| Raphael Moreno Escovar, MD | |
|
2600 N Highway 118, Alpine, TX 79830-2002 | |
| (432) 837-0430 | |
| (432) 837-0848 |
| Full Name | Raphael Moreno Escovar |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2600 N Highway 118, Alpine, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063723831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT197231 (Texas) | Secondary |
| 207Q00000X | Family Medicine | P6811 (Texas) | Primary |
| Entity Name | Big Bend Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811973282 PECOS PAC ID: 2163326281 Enrollment ID: O20031120000933 |
| Entity Name | Timberland Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528061157 PECOS PAC ID: 7719875491 Enrollment ID: O20040514000302 |
| Entity Name | Preventative Care Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013196625 PECOS PAC ID: 5193823045 Enrollment ID: O20091110000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Raphael Moreno Escovar, MD 2600 Highway 118 North, Alpine, TX 79830 Ph: (432) 837-0430 | Raphael Moreno Escovar, MD 2600 N Highway 118, Alpine, TX 79830-2002 Ph: (432) 837-0430 |
John K Ray, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 N Highway 118, Alpine, TX 79830 Phone: 432-837-3447 Fax: 432-837-0848 |