| John A Larrinaga, MD | |
|
520 Douglas Blvd, Tyler, TX 75702-8307 | |
| (903) 510-1175 | |
| Not Available |
| Full Name | John A Larrinaga |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 520 Douglas Blvd, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275507204 | NPI | - | NPPES |
| 152466203 | Medicaid | TX | |
| 152466202 | Medicaid | TX | |
| 152450601 | Medicaid | TX | |
| 8CU211 | Other | TX | BCBS MFH JV LOCATION |
| 8B0526 | Other | TX | BCBS |
| 152466201 | Medicaid | TX | |
| TIN PLUS 005 | Other | TX | TRICARE MFH JV LOCATION |
| TIN PLUS 113 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | L4516 (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 |
| Entity Name | University Of Texas Health Science Center At Tyler-facility-physician |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Larrinaga, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | John A Larrinaga, MD 520 Douglas Blvd, Tyler, TX 75702-8307 Ph: (903) 510-1175 |
R. Kent Walker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 Fax: 903-593-0559 | |
Prakash Gajera, Radiology Medicare: Medicare Enrolled Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 817-321-0404 | |
Timothy J Leihgeber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 | |
Alfred Llave, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 Fax: 903-593-0559 | |
Kurt Stephen Reuland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 910, Tyler, TX 75701 Phone: 903-705-0072 Fax: 903-705-0068 | |
Dr. Michael David Williams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 910, Tyler, TX 75701 Phone: 903-705-0072 Fax: 903-705-0068 | |
Dr. Melinda Faye Coker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 650, Tyler, TX 75702 Phone: 903-606-5300 |