| Rio Grande State Center | |
|
1401 S Rangerville Rd Harlingen TX 78552-7638 | |
| (956) 364-8000 | |
| (956) 364-8245 |
| Full Name | Rio Grande State Center |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1401 S Rangerville Rd, Harlingen, Texas |
| Authorized Official Name and Position | Linda Garnett (PROGRAM SUPERVISOR) |
| Authorized Official Contact | 5129131580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Grande State Center 4110 Guadalupe St Hospital Revenue Mgmt-mc2023 Austin TX 78751-4223 Ph: (512) 206-5284 | Rio Grande State Center 1401 S Rangerville Rd Harlingen TX 78552-7638 Ph: (956) 364-8000 |
| NPI Number | 1356414692 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 2163795824 |
|---|---|
| Medicare Enrollment ID | O20170908001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356414692 | NPI | - | NPPES |
| 02312193-02 | Medicaid | TX | |
| 4521642 | Other | TX | PHARMACY NCPDP NUMBER |
| HH3020 | Other | TX | BCBS DRUG ALCOHOL |
| 0212193-01 | Medicaid | TX | |
| HH4992 | Other | TX | BCBS PSYCHIATRIC |
| 0212193-03 | Medicaid | TX | |
| 0845315-01 | Medicaid | TX |
| Provider Name | Jenny Murray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346299187 PECOS PAC ID: 7416861513 Enrollment ID: I20031113000441 |
| Provider Name | Manuel R Carrasco Santiago |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932109196 PECOS PAC ID: 6800793597 Enrollment ID: I20031219000194 |
| Provider Name | Prakash Hegde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053382754 PECOS PAC ID: 2365340361 Enrollment ID: I20031229000900 |
| Provider Name | Anita Cave Deanda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295865616 PECOS PAC ID: 9335048438 Enrollment ID: I20040107000910 |
| Provider Name | Fakhar Ijaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487653820 PECOS PAC ID: 5496648800 Enrollment ID: I20040207000150 |
| Provider Name | Rosario M Bondoc |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588611164 PECOS PAC ID: 8527958560 Enrollment ID: I20040316000264 |
| Provider Name | Laura S Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073593430 PECOS PAC ID: 2567352149 Enrollment ID: I20040317001059 |
| Provider Name | Michael D Murray |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033211156 PECOS PAC ID: 0143214833 Enrollment ID: I20040414000782 |
| Provider Name | Krishna P Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992773444 PECOS PAC ID: 5597751719 Enrollment ID: I20040423001066 |
| Provider Name | Timothy R Heath |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053315598 PECOS PAC ID: 4385626456 Enrollment ID: I20040602001388 |
| Provider Name | Rebecca J Mckown |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407972607 PECOS PAC ID: 7719969294 Enrollment ID: I20040607001335 |
| Provider Name | David L Heredia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104980408 PECOS PAC ID: 9234112731 Enrollment ID: I20040607001519 |
| Provider Name | Felipe Porres |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326188194 PECOS PAC ID: 3173506599 Enrollment ID: I20040608000828 |
| Provider Name | Mary E Manis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457352288 PECOS PAC ID: 7315920238 Enrollment ID: I20040611000138 |
| Provider Name | Carolyn J. Mcdougald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902887755 PECOS PAC ID: 6305829003 Enrollment ID: I20040612000062 |
| Provider Name | Miguel A Oneto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457342479 PECOS PAC ID: 2961486972 Enrollment ID: I20040616001406 |
| Provider Name | Shawn D Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023041969 PECOS PAC ID: 2365426129 Enrollment ID: I20040617001003 |
| Provider Name | Steven A Beim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629075437 PECOS PAC ID: 3779571807 Enrollment ID: I20040617001150 |
| Provider Name | George R Howland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851472633 PECOS PAC ID: 6103800909 Enrollment ID: I20040617001325 |
| Provider Name | Stephanie B Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790815975 PECOS PAC ID: 5193700433 Enrollment ID: I20040622000170 |
| Provider Name | Nejla Shami |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710938683 PECOS PAC ID: 4587641188 Enrollment ID: I20040701000888 |
| Provider Name | Cecilia C De Vargas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225054513 PECOS PAC ID: 1951388479 Enrollment ID: I20040702000143 |
| Provider Name | Martin Guerrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952591935 PECOS PAC ID: 6002894094 Enrollment ID: I20040707001203 |
| Provider Name | Deo Kalyan Bhati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871608240 PECOS PAC ID: 0143208801 Enrollment ID: I20040709000316 |
| Provider Name | John Ming-shieh Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346342714 PECOS PAC ID: 5597744524 Enrollment ID: I20040715000581 |
| Provider Name | Trina S Cormack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891718755 PECOS PAC ID: 0840270054 Enrollment ID: I20040720001049 |
| Provider Name | Ann H Nolen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144313982 PECOS PAC ID: 2062492705 Enrollment ID: I20040722000941 |
| Provider Name | Stephen A Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053384842 PECOS PAC ID: 5395715155 Enrollment ID: I20040728001616 |
| Provider Name | Jon A Guidry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942384276 PECOS PAC ID: 6002887643 Enrollment ID: I20040805001524 |
| Provider Name | Stephanie Diane Roth |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528022472 PECOS PAC ID: 5395717698 Enrollment ID: I20040809000084 |
| Provider Name | Yong U Chin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619068186 PECOS PAC ID: 3870566565 Enrollment ID: I20040819000908 |
| Provider Name | Carol A Andrus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629090899 PECOS PAC ID: 6002880606 Enrollment ID: I20040820000167 |
| Provider Name | Kevin L Wacasey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902825946 PECOS PAC ID: 9931194719 Enrollment ID: I20040824001393 |
| Provider Name | Tim L Faulkenberry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114906070 PECOS PAC ID: 4880662808 Enrollment ID: I20040920000252 |
| Provider Name | Angelina A Rivero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033113386 PECOS PAC ID: 9335118504 Enrollment ID: I20040927000021 |
| Provider Name | Karola F White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891948477 PECOS PAC ID: 9133189004 Enrollment ID: I20041014000908 |
| Provider Name | Susan Hunter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477558401 PECOS PAC ID: 6204899685 Enrollment ID: I20041106000079 |
| Provider Name | Maria G Dill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578594263 PECOS PAC ID: 1153384284 Enrollment ID: I20041109000790 |
| Provider Name | Marcelino Pon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598795254 PECOS PAC ID: 4284697327 Enrollment ID: I20041109000905 |
| Provider Name | Sarah Allison-kolb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962582999 PECOS PAC ID: 4284697137 Enrollment ID: I20041110001297 |
| Provider Name | Duncan M Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447288642 PECOS PAC ID: 0749244333 Enrollment ID: I20041113000275 |
| Provider Name | Stanley X Cal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003846288 PECOS PAC ID: 3971568817 Enrollment ID: I20041119000914 |
| Provider Name | William A Mebane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154402733 PECOS PAC ID: 7012972276 Enrollment ID: I20041130000134 |
| Provider Name | Geraldine Farias Daniels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144315532 PECOS PAC ID: 6103884960 Enrollment ID: I20041227000349 |
| Provider Name | Cecilia L Mckeown Biagas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265584098 PECOS PAC ID: 3577521350 Enrollment ID: I20041227000528 |
| Provider Name | Robert G Aguilar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043279631 PECOS PAC ID: 7719936699 Enrollment ID: I20050118000735 |
| Provider Name | William E Bazzell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134130339 PECOS PAC ID: 1759330574 Enrollment ID: I20050119000836 |
| Provider Name | James R Manshardt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396835104 PECOS PAC ID: 4486610029 Enrollment ID: I20050131000364 |
| Provider Name | Paul B Sobin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689641532 PECOS PAC ID: 0547212136 Enrollment ID: I20050211000093 |
| Provider Name | Michael A Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851380885 PECOS PAC ID: 0749234011 Enrollment ID: I20050309000646 |
| Provider Name | Garry C Souffrant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942224720 PECOS PAC ID: 0244287233 Enrollment ID: I20050401000293 |
| Provider Name | Teri A Newsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932142924 PECOS PAC ID: 4385682475 Enrollment ID: I20050419001450 |
| Provider Name | Satyajit Satpathy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447212485 PECOS PAC ID: 5597703595 Enrollment ID: I20050420000867 |
| Provider Name | Nora J Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528032927 PECOS PAC ID: 1658313960 Enrollment ID: I20050526000580 |
| Provider Name | Linda C Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336223643 PECOS PAC ID: 5991740649 Enrollment ID: I20050622001288 |
| Provider Name | Erik M Blois |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205930492 PECOS PAC ID: 6305882937 Enrollment ID: I20050705000608 |
| Provider Name | Linda S Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194731109 PECOS PAC ID: 5991731218 Enrollment ID: I20050708000635 |
