| Dr Nelson Anthony Davino, MD | |
| 
					1517 Thompson Rd, Richmond, TX 77469-4932  | |
| (281) 344-1715 | |
| (281) 344-1716 | 
| Full Name | Dr Nelson Anthony Davino | 
|---|---|
| Gender | Male | 
| Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 
| Location | 1517 Thompson Rd, Richmond, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376549626 | NPI | - | NPPES | 
| 2989737 | Other | TX | AETNA HMO | 
| 8G9740 | Other | TX | BLUE CROSS BLUE SHIELD | 
| 139804223 | Medicaid | TX | |
| 760505966 | Other | TX | TAX ID | 
| 139804221 | Medicaid | TX | |
| 139804224 | Medicaid | TX | |
| 139804222 | Medicaid | TX | |
| 139804225 | Medicaid | TX | |
| 4654875 | Other | TX | AETNA PPO | 
| G8817 | Other | TX | STATE LICENSE | 
| 34291 | Other | TX | AMERIGROUP | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | G8817 (Texas) | Primary | 
| Entity Name | Ut Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268  | 
| Entity Name | Texas Childrens Physician Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Nelson Anthony Davino, MD 909 Frostwood Dr, Suite 1.100, Houston, TX 77024-2301 Ph: (281) 344-1715  | Dr Nelson Anthony Davino, MD 1517 Thompson Rd, Richmond, TX 77469-4932 Ph: (281) 344-1715  | 
Dr. Candice Braerman Teunis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1517 Thompson Rd, Richmond, TX 77469 Phone: 281-344-1715  | |
Michael Maier, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7830 W Grand Pkwy S, Suite 280, Richmond, TX 77406 Phone: 281-633-4940 Fax: 281-633-4949  | |
Scott W Breeze, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 22001 Southwest Fwy Ste 300, Richmond, TX 77469 Phone: 281-633-4940 Fax: 281-633-4943  | |
Dr. Fred Louis Speck Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22001 Southwest Fwy Ste 300, Richmond, TX 77469 Phone: 409-354-9607  | |
Dr. Mohammad Etminan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1517 Thompson Rd, Richmond, TX 77469 Phone: 281-344-1715  | |
Dr. Enrique Garcia Pena, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 22001 Southwest Fwy Ste 300, Richmond, TX 77469 Phone: 281-633-4940 Fax: 281-633-4943  |