| Dr Brian M Wickwire, MD | |
|
600 N Garza St Ste A, Rio Grande City, TX 78582 | |
| (956) 487-0846 | |
| Not Available |
| Full Name | Dr Brian M Wickwire |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 600 N Garza St Ste A, Rio Grande City, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184622573 | NPI | - | NPPES |
| 154778801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L3524 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Starr County Memorial Hospital | Rio grande city, TX | Hospital |
| Doctors Hospital At Renaissance | Edinburg, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nuestra Clinica Del Valle, Inc. | 8921916552 | 29 |
| Entity Name | Nuestra Clinica Del Valle, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891793246 PECOS PAC ID: 8921916552 Enrollment ID: O20040426001604 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian M Wickwire, MD Po Box 1689, Pharr, TX 78577-1630 Ph: (956) 787-0787 | Dr Brian M Wickwire, MD 600 N Garza St Ste A, Rio Grande City, TX 78582 Ph: (956) 487-0846 |
Dr. Dileep Vijay Menon, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 N Fm 3167 Ste 104, Rio Grande City, TX 78582 Phone: 956-352-1431 Fax: 956-352-1436 | |
Jose A Vazquez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2790 Pharmacy Rd Ste B, Rio Grande City, TX 78582 Phone: 956-487-7561 Fax: 956-487-0097 | |
Patricia Laurel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 208 N Britton Ave, Rio Grande City, TX 78582 Phone: 956-413-8786 | |
Gauri G. Kanhere, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 131 N Fm 3167 Ste C, Rio Grande City, TX 78582 Phone: 956-352-1344 Fax: 956-352-1343 |