Larry R Davis (NPI# 1386628998, PAC ID# 5395657332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1386628998 |
| PAC ID by PECOS | 5395657332 |
| Professional Enrollment ID | I20100106000827 |
| Full Name | Larry R Davis |
| Organization Legal Name | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| Address |
409 Madrid St Castroville TX 78009-4527 |
| Phone Number | 2106927228 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1979 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2668384744 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450388 | METHODIST HOSPITAL |
| 450058 | BAPTIST MEDICAL CENTER |
| 450237 | CHRISTUS SANTA ROSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 409 Madrid St, Castroville, TX 78009-4527 | 2106927228 | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| 2391 Ne Loop, 410 Suite 405, San Antonio, TX 78217-5600 | 2106547326 | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| 7142 San Pedro Ave, Suite 120, San Antonio, TX 78216-6256 | 2104817453 | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| 8042 Wurzbach Rd, Suite 500, San Antonio, TX 78229-3818 | 2106927228 | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| 9846 Westover Hills, Suite 101, San Antonio, TX 78251-4498 | 2104030765 | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| Organization Legal Name | SAN ANTONIO KIDNEY DISEASE CENTER PHYSICIANS GROUP, P.L.L.C. |
| Physicians | 32 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hector J Diaz Rodriguez | Nephrology | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 400 Baltimore, San Antonio, TX 78215-1919 |
| Neena M Penagaluru | Nephrology | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 2660 E Common St, Suite 201, New Braunfels, TX 78130-3585 |
| Tahira P Alves | Nephrology | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 7142 San Pedro Ave, Suite 120, San Antonio, TX 78216-6256 |
| Rajeev Narayan | Nephrology | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 102 Palo Alto Rd, Suite 200, San Antonio, TX 78211-3758 |
| Matthew E Schaefer | Nephrology | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 222 Sidney Baker S, Suite 208, Kerrville, TX 78028-5994 |
| John Kobert | Nephrology | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 1320 W Oaklawn Rd, Suite H, Pleasanton, TX 78064-4315 |
| Maria G Luna | Nephrology | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 7142 San Pedro Ave, Suite 120, San Antonio, TX 78216-6256 |
| Mohammed S Ahmad | Internal Medicine | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 7142 San Pedro Ave, Suite 120, San Antonio, TX 78216-6256 |
| Lin Z Johnson | Nephrology | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 2660 E Common St, Suite 201, New Braunfels, TX 78130-3585 |
| Hana Kathleen Kwan | Nephrology | San Antonio Kidney Disease Center Physicians Group, P.l.l.c. | 7142 San Pedro Ave, Suite 120, San Antonio, TX 78216-6256 |
| Street Address |
409 MADRID ST |
| City | CASTROVILLE |
| State | TX |
| Zip | 78009-4527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lloyd P Van Winkle | Family Medicine | Lloyd P Van Winkle, Md, Pa | 409 Madrid St, Castroville, TX 78009-4527 |
| Mary S Nguyen | Family Medicine | Lloyd P Van Winkle, Md, Pa | 409 Madrid St, Castroville, TX 78009-4527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Mccauley | Nurse Practitioner | Alsatian Care Enterprises Medical Professionals, Pllc | 1501 Houston St, Castroville, TX 78009-2739 |
| Sarah M Vogel | Nurse Practitioner | Alsatian Care Enterprises LLC | 1501 Houston St, Castroville, TX 78009-2739 |
| Max E Best Jr. | Emergency Medicine | Alsatian Care Enterprises Medical Professionals, Pllc | 1501 Houston St, Castroville, TX 78009-2739 |
| Richard L Neel | Emergency Medicine | Alsatian Care Enterprises Medical Professionals, Pllc | 1501 Houston St, Castroville, TX 78009-2739 |
| Georgette L Nadeau | Nurse Practitioner | Alsatian Care Enterprises LLC | 1501 Houston St, Castroville, TX 78009-2739 |
| Jennifer M Shadrock | Nurse Practitioner | Alsatian Care Enterprises LLC | 1501 Houston St, Castroville, TX 78009-2739 |
| Mary Elizabeth Andres | Nurse Practitioner | Alsatian Care Enterprises LLC | 1501 Houston St, Castroville, TX 78009-2739 |
| Charles Kennett Hardin | General Practice | 1312 Geneva St, Suite B, Castroville, TX 78009-2941 | |
| Heather Lynn Smith-merrithew | Nurse Practitioner | N and J Caring, LLC | 142 Misty Dawn, Castroville, TX 78009-3438 |
| Nikki N Lewis | Nurse Practitioner | N and J Caring, LLC | 142 Misty Dawn, Castroville, TX 78009-3438 |
| Find all physicians in zip 78009 | |||
| City | CASTROVILLE |
| Zip Code | 78009 |
| Specialty | NEPHROLOGY |
| City + Specialty | CASTROVILLE + NEPHROLOGY |
Please comment or provide details below to improve the information on Larry R Davis.
| 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.