| Mrs Kathryn Rose Tablizo, CRNA | |
|
3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 | |
| (210) 916-1222 | |
| Not Available |
| Full Name | Mrs Kathryn Rose Tablizo |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 30 Years |
| Location | 3851 Roger Brooke Dr, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215918370 | NPI | - | NPPES |
| 002179206 | Medicaid | TX | |
| 002179207 | Other | TX | CSHCN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 644585 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP108879 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endo Sedation Llc | 4789845363 | 270 |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Entity Name | Endo Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kathryn Rose Tablizo, CRNA 11126 Elk Park, San Antonio, TX 78249-4243 Ph: (210) 694-4558 | Mrs Kathryn Rose Tablizo, CRNA 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Ph: (210) 916-1222 |
Janet Jones Sims, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 253-223-6272 | |
Dr. Adam Sokolowski, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-8216 | |
Matthew Wayne Mcgregor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Mrs. Debra Valdivieso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9404 | |
Heather Sherman Leal, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8534 | |
Kendal W Miller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588 | |
George C May, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9588 |