| Mario Cervantes-vazquez, MD | |
|
22999 Highway 59 N, Kingwood, TX 77339-4412 | |
| (281) 348-8279 | |
| (281) 348-8275 |
| Full Name | Mario Cervantes-vazquez |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 46 Years |
| Location | 22999 Highway 59 N, Kingwood, 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 |
|---|---|---|---|
| 1245234616 | NPI | - | NPPES |
| 220033031 | Other | TX | RAILROAD MEDICARE |
| 130817316 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZH0000X | Pathology - Hematology | H7953 (Texas) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | H7953 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Houston Healthcare West | Houston, TX | Hospital |
| Hca Houston Healthcare Pearland | Pearland, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gulf Coast Pathology Program Pllc | 3476956194 | 36 |
| Digestive Specialists Of North Harris County Pa | 7517934375 | 6 |
| Entity Name | Digestive Specialists Of North Harris County Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962402420 PECOS PAC ID: 7517934375 Enrollment ID: O20040913000517 |
| Entity Name | S J Associated Pathologists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306820030 PECOS PAC ID: 9133224926 Enrollment ID: O20070424000369 |
| Entity Name | Sagis Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548549066 PECOS PAC ID: 3274797212 Enrollment ID: O20120604000295 |
| Entity Name | Westwater Diagnostics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003413139 PECOS PAC ID: 7113337742 Enrollment ID: O20201110000780 |
| Entity Name | Gulf Coast Pathology Program Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629643069 PECOS PAC ID: 3476956194 Enrollment ID: O20210719002395 |
| Mailing Address | Practice Location Address |
|---|---|
| Mario Cervantes-vazquez, MD Po Box 746559, Atlanta, GA 30374-6559 Ph: (281) 348-8279 | Mario Cervantes-vazquez, MD 22999 Highway 59 N, Kingwood, TX 77339-4412 Ph: (281) 348-8279 |
Rasika Dhekne, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 713-481-3541 Fax: 713-432-0221 | |
Albert Chen, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3007 Woodland Hills Dr. #123, Kingwood, TX 77339 Phone: 281-359-1953 Fax: 281-657-6834 | |
Dr. Peter Po Tao Chen, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3007 Woodland Hills Dr # 94, Kingwood, TX 77339 Phone: 832-412-8670 Fax: 832-559-0562 | |
Jessie Adame, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3007 Woodland Hills Dr # 123, Kingwood, TX 77339 Phone: 281-359-1953 Fax: 281-657-6834 | |
Mehri Jalali, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 713-481-3541 Fax: 713-432-0221 | |
Avrum Mark Stein, D.O. Pathology Medicare: Not Enrolled in Medicare Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 713-481-3541 Fax: 713-432-0221 |