Rico Andres Buentello, PT, DPT | |
12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 | |
(210) 477-5151 | |
(210) 477-5152 |
Full Name | Rico Andres Buentello |
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Gender | Male |
Speciality | Physical Therapist |
Location | 12709 Toepperwein Rd, Live Oak, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750757787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1262165 (Texas) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
Mailing Address | Practice Location Address |
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Rico Andres Buentello, PT, DPT 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 Ph: (210) 477-5151 | Rico Andres Buentello, PT, DPT 12709 Toepperwein Rd, Suite 101, Live Oak, TX 78233-3258 Ph: (210) 477-5151 |
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 |