| Dr Julio C O'ryan, MD | |
|
1311 General Cavazos Blvd Ste 303c, Kingsville, TX 78363-7123 | |
| (361) 925-3237 | |
| (361) 221-1856 |
| Full Name | Dr Julio C O'ryan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1311 General Cavazos Blvd Ste 303c, 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 |
|---|---|---|---|
| 1952493140 | NPI | - | NPPES |
| 654417 | Other | TX | MEDICARE PART B FOR COMMUNITY ACITON |
| 126221402 | Medicaid | TX | |
| 126221406 | Medicaid | TX | |
| 00166A | Other | TX | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | E5193 (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 Julio C O'ryan, MD 204 E 1st St, Alice, TX 78332-4822 Ph: (361) 664-0145 | Dr Julio C O'ryan, MD 1311 General Cavazos Blvd Ste 303c, Kingsville, TX 78363-7123 Ph: (361) 925-3237 |
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 | |
Dr. Alfredo R Andaya, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1311 General Cavazos Blvd, Suite 301, Kingsville, TX 78363 Phone: 361-595-5526 Fax: 361-595-1050 | |
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 |