| Ricardo Dejesus Villafana, MD | |
|
12315 Judson Rd Ste 110, Live Oak, TX 78233-3263 | |
| (210) 304-3500 | |
| (210) 337-2909 |
| Full Name | Ricardo Dejesus Villafana |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 12315 Judson Rd Ste 110, Live Oak, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609873371 | NPI | - | NPPES |
| 86367F | Other | TX | WELLMED MEDICARE |
| 1228900-06 | Other | TX | WELLMED MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G5733 (Texas) | Primary |
| Entity Name | San Antonio Vascular And Endovascular Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578085791 PECOS PAC ID: 7911263744 Enrollment ID: O20171113000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Dejesus Villafana, MD 12315 Judson Rd Ste 110, Live Oak, TX 78233-3263 Ph: (210) 566-8332 | Ricardo Dejesus Villafana, MD 12315 Judson Rd Ste 110, Live Oak, TX 78233-3263 Ph: (210) 304-3500 |
Dr. Joseph Renteria Luna Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12602 Toepperwein Rd, #100, Live Oak, TX 78233 Phone: 210-654-0030 Fax: 855-278-4550 | |
Dr. Jeffrey Alexander Cannon, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11901 Toepperwein Rd, Suite1201, Live Oak, TX 78233 Phone: 210-650-9066 Fax: 210-650-9067 | |
Michael James Rosedale, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11901 Toepperwein Rd, Suite 1201, Live Oak, TX 78233 Phone: 210-650-9066 Fax: 210-650-9067 | |
Dr. Moiz Abbas Tajkhanji, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11355 Toepperweinroad, Live Oak, TX 78233 Phone: 210-654-7200 Fax: 210-654-7211 | |
Dr. David Wayne Talafuse, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11901 Toepperwein Rd, Suite 1201, Live Oak, TX 78233 Phone: 210-650-9066 Fax: 210-650-9067 | |
Roselyn Omungo, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12881 N Ih 35, Live Oak, TX 78233 Phone: 210-742-6555 | |
Dr. Vedanti Yogesh Upadhyaya, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12702 N Ih 35, Live Oak, TX 78233 Phone: 210-650-9660 Fax: 210-654-1432 |