| Dr Tanya Marie Rackley, MD | |
|
1345 Alamo Ranch Pkwy, Ste 203, San Antonio, TX 78253-6440 | |
| (210) 767-4000 | |
| (210) 688-9418 |
| Full Name | Dr Tanya Marie Rackley |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1345 Alamo Ranch Pkwy, 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 |
|---|---|---|---|
| 1184803090 | NPI | - | NPPES |
| 215387605 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | BP10021876 (Texas) | Secondary |
| 208000000X | Pediatrics | M8267 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tanya Marie Rackley, MD 919 Hidden Rdg, Irving, TX 75038-3813 Ph: (469) 282-2711 | Dr Tanya Marie Rackley, MD 1345 Alamo Ranch Pkwy, Ste 203, San Antonio, TX 78253-6440 Ph: (210) 767-4000 |
Erica Hughley, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 19016 Stone Oak Pkwy, San Antonio, TX 78258 Phone: 210-490-0353 Fax: 210-490-0716 | |
Sarah Haley Gross, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14615 San Pedro Ave Ste 218-220, San Antonio, TX 78232 Phone: 210-644-3650 Fax: 210-702-6979 | |
Jose Antonio Palomares Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4114 Pond Hill Rd Ste 102, San Antonio, TX 78231 Phone: 210-249-5020 | |
Dr. Wilson Wayne Grant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5282 Medical Dr, Ste 310, San Antonio, TX 78229 Phone: 210-614-8687 Fax: 210-614-7529 | |
Dr. Jane T Atkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7922 Ewing Halsell Dr, Suite 270, San Antonio, TX 78229 Phone: 210-614-2828 Fax: 210-614-2558 | |
Pedro Nelson Chavez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 Madison Oak Dr, Suite 103, San Antonio, TX 78258 Phone: 210-297-8640 Fax: 210-297-8640 | |
Dr. Jose F Pascual-baralt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7419 Round Mtn, San Antonio, TX 78255 Phone: 210-695-2906 |