| Mr Chad Burch, PA-C | |
|
23330 Us - 59, Suite 300, Kingwood, TX 77339 | |
| (281) 359-3223 | |
| (281) 359-2089 |
| Full Name | Mr Chad Burch |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 23330 Us - 59, Kingwood, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750388294 | NPI | - | NPPES |
| 1750388294 | Other | TX | TRICARE SOUTH |
| 304423202 | Medicaid | TX | |
| 8N0137 | Other | TX | BCBS-TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA04723 (Texas) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA04723 (Texas) | Secondary |
| Entity Name | Stephen F Austin Community Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578730818 PECOS PAC ID: 6204977127 Enrollment ID: O20100113000886 |
| Entity Name | Vytalus Medical Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053631275 PECOS PAC ID: 9830215748 Enrollment ID: O20100929000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Chad Burch, PA-C 23330 Hwy 59 N Ste 300, Kingwood, TX 77339-4471 Ph: (713) 409-9525 | Mr Chad Burch, PA-C 23330 Us - 59, Suite 300, Kingwood, TX 77339 Ph: (281) 359-3223 |
Grace An Chen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22659 Highway 59 N Ste 140, Kingwood, TX 77339 Phone: 281-973-4159 |
Nadine Meredith Chaisson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 215 Kingwood Executive Dr, Kingwood, TX 77339 Phone: 281-358-4145 |
Austin Parker Kososki, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 22751 Professional Dr Ste 240, Kingwood, TX 77339 Phone: 713-799-2300 Fax: 281-501-5900 |
Ms. Amanda Blythe Biery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22659 Highway 59 N Ste 140, Kingwood, TX 77339 Phone: 281-973-4159 |
Ms. Destin Knowles Stone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3411 Cedar Knolls Dr Ste B, Kingwood, TX 77339 Phone: 281-532-5462 |
Mrs. Jennifer Richey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 451 Kingwood Medical Drive, Suite 200, Kingwood, TX 77339 Phone: 281-359-2080 Fax: 281-359-2421 |
Elsa Kristel Castrejon Garza, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1849 Kingwood Dr Ste 105, Kingwood, TX 77339 Phone: 281-532-5462 |