| Ricardo J Requenez, NP | |
|
2510 E Main St Ste 102, Alice, TX 78332-4188 | |
| (361) 664-4445 | |
| (361) 664-4449 |
| Full Name | Ricardo J Requenez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2510 E Main St Ste 102, Alice, 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 |
|---|---|---|---|
| 1215459565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP134359 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmed Medical Group Pa | 4880657386 | 656 |
| Shea Physical Therapy Specialists Llc | 6204245194 | 145 |
| Entity Name | Wellmed Medical Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437156486 PECOS PAC ID: 4880657386 Enrollment ID: O20041105000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo J Requenez, NP 2510 E Main St Ste 102, Alice, TX 78332-4188 Ph: (361) 664-4445 | Ricardo J Requenez, NP 2510 E Main St Ste 102, Alice, TX 78332-4188 Ph: (361) 664-4445 |
Toni Clark, RN, MS, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2500 E Main St, Alice, TX 78332 Phone: 713-456-5000 | |
Kristin Leni Dillon, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 E Main St Ste 102, Alice, TX 78332 Phone: 361-664-4445 Fax: 361-664-4449 | |
Debra Kaye Alvarado, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 779 N Texas Blvd, Alice, TX 78332 Phone: 361-668-0919 Fax: 361-668-0816 | |
Lacey Jasmine Eileen King, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 Medical Center Blvd, Alice, TX 78332 Phone: 361-668-4278 | |
Dovie Stewart, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 779 N Texas Blvd, Alice, TX 78332 Phone: 361-668-0919 Fax: 361-668-0816 | |
Ana Ynfante Mayorga, APRN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 Medical Center Blvd, Alice, TX 78332 Phone: 361-668-4278 | |
Ms. Kimberley Michelle Mills, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1009 E 6th St, Alice, TX 78332 Phone: 361-668-8888 Fax: 361-664-1818 |