Full Name | |
---|---|
Speciality | General Practice |
Location | 111 E. Miller St., Dilley, Texas |
Authorized Official Name and Position | Suresh V Dutta (MD/OWNER) |
Authorized Official Contact | 8309651684 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
111 E. Miller St. Dilley TX 78017 Ph: (830) 965-1684 | 111 E. Miller St. Dilley TX 78017 Ph: (830) 965-1684 |
NPI Number | 1568581775 |
---|---|
Provider Enumeration Date | 03/28/2007 |
Last Update Date | 03/16/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568581775 | NPI | - | NPPES |
187810001 | Medicaid | TX | |
0057PD | Other | TX | BCBS GRP NUMBER |
00X375 | Other | TX | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
South Texas Rural Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 606 W Leona St, Dilley, TX 78017 Phone: 830-879-3047 Fax: 830-879-2940 | |
Nisha Saran D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 W Miller St, Dilley, TX 78017 Phone: 817-682-2043 |