| Tarek Koussayer, MD | |
|
301 Medic Ln, Alvin, TX 77511-5542 | |
| (281) 331-6141 | |
| (281) 331-3316 |
| Full Name | Tarek Koussayer |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 301 Medic Ln, Alvin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316923808 | NPI | - | NPPES |
| 8F9754 | Other | TX | BCBS |
| 8F9754 | Other | TX | BCBSTX PROV NO |
| 140302441 | Medicaid | TX | |
| 1316923808 | Other | TX | TRICARE SOUTH |
| 140302440 | Medicaid | TX | |
| 140302439 | Medicaid | TX | |
| 140302442 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | H9106 (Texas) | Primary |
| Entity Name | Bay Area Emergency Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093032963 PECOS PAC ID: 4688707110 Enrollment ID: O20100804000049 |
| Entity Name | Texana Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306202098 PECOS PAC ID: 6901103555 Enrollment ID: O20160328000734 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Entity Name | Emergency Medicine Services Of Tx, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Tarek Koussayer, MD Po Box 200993, Houston, TX 77216-0993 Ph: (281) 784-1111 | Tarek Koussayer, MD 301 Medic Ln, Alvin, TX 77511-5542 Ph: (281) 331-6141 |
Richard H Leconey, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Medic Ln, Alvin, TX 77511 Phone: 281-331-6141 Fax: 281-331-3316 | |
Abel R Longoria, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Medic Ln, Alvin, TX 77511 Phone: 281-331-6141 Fax: 281-331-3316 | |
James S Vincent, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 301 Medic Ln, Alvin, TX 77511 Phone: 281-331-6141 Fax: 281-331-3316 | |
Richard J Loynes, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Medic Ln, Alvin, TX 77511 Phone: 281-331-6141 Fax: 281-331-3316 | |
David R Hoyer Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Medic Ln, Alvin, TX 77511 Phone: 281-331-6141 Fax: 281-331-3316 | |
Tracey A Antill, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 301 Medic Ln, Alvin, TX 77511 Phone: 281-331-6141 Fax: 281-331-3316 |