia Serna |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1174379531 PECOS PAC ID: 2365976644 Enrollment ID: I20241108001402 |
Mailing Address | Practice Location Address |
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Po Box 1137, Elsa, TX 78543-1137 Ph: (956) 262-2020 | 609 E. Edinburg Ave., Elsa, TX 78543 Ph: (956) 262-2020 |
Dr. Stephanie Leticia Serna, OD Optometrist Medicare: Medicare Enrolled Practice Location: 609 Tx-107, Elsa, TX 78543 Phone: 956-262-2020 | |
Dr. Ricardo Rene Gonzalez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 609 E. Edinburg Ave., Elsa, TX 78543 Phone: 956-262-2020 Fax: 956-262-2080 |