| Caritas Family Medicine Pa | |
|
11901 Toepperwein Rd Suite 1201 Live Oak TX 78233-3161 | |
| (210) 650-9066 | |
| (210) 650-9067 |
| Full Name | Caritas Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 11901 Toepperwein Rd, Live Oak, Texas |
| Authorized Official Name and Position | Jeffrey Alexander Cannon (PRESIDENT) |
| Authorized Official Contact | 2106509066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caritas Family Medicine Pa 11901 Toepperwein Rd Suite 1201 Live Oak TX 78233-3161 Ph: (210) 650-9066 | Caritas Family Medicine Pa 11901 Toepperwein Rd Suite 1201 Live Oak TX 78233-3161 Ph: (210) 650-9066 |
| NPI Number | 1215042189 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 04/05/2017 |
| Medicare PECOS PAC ID | 3678540648 |
|---|---|
| Medicare Enrollment ID | O20040910000752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215042189 | NPI | - | NPPES |
| 112162601 | Medicaid | TX | |
| P00178727 | Other | TX | RAILROAD MEDICARE |
| 010025319 | Other | TX | RAILROAD MEDICARE |
| 8P1540 | Other | TX | BLUE CROSS |
| 8P1541 | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L8002 (Texas) | Primary |
| Provider Name | Jeffrey A Cannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174638902 PECOS PAC ID: 0042287278 Enrollment ID: I20040915001186 |
| Provider Name | Michael James Rosedale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205096906 PECOS PAC ID: 2961701164 Enrollment ID: I20170605002886 |
Tin Aung Hla,m.d.,p.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12501 Judson Rd, 202, Live Oak, TX 78233 Phone: 210-599-4086 | |
Robert M Narvaez Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12602 Toepperwein Rd, Suite 208, Live Oak, TX 78233 Phone: 210-650-9119 Fax: 210-650-9681 | |
Digestive And Liver Disease Center Of San Antonio Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12602 Toepperwein Rd Ste 205, Live Oak, TX 78233 Phone: 210-650-9119 Fax: 210-650-9681 | |
Northeast Internal Medicine Associates,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12602 Toepperwein Rd, Suite 100, Live Oak, TX 78233 Phone: 210-650-9669 Fax: 210-650-0750 | |
Hillside Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12410 Toepperwein Rd, Live Oak, TX 78233 Phone: 210-742-6555 Fax: 224-623-0079 | |
Robert A. Horvath M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12315 Judson Rd, Suite 210, Live Oak, TX 78233 Phone: 210-224-9995 Fax: 210-224-5075 |