| Karla De La Mata Tarricone, DPM | |
|
25723 Old Fredericksburg Rd, Boerne, TX 78015-6605 | |
| (210) 450-6810 | |
| (210) 450-6021 |
| Full Name | Karla De La Mata Tarricone |
|---|---|
| Gender | Female |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 25723 Old Fredericksburg Rd, Boerne, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548898018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 692104 (Texas) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 692104 (Texas) | Primary |
| Provider Name | Tenet Florida Physician Services Ii, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912266420 PECOS PAC ID: 1456507698 Enrollment ID: O20120803000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Karla De La Mata Tarricone, DPM 25723 Old Fredericksburg Rd, Boerne, TX 78015-6605 Ph: (210) 450-6810 | Karla De La Mata Tarricone, DPM 25723 Old Fredericksburg Rd, Boerne, TX 78015-6605 Ph: (210) 450-6810 |
Richard L Childers, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 28590 Ih 10 West, Suite 3, Boerne, TX 78006 Phone: 830-981-5150 Fax: 830-981-5159 | |
Robert E Graser Dpm, Pa Podiatrist Medicare: Medicare Enrolled Practice Location: 34910 Interstate 10 W Ste 502, Boerne, TX 78006 Phone: 830-253-0008 Fax: 830-253-0007 | |
Dr. Roberto H Rodriguez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 28580 Interstate 10 W Unit 3, Boerne, TX 78006 Phone: 830-981-5150 Fax: 830-981-5159 | |
Robert E Graser, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 34910 Interstate 10 W Ste 502, Boerne, TX 78006 Phone: 830-253-0008 Fax: 830-253-0007 | |
Dr. Kyle S Miller, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 109 Falls Ct, Suite 400, Boerne, TX 78006 Phone: 830-249-5858 Fax: 830-755-8755 |