| Dr Ramon G Villafria, MD | |
|
425 N Fredonia St, Longview, TX 75601-6464 | |
| (903) 758-2610 | |
| (903) 758-7081 |
| Full Name | Dr Ramon G Villafria |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 425 N Fredonia St, Longview, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619997319 | NPI | - | NPPES |
| 036075349 | Medicaid | IL | |
| 03832013 | Other | IL | BLUE CROSS PROVIDER # |
| 282699203 | Medicaid | TX | |
| 030675349 | Medicaid | IL | |
| 8DP486 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N9418 (Texas) | Primary |
| Entity Name | Longview Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ramon G Villafria, MD 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 758-2610 | Dr Ramon G Villafria, MD 425 N Fredonia St, Longview, TX 75601-6464 Ph: (903) 758-2610 |
Dr. Ravikumar Hanumanthaiah Edalur, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1005 N Eastman Rd, None, Longview, TX 75601 Phone: 903-239-1518 Fax: 903-247-8273 | |
Marco Antonio Chavez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8176 | |
John Layton Wright Jr., D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 Medical Dr Ste 401, Longview, TX 75605 Phone: 903-553-7670 | |
George Kenneth Marshall, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 717 N 4th St, Longview, TX 75601 Phone: 903-758-3441 Fax: 903-758-5995 | |
Venkata Amarendra Mangalagiri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Walnut Hill Dr, Longview, TX 75605 Phone: 903-759-7200 | |
Sarah Chavez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8115 | |
Ketki Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Bill Owens Pkwy, Longview, TX 75604 Phone: 903-247-3400 |