| Provider Name | Naomi Hanser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083723282 PECOS PAC ID: 2961438247 Enrollment ID: I20050711000098 |
| Provider Name | Ramesh Komaragiri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265534010 PECOS PAC ID: 4587691621 Enrollment ID: I20050720000976 |
| Provider Name | Cassandra N Arceneaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275575771 PECOS PAC ID: 7416984943 Enrollment ID: I20050726000778 |
| Provider Name | Sharon Gunter-austin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386656072 PECOS PAC ID: 8426087594 Enrollment ID: I20050809000543 |
| Provider Name | Susan W Fan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124044995 PECOS PAC ID: 6800825639 Enrollment ID: I20050811000390 |
| Provider Name | Steven Michael Croft |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760682363 PECOS PAC ID: 2062442221 Enrollment ID: I20050817000363 |
| Provider Name | Joseph J Thayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275528978 PECOS PAC ID: 3971533803 Enrollment ID: I20050819000345 |
| Provider Name | Ramil T Baratang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639157522 PECOS PAC ID: 9335133487 Enrollment ID: I20050825000185 |
| Provider Name | Jerry G Olsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043301849 PECOS PAC ID: 2961433321 Enrollment ID: I20050825000232 |
| Provider Name | David Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932167889 PECOS PAC ID: 1456382688 Enrollment ID: I20050826000486 |
| Provider Name | Albert W Pang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306823158 PECOS PAC ID: 9032141395 Enrollment ID: I20050907000934 |
| Provider Name | Vinodkumar Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881775419 PECOS PAC ID: 0941232003 Enrollment ID: I20050909000150 |
| Provider Name | Donna F Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487767968 PECOS PAC ID: 5991730772 Enrollment ID: I20050929001014 |
| Provider Name | Janet Baker Guidry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487667945 PECOS PAC ID: 7810912938 Enrollment ID: I20051007000643 |
| Provider Name | Inna V Solodky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073608667 PECOS PAC ID: 5395632004 Enrollment ID: I20051018000180 |
| Provider Name | Scott R Murry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780768721 PECOS PAC ID: 2668499963 Enrollment ID: I20051026000703 |
| Provider Name | Brad Richard Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760460422 PECOS PAC ID: 7618994922 Enrollment ID: I20051026000758 |
| Provider Name | Juan A Maldonado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114901626 PECOS PAC ID: 8426076027 Enrollment ID: I20051104000091 |
| Provider Name | Eduardo Orihuela |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982682720 PECOS PAC ID: 7012936412 Enrollment ID: I20051115000646 |
| Provider Name | Gregory B Creager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770567828 PECOS PAC ID: 3173543444 Enrollment ID: I20051201000194 |
| Provider Name | Rakesh Chadalavada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669574695 PECOS PAC ID: 7810917135 Enrollment ID: I20051201000672 |
| Provider Name | Crispin Juguilon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730377995 PECOS PAC ID: 5496776601 Enrollment ID: I20051215000651 |
| Provider Name | Jayaprakash Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902826977 PECOS PAC ID: 9638148489 Enrollment ID: I20051230000112 |
| Provider Name | Gregory Paul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053324095 PECOS PAC ID: 8426089970 Enrollment ID: I20060113000495 |
| Provider Name | Victoria C Trickett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659362028 PECOS PAC ID: 7416961784 Enrollment ID: I20060126000301 |
| Provider Name | Margaret A Weidow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558463679 PECOS PAC ID: 5890709307 Enrollment ID: I20060203000123 |
| Provider Name | John S Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912975335 PECOS PAC ID: 0648286377 Enrollment ID: I20060303000439 |
| Provider Name | Steven L Altshuler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336117662 PECOS PAC ID: 8022024637 Enrollment ID: I20060306000386 |
| Provider Name | William R Brown |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851396212 PECOS PAC ID: 2264476464 Enrollment ID: I20060308000659 |
| Provider Name | Thomas H Miller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831188671 PECOS PAC ID: 5092722298 Enrollment ID: I20060313000741 |
| Provider Name | Christopher J Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841215282 PECOS PAC ID: 6103837950 Enrollment ID: I20060509000266 |
| Provider Name | Abigail E Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518264696 PECOS PAC ID: 9830100544 Enrollment ID: I20060509000855 |
| Provider Name | Giorgio Sant'ambrogio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518919216 PECOS PAC ID: 1456362011 Enrollment ID: I20060510000264 |
| Provider Name | Patricia Caballero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396782504 PECOS PAC ID: 5496766610 Enrollment ID: I20060531000167 |
| Provider Name | Nurul Abul Wahid |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508808619 PECOS PAC ID: 8123022134 Enrollment ID: I20060906000245 |
| Provider Name | Daniel F Villarreal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942237748 PECOS PAC ID: 9335143833 Enrollment ID: I20060913000541 |
| Provider Name | John A Partin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497752273 PECOS PAC ID: 3870585441 Enrollment ID: I20061024000175 |
| Provider Name | Girly Bennett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891731931 PECOS PAC ID: 6901804715 Enrollment ID: I20061109000529 |
| Provider Name | Rebecca E Fidellow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700810983 PECOS PAC ID: 1951340066 Enrollment ID: I20061116000509 |
| Provider Name | Carlos E Escobar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982617841 PECOS PAC ID: 7214935287 Enrollment ID: I20061129000515 |
| Provider Name | Steven A Logsdon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316026925 PECOS PAC ID: 8527068162 Enrollment ID: I20070105000169 |
| Provider Name | John K Harper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033296777 PECOS PAC ID: 2365442621 Enrollment ID: I20070110000413 |
| Provider Name | Phillip B Balleza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588740518 PECOS PAC ID: 4789686627 Enrollment ID: I20070206000675 |
| Provider Name | Melissa R Ferguson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346311735 PECOS PAC ID: 9537161112 Enrollment ID: I20070212000058 |
| Provider Name | Lawrence I Butcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720012370 PECOS PAC ID: 3779685730 Enrollment ID: I20070221000346 |
| Provider Name | Karen S Jordan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1295842748 PECOS PAC ID: 9537261243 Enrollment ID: I20070227000644 |
| Provider Name | Renu M Anupindi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992896047 PECOS PAC ID: 6608971700 Enrollment ID: I20070418000488 |
| Provider Name | Julie N Albert |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932146206 PECOS PAC ID: 4688770027 Enrollment ID: I20070502000132 |
| Provider Name | Kranti Purimetla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295882157 PECOS PAC ID: 5991801938 Enrollment ID: I20070508000164 |
| Provider Name | Lakshmi V Kaza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831270578 PECOS PAC ID: 7315043395 Enrollment ID: I20070508000508 |
| Provider Name | Gregory C Lind |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609854165 PECOS PAC ID: 4587573977 Enrollment ID: I20070712000306 |
| Provider Name | Guido G Spangher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740204320 PECOS PAC ID: 6406956739 Enrollment ID: I20070716000199 |
| Provider Name | Robert James Babuji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588741078 PECOS PAC ID: 9739163866 Enrollment ID: I20070717000711 |
| Provider Name | Jennifer Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851302954 PECOS PAC ID: 2163323361 Enrollment ID: I20070724000407 |
| Provider Name | Satish S Bhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881775732 PECOS PAC ID: 7012018732 Enrollment ID: I20070725000519 |
| Provider Name | Mark D Messer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730246273 PECOS PAC ID: 6800997149 Enrollment ID: I20070731000116 |
| Provider Name | Natarajan Venkatayan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174604466 PECOS PAC ID: 0345254397 Enrollment ID: I20070731000124 |
| Provider Name | Suhasini Atluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992852362 PECOS PAC ID: 2062504293 Enrollment ID: I20070817000424 |
| Provider Name | Catherine N. Zemler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750506473 PECOS PAC ID: 9436241999 Enrollment ID: I20070828001109 |
| Provider Name | Shubha Dilip Karnik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811078611 PECOS PAC ID: 0547357659 Enrollment ID: I20071106000221 |
| Provider Name | Horacio G Hau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386840197 PECOS PAC ID: 3274620216 Enrollment ID: I20071107000481 |
| Provider Name | Udaya Gavini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942382080 PECOS PAC ID: 7012013774 Enrollment ID: I20071127000280 |
| Provider Name | Robert A Bouchat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568548527 PECOS PAC ID: 9234228941 Enrollment ID: I20071204000202 |
| Provider Name | John Dale Crowley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053476135 PECOS PAC ID: 3173613775 Enrollment ID: I20071219000813 |
