| Leticia Alvarez, PAC | |
|
807 N. Cage, Pharr, TX 78577 | |
| (956) 283-1889 | |
| (956) 283-7014 |
| Full Name | Leticia Alvarez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 807 N. Cage, Pharr, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174579064 | NPI | - | NPPES |
| PA04269 | Other | TX | TEXAS STATE MEDICAL LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA04269 (Texas) | Primary |
| Entity Name | Goodside Health Medical, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548999451 PECOS PAC ID: 1557745478 Enrollment ID: O20220826000394 |
| Mailing Address | Practice Location Address |
|---|---|
| Leticia Alvarez, PAC 807 N. Cage, Pharr, TX 78577 Ph: (956) 283-1889 | Leticia Alvarez, PAC 807 N. Cage, Pharr, TX 78577 Ph: (956) 283-1889 |
Rene Bello, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1308 S Palm Dr Apt A, Pharr, TX 78577 Phone: 956-739-0737 |
Samantha Nicole De La Garza, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 712 S Cage Blvd, Pharr, TX 78577 Phone: 956-783-1900 Fax: 956-783-0291 |
Jesus Barron, Physician Assistant Medicare: Medicare Enrolled Practice Location: 807 N Cage Blvd, Pharr, TX 78577 Phone: 956-283-1889 |
Lucia Alejandra Esquivel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 807 N Cage Blvd, Pharr, TX 78577 Phone: 956-283-1889 |
Maria Davila, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1002 W Sam Houston Blvd Ste 4, Pharr, TX 78577 Phone: 956-783-1400 Fax: 956-783-8818 |
Elizabeth Telles, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 807 N Cage Blvd, Pharr, TX 78577 Phone: 956-283-1889 Fax: 956-283-7014 |
Aida Solis Guizar, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 7013 S Cage Blvd Ste C, Pharr, TX 78577 Phone: 956-787-6799 Fax: 956-787-0906 |