| Dr Marisol Montes-ortiz, MD | |
|
4208 Retama Cir, Victoria, TX 77901-2765 | |
| (361) 575-0681 | |
| (361) 575-0100 |
| Full Name | Dr Marisol Montes-ortiz |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 4208 Retama Cir, Victoria, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396793071 | NPI | - | NPPES |
| 119071204 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | G6459 (Texas) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | G6459 (Texas) | Primary |
| Entity Name | Children's Physician Services Of South Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
| Entity Name | Magella Medical Associates Billing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marisol Montes-ortiz, MD 4208 Retama Cir, Victoria, TX 77901-2765 Ph: (361) 575-0681 | Dr Marisol Montes-ortiz, MD 4208 Retama Cir, Victoria, TX 77901-2765 Ph: (361) 575-0681 |
Felix F Regueira, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4304 Retama Cir, Victoria, TX 77901 Phone: 361-576-2134 Fax: 361-578-0221 | |
Dr. Ignacio Montemayor Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plz, Suite 207, Victoria, TX 77901 Phone: 361-579-1302 Fax: 361-579-1303 | |
Dr. Adelaida Resendez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Medical Dr, Ste. 103, Victoria, TX 77904 Phone: 361-572-0033 Fax: 361-572-9403 | |
Dr. Stephen Max Dentler, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9410 Ne Zac Lentz Pkwy,, Suite 202, Victoria, TX 77904 Phone: 361-579-1333 Fax: 361-579-1334 | |
Dr. William L. Hilbert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 110 Medical Dr, Ste. 103, Victoria, TX 77904 Phone: 361-572-0033 Fax: 361-572-9403 | |
Dr. Suresh N Pathikonda, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 E Airline Rd, Victoria, TX 77901 Phone: 361-575-8500 Fax: 361-575-8416 |