| Provider Name | Franchelle C Boateng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295939890 PECOS PAC ID: 7618067992 Enrollment ID: I20071227000143 |
| Provider Name | William Pederson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295952364 PECOS PAC ID: 2466532239 Enrollment ID: I20080107000141 |
| Provider Name | Karla A Kuusisto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437371051 PECOS PAC ID: 9234213869 Enrollment ID: I20080221000110 |
| Provider Name | Stephen F Kubala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144301953 PECOS PAC ID: 2961586201 Enrollment ID: I20080226000531 |
| Provider Name | Hemant S Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174675474 PECOS PAC ID: 3779669437 Enrollment ID: I20080321000204 |
| Provider Name | Kelli C Tyler Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003084567 PECOS PAC ID: 7416035340 Enrollment ID: I20080417000574 |
| Provider Name | Zahida Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457569154 PECOS PAC ID: 4082792940 Enrollment ID: I20080418000116 |
| Provider Name | William W Voelter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902913932 PECOS PAC ID: 5193793131 Enrollment ID: I20080505000707 |
| Provider Name | Patrick E Fallon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780751867 PECOS PAC ID: 3072683176 Enrollment ID: I20080602000288 |
| Provider Name | Rita E Schindeler-trachta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235281882 PECOS PAC ID: 0244300184 Enrollment ID: I20080603000766 |
| Provider Name | Winnifer Baduel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245397744 PECOS PAC ID: 7012088420 Enrollment ID: I20080612000252 |
| Provider Name | David Moron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467487330 PECOS PAC ID: 8325119951 Enrollment ID: I20080625000255 |
| Provider Name | Carmen L Zegarra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780760603 PECOS PAC ID: 2062585326 Enrollment ID: I20080718000522 |
| Provider Name | Cynthia Lew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558554287 PECOS PAC ID: 7214001056 Enrollment ID: I20080728000801 |
| Provider Name | Sandra G Rodrigues |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700999497 PECOS PAC ID: 8224102942 Enrollment ID: I20080729000745 |
| Provider Name | James Avery Rush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992975841 PECOS PAC ID: 9436223609 Enrollment ID: I20080806000250 |
| Provider Name | Sergio H Luna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114993953 PECOS PAC ID: 1658352489 Enrollment ID: I20080807000257 |
| Provider Name | Michael T Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154459584 PECOS PAC ID: 3375617384 Enrollment ID: I20080808000130 |
| Provider Name | Vakula Narepalem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164437232 PECOS PAC ID: 1052487840 Enrollment ID: I20080902000212 |
| Provider Name | Andrey Tsyss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124161757 PECOS PAC ID: 5698841419 Enrollment ID: I20080902000521 |
| Provider Name | Scott W Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609030592 PECOS PAC ID: 9830265396 Enrollment ID: I20080906000121 |
| Provider Name | Kimberli Nekishia Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992996680 PECOS PAC ID: 6507925344 Enrollment ID: I20081107000315 |
| Provider Name | Estela Sosa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356465140 PECOS PAC ID: 1153481098 Enrollment ID: I20081121000155 |
| Provider Name | Arifa Salam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811076268 PECOS PAC ID: 7719047570 Enrollment ID: I20081124000435 |
| Provider Name | Kathleen A Stanley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306822689 PECOS PAC ID: 9830251289 Enrollment ID: I20081219000225 |
| Provider Name | Richard A Chengson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003960519 PECOS PAC ID: 9234292137 Enrollment ID: I20090120000037 |
| Provider Name | Christina A Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891995411 PECOS PAC ID: 2668536541 Enrollment ID: I20090122000272 |
| Provider Name | Kusumakar Sooda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386830354 PECOS PAC ID: 3678637949 Enrollment ID: I20090131000065 |
| Provider Name | David Hager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558518373 PECOS PAC ID: 6002839727 Enrollment ID: I20090204000443 |
| Provider Name | Alfredo D Cisneros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104906544 PECOS PAC ID: 2961567128 Enrollment ID: I20090223000378 |
| Provider Name | Sarah J Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578700480 PECOS PAC ID: 1557427424 Enrollment ID: I20090227000489 |
| Provider Name | Francisco J Torres |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154480515 PECOS PAC ID: 3971609637 Enrollment ID: I20090320000132 |
| Provider Name | Ramona R Rogers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578740999 PECOS PAC ID: 8022175934 Enrollment ID: I20090320000159 |
| Provider Name | Peter Goldstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154567980 PECOS PAC ID: 2365411600 Enrollment ID: I20090327000541 |
| Provider Name | Arthur Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275730228 PECOS PAC ID: 4981761210 Enrollment ID: I20090331000500 |
| Provider Name | Michael Escamilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801903893 PECOS PAC ID: 0547317778 Enrollment ID: I20090406000077 |
| Provider Name | David A Jolivet |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154351377 PECOS PAC ID: 6103973854 Enrollment ID: I20090415000205 |
| Provider Name | Richard P Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942286901 PECOS PAC ID: 9830246297 Enrollment ID: I20090422000254 |
| Provider Name | David V Espino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710094701 PECOS PAC ID: 3072661248 Enrollment ID: I20090427000358 |
| Provider Name | Victoria B Morgan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073699336 PECOS PAC ID: 5092863720 Enrollment ID: I20090506000227 |
| Provider Name | John C De Toledo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477570810 PECOS PAC ID: 4587759212 Enrollment ID: I20090519000625 |
| Provider Name | Richard M Elledge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982784229 PECOS PAC ID: 6800945478 Enrollment ID: I20090601000565 |
| Provider Name | Virginia Garay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184805467 PECOS PAC ID: 5092866442 Enrollment ID: I20090625000454 |
| Provider Name | Matthew C Hopkins |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1467634667 PECOS PAC ID: 5294888160 Enrollment ID: I20090727000058 |
| Provider Name | Michael E Collier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891764239 PECOS PAC ID: 6507941747 Enrollment ID: I20090728000152 |
| Provider Name | John Tobis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114108057 PECOS PAC ID: 6800949439 Enrollment ID: I20090730000007 |
| Provider Name | Tran Quan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770646085 PECOS PAC ID: 4284787730 Enrollment ID: I20090730000282 |
| Provider Name | Suzanne H Campbell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1568527638 PECOS PAC ID: 3870646383 Enrollment ID: I20090731000214 |
| Provider Name | Magdalene D Garza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215118500 PECOS PAC ID: 0840344735 Enrollment ID: I20090811000719 |
| Provider Name | Jack R Erwin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568484152 PECOS PAC ID: 6709930464 Enrollment ID: I20090813000771 |
| Provider Name | Kendall P Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326083643 PECOS PAC ID: 3476520065 Enrollment ID: I20090827000065 |
| Provider Name | Ba Han |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205848827 PECOS PAC ID: 3678582145 Enrollment ID: I20090827000099 |
| Provider Name | John A Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982786299 PECOS PAC ID: 6305992306 Enrollment ID: I20090916000378 |
| Provider Name | Jill K Pontius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124022918 PECOS PAC ID: 8224184247 Enrollment ID: I20090916000571 |
| Provider Name | William J Moran |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114922325 PECOS PAC ID: 2860548310 Enrollment ID: I20090924000308 |
| Provider Name | Jeffrey D Dela Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407041395 PECOS PAC ID: 6800942293 Enrollment ID: I20090928000234 |
| Provider Name | Nicholas S Patniyot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962667105 PECOS PAC ID: 1355489840 Enrollment ID: I20091103000280 |
| Provider Name | James Boger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013113141 PECOS PAC ID: 0143368886 Enrollment ID: I20091117000489 |
| Provider Name | Babu V Draksharam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053402024 PECOS PAC ID: 2961541248 Enrollment ID: I20091125000580 |
| Provider Name | Arthur B Morgan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639262173 PECOS PAC ID: 5799825436 Enrollment ID: I20091210000608 |
| Provider Name | Misti Michele Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346577996 PECOS PAC ID: 8224178553 Enrollment ID: I20091217000609 |
| Provider Name | Hetal N Gandhi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013936905 PECOS PAC ID: 5597764480 Enrollment ID: I20100120000752 |
| Provider Name | Jonathan H Yamaguchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689687428 PECOS PAC ID: 7810030780 Enrollment ID: I20100202000123 |
| Provider Name | Eidi K Millington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336340694 PECOS PAC ID: 2264575950 Enrollment ID: I20100203000342 |
| Provider Name | Eugenio Hernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1891891263 PECOS PAC ID: 6002950136 Enrollment ID: I20100212000462 |
