| Core Health Systems | |
|
2435 College Dr Texarkana TX 75501-2788 | |
| (903) 255-1240 | |
| (903) 831-7740 |
| Full Name | Core Health Systems |
|---|---|
| Speciality | General Practice |
| Location | 2435 College Dr, Texarkana, Texas |
| Authorized Official Name and Position | Rosemary O Villarreal (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2106334627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Health Systems 107 Woodbine Pl Longview TX 75601-2912 Ph: (903) 758-2471 | Core Health Systems 2435 College Dr Texarkana TX 75501-2788 Ph: (903) 255-1240 |
| NPI Number | 1144902602 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Medicare PECOS PAC ID | 9234599424 |
|---|---|
| Medicare Enrollment ID | O20230906000653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144902602 | NPI | - | NPPES |
| Provider Name | Carrie D Hinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912914151 PECOS PAC ID: 6709956709 Enrollment ID: I20080603000345 |
| Provider Name | Jeffrey G Mcwilliams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104037639 PECOS PAC ID: 9830242825 Enrollment ID: I20101004001231 |
| Provider Name | Delisa Lynn Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841625308 PECOS PAC ID: 2264661651 Enrollment ID: I20140520000542 |
| Provider Name | Keith Allen Kirbow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376189308 PECOS PAC ID: 3072881200 Enrollment ID: I20200127001205 |
| Provider Name | Kimberly L Mabry-paroline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104460328 PECOS PAC ID: 4880029537 Enrollment ID: I20200127002031 |
| Provider Name | Jean Davi Pellegalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013528884 PECOS PAC ID: 6204255938 Enrollment ID: I20200930001377 |
| Provider Name | Vikki H Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780239376 PECOS PAC ID: 3375962699 Enrollment ID: I20201006000420 |
| Provider Name | Andrew Galffy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972896710 PECOS PAC ID: 5395056212 Enrollment ID: I20220207002314 |
| Provider Name | Kelley Marie Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477280014 PECOS PAC ID: 3971987306 Enrollment ID: I20220901002994 |
| Provider Name | Jennifer Ann Auger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730803073 PECOS PAC ID: 9638549942 Enrollment ID: I20230103001070 |
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