| Community Action Corporation Of South Texas | |
|
700 Flournoy Rd Ste 2a Alice TX 78332-4088 | |
| (361) 664-1417 | |
| (361) 384-4368 |
| Full Name | Community Action Corporation Of South Texas |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Flournoy Rd Ste 2a, Alice, Texas |
| Authorized Official Name and Position | Ann Elizabeth Awalt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3616640145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Action Corporation Of South Texas 204 E 1st St Alice TX 78332-4822 Ph: (361) 664-0145 | Community Action Corporation Of South Texas 700 Flournoy Rd Ste 2a Alice TX 78332-4088 Ph: (361) 664-1417 |
| NPI Number | 1063529642 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 06/09/2026 |
| Medicare PECOS PAC ID | 9032003504 |
|---|---|
| Medicare Enrollment ID | O20040615001126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063529642 | NPI | - | NPPES |
| 171353901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Ofilia C Canales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326149378 PECOS PAC ID: 8325019458 Enrollment ID: I20040803000939 |
| Provider Name | Vandana S Kamat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619994258 PECOS PAC ID: 9032172671 Enrollment ID: I20041108000587 |
| Provider Name | Martin A Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669517769 PECOS PAC ID: 3375637697 Enrollment ID: I20070918000292 |
| Provider Name | Deborah S Skoruppa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053501379 PECOS PAC ID: 2961573506 Enrollment ID: I20080625000362 |
| Provider Name | Cecilia Y Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972732733 PECOS PAC ID: 9739232141 Enrollment ID: I20090803000510 |
| Provider Name | Francisco J Miranda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417097288 PECOS PAC ID: 6002912664 Enrollment ID: I20100317000325 |
| Provider Name | Michael G Fuentes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1689721383 PECOS PAC ID: 4981684867 Enrollment ID: I20100927001508 |
| Provider Name | Karole L Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609890367 PECOS PAC ID: 4284670431 Enrollment ID: I20111103000682 |
| Provider Name | Whitney D Stacy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932444809 PECOS PAC ID: 3476789116 Enrollment ID: I20150120001713 |
| Provider Name | Josephine Horn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245403831 PECOS PAC ID: 9234428749 Enrollment ID: I20160523000422 |
| Provider Name | Alfredo R Andaya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578583001 PECOS PAC ID: 7618232372 Enrollment ID: I20180530000272 |
| Provider Name | Julio C Oryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952493140 PECOS PAC ID: 9032359716 Enrollment ID: I20180605002964 |
| Provider Name | Jennifer A Urban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508335225 PECOS PAC ID: 1951646363 Enrollment ID: I20181212003282 |
| Provider Name | Monica M Deitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356902837 PECOS PAC ID: 4688902778 Enrollment ID: I20190828000428 |
| Provider Name | Alyssa Pimentel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871262360 PECOS PAC ID: 9133526692 Enrollment ID: I20210927000178 |
| Provider Name | Jessica N Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083310916 PECOS PAC ID: 8022483171 Enrollment ID: I20230404000545 |
| Provider Name | Ashley A Boerjan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902522030 PECOS PAC ID: 8820463979 Enrollment ID: I20230404000627 |
| Provider Name | Alliskair A Ortiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053936971 PECOS PAC ID: 9032572490 Enrollment ID: I20230831004693 |
| Provider Name | Ana Ynfante Mayorga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033997945 PECOS PAC ID: 9537518162 Enrollment ID: I20231208000066 |
| Provider Name | Jose Palacios |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881136372 PECOS PAC ID: 0749539930 Enrollment ID: I20231218001514 |
| Provider Name | Sheryl Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770981706 PECOS PAC ID: 1759732365 Enrollment ID: I20240108006184 |
| Provider Name | Kelly Lynn Veracruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760266266 PECOS PAC ID: 4688027469 Enrollment ID: I20240129001002 |
| Provider Name | Sonia Ramos Cruz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881083707 PECOS PAC ID: 6305299967 Enrollment ID: I20240130003440 |
| Provider Name | Kristen Ashley Kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770183808 PECOS PAC ID: 9638512353 Enrollment ID: I20240209002557 |
| Provider Name | Kristy Dawn Orr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831763119 PECOS PAC ID: 7517301765 Enrollment ID: I20240215003798 |
| Provider Name | Monica Ann Espinoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124716857 PECOS PAC ID: 7810292513 Enrollment ID: I20240607000778 |
| Provider Name | Jason Matthew Hindman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861681983 PECOS PAC ID: 0547780546 Enrollment ID: I20250220002685 |
Garza, Garcia & Garcia Dentistry Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Coyote Trl, Alice, TX 78332 Phone: 361-668-3384 Fax: 361-668-6191 | |
Loftin Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Almond St, Alice, TX 78332 Phone: 361-664-8352 Fax: 361-664-9305 | |
Dr. Roel Garza And Associates Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Coyote Trl, Alice, TX 78332 Phone: 361-668-3384 Fax: 361-668-6191 | |
Jaroslav Dolezal D.d.s.,p.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St, Alice, TX 78332 Phone: 361-668-4208 Fax: 361-668-1025 | |
Roel Valadez, Jr., D.d.s., P.l.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 N Woodlawn Dr, Alice, TX 78332 Phone: 361-664-3057 Fax: 361-664-4556 | |
Dental World-alice Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2611 E Main St Ste 401, Alice, TX 78332 Phone: 361-396-4952 Fax: 361-453-4126 |