| Provider Name | Martin V Sloan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639178387 PECOS PAC ID: 1850311317 Enrollment ID: I20100217000769 |
| Provider Name | Thu T Le |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477757722 PECOS PAC ID: 0446385231 Enrollment ID: I20100318000452 |
| Provider Name | Henry Weisman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801884895 PECOS PAC ID: 1850339102 Enrollment ID: I20100326000351 |
| Provider Name | Bettina B Walker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801051560 PECOS PAC ID: 2668500760 Enrollment ID: I20100511000727 |
| Provider Name | Mohammed Fawzi El-awady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487722641 PECOS PAC ID: 2860465770 Enrollment ID: I20100514000387 |
| Provider Name | Paul Nelson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689769135 PECOS PAC ID: 2860521929 Enrollment ID: I20100527000611 |
| Provider Name | Zuorong Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699988261 PECOS PAC ID: 0749367738 Enrollment ID: I20100611000416 |
| Provider Name | Daphne M Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649403817 PECOS PAC ID: 8123158219 Enrollment ID: I20100616000702 |
| Provider Name | Stephen G Poplar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093875163 PECOS PAC ID: 9537299433 Enrollment ID: I20100618000340 |
| Provider Name | Joel D Bessman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518026327 PECOS PAC ID: 9133250962 Enrollment ID: I20100623000423 |
| Provider Name | Carlos B Everett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205923950 PECOS PAC ID: 0244338820 Enrollment ID: I20100626000386 |
| Provider Name | Malcolm C Lochiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952357592 PECOS PAC ID: 2668456864 Enrollment ID: I20100628000487 |
| Provider Name | Robert Blais |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982614020 PECOS PAC ID: 0345150348 Enrollment ID: I20100715000258 |
| Provider Name | Abimbola Olufemi Layeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811962384 PECOS PAC ID: 2466584131 Enrollment ID: I20100715000331 |
| Provider Name | Blake B O Lavin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093709578 PECOS PAC ID: 2860408960 Enrollment ID: I20100716000099 |
| Provider Name | Ellen V Fontana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649422064 PECOS PAC ID: 7911030507 Enrollment ID: I20100803000784 |
| Provider Name | Mario A Echavarria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811904493 PECOS PAC ID: 7810046620 Enrollment ID: I20100803001279 |
| Provider Name | Charles L Stockwell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376617308 PECOS PAC ID: 2365575834 Enrollment ID: I20100804000521 |
| Provider Name | Jesse L Jurado |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013912740 PECOS PAC ID: 2668549577 Enrollment ID: I20100806000267 |
| Provider Name | Steve Montoya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1699770313 PECOS PAC ID: 7416844394 Enrollment ID: I20100813000157 |
| Provider Name | Ka C Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629005400 PECOS PAC ID: 5890607667 Enrollment ID: I20100920001061 |
| Provider Name | Ellen I Leonard |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245211895 PECOS PAC ID: 3678699808 Enrollment ID: I20100924001259 |
| Provider Name | James T Gilley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770506768 PECOS PAC ID: 0244422376 Enrollment ID: I20101007001157 |
| Provider Name | Archie D Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396887691 PECOS PAC ID: 5698967610 Enrollment ID: I20101008000975 |
| Provider Name | William P Phillips |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649383373 PECOS PAC ID: 3375737430 Enrollment ID: I20101102001155 |
| Provider Name | Ming S Whitten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154434322 PECOS PAC ID: 4183818255 Enrollment ID: I20101102001300 |
| Provider Name | Shirlene M Sulatan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063651917 PECOS PAC ID: 9638363500 Enrollment ID: I20101104000748 |
| Provider Name | Mitchell H Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700864246 PECOS PAC ID: 2961697123 Enrollment ID: I20101112000909 |
| Provider Name | David H Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659505725 PECOS PAC ID: 5991855256 Enrollment ID: I20101206000027 |
| Provider Name | Susanne C Yeagley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184686719 PECOS PAC ID: 4486841855 Enrollment ID: I20101210000445 |
| Provider Name | Ashton S Wickramasinghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295927580 PECOS PAC ID: 5597859652 Enrollment ID: I20101216000395 |
| Provider Name | Cherry Mathew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174589790 PECOS PAC ID: 9739377805 Enrollment ID: I20101216000677 |
| Provider Name | Ovidiu Dulgheru |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386798957 PECOS PAC ID: 5193826824 Enrollment ID: I20110105001097 |
| Provider Name | Feroza B Talukdar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881775369 PECOS PAC ID: 8628257300 Enrollment ID: I20110127000085 |
| Provider Name | Montgomery A Verona |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326048729 PECOS PAC ID: 2567642341 Enrollment ID: I20110210001048 |
| Provider Name | Anthony Jc Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639178205 PECOS PAC ID: 3375643372 Enrollment ID: I20110218000807 |
| Provider Name | Larry R Hawkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437209863 PECOS PAC ID: 1759562770 Enrollment ID: I20110224000276 |
| Provider Name | Toni I White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841418910 PECOS PAC ID: 3678755337 Enrollment ID: I20110316000983 |
| Provider Name | Pamela Demone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962629634 PECOS PAC ID: 1658554829 Enrollment ID: I20110324000943 |
| Provider Name | Stephen Dai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629271432 PECOS PAC ID: 0244416964 Enrollment ID: I20110513000655 |
| Provider Name | Jonathan S Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548424062 PECOS PAC ID: 8729265525 Enrollment ID: I20110603000237 |
| Provider Name | Mark Barinque |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427118520 PECOS PAC ID: 7719096692 Enrollment ID: I20110707000621 |
| Provider Name | Sunil Cherry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659559763 PECOS PAC ID: 5395934954 Enrollment ID: I20110722000523 |
| Provider Name | Steven W Cathey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619084282 PECOS PAC ID: 0749459469 Enrollment ID: I20110812000524 |
| Provider Name | Feroz Yaqoob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629260229 PECOS PAC ID: 5193996023 Enrollment ID: I20110926000143 |
| Provider Name | Lynn M Malseed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386758092 PECOS PAC ID: 5698947158 Enrollment ID: I20111006000172 |
| Provider Name | Adjoa Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962782631 PECOS PAC ID: 5193998409 Enrollment ID: I20111102000412 |
| Provider Name | Laura E. Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902043318 PECOS PAC ID: 7012183775 Enrollment ID: I20111229000604 |
| Provider Name | Daisy R Ramirez-estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174785919 PECOS PAC ID: 2062689367 Enrollment ID: I20120126000402 |
| Provider Name | Rodolfo H Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770669707 PECOS PAC ID: 5698934941 Enrollment ID: I20120306001037 |
| Provider Name | Satyajeet Lahiri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396895728 PECOS PAC ID: 2769641018 Enrollment ID: I20120306001044 |
| Provider Name | Tara T Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144422098 PECOS PAC ID: 5698935542 Enrollment ID: I20120329000786 |
| Provider Name | Nadeem H Bhatti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528259280 PECOS PAC ID: 2163683087 Enrollment ID: I20120419000405 |
| Provider Name | Kimberly Stump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063619518 PECOS PAC ID: 3971766312 Enrollment ID: I20120522000773 |
| Provider Name | Sandra Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750656278 PECOS PAC ID: 7618131731 Enrollment ID: I20120620000741 |
| Provider Name | Joel A Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588753412 PECOS PAC ID: 9234393315 Enrollment ID: I20120621000446 |
| Provider Name | Theodore Hackl |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881857662 PECOS PAC ID: 9830354596 Enrollment ID: I20120702000114 |
| Provider Name | Rosa E Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538431564 PECOS PAC ID: 2264697895 Enrollment ID: I20120706000104 |
| Provider Name | Sirikarn Napan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609005370 PECOS PAC ID: 4082879499 Enrollment ID: I20120711000079 |
| Provider Name | Mikayle A Durant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780961094 PECOS PAC ID: 1052576246 Enrollment ID: I20120714000007 |
| Provider Name | Mahmoud A Mohamed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699764688 PECOS PAC ID: 4789614728 Enrollment ID: I20120727000577 |
| Provider Name | Mary L Lutz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528214574 PECOS PAC ID: 1557527983 Enrollment ID: I20120730000215 |
| Provider Name | Charles Q Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184897530 PECOS PAC ID: 6406003417 Enrollment ID: I20120827000677 |
| Provider Name | Maria L Obregon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952586984 PECOS PAC ID: 3274780796 Enrollment ID: I20120905000533 |
