| Adam Laertes Gottula, | |
|
4458 Medical Dr Ste 505, San Antonio, TX 78229-3748 | |
| (210) 690-7400 | |
| (210) 690-7405 |
| Full Name | Adam Laertes Gottula |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 4458 Medical Dr Ste 505, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477084366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35.138703 (Ohio) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | U0121 (Texas) | Primary |
| Entity Name | Talawanda Emergency Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265416804 PECOS PAC ID: 2062431471 Enrollment ID: O20051115000775 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Laertes Gottula, 4458 Medical Dr Ste 505, San Antonio, TX 78229-3748 Ph: (210) 690-7400 | Adam Laertes Gottula, 4458 Medical Dr Ste 505, San Antonio, TX 78229-3748 Ph: (210) 690-7400 |
Dr. Dennis Anthony Ruff, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112 | |
Eduardo N. Pollono, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960 | |
Zarema J Singson, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952 | |
Sapna Raghunathan, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065 | |
Dr. Jonathan Edward Slovik, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-0647 | |
Mr. Paul Joseph Fanucchi, NP Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: Marianist Residence, 520 Fondham, San Antonio, TX 78228 Phone: 210-434-4157 Fax: 210-433-6005 | |
Socrates B Aramburu, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212 Phone: 210-271-3204 Fax: 210-222-2761 |