Jerry B Liles (NPI# 1013934645, PAC ID# 4981661725) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013934645 |
| PAC ID by PECOS | 4981661725 |
| Professional Enrollment ID | I20041214000482 |
| Full Name | Jerry B Liles |
| Address |
1009 E 6th Alice TX 78332-4657 |
| Phone Number | 3616688888 |
| Gender | M |
| Credential | MD |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450828 | CHRISTUS SPOHN HOSPITAL ALICE |
| Address | Phone | Organization |
|---|---|---|
| 1009 E, 6th, Alice, TX 78332-4657 | 3616688888 |
| Street Address |
1009 E 6TH |
| City | ALICE |
| State | TX |
| Zip | 78332-4657 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dovie Stewart | Nurse Practitioner | S-s-c | 779 N Texas Blvd, Alice, TX 78332-3883 |
| Raymund Garza | Optometry | 777 N Texas Blvd, Alice, TX 78332-3883 | |
| Amruta Patwardhan | Physical Therapy | Humpal Physical Therapy, P.C. | 1302 E 5th St, Alice, TX 78332-3944 |
| Phillip J Cronkhite Jr. | Physical Therapy | Humpal Physical Therapy, P.C. | 1302 E 5th St, Alice, TX 78332-3944 |
| Rafael Cuellar Jr. | Psychologist, Clinical | 606 Coyote Trl, Alice, TX 78332-4004 | |
| Vandana S Kamat | Family Medicine | Community Action Corporation of South Texas | 700 Flournoy Rd, Suite 2, Alice, TX 78332-4088 |
| Deborah S Skoruppa | Nurse Practitioner | Community Action Corporation of South Texas | 700 Flournoy Rd, Suite 2, Alice, TX 78332-4088 |
| Pamala J Edwards | Physician Assistant | Community Action Corporation of South Texas | 700 Flournoy Rd, Suite 2, Alice, TX 78332-4088 |
| Marie E Hall | Physician Assistant | Community Action Corporation of South Texas | 700 Flournoy Rd, Suite 2, Alice, TX 78332-4088 |
| Carmen C Cardona | Physician Assistant | Community Action Corporation of South Texas | 700 Flournoy Rd, Suite 2, Alice, TX 78332-4088 |
| Find all physicians in zip 78332 | |||
| City | ALICE |
| Zip Code | 78332 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALICE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jerry B Liles.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.