Eric James Delossantos, | |
12413 Judson Rd Ste 260, Live Oak, TX 78233-3262 | |
(210) 656-7953 | |
(210) 656-7957 |
Full Name | Eric James Delossantos |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 12413 Judson Rd Ste 260, 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 |
---|---|---|---|
1548861461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1327860 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mission Rehabilitation And Sports Medicine Limited Partnership | 6709943160 | 20 |
Provider Name | Mission Rehabilitation And Sports Medicine Limited Partnership |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1053559443 PECOS PAC ID: 6709943160 Enrollment ID: O20090330000478 |
Mailing Address | Practice Location Address |
---|---|
Eric James Delossantos, Po Box 1308, Coppell, TX 75019-1300 Ph: (214) 686-3223 | Eric James Delossantos, 12413 Judson Rd Ste 260, Live Oak, TX 78233-3262 Ph: (210) 656-7953 |
Jeremy Schulz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12709 Toepperwein Rd Ste 101, Live Oak, TX 78233 Phone: 210-477-5151 Fax: 210-477-5152 | |
Eric Matthew Rodriguez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7939 Pat Booker Rd Ste 120, Live Oak, TX 78233 Phone: 210-660-2345 Fax: 210-446-1442 | |
Kirby Thames, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7939 Pat Booker Rd Ste 120, Live Oak, TX 78233 Phone: 210-660-2345 | |
Kellan Robert Barry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12500 Judson Rd # 201, Live Oak, TX 78233 Phone: 210-699-8326 | |
Crystal R Calton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7909 Pat Booker Rd, Live Oak, TX 78233 Phone: 210-590-7412 Fax: 210-590-2343 | |
Caliope Antonia Mcbride, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12315 Judson Rd Ste 312, Live Oak, TX 78233 Phone: 210-599-3090 Fax: 210-599-4088 | |
Scott Michael Cartwright, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7505 N Loop 1604 E Ste 101, Live Oak, TX 78233 Phone: 210-658-8483 |