| Leo C Tynan, MD | |
|
1308 South Highway 16, Fredericksburg, TX 78624-5058 | |
| (830) 997-2181 | |
| (830) 997-9598 |
| Full Name | Leo C Tynan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1308 South Highway 16, Fredericksburg, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811937303 | NPI | - | NPPES |
| 114860303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H0895 (Texas) | Primary |
| Entity Name | Fredericksburg Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033145545 PECOS PAC ID: 3375515992 Enrollment ID: O20040812000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Leo C Tynan, MD 1308 South Highway 16, Fredericksburg, TX 78624-5058 Ph: (830) 997-2181 | Leo C Tynan, MD 1308 South Highway 16, Fredericksburg, TX 78624-5058 Ph: (830) 997-2181 |
Dr. Herman Leonard Bentch, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 N. Bowie St., Fredericksburg, TX 78624 Phone: 830-990-9507 | |
Dr. Christopher Allen Fincke, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 W Windcrest St Ste 130, Fredericksburg, TX 78624 Phone: 830-990-1404 Fax: 830-992-2848 | |
Felice H Howard, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 205 W Windcrest St, Suite 310, Fredericksburg, TX 78624 Phone: 830-997-2191 Fax: 830-997-8202 | |
Jennifer Kate Mayben, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1308 South Highway 16, Fredericksburg, TX 78624 Phone: 830-997-2181 Fax: 830-997-9598 | |
Melissa Anne George, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1009 S Milam St Ste 3, Fredericksburg, TX 78624 Phone: 830-997-2745 Fax: 830-992-2152 | |
Carl David Hughes, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 140 Industrial Loop, Ste 100 (good Samaritan Center), Fredericksburg, TX 78624 Phone: 830-990-8651 | |
Michael Matlock Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1308 S Highway 16, Fredericksburg, TX 78624 Phone: 830-997-2181 Fax: 830-997-9598 |