| Siegfried Pueblitz, MD | |
|
1700 E Saunders St, Laredo, TX 78041-5474 | |
| (210) 617-4445 | |
| Not Available |
| Full Name | Siegfried Pueblitz |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 51 Years |
| Location | 1700 E Saunders St, Laredo, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316915119 | NPI | - | NPPES |
| 131091408 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | J2746 (Texas) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | J2746 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Laredo Medical Center | Laredo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Corepath Laboratories, P.a. | 9032267323 | 8 |
| Entity Name | Corepath Laboratories, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336381979 PECOS PAC ID: 9032267323 Enrollment ID: O20090428000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Siegfried Pueblitz, MD 6918 Camp Bullis Rd, San Antonio, TX 78256-2236 Ph: (210) 497-0445 | Siegfried Pueblitz, MD 1700 E Saunders St, Laredo, TX 78041-5474 Ph: (210) 617-4445 |
Deedee Hai Duong Lu, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 10700 Mcpherson Rd, Laredo, TX 78045 Phone: 956-523-2068 Fax: 956-523-2822 | |
Dr. Wendy Ailene Symons, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1700 E Saunders St, Laredo, TX 78041 Phone: 210-617-4445 | |
Dr. Sidra S Cheema, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2309 E Saunders St, 100, Laredo, TX 78041 Phone: 956-723-4673 |