| Provider Name | Daniel Leal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396850533 PECOS PAC ID: 8820246887 Enrollment ID: I20120917000269 |
| Provider Name | Mallikarjun Badiger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700042017 PECOS PAC ID: 7810146271 Enrollment ID: I20121001000240 |
| Provider Name | Roger G Joe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578755070 PECOS PAC ID: 6103090683 Enrollment ID: I20121001000431 |
| Provider Name | John W Rasch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568549939 PECOS PAC ID: 3274783550 Enrollment ID: I20121022000798 |
| Provider Name | Zahida Samad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396834875 PECOS PAC ID: 1850541608 Enrollment ID: I20121101000273 |
| Provider Name | Ames T Marquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487814505 PECOS PAC ID: 3476708561 Enrollment ID: I20130220000509 |
| Provider Name | Stephen E Milstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306195912 PECOS PAC ID: 2567617822 Enrollment ID: I20130313000090 |
| Provider Name | Michael A Meyerson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1770516494 PECOS PAC ID: 6103061106 Enrollment ID: I20130322000018 |
| Provider Name | Susan B Doctolero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770829012 PECOS PAC ID: 7517102106 Enrollment ID: I20130403000055 |
| Provider Name | Eboney P Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497093116 PECOS PAC ID: 8820233299 Enrollment ID: I20130408000253 |
| Provider Name | Pamela J Richter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033323456 PECOS PAC ID: 0446496848 Enrollment ID: I20130409000112 |
| Provider Name | Irene Y Ngantcha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184806549 PECOS PAC ID: 9032250436 Enrollment ID: I20130429000009 |
| Provider Name | Rita Esmeralda Corona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336302173 PECOS PAC ID: 4981841509 Enrollment ID: I20130518000006 |
| Provider Name | Robert D Healing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881747376 PECOS PAC ID: 6608013222 Enrollment ID: I20130518000015 |
| Provider Name | Olivia A Valdez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912910464 PECOS PAC ID: 0941272710 Enrollment ID: I20130520000738 |
| Provider Name | Robert Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396971214 PECOS PAC ID: 7012155682 Enrollment ID: I20130522000056 |
| Provider Name | Kristina L Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770823759 PECOS PAC ID: 2264670694 Enrollment ID: I20130524000363 |
| Provider Name | Shiraj A Vahora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407852650 PECOS PAC ID: 3678712882 Enrollment ID: I20130619000608 |
| Provider Name | Charles E Blair |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144433954 PECOS PAC ID: 5991947764 Enrollment ID: I20130806000929 |
| Provider Name | Sarah Lynette Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033138664 PECOS PAC ID: 6507009115 Enrollment ID: I20130829000789 |
| Provider Name | Candice R Winful |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386842771 PECOS PAC ID: 4284781386 Enrollment ID: I20130829000820 |
| Provider Name | Cary Rose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548244122 PECOS PAC ID: 2365427184 Enrollment ID: I20130926000121 |
| Provider Name | Nikolaus Kubista |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770739542 PECOS PAC ID: 7416181862 Enrollment ID: I20131018000149 |
| Provider Name | Osagieoduwa O Osawaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831535848 PECOS PAC ID: 8729213707 Enrollment ID: I20131029000309 |
| Provider Name | James Arthur Halgrimson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508158437 PECOS PAC ID: 4385870351 Enrollment ID: I20131121000627 |
| Provider Name | Lorene E Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295171486 PECOS PAC ID: 4981831187 Enrollment ID: I20131214000023 |
| Provider Name | Jose E Campo-maldonado |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720224231 PECOS PAC ID: 2668609439 Enrollment ID: I20131226001449 |
| Provider Name | Oliver Thomas Bernhardt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134355134 PECOS PAC ID: 5294962072 Enrollment ID: I20131227000213 |
| Provider Name | Amar Chand Jetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124216080 PECOS PAC ID: 2264514876 Enrollment ID: I20140307001453 |
| Provider Name | Olumuyiwa Abdul |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285898940 PECOS PAC ID: 2264600345 Enrollment ID: I20140314001439 |
| Provider Name | Pamela N Olsson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093740037 PECOS PAC ID: 3476586470 Enrollment ID: I20140508001376 |
| Provider Name | John J Nava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316186612 PECOS PAC ID: 9133343080 Enrollment ID: I20140616000307 |
| Provider Name | Rohini Ravindran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508091265 PECOS PAC ID: 4688899834 Enrollment ID: I20140702001883 |
| Provider Name | Maria S Gagliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003160532 PECOS PAC ID: 6901045244 Enrollment ID: I20140902000614 |
| Provider Name | Marzi Asadifar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144286527 PECOS PAC ID: 4981739489 Enrollment ID: I20140903000692 |
| Provider Name | Zalinda Colston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326488735 PECOS PAC ID: 7416177845 Enrollment ID: I20141006001917 |
| Provider Name | William Starks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164624250 PECOS PAC ID: 5193878114 Enrollment ID: I20141029002702 |
| Provider Name | Praveen R Madadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538367107 PECOS PAC ID: 8820144314 Enrollment ID: I20141031001133 |
| Provider Name | Shiva Mansourkhani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922236603 PECOS PAC ID: 1456573542 Enrollment ID: I20141104002635 |
| Provider Name | Elena Gonzalez Ammatuna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548576127 PECOS PAC ID: 1456573187 Enrollment ID: I20141113001965 |
| Provider Name | Mary A Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639365604 PECOS PAC ID: 2860614336 Enrollment ID: I20141118001075 |
| Provider Name | Medhat Guirguis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689995649 PECOS PAC ID: 6103148473 Enrollment ID: I20141124001549 |
| Provider Name | Cristian P Zeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891191359 PECOS PAC ID: 2163744939 Enrollment ID: I20141205000260 |
| Provider Name | Jeffery Don Farley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841609013 PECOS PAC ID: 4284956657 Enrollment ID: I20141215001173 |
| Provider Name | Alfonso Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528390093 PECOS PAC ID: 3678896529 Enrollment ID: I20141229000756 |
| Provider Name | Nichole M Sieracki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356730683 PECOS PAC ID: 1254656788 Enrollment ID: I20150204001563 |
| Provider Name | Suseela P Yitta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336242932 PECOS PAC ID: 2860718590 Enrollment ID: I20150224000772 |
| Provider Name | Dhaval H Parikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114187291 PECOS PAC ID: 8820315989 Enrollment ID: I20150330000765 |
| Provider Name | Andrea J Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265693162 PECOS PAC ID: 6901123009 Enrollment ID: I20150331000489 |
| Provider Name | Prasanna Basnet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134511017 PECOS PAC ID: 2860712643 Enrollment ID: I20150519000483 |
| Provider Name | Eliza B San Roman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144221003 PECOS PAC ID: 6204156896 Enrollment ID: I20150521001911 |
| Provider Name | Tricia J Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407283153 PECOS PAC ID: 3870572977 Enrollment ID: I20150612001408 |
| Provider Name | Gabriel C Eleda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730571480 PECOS PAC ID: 2163733213 Enrollment ID: I20150617000086 |
| Provider Name | Patrick Piya Lertdilok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982938791 PECOS PAC ID: 0749593440 Enrollment ID: I20150724010159 |
| Provider Name | Julie Farrington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427114545 PECOS PAC ID: 4789623588 Enrollment ID: I20150724010839 |
| Provider Name | Tuyet-anh T Nguyen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609197995 PECOS PAC ID: 0345554176 Enrollment ID: I20150806011003 |
| Provider Name | Geoffrey F Moses |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356602163 PECOS PAC ID: 2567605173 Enrollment ID: I20150807013286 |
| Provider Name | Kateryna Sergiyivna Ivanova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699066373 PECOS PAC ID: 5294964318 Enrollment ID: I20150820010633 |
| Provider Name | Jernae F Bijou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362896 PECOS PAC ID: 8729397682 Enrollment ID: I20151016001125 |
| Provider Name | Christopher S Healey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659669315 PECOS PAC ID: 7810206265 Enrollment ID: I20151026000921 |
| Provider Name | Arden Dingle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598860306 PECOS PAC ID: 7719131291 Enrollment ID: I20151103002774 |
| Provider Name | Janine L Goldstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881774800 PECOS PAC ID: 4587974050 Enrollment ID: I20151112002213 |
| Provider Name | Martin Domingo Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669775102 PECOS PAC ID: 5395986814 Enrollment ID: I20151119000496 |
| Provider Name | Tina Suzanne Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679944144 PECOS PAC ID: 9739489949 Enrollment ID: I20151119001477 |
