| Luis Angel Duharte Vidaurre, MD | |
|
2700 E 29th St Ste 240, Bryan, TX 77802-2586 | |
| (979) 690-5816 | |
| (979) 690-4847 |
| Full Name | Luis Angel Duharte Vidaurre |
|---|---|
| Gender | Male |
| Speciality | Infectious Disease |
| Experience | 27 Years |
| Location | 2700 E 29th St Ste 240, Bryan, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225076797 | NPI | - | NPPES |
| 52551 | Other | FL | BCBS |
| P00316333 | Other | RAILROAD MEDICARE | |
| 023676600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME95160 (Florida) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | V8475 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Sebring | Sebring, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luis Duharte And Associates Md Llc | 6507090552 | 2 |
| Entity Name | Luis Duharte And Associates Md Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194159749 PECOS PAC ID: 6507090552 Enrollment ID: O20131008000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Angel Duharte Vidaurre, MD 130 Medical Center Ave, Sebring, FL 33870-5463 Ph: (863) 314-0004 | Luis Angel Duharte Vidaurre, MD 2700 E 29th St Ste 240, Bryan, TX 77802-2586 Ph: (979) 690-5816 |
Christopher Joseph Derbes, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2206 E Villa Maria Rd, Bryan, TX 77802 Phone: 979-776-4600 Fax: 979-774-0877 | |
Mrs. Nalini M Dave, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 1201d Briarcrest Dr, Bryan, TX 77802 Phone: 979-776-5600 Fax: 979-776-6280 | |
Brent Morgan Gray, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 2206 E Villa Maria Rd, Bryan, TX 77802 Phone: 979-776-4600 Fax: 979-774-0877 | |
Dr. Terry R Jenkins, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2215 E Villa Maria Rd, #110, Bryan, TX 77802 Phone: 979-776-2000 Fax: 979-776-0427 | |
Dr. Rejeesh Vijaya Vasudev, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2110 E Villa Maria Rd, Bryan, TX 77802 Phone: 979-822-5555 | |
Dr. Thomas Mark Weber, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2700 E 29th St Ste 260, Bryan, TX 77802 Phone: 979-774-0012 Fax: 979-774-4636 | |
Dr. Scott Edward Spencer, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2700 E 29th St, 260, Bryan, TX 77802 Phone: 979-774-0012 Fax: 979-774-4636 |