| Dr Alfredo R Andaya, MD | |
|
1311 General Cavazos Blvd, Suite 301, Kingsville, TX 78363 | |
| (361) 595-5526 | |
| (361) 595-1050 |
| Full Name | Dr Alfredo R Andaya |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1311 General Cavazos Blvd, Kingsville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578583001 | NPI | - | NPPES |
| 742085274 | Other | TX | TAXPAYER IDENTIFICATION |
| 126915106 | Medicaid | TX | |
| 126915102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | J4694 (Texas) | Primary |
| Entity Name | Community Action Corporation Of South Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063529642 PECOS PAC ID: 9032003504 Enrollment ID: O20040615001126 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alfredo R Andaya, MD 1311 General Cavazos Blvd, Suite 301, Kingsville, TX 78363-7129 Ph: (361) 595-5526 | Dr Alfredo R Andaya, MD 1311 General Cavazos Blvd, Suite 301, Kingsville, TX 78363 Ph: (361) 595-5526 |
Alliskair Anibal Ortiz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1311 E General Cavazos Blvd Ste 303c, Kingsville, TX 78363 Phone: 361-592-3237 Fax: 361-221-1856 | |
Dr. Unam Cho, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1311 General Cavazos Blvd, Suite A, Kingsville, TX 78363 Phone: 361-595-4441 Fax: 361-595-4448 | |
Anil C Patel, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1018 S 14th St, Kingsville, TX 78363 Phone: 361-592-0223 Fax: 361-592-0883 | |
Dr. Julio C O'ryan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1311 General Cavazos Blvd Ste 303c, Kingsville, TX 78363 Phone: 361-925-3237 Fax: 361-221-1856 |