| Vladimir Ristich, PA | |
|
7323 Marbach Rd, Ste. 104, San Antonio, TX 78227-1905 | |
| (210) 674-0257 | |
| (210) 987-3430 |
| Full Name | Vladimir Ristich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 7323 Marbach Rd, Ste. 104, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235528720 | NPI | - | NPPES |
| 1235528720 | Other | TX | NPI |
| 1508813494 | Medicaid | TX | |
| PA20563 | Other | TX | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA20563 (Texas) | Primary |
| Entity Name | Cityblock Medical Practice LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013673821 PECOS PAC ID: 4688059645 Enrollment ID: O20220913000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Vladimir Ristich, PA 7323 Marbach Rd Ste 104, San Antonio, TX 78227-1905 Ph: (210) 674-0257 | Vladimir Ristich, PA 7323 Marbach Rd, Ste. 104, San Antonio, TX 78227-1905 Ph: (210) 674-0257 |
Robert A Raposo, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2235 Thousand Oaks Dr, Suite 117, San Antonio, TX 78232 Phone: 210-490-1000 Fax: 210-490-3806 |
Ms. Marizu Borrego, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 19272 Stone Oak Pkwy, Suite 101, San Antonio, TX 78258 Phone: 210-265-8851 Fax: 210-265-8855 |
Anissa Juarez Ramirez, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 720 Pleasanton Rd, San Antonio, TX 78214 Phone: 210-921-3800 Fax: 210-334-2851 |
Jordan Gallo Jacobs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6315 S Zarzamora St, San Antonio, TX 78211 Phone: 210-977-1900 Fax: 210-977-9326 |
Alissa Nicole Robbins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9819 Huebner Rd Ste 113, San Antonio, TX 78240 Phone: 210-692-0101 Fax: 210-692-7615 |
Tiffany Michels, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-787-0010 |
Echo J Walby, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 N Frio St Bldg 1, San Antonio, TX 78207 Phone: 210-261-1060 Fax: 210-261-1821 |