| Dr Michael A Huott, MD | |
|
1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | |
| (210) 292-7331 | |
| Not Available |
| Full Name | Dr Michael A Huott |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1100 Wilford Hall Loop, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598736787 | NPI | - | NPPES |
| 150371601 | Medicaid | TX | |
| 8G2353 | Other | TX | BCBS |
| 150371602 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | K4087 (Texas) | Primary |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | El Campo Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427334077 PECOS PAC ID: 6406021765 Enrollment ID: O20140813001385 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael A Huott, MD 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 Ph: (210) 292-7331 | Dr Michael A Huott, MD 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Ph: (210) 292-7331 |
Daniel Allan Weidner, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3403 | |
Dr. Anthony L Mitchell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3442 | |
Michael Joseph Rabener, DSC, EMPA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 808-433-3707 | |
Dr. Abigail Greenwell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7331 | |
Shannon Nicole Thompson, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7331 | |
Peter John Cuenca, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7331 | |
Dr. Yevgeniy Mikhaylovich Maksimenko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 443-538-0703 |