| Atascosa Health Center, Inc. | |
|
310 W Oaklawn Rd Pleasanton TX 78064-4033 | |
| (830) 569-2527 | |
| (830) 569-8574 |
| Full Name | Atascosa Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 W Oaklawn Rd, Pleasanton, Texas |
| Authorized Official Name and Position | Monty Small (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8305698940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atascosa Health Center, Inc. 310 W Oaklawn Rd Pleasanton TX 78064-4033 Ph: (830) 569-8940 | Atascosa Health Center, Inc. 310 W Oaklawn Rd Pleasanton TX 78064-4033 Ph: (830) 569-2527 |
| NPI Number | 1750364998 |
|---|---|
| Provider Enumeration Date | 11/22/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 3779579412 |
|---|---|
| Medicare Enrollment ID | O20040420001663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750364998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
| Provider Name | Gloria G Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326033226 PECOS PAC ID: 7012977754 Enrollment ID: I20041016000034 |
| Provider Name | Rayford B Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811012198 PECOS PAC ID: 0547279317 Enrollment ID: I20060406000538 |
| Provider Name | Martha Alejandra Moreno |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750539946 PECOS PAC ID: 4688739147 Enrollment ID: I20090217000227 |
| Provider Name | Guadalupe R Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952617375 PECOS PAC ID: 4082882089 Enrollment ID: I20110718000791 |
| Provider Name | Holly C Elzey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649532029 PECOS PAC ID: 8527211150 Enrollment ID: I20130110000460 |
| Provider Name | Fnu Rajlakshmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588951586 PECOS PAC ID: 4284855107 Enrollment ID: I20141017001814 |
| Provider Name | Kicha Caldeira-irish |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841331618 PECOS PAC ID: 4385967157 Enrollment ID: I20141231000659 |
| Provider Name | Aaron Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447628383 PECOS PAC ID: 2961707229 Enrollment ID: I20160224001033 |
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