| Dr Ma Luo, MD | |
|
1510 S Main St, Boerne, TX 78006-3308 | |
| (210) 298-4900 | |
| (210) 298-6631 |
| Full Name | Dr Ma Luo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 12 Years |
| Location | 1510 S Main St, Boerne, 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 |
|---|---|---|---|
| 1518301332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD181028 (Oregon) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | R6612 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peterson Regional Medical Center | Kerrville, TX | Hospital |
| Legent Orthopedic + Spine | San antonio, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Larina V Gutenberg Do Pllc | 5092976605 | 5 |
| Entity Name | Ellen W Lin Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356529598 PECOS PAC ID: 2961589916 Enrollment ID: O20080404000248 |
| Entity Name | Larina V Gutenberg Do Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710253646 PECOS PAC ID: 5092976605 Enrollment ID: O20120409000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ma Luo, MD 5522 Lone Star Pkwy Ste 101, San Antonio, TX 78253-6719 Ph: (210) 298-4900 | Dr Ma Luo, MD 1510 S Main St, Boerne, TX 78006-3308 Ph: (210) 298-4900 |
Lowell Smalligan, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 8502 Monument Oak, Boerne, TX 78015 Phone: 210-687-1280 | |
Dr. Duane Ward Maynard, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11026 Anaqua Spgs, Boerne, TX 78006 Phone: 210-621-0640 Fax: 210-621-2386 | |
Dr. Eunjung Amy Weikle, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 138 Old San Antonio Rd Ste 400, Boerne, TX 78006 Phone: 210-621-0640 Fax: 210-621-2386 |