| Dr Theresa C Sidberry, MD | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (210) 539-9582 | |
| (210) 698-7696 |
| Full Name | Dr Theresa C Sidberry |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912295973 | NPI | - | NPPES |
| 327006801 | Medicaid | TX | |
| 327006802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | N9147 (Texas) | Primary |
| Entity Name | The Austin Diagnostic Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497729685 PECOS PAC ID: 1254244551 Enrollment ID: O20031112000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theresa C Sidberry, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 | Dr Theresa C Sidberry, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 |
Dr. Daniel Victor-calvin Hammond, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3020 | |
Dr. Thornton Samuel Mu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-0707 | |
Katherine Darby Dobbins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3230 | |
Dr. Candace Suzanne Staubitz Percival, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-216-3020 | |
Dr. Michael A Pelzner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Matthew William Springer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Robert Kurt Gillette, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Bamc -- Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-3249 |