| Kristy L Cooley Obrien, PAC | |
|
2802 Garth Road, Suite 309, Baytown, TX 77521 | |
| (281) 425-9313 | |
| (281) 425-9524 |
| Full Name | Kristy L Cooley Obrien |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2802 Garth Road, Baytown, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134132111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02865 (Texas) | Primary |
| Entity Name | Susan Andrew |
|---|---|
| Entity Type | Practitioner - Allergy/immunology |
| Entity Identifiers | NPI Number: 1154317576 PECOS PAC ID: 0446159222 Enrollment ID: I20031231000545 |
| Entity Name | Coastal Health & Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871766584 PECOS PAC ID: 0143215954 Enrollment ID: O20110624000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy L Cooley Obrien, PAC 2802 Garth Road, Suite 309, Baytown, TX 77521 Ph: (281) 425-9313 | Kristy L Cooley Obrien, PAC 2802 Garth Road, Suite 309, Baytown, TX 77521 Ph: (281) 425-9313 |
Jason T. Smith, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4419 Bearberry Ave, Baytown, TX 77521 Phone: 281-691-1442 |
Molly Mchale, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1677 W Baker Rd, Baytown, TX 77521 Phone: 281-427-7400 |
Joulieth Marcela Cardenas, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4401 Garth Rd, Baytown, TX 77521 Phone: 281-420-8600 |
Jennifer D Green, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2635 Baker Rd., Baytown, TX 77521 Phone: 281-837-8550 Fax: 281-837-8709 |
Joshua Michael Clark, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 720 Rollingbrook St, Baytown, TX 77521 Phone: 281-420-9355 |
Edward Ji, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Garth Rd, Baytown, TX 77521 Phone: 281-425-3800 |
Daniel Maman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 James Bowie Dr Ste D105, Baytown, TX 77520 Phone: 832-695-3112 |