| Christus Physician Group | |
|
919 Hidden Rdg 6th Floor Irving TX 75038-3813 | |
| (469) 282-2711 | |
| (469) 282-4609 |
| Full Name | Christus Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 919 Hidden Rdg, Irving, Texas |
| Authorized Official Name and Position | Robert Karl (CFO) |
| Authorized Official Contact | 4692823514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christus Physician Group 919 Hidden Rdg 6th Floor Irving TX 75038-3813 Ph: (469) 282-2711 | Christus Physician Group 919 Hidden Rdg 6th Floor Irving TX 75038-3813 Ph: (469) 282-2711 |
| NPI Number | 1457382947 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 8921919580 |
|---|---|
| Medicare Enrollment ID | O20041203000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457382947 | NPI | - | NPPES |
| 190824601 | Medicaid | TX | |
| 142445901 | Medicaid | TX | |
| 0018QH | Other | TX | BCBS |
| 0061ML | Other | TX | BCBS |
| 138967815 | Medicaid | TX | |
| 142445902 | Medicaid | TX | |
| 0039PV | Other | TX | BCBS |
| 0051NE | Other | TX | BCBS |
| 0087BR | Other | TX | BCBS |
| 0091BR | Other | TX | BCBS |
| 138967816 | Medicaid | TX | |
| 0093NL | Other | TX | BCBS |
| 081267905 | Medicaid | TX |
| Provider Name | Salim R Surani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275536617 PECOS PAC ID: 4587568910 Enrollment ID: I20031126000288 |
| Provider Name | Christian Maluf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548223464 PECOS PAC ID: 2567362726 Enrollment ID: I20040120000979 |
| Provider Name | John A Evans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912901729 PECOS PAC ID: 9133021975 Enrollment ID: I20040122000989 |
| Provider Name | Kimberly R Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184623894 PECOS PAC ID: 5395648307 Enrollment ID: I20040128000678 |
| Provider Name | Robert S Waer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053395202 PECOS PAC ID: 2466449491 Enrollment ID: I20040429001259 |
| Provider Name | Howard R Schmidt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780640979 PECOS PAC ID: 7113909680 Enrollment ID: I20040607001220 |
| Provider Name | Kin Wing Au |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497793814 PECOS PAC ID: 4082698535 Enrollment ID: I20040614001350 |
| Provider Name | Mark O Gabbie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386622827 PECOS PAC ID: 2062492747 Enrollment ID: I20040723000378 |
| Provider Name | Saeed Abedin Ally |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609845460 PECOS PAC ID: 2466432968 Enrollment ID: I20040724000034 |
| Provider Name | John D Updegrove |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518933308 PECOS PAC ID: 2860476116 Enrollment ID: I20040809000607 |
| Provider Name | Paul A Reder |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871521567 PECOS PAC ID: 5496728958 Enrollment ID: I20040813000867 |
| Provider Name | Brandon T Hamisch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841245552 PECOS PAC ID: 1153396577 Enrollment ID: I20040830000699 |
| Provider Name | Theresa M Popp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477507978 PECOS PAC ID: 4284693193 Enrollment ID: I20041006001197 |
| Provider Name | Reginald C Baptiste |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649202979 PECOS PAC ID: 6002876935 Enrollment ID: I20041015000037 |
| Provider Name | Miranda L Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548246630 PECOS PAC ID: 0446213094 Enrollment ID: I20041105000102 |
| Provider Name | Marco Elizondo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386679058 PECOS PAC ID: 3779549431 Enrollment ID: I20041203000763 |
| Provider Name | Ramesh Hariharan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1770509168 PECOS PAC ID: 0648236232 Enrollment ID: I20041206000560 |
| Provider Name | Judy G Perdue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598753535 PECOS PAC ID: 5991761231 Enrollment ID: I20041208000249 |
| Provider Name | Kimberly Denise Stewart |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184608739 PECOS PAC ID: 6406801901 Enrollment ID: I20050317000488 |
| Provider Name | David Carter |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1164422440 PECOS PAC ID: 8022064765 Enrollment ID: I20050325000526 |
| Provider Name | Bonnie R Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891891602 PECOS PAC ID: 2163465626 Enrollment ID: I20050606000671 |
| Provider Name | John D Mckeever |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093710600 PECOS PAC ID: 5294779799 Enrollment ID: I20050615000753 |
| Provider Name | Eric E Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619966371 PECOS PAC ID: 8729023791 Enrollment ID: I20050622000453 |
| Provider Name | Stephen R Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710986930 PECOS PAC ID: 5092750067 Enrollment ID: I20050622000527 |
| Provider Name | Crystal Campos Valls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679508360 PECOS PAC ID: 7810925146 Enrollment ID: I20050728000795 |
