| Richard J Fetchick, MD | |
|
422 Hampton Way, Shavano Park, TX 78249-2070 | |
| (210) 410-2497 | |
| Not Available |
| Full Name | Richard J Fetchick |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 422 Hampton Way, Shavano Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134119183 | NPI | - | NPPES |
| 128682505 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | G2131 (Texas) | Primary |
| Entity Name | San Antonio Infectious Diseases Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386634319 PECOS PAC ID: 6800871286 Enrollment ID: O20040621000741 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J Fetchick, MD 422 Hampton Way, Shavano Park, TX 78249-2070 Ph: (210) 410-2497 | Richard J Fetchick, MD 422 Hampton Way, Shavano Park, TX 78249-2070 Ph: (210) 410-2497 |
Dorota Malgorzata Malinowski, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4118 Pond Hill Rd Bldg 3, Shavano Park, TX 78231 Phone: 210-494-3739 Fax: 210-490-2164 | |
Carlos Javier Diaz Velez, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4085 De Zavala Rd Ste 200, Shavano Park, TX 78249 Phone: 210-558-6288 Fax: 210-558-6289 | |
Dr. Sakshi Malhotra, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 415 Bentley Mnr, Shavano Park, TX 78249 Phone: 402-630-7221 | |
Rodney Lynn Carry, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4085 De Zavala Rd, Suite 200, Shavano Park, TX 78249 Phone: 210-558-6288 Fax: 210-558-6289 | |
Dr. Antonio Luis Ruiz, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 115 Tuscany Way, Shavano Park, TX 78249 Phone: 210-699-3815 Fax: 210-699-1896 | |
Fernando Reyes San Martin, Infectious Disease Medicare: May Accept Medicare Assignments Practice Location: 4118 Pond Hill Rd Ste 3, Shavano Park, TX 78231 Phone: 210-494-3739 |