| Jerry So, MD | |
|
1004 W 32nd St Ste 110, Austin, TX 78705-1915 | |
| (877) 324-3310 | |
| Not Available |
| Full Name | Jerry So |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1004 W 32nd St Ste 110, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427518885 | NPI | - | NPPES |
| Entity Name | University Of Virginia Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
| Entity Name | University Of Virginia Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720233596 PECOS PAC ID: 2567479405 Enrollment ID: O20090421000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry So, MD 1004 W 32nd St Ste 110, Austin, TX 78705-1915 Ph: (877) 324-3310 | Jerry So, MD 1004 W 32nd St Ste 110, Austin, TX 78705-1915 Ph: (877) 324-3310 |
Jason R. Wallace, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gregory Connor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Catherine Suchia Wu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 James Casey Blvd, #100, Austin, TX 78745 Phone: 512-447-2202 Fax: 512-447-5337 | |
Dr. Michael Troy Harper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Ian L. Love, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8038 Mesa Dr, Austin, TX 78731 Phone: 512-901-8748 Fax: 512-901-8755 | |
Dr. Bradley Brenner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gordon A. Witwer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 |