| Ryan Carlisle Egbert, MD | |
|
4502 Medical Dr, San Antonio, TX 78229-4402 | |
| (210) 358-4000 | |
| Not Available |
| Full Name | Ryan Carlisle Egbert |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4502 Medical Dr, 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 |
|---|---|---|---|
| 1912352261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A143122 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Carlisle Egbert, MD 12330 Vance Jackson Rd Apt 13107, San Antonio, TX 78230-6033 Ph: (801) 473-3409 | Ryan Carlisle Egbert, MD 4502 Medical Dr, San Antonio, TX 78229-4402 Ph: (210) 358-4000 |
Dr. Jeff Sensenig, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8401 Datapoint Dr, Ste 500, San Antonio, TX 78229 Phone: 210-614-0180 Fax: 210-615-7170 | |
Adam Clemens Benzing, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7719 S I-35 Frontage Road, San Antonio, TX 78232 Phone: 210-572-2955 | |
Dr. John F. Bragan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1610 Wood Quail, San Antonio, TX 78248 Phone: 210-416-4420 Fax: 210-492-4317 | |
Dr. Joseph Michael Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 Alamosa Ave, San Antonio, TX 78210 Phone: 210-269-9372 | |
Luke Franklin Husby, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-450-9000 | |
Thomas Rex Bosen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7700 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-233-6363 | |
Dr. Micah Drew Schmidt, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 Concord Plaza Dr Ste 780, San Antonio, TX 78216 Phone: 210-812-2170 |