| Marshall Brandon Packard, MD | |
|
414 Navarro St Ste 502, San Antonio, TX 78205-2580 | |
| (210) 223-1145 | |
| (210) 615-7619 |
| Full Name | Marshall Brandon Packard |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
| Location | 414 Navarro St Ste 502, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538175443 | NPI | - | NPPES |
| 529251ZWH7 | Other | MEDICARE PTAN | |
| 8EE324 | Other | TX | BCBS ID |
| 148874414 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1419 (Texas) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | L1419 (Texas) | Primary |
| Entity Name | South Texas Wound Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780708016 PECOS PAC ID: 3476503897 Enrollment ID: O20050124000913 |
| Entity Name | Clinica Del Sol Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053744482 PECOS PAC ID: 4981769742 Enrollment ID: O20090211000758 |
| Entity Name | Calzada Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073045977 PECOS PAC ID: 0648634873 Enrollment ID: O20230906003880 |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Brandon Packard, MD 11844 Bandera Rd, Pmb 452, Helotes, TX 78023-4132 Ph: (210) 223-1145 | Marshall Brandon Packard, MD 414 Navarro St Ste 502, San Antonio, TX 78205-2580 Ph: (210) 223-1145 |
Dr. Benton Phillips Zwart, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2833 Babcock, Suite 105, Christus Santa Rosa Hyperbaric And Wound Care Center, San Antonio, TX 78229 Phone: 210-705-5030 Fax: 210-705-5035 | |
Beverly Spaulding Gutierrez, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Nw Loop 410 Ste 100a, San Antonio, TX 78213 Phone: 210-886-8031 Fax: 210-886-8059 | |
Dr. Chichi Junda Woo, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 512 E Highland Blvd, San Antonio, TX 78210 Phone: 210-207-8896 Fax: 210-208-8999 | |
Clifford R Shaw, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 3453 North Hwy 35, Suite 110, San Antonio, TX 78219 Phone: 615-778-4066 Fax: 615-778-9114 | |
Dr. Victor M Romo, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 7400 Blanco Rd Ste 126, San Antonio, TX 78216 Phone: 210-627-4017 | |
George Alan Gellert, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 703 Sentry Hl, San Antonio, TX 78260 Phone: 210-382-1664 | |
Dr. Peter Harold Wald, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 9800 Fredericksburg Rd, Unit 03579, San Antonio, TX 78288 Phone: 210-498-7620 |