| Dr Edwin Concerman Emborgo, MD | |
|
1023 N Mound St, Suite A, Nacogdoches, TX 75961-4491 | |
| (936) 564-2691 | |
| (713) 634-2636 |
| Full Name | Dr Edwin Concerman Emborgo |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1023 N Mound St, Nacogdoches, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427096080 | NPI | - | NPPES |
| 203713701 | Medicaid | TX | |
| M8458 | Other | TX | PHYSICIAN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E4705 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | M8458 (Texas) | Primary |
| Entity Name | Travis County Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Texas Emergency Staffing Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811942949 PECOS PAC ID: 0345297610 Enrollment ID: O20050407001290 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Living Forest Country Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760615330 PECOS PAC ID: 1951440494 Enrollment ID: O20091123000452 |
| Entity Name | Angelina Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518397298 PECOS PAC ID: 5395973564 Enrollment ID: O20140115000579 |
| Entity Name | Texas Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235472556 PECOS PAC ID: 8921248162 Enrollment ID: O20140115001155 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Ess Of South Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
| Entity Name | Ess Of Nacogdoches Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780139956 PECOS PAC ID: 3375821630 Enrollment ID: O20161021000335 |
| Entity Name | Bonita Creek Emergency Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902555485 PECOS PAC ID: 0345623872 Enrollment ID: O20220817000640 |
| Entity Name | Ess Of Crockett, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649988635 PECOS PAC ID: 3678942778 Enrollment ID: O20221213000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edwin Concerman Emborgo, MD Po Box 630696, Nacogdoches, TX 75963-0696 Ph: (936) 564-2691 | Dr Edwin Concerman Emborgo, MD 1023 N Mound St, Suite A, Nacogdoches, TX 75961-4491 Ph: (936) 564-2691 |
Rachel L Cline, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3900 Ne Stallings Dr Ste 101, Nacogdoches, TX 75965 Phone: 936-559-8770 Fax: 936-559-8773 | |
Dr. Laxman R Kalvakuntla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63 Waterford Dr, Nacogdoches, TX 75965 Phone: 936-645-1044 Fax: 936-205-1328 | |
Eric A Cline, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4800a Ne Stallings Dr, Ste 1100, Nacogdoches, TX 75965 Phone: 936-800-1550 Fax: 844-689-3491 | |
Mrs. Chelsea Durapau Bertrand, FNP-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1023 N Mound St, Nacogdoches, TX 75961 Phone: 936-585-4646 | |
Dr. William Wayne Hairston, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1002 N Mound St, Nacogdoches, TX 75961 Phone: 936-560-3800 Fax: 936-560-0102 | |
Bryan W Davis, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 129 Creekbend Blvd, Nacogdoches, TX 75965 Phone: 936-205-5949 Fax: 936-205-5953 | |
Dr. Carl Alexander Davis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 613 Russell Blvd, Nacogdoches, TX 75965 Phone: 936-305-4155 Fax: 936-305-4156 |