| Ray Rendon, PA | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (210) 916-2485 | |
| Not Available |
| Full Name | Ray Rendon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598734899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 1046213 (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA09738 (Texas) | Primary |
| Entity Name | Sas Orthopaedics PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093135279 PECOS PAC ID: 0244452019 Enrollment ID: O20141111000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Rendon, PA 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-2485 | Ray Rendon, PA 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-2485 |
Jesse Gronsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-9900 |
Mr. Cameron Darius Clement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3880 Roger Brooke Dr., C/o General Surgery Dept/sammc, Fort Sam Houston, TX 78234 Phone: 509-590-8908 |
William Grisham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 615-987-2487 |
John Mcfall, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-8764 |
Ronika Ray, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |
Joel T Budd, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |
Johnny Wayne Paul, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3400 |