| Provider Name | Nathaniel William Seck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073924312 PECOS PAC ID: 5890912729 Enrollment ID: I20151205000040 |
| Provider Name | Kristin F Ramirez |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1366739856 PECOS PAC ID: 0042510505 Enrollment ID: I20151205000118 |
| Provider Name | Jeremy S. Bass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194036095 PECOS PAC ID: 4082835558 Enrollment ID: I20151211001187 |
| Provider Name | Dongli Xiao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689046435 PECOS PAC ID: 6103127675 Enrollment ID: I20151229001557 |
| Provider Name | Megan E Deel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114399169 PECOS PAC ID: 5597067140 Enrollment ID: I20160113002349 |
| Provider Name | Helen Tellegen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932573920 PECOS PAC ID: 9537462205 Enrollment ID: I20160129001976 |
| Provider Name | Jesse L Hite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245253681 PECOS PAC ID: 8729016126 Enrollment ID: I20160203000895 |
| Provider Name | Wendi Lashea Darag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477871598 PECOS PAC ID: 2365673324 Enrollment ID: I20160303000267 |
| Provider Name | Ifeanyi Izediuno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043443401 PECOS PAC ID: 3779726146 Enrollment ID: I20160303000357 |
| Provider Name | Nitin Kamble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811214737 PECOS PAC ID: 9436456142 Enrollment ID: I20160323002558 |
| Provider Name | Roger J Olivarri |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275821324 PECOS PAC ID: 7214259621 Enrollment ID: I20160401000969 |
| Provider Name | Lilybell A Onyewuenyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033575097 PECOS PAC ID: 7618274788 Enrollment ID: I20160405001254 |
| Provider Name | Calvin G Gerke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538363809 PECOS PAC ID: 9133428071 Enrollment ID: I20160428000233 |
| Provider Name | Susrutha Thanam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174822415 PECOS PAC ID: 2668761628 Enrollment ID: I20160513000955 |
| Provider Name | Inbar Shavit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417278813 PECOS PAC ID: 5890019848 Enrollment ID: I20160606001201 |
| Provider Name | Tommy Y Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699170498 PECOS PAC ID: 4385935527 Enrollment ID: I20160620001455 |
| Provider Name | Gracie Adkisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063799856 PECOS PAC ID: 6002107257 Enrollment ID: I20160620001831 |
| Provider Name | Peter G Fadow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366562696 PECOS PAC ID: 8820381114 Enrollment ID: I20160725001084 |
| Provider Name | Sobia K Khurram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659697886 PECOS PAC ID: 4981997970 Enrollment ID: I20160728001508 |
| Provider Name | Leena Kodali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306045679 PECOS PAC ID: 0042370793 Enrollment ID: I20160729000379 |
| Provider Name | Karen Plunkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558403584 PECOS PAC ID: 6204889736 Enrollment ID: I20160729001856 |
| Provider Name | Srinivasa Reddy Donthi Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629333547 PECOS PAC ID: 7517260912 Enrollment ID: I20160801000698 |
| Provider Name | Carlos T. Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154769701 PECOS PAC ID: 2062708027 Enrollment ID: I20160831001638 |
| Provider Name | Ann Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508287186 PECOS PAC ID: 5395032379 Enrollment ID: I20160919001445 |
| Provider Name | Lurinda N Paulsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376925636 PECOS PAC ID: 6709173917 Enrollment ID: I20160930001553 |
| Provider Name | Escania N Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679947204 PECOS PAC ID: 6305133513 Enrollment ID: I20160930001714 |
| Provider Name | Deepti Vats |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932496262 PECOS PAC ID: 1355629759 Enrollment ID: I20161104000587 |
| Provider Name | Bernadine Ukegbu-anyadike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497114466 PECOS PAC ID: 5092094177 Enrollment ID: I20161111001868 |
| Provider Name | Rosa L Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790931962 PECOS PAC ID: 9335429679 Enrollment ID: I20161203000088 |
| Provider Name | Chinemerem L Uzoegwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578920583 PECOS PAC ID: 5395025357 Enrollment ID: I20161208001006 |
| Provider Name | Kerrie L Shrewsbury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467465195 PECOS PAC ID: 0941474944 Enrollment ID: I20161208002278 |
| Provider Name | Emilie Attwell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003992348 PECOS PAC ID: 8426339706 Enrollment ID: I20161228000635 |
| Provider Name | Jie Xu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154731305 PECOS PAC ID: 9335420256 Enrollment ID: I20170106001098 |
| Provider Name | Lesia M Trickett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104003565 PECOS PAC ID: 9436306552 Enrollment ID: I20170109001089 |
| Provider Name | Priyanka Chava |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063776656 PECOS PAC ID: 0446490924 Enrollment ID: I20170113000067 |
| Provider Name | Gostine Dankwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336683440 PECOS PAC ID: 6901188028 Enrollment ID: I20170126000469 |
| Provider Name | Dimple P Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053722611 PECOS PAC ID: 0345524963 Enrollment ID: I20170228000170 |
| Provider Name | Sarah E Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932510849 PECOS PAC ID: 1355625807 Enrollment ID: I20170228001266 |
| Provider Name | Bayo Olaoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205388337 PECOS PAC ID: 2163500471 Enrollment ID: I20170313001665 |
| Provider Name | Vamseedhar Alla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083646517 PECOS PAC ID: 2264459973 Enrollment ID: I20170314000966 |
| Provider Name | Judy Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770969636 PECOS PAC ID: 6002124278 Enrollment ID: I20170420000415 |
| Provider Name | Jisha Philip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194863852 PECOS PAC ID: 9335264985 Enrollment ID: I20170427001848 |
| Provider Name | Gabriel De Erausquin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831115138 PECOS PAC ID: 9537063508 Enrollment ID: I20170509002465 |
| Provider Name | Francisco Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386757425 PECOS PAC ID: 4688586894 Enrollment ID: I20170516002004 |
| Provider Name | Julieta Mariana Oneto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659531788 PECOS PAC ID: 7416143177 Enrollment ID: I20170622001811 |
| Provider Name | Ankit A Parmar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407117443 PECOS PAC ID: 7618248907 Enrollment ID: I20170804000910 |
| Provider Name | Steve Rossiaky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548799265 PECOS PAC ID: 1759653009 Enrollment ID: I20170821002739 |
| Provider Name | Brian B Ferris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174840276 PECOS PAC ID: 3476828385 Enrollment ID: I20171003005634 |
| Provider Name | Umair Hemani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205271780 PECOS PAC ID: 6103192877 Enrollment ID: I20171024002967 |
| Provider Name | Olena Shvets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023536612 PECOS PAC ID: 9537425731 Enrollment ID: I20171103000739 |
| Provider Name | Stacy L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215452578 PECOS PAC ID: 2264798339 Enrollment ID: I20171106000804 |
| Provider Name | Joshua J Atkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710322920 PECOS PAC ID: 5395002877 Enrollment ID: I20171208001930 |
| Provider Name | Maryam Abedi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245756220 PECOS PAC ID: 1153689534 Enrollment ID: I20171212001084 |
| Provider Name | David Mills |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205365616 PECOS PAC ID: 7618235763 Enrollment ID: I20171218002692 |
| Provider Name | Dana Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497274963 PECOS PAC ID: 2567529134 Enrollment ID: I20180119000235 |
| Provider Name | Jennifer Elizabeth Parmerter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902314206 PECOS PAC ID: 6204196546 Enrollment ID: I20180207001149 |
| Provider Name | Stephanie N Eyestone |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184007833 PECOS PAC ID: 9638483860 Enrollment ID: I20180213000234 |
| Provider Name | Misbah Aslam Kalair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134477219 PECOS PAC ID: 6305084039 Enrollment ID: I20180220000331 |
| Provider Name | Kin Y Wong |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1962743229 PECOS PAC ID: 2365703782 Enrollment ID: I20180228000825 |
| Provider Name | Yadira Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538272521 PECOS PAC ID: 7214162361 Enrollment ID: I20180305000832 |
| Provider Name | Cieja Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154833713 PECOS PAC ID: 6507127412 Enrollment ID: I20180309000176 |
| Provider Name | Kelly Lynn Baker Neel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952178 PECOS PAC ID: 4183986524 Enrollment ID: I20180322001157 |
| Provider Name | Krista D Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053826693 PECOS PAC ID: 9436411550 Enrollment ID: I20180329000167 |
| Provider Name | Marlon D Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932607066 PECOS PAC ID: 9032473939 Enrollment ID: I20180501000293 |
| Provider Name | Injala Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386148690 PECOS PAC ID: 2466716964 Enrollment ID: I20180509002333 |
