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504 Hospital Dr Ste B Carrizo Springs TX 78834-3835 | |
| (830) 876-9458 | |
| (830) 876-2411 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 504 Hospital Dr Ste B, Carrizo Springs, Texas |
| Authorized Official Name and Position | Alfonso H Luevano (DIRECTOR) |
| Authorized Official Contact | 8308769458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 278 Carrizo Springs TX 78834-6278 Ph: (830) 876-9458 | 504 Hospital Dr Ste B Carrizo Springs TX 78834-3835 Ph: (830) 876-9458 |
| NPI Number | 1033514542 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 10/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033514542 | NPI | - | NPPES |
| 344750001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L7622 (Texas) | Primary |
| 363A00000X | Physician Assistant | PA04118 (Texas) | Secondary |
Hovah Healthcare P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 S 8th St, Carrizo Springs, TX 78834 Phone: 830-876-9060 | |
South Texas Rural Health Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1819 N. 9th St, Carrizo Springs, TX 78834 Phone: 830-879-3047 Fax: 830-879-2940 | |
Richard A. Lankes Md Professional Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S 8th St, Carrizo Springs, TX 78834 Phone: 830-876-5257 Fax: 830-876-3269 | |
Docdit Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2212 N 1st St # C, Carrizo Springs, TX 78834 Phone: 830-776-7111 | |