| Boniface Gbalazeh, MD | |
|
114 Sandstone Ct, Victoria, TX 77904-2952 | |
| (361) 212-4806 | |
| (361) 212-7683 |
| Full Name | Boniface Gbalazeh |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 114 Sandstone Ct, Victoria, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316076482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E8260 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | E8260 (Texas) | Primary |
| Entity Name | Jackson County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215971478 PECOS PAC ID: 2365423795 Enrollment ID: O20040601000224 |
| Entity Name | Southwest Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
| Entity Name | Victoria Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407917164 PECOS PAC ID: 7911005087 Enrollment ID: O20070613000507 |
| Entity Name | Lone Star Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457709040 PECOS PAC ID: 7113054446 Enrollment ID: O20100419000563 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821327321 PECOS PAC ID: 3678602802 Enrollment ID: O20101013000177 |
| Entity Name | Cahrmc Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1205164928 PECOS PAC ID: 6608916879 Enrollment ID: O20110330000977 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | El Campo Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427334077 PECOS PAC ID: 6406021765 Enrollment ID: O20140813001385 |
| Entity Name | Preferred Hospital Leasing Muleshoe Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609328806 PECOS PAC ID: 6901124114 Enrollment ID: O20170509002209 |
| Entity Name | Emergency Hospital Systems Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992172019 PECOS PAC ID: 2567765761 Enrollment ID: O20170607000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Boniface Gbalazeh, MD 114 Sandstone Ct, Victoria, TX 77904-2952 Ph: (361) 212-4806 | Boniface Gbalazeh, MD 114 Sandstone Ct, Victoria, TX 77904-2952 Ph: (361) 212-4806 |
Dr. Matias Relos Medina, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 506 E San Antonio St, Victoria, TX 77901 Phone: 361-788-6113 | |
Clyde Walrod, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Dr. John W Vaughan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 506 E San Antonio St, Victoria, TX 77901 Phone: 361-575-7441 | |
Dr. Julia A. Flores, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2603 Hospital Dr, Victoria, TX 77901 Phone: 361-582-5685 Fax: 361-582-5613 | |
Dr. James Rutland Brand, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 506 E San Antonio St, Victoria, TX 77901 Phone: 361-788-6113 |