| Dr Gustavo Licea, MD | |
|
3513 W Alberta Rd, Edinburg, TX 78539-8466 | |
| (956) 664-9771 | |
| (956) 664-9773 |
| Full Name | Dr Gustavo Licea |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 3513 W Alberta Rd, Edinburg, 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 |
|---|---|---|---|
| 1871527036 | NPI | - | NPPES |
| 130477604 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | J2657 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gustavo Licea, MD Po Box 720550, Mcallen, TX 78504-0550 Ph: (956) 664-9771 | Dr Gustavo Licea, MD 3513 W Alberta Rd, Edinburg, TX 78539-8466 Ph: (956) 664-9771 |
Zbigniew Kusmierz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3513 W Alberta Rd, Edinburg, TX 78539 Phone: 956-664-9771 Fax: 956-664-9773 | |
Edsel J Janovsky, CRN Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-661-0529 Fax: 956-618-4639 | |
Dr. Miguel Agustin Carpio Jr., MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 5501 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-362-8677 | |
Raymundo G Matar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5415 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-661-0529 Fax: 956-618-4639 | |
Mrs. Ruth D Powers, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3513 W Alberta Rd, Edinburg, TX 78539 Phone: 956-664-9771 Fax: 956-664-9773 | |
Timothy R Andrews, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 3513 W Alberta Rd, Edinburg, TX 78539 Phone: 956-664-9771 Fax: 956-664-9773 | |
Jose Noe Herrera, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5415 S Mccoll Rd, Edinburg, TX 78539 Phone: 956-661-0529 Fax: 956-618-4639 |