| Provider Name | Sangeetha Rajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043599178 PECOS PAC ID: 7719104181 Enrollment ID: I20180529003098 |
| Provider Name | Moromoke Odina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225347735 PECOS PAC ID: 0749545069 Enrollment ID: I20180607000625 |
| Provider Name | Jennifer I Oyeka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306377528 PECOS PAC ID: 2163777244 Enrollment ID: I20180613000909 |
| Provider Name | Jacqueline Jolene Brummett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699263681 PECOS PAC ID: 5991050866 Enrollment ID: I20180618000630 |
| Provider Name | Winchester J Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679075881 PECOS PAC ID: 6800141482 Enrollment ID: I20180622001074 |
| Provider Name | Julie A Shoemake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336486984 PECOS PAC ID: 0042489312 Enrollment ID: I20180627001573 |
| Provider Name | Mary B Olickan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154771962 PECOS PAC ID: 4880940717 Enrollment ID: I20180709001126 |
| Provider Name | Heather Avelar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720253115 PECOS PAC ID: 3577810969 Enrollment ID: I20180717000395 |
| Provider Name | Lang D Nolen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932529930 PECOS PAC ID: 0547564106 Enrollment ID: I20180820001675 |
| Provider Name | Henry T Kwang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295121085 PECOS PAC ID: 9739439852 Enrollment ID: I20180911000389 |
| Provider Name | Aysha Sabri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649618133 PECOS PAC ID: 8921399049 Enrollment ID: I20180925000590 |
| Provider Name | Jane L Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093045981 PECOS PAC ID: 4587882865 Enrollment ID: I20181016002745 |
| Provider Name | Jasmine Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821452129 PECOS PAC ID: 2264785005 Enrollment ID: I20181025000883 |
| Provider Name | Daniel A Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629369467 PECOS PAC ID: 5496040586 Enrollment ID: I20181106001351 |
| Provider Name | Julie E Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780150326 PECOS PAC ID: 6800130568 Enrollment ID: I20181206001227 |
| Provider Name | Marcela Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154899037 PECOS PAC ID: 5597000752 Enrollment ID: I20181218000149 |
| Provider Name | Sidharta K Seth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306280235 PECOS PAC ID: 8729384953 Enrollment ID: I20190109000924 |
| Provider Name | Bharat Nandu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578819652 PECOS PAC ID: 7416244215 Enrollment ID: I20190313002744 |
| Provider Name | Carolina Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306317433 PECOS PAC ID: 3072854058 Enrollment ID: I20190402000441 |
| Provider Name | Elaina C Klimchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326392721 PECOS PAC ID: 7517266422 Enrollment ID: I20190501000367 |
| Provider Name | Laura G Lightner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114429974 PECOS PAC ID: 2264765577 Enrollment ID: I20190531000102 |
| Provider Name | Natasha G Benatti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184178568 PECOS PAC ID: 3577896240 Enrollment ID: I20190612000225 |
| Provider Name | Corina R Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164995585 PECOS PAC ID: 0143553826 Enrollment ID: I20190612001115 |
| Provider Name | Priscilla R Colunga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508420126 PECOS PAC ID: 3779816350 Enrollment ID: I20190613001619 |
| Provider Name | Karl W Ayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841485992 PECOS PAC ID: 7214903988 Enrollment ID: I20190627000242 |
| Provider Name | Rizwan Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144649187 PECOS PAC ID: 3274871181 Enrollment ID: I20190701000860 |
| Provider Name | Gail I Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649399452 PECOS PAC ID: 6709111248 Enrollment ID: I20190705000765 |
| Provider Name | Lourie L Winegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578021523 PECOS PAC ID: 7719212349 Enrollment ID: I20190718000627 |
| Provider Name | Rejimol Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487213997 PECOS PAC ID: 8527396332 Enrollment ID: I20190817000004 |
| Provider Name | Donya D Hartsfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104484682 PECOS PAC ID: 2668701426 Enrollment ID: I20190904002885 |
| Provider Name | Kimberly S Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841845427 PECOS PAC ID: 0648509372 Enrollment ID: I20190905002773 |
| Provider Name | Delinda S Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174089098 PECOS PAC ID: 5991034472 Enrollment ID: I20190909002187 |
| Provider Name | Christopher N Mancha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154884252 PECOS PAC ID: 2860724093 Enrollment ID: I20191021003114 |
| Provider Name | Julie A Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225683915 PECOS PAC ID: 4385976224 Enrollment ID: I20191028000294 |
| Provider Name | Maria Roxanne Volante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790260339 PECOS PAC ID: 0345572095 Enrollment ID: I20191029002704 |
| Provider Name | Katherine M Fabro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447806740 PECOS PAC ID: 0648594481 Enrollment ID: I20191029003082 |
| Provider Name | Jacqueline D Ehima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922518026 PECOS PAC ID: 8325307069 Enrollment ID: I20191209002631 |
| Provider Name | Lindsey Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548803661 PECOS PAC ID: 8224461868 Enrollment ID: I20191212000322 |
| Provider Name | Lauren N Main |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205477510 PECOS PAC ID: 5698109155 Enrollment ID: I20191217000783 |
| Provider Name | Peggy S Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699765115 PECOS PAC ID: 3375442759 Enrollment ID: I20191220001306 |
| Provider Name | Kwabuaa Dow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326579129 PECOS PAC ID: 6800222886 Enrollment ID: I20200211001984 |
| Provider Name | Kathleen Margaret Ward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992191837 PECOS PAC ID: 3870893381 Enrollment ID: I20200213001715 |
| Provider Name | Ivanshu N Jain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558776138 PECOS PAC ID: 9830488253 Enrollment ID: I20200219001139 |
| Provider Name | Fayaz A Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528235553 PECOS PAC ID: 8426229261 Enrollment ID: I20200221000257 |
| Provider Name | Ossama T Osman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629610530 PECOS PAC ID: 9537596473 Enrollment ID: I20200305001059 |
| Provider Name | Ashley S He Rinicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558901397 PECOS PAC ID: 6103255476 Enrollment ID: I20200413000254 |
| Provider Name | Tony Lanette Mcrorey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841820925 PECOS PAC ID: 4082043153 Enrollment ID: I20200413000303 |
| Provider Name | Cheryl Hodges |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649465139 PECOS PAC ID: 2769532365 Enrollment ID: I20200422000156 |
| Provider Name | Tuyet Tran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316920374 PECOS PAC ID: 8820984255 Enrollment ID: I20200506002309 |
| Provider Name | Amanda K English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376192377 PECOS PAC ID: 2668894643 Enrollment ID: I20200619002063 |
| Provider Name | Temora P Gray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871950048 PECOS PAC ID: 6800213604 Enrollment ID: I20200825001715 |
| Provider Name | Karla Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588166151 PECOS PAC ID: 0840618526 Enrollment ID: I20200911001734 |
| Provider Name | Amber Rhea Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104469907 PECOS PAC ID: 0042639288 Enrollment ID: I20201007002249 |
| Provider Name | Aylin Tanyeri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174816581 PECOS PAC ID: 0345660023 Enrollment ID: I20201019001858 |
| Provider Name | Salvador A Payumo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104423573 PECOS PAC ID: 4981014339 Enrollment ID: I20201113001327 |
| Provider Name | Crystal W Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912513623 PECOS PAC ID: 7719399757 Enrollment ID: I20201215002081 |
| Provider Name | Nandita Sarkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609494251 PECOS PAC ID: 7416360441 Enrollment ID: I20210111002538 |
| Provider Name | Hector Medellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497355929 PECOS PAC ID: 3870908403 Enrollment ID: I20210212001179 |
| Provider Name | Sarah Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679179725 PECOS PAC ID: 8820404379 Enrollment ID: I20210308001154 |
| Provider Name | Erica W Snook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386902070 PECOS PAC ID: 7719275981 Enrollment ID: I20210326000302 |
| Provider Name | Irma I Guajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689925521 PECOS PAC ID: 8628395357 Enrollment ID: I20210423000936 |
| Provider Name | Fady Fayek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750763934 PECOS PAC ID: 8921399452 Enrollment ID: I20210427001507 |
| Provider Name | Ricardo Swatts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679153779 PECOS PAC ID: 1658523824 Enrollment ID: I20210428000208 |
| Provider Name | Cynthia C Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578114013 PECOS PAC ID: 3779992763 Enrollment ID: I20210504000159 |
| Provider Name | Ndi Esiere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558826636 PECOS PAC ID: 2961811617 Enrollment ID: I20210510000452 |
