| Dr Micam W Tullous, MD | |
| 315 N San Saba, Suite 1210, San Antonio, TX 78207-3154 | |
| (210) 354-0877 | |
| (210) 354-0880 | 
| Full Name | Dr Micam W Tullous | 
|---|---|
| Gender | Male | 
| Speciality | Neurological Surgery | 
| Location | 315 N San Saba, San Antonio, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295768463 | NPI | - | NPPES | 
| 3339002 | Other | TX | BC/BS | 
| 124306501 | Medicaid | TX | |
| 12430695-06 | Medicaid | TX | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207T00000X | Neurological Surgery | G8470 (Texas) | Primary | 
| Entity Name | Baylor College Of Medicine | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1285079764 PECOS PAC ID: 0648405738 Enrollment ID: O20131025000939 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Micam W Tullous, MD 315 N San Saba, Suite 1210, San Antonio, TX 78207-3154 Ph: (210) 354-0877 | Dr Micam W Tullous, MD 315 N San Saba, Suite 1210, San Antonio, TX 78207-3154 Ph: (210) 354-0877 | 
| Dr. Gerardo Zavala, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4423 Nw Loop 410, Ste 100, San Antonio, TX 78229 Phone: 210-541-9898 Fax: 210-541-0580 | |
| Dr. John Robert Floyd Ii, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-5625 Fax: 210-567-6066 | |
| Ndi Geh, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4410 Medical Dr Ste 320, San Antonio, TX 78229 Phone: 210-874-3270 Fax: 210-874-3749 | |
| Viktor Bartanusz, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-8555 Fax: 210-358-8576 | |
| Rosemaria Gennuso, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4410 Medical Dr, Ste 540, San Antonio, TX 78229 Phone: 210-575-6240 Fax: 210-575-6280 | |
| Mr. Derrick Yuan Sun, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-358-8555 | |
| Dr. Joanna Elizabeth Gernsback, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-4995 |