Elida Librada Cervantes, DPM | |
2115 Bush Dr, Huntsville, TX 77320-3425 | |
(956) 655-4290 | |
Not Available |
Full Name | Elida Librada Cervantes |
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Gender | Female |
Speciality | Podiatrist |
Location | 2115 Bush Dr, Huntsville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992012595 | NPI | - | NPPES |
1952 | Other | TX | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E5599 (California) | Secondary |
213E00000X | Podiatrist | 1952 (Texas) | Primary |
Provider Name | Dhhs Phs Naihs Shiprock Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Provider Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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Elida Librada Cervantes, DPM 2115 Bush Dr, Huntsville, TX 77320-3425 Ph: () - | Elida Librada Cervantes, DPM 2115 Bush Dr, Huntsville, TX 77320-3425 Ph: (956) 655-4290 |
Mbv Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 227 State Highway 75 N, Huntsville, TX 77320 Phone: 281-909-7722 | |
Hv Wound Care Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 643 Interstate 45 S, Huntsville, TX 77340 Phone: 936-522-6838 |