| Provider Name | Adebisi Okieimen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366060204 PECOS PAC ID: 6901205087 Enrollment ID: I20210521000513 |
| Provider Name | Donna K Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881626554 PECOS PAC ID: 7113819764 Enrollment ID: I20210604001358 |
| Provider Name | Azka Bilal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881003077 PECOS PAC ID: 0941603419 Enrollment ID: I20210721000999 |
| Provider Name | Ruthlane A Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225515380 PECOS PAC ID: 2163825472 Enrollment ID: I20210723003017 |
| Provider Name | Katherine E Teszler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639677180 PECOS PAC ID: 2264837103 Enrollment ID: I20210816003086 |
| Provider Name | Victoriano Valdez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1558854299 PECOS PAC ID: 7810246485 Enrollment ID: I20210817001609 |
| Provider Name | Matthew King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255868386 PECOS PAC ID: 9133524978 Enrollment ID: I20210817003376 |
| Provider Name | Mustafa Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275775116 PECOS PAC ID: 2567732977 Enrollment ID: I20210818001794 |
| Provider Name | Blessing Titilayo Oyeniyi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417449646 PECOS PAC ID: 0547665788 Enrollment ID: I20210825003273 |
| Provider Name | Vera Nyonglemuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073102737 PECOS PAC ID: 5597161323 Enrollment ID: I20210902001579 |
| Provider Name | Dawn Cumbie Burwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215571914 PECOS PAC ID: 7416121975 Enrollment ID: I20210914000428 |
| Provider Name | Samuel Gwaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871166421 PECOS PAC ID: 1658769146 Enrollment ID: I20211103000611 |
| Provider Name | Doris E Forka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619580073 PECOS PAC ID: 0042609455 Enrollment ID: I20211104003111 |
| Provider Name | Taek Soo Md Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417169376 PECOS PAC ID: 9931209855 Enrollment ID: I20211105002547 |
| Provider Name | Bilal Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801242037 PECOS PAC ID: 0446538813 Enrollment ID: I20211111000304 |
| Provider Name | Sarahi N Torres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205269735 PECOS PAC ID: 1850780768 Enrollment ID: I20211116000187 |
| Provider Name | Noor N Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285308072 PECOS PAC ID: 0749679207 Enrollment ID: I20211123000485 |
| Provider Name | Susana F Lampley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225483761 PECOS PAC ID: 3072905223 Enrollment ID: I20220119002871 |
| Provider Name | Laura A Kumordzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396359261 PECOS PAC ID: 4183019920 Enrollment ID: I20220315000882 |
| Provider Name | Georginne Mabasa Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689211500 PECOS PAC ID: 9234529371 Enrollment ID: I20220328001578 |
| Provider Name | Jessica Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427703867 PECOS PAC ID: 2365838851 Enrollment ID: I20220411000172 |
| Provider Name | Maureen E Balcazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598338337 PECOS PAC ID: 2365839826 Enrollment ID: I20220502000820 |
| Provider Name | Maya B Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992028542 PECOS PAC ID: 6800058751 Enrollment ID: I20220509000938 |
| Provider Name | Lisa D Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508521584 PECOS PAC ID: 8022495951 Enrollment ID: I20220516001845 |
| Provider Name | Patience N Nyindem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588301402 PECOS PAC ID: 3274911623 Enrollment ID: I20220526000630 |
| Provider Name | Andrey Shalomov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750813499 PECOS PAC ID: 2264774173 Enrollment ID: I20220527002227 |
| Provider Name | Michael Jumes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750401402 PECOS PAC ID: 8921168626 Enrollment ID: I20220628001800 |
| Provider Name | Jena L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578217519 PECOS PAC ID: 3173903341 Enrollment ID: I20220706000355 |
| Provider Name | Shahzad A Choudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841716388 PECOS PAC ID: 5890067185 Enrollment ID: I20220716000394 |
| Provider Name | Patricia Plasay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598399404 PECOS PAC ID: 3870974009 Enrollment ID: I20220720000686 |
| Provider Name | Taiwo Itunuoluwa Abioye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366060279 PECOS PAC ID: 9931583366 Enrollment ID: I20220901003102 |
| Provider Name | Alaric D Frazier |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1629377254 PECOS PAC ID: 5496987646 Enrollment ID: I20221004001776 |
| Provider Name | Trisha M Lindemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184344764 PECOS PAC ID: 9335515717 Enrollment ID: I20221026003022 |
| Provider Name | Lydia Nefedov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902349772 PECOS PAC ID: 5092096206 Enrollment ID: I20221110000232 |
| Provider Name | Oluwatoyin C Ariyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164768925 PECOS PAC ID: 1951770494 Enrollment ID: I20221206000792 |
| Provider Name | Kevin Glancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891243911 PECOS PAC ID: 0941679963 Enrollment ID: I20221214002706 |
| Provider Name | Fernando N Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629729314 PECOS PAC ID: 8123498631 Enrollment ID: I20221227002458 |
| Provider Name | Cristal Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962083485 PECOS PAC ID: 0446622963 Enrollment ID: I20230209003107 |
| Provider Name | Joyce Ann Mcmurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457099392 PECOS PAC ID: 5496121402 Enrollment ID: I20230211000345 |
| Provider Name | Heather L Holder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740551233 PECOS PAC ID: 2163895400 Enrollment ID: I20230307001264 |
| Provider Name | Kamdin Poorkiyani |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831680941 PECOS PAC ID: 4587034731 Enrollment ID: I20230324000246 |
| Provider Name | Marcellette E Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972004349 PECOS PAC ID: 6406211846 Enrollment ID: I20230508001960 |
| Provider Name | Victaria Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548734395 PECOS PAC ID: 9133585409 Enrollment ID: I20230512000342 |
| Provider Name | Fnu Jeena Merry Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285330282 PECOS PAC ID: 7810353471 Enrollment ID: I20230524000929 |
| Provider Name | Beatrice A. Monasterio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174149397 PECOS PAC ID: 1052779428 Enrollment ID: I20230615003273 |
| Provider Name | Gokay Alpak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649769910 PECOS PAC ID: 4789044066 Enrollment ID: I20230718003193 |
| Provider Name | Deandre Lee Bluitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861875460 PECOS PAC ID: 5092003962 Enrollment ID: I20230802001171 |
| Provider Name | Abbas M Sharif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205044815 PECOS PAC ID: 2769383066 Enrollment ID: I20230822000369 |
| Provider Name | Tracy L Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700592805 PECOS PAC ID: 1052774585 Enrollment ID: I20230830002890 |
| Provider Name | Neema Khonsari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235691288 PECOS PAC ID: 2466816236 Enrollment ID: I20230912002550 |
| Provider Name | Mayra E Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530357 PECOS PAC ID: 5799032314 Enrollment ID: I20230928001444 |
| Provider Name | Lala D George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104504737 PECOS PAC ID: 7113373614 Enrollment ID: I20231019000951 |
| Provider Name | Caroline Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679950612 PECOS PAC ID: 3779931506 Enrollment ID: I20231204003373 |
| Provider Name | Diego Andre Reymunde Duran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639657091 PECOS PAC ID: 0648629196 Enrollment ID: I20231211000455 |
| Provider Name | Nanaawawu Adeoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750804118 PECOS PAC ID: 1052685526 Enrollment ID: I20231214002347 |
| Provider Name | Sri Haritha Vardhini Nekkanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184183980 PECOS PAC ID: 8921483470 Enrollment ID: I20240103003497 |
| Provider Name | Grecia Dominguez Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396333068 PECOS PAC ID: 3971946351 Enrollment ID: I20240213002860 |
| Provider Name | Joseph P Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164837696 PECOS PAC ID: 5890084289 Enrollment ID: I20240313000870 |
Kathleen A Salvatore Md Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1713 Treasure Hills Blvd, Suite 1c, Harlingen, TX 78550 Phone: 956-412-2700 Fax: 956-412-2701 | |
The Psych Nurse, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 W Bus 83, Harlingen, TX 78552 Phone: 956-230-1643 Fax: 956-230-1644 | |
Therapy And Consulting Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1720 E Harrison Ave, B, Harlingen, TX 78550 Phone: 956-230-1527 Fax: 877-830-1667 | |
Valley Baptist Medical Center - Harlingen Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2101 Pease St, Harlingen, TX 78550 Phone: 956-389-2044 Fax: 956-389-2017 | |
Palms Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 613 Victoria Ln, Harlingen, TX 78550 Phone: 956-365-2600 | |
Mesquite Treatment Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 E Jackson St Ste 221, Harlingen, TX 78550 Phone: 956-428-2100 | |
Selia Servin-eischen, Psyd, Lmft Counseling & Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1821 S Sesame Sq, Suite 14, Harlingen, TX 78550 Phone: 956-421-5708 Fax: 956-421-5718 |