| Provider Name | Mary P Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437115805 PECOS PAC ID: 2961430228 Enrollment ID: I20050728001040 |
| Provider Name | Dora Salinas Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639162167 PECOS PAC ID: 9537190665 Enrollment ID: I20050829000116 |
| Provider Name | Carol L Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053337816 PECOS PAC ID: 1951336692 Enrollment ID: I20050930000257 |
| Provider Name | David John Cohen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1861499337 PECOS PAC ID: 8820017072 Enrollment ID: I20051116000742 |
| Provider Name | John B Dietze |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588665319 PECOS PAC ID: 6709789308 Enrollment ID: I20051215000733 |
| Provider Name | Donghong Zhang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477577435 PECOS PAC ID: 0143292052 Enrollment ID: I20060112000699 |
| Provider Name | Yvonne H Hinojosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851400139 PECOS PAC ID: 9032129010 Enrollment ID: I20060504000800 |
| Provider Name | Letha Colquitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023005725 PECOS PAC ID: 1658382510 Enrollment ID: I20060508000427 |
| Provider Name | Michael Edward Nash |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770587271 PECOS PAC ID: 7517974447 Enrollment ID: I20060509000685 |
| Provider Name | Lalitha Madhav Janaki |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508813247 PECOS PAC ID: 3173421468 Enrollment ID: I20060605000228 |
| Provider Name | Jennefer C Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790776276 PECOS PAC ID: 3678575305 Enrollment ID: I20070209000291 |
| Provider Name | Alejandro Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538185251 PECOS PAC ID: 4880797026 Enrollment ID: I20070308000651 |
| Provider Name | David C Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902814874 PECOS PAC ID: 1153342050 Enrollment ID: I20070709000211 |
| Provider Name | Richard Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245282938 PECOS PAC ID: 1052325040 Enrollment ID: I20070829000066 |
| Provider Name | Martin A Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669517769 PECOS PAC ID: 3375637697 Enrollment ID: I20070918000292 |
| Provider Name | Kristie S Dapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538255781 PECOS PAC ID: 2668567256 Enrollment ID: I20070927000280 |
| Provider Name | Marcy R Wiemers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245453307 PECOS PAC ID: 5193812972 Enrollment ID: I20071025000356 |
| Provider Name | Elmer S Ireton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316007347 PECOS PAC ID: 4789763574 Enrollment ID: I20080505000825 |
| Provider Name | Holly V Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144244856 PECOS PAC ID: 4284705799 Enrollment ID: I20080611000109 |
| Provider Name | Susan E Leftwich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205007309 PECOS PAC ID: 1759452741 Enrollment ID: I20080618000764 |
| Provider Name | Gerald D Kizerian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245348002 PECOS PAC ID: 3577637917 Enrollment ID: I20080804000431 |
| Provider Name | Kathleen R Soch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134126717 PECOS PAC ID: 6800960121 Enrollment ID: I20080805000637 |
| Provider Name | Todd M Weiss |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659593713 PECOS PAC ID: 4981770658 Enrollment ID: I20080903000336 |
| Provider Name | Rodolfo R Navarro |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568665958 PECOS PAC ID: 1052470226 Enrollment ID: I20081103000139 |
| Provider Name | Christopher S Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174508295 PECOS PAC ID: 9133283773 Enrollment ID: I20090127000485 |
| Provider Name | James O Booker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851349286 PECOS PAC ID: 8820040942 Enrollment ID: I20090211000103 |
| Provider Name | Megan R Williams Khmelev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174722383 PECOS PAC ID: 0547325953 Enrollment ID: I20090219000189 |
| Provider Name | Travis C Burns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487678702 PECOS PAC ID: 8729144795 Enrollment ID: I20090227000400 |
| Provider Name | Sarah Gaylord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275639734 PECOS PAC ID: 1850458613 Enrollment ID: I20090323000094 |
| Provider Name | Michael G Corneille |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154438133 PECOS PAC ID: 4981751401 Enrollment ID: I20090420000365 |
| Provider Name | Guy J Racette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801876255 PECOS PAC ID: 2466509997 Enrollment ID: I20090420000430 |
| Provider Name | Ricca Dimalibot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063663359 PECOS PAC ID: 4789732348 Enrollment ID: I20090508000354 |
| Provider Name | Marcus A Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093929150 PECOS PAC ID: 7810048097 Enrollment ID: I20090629000398 |
| Provider Name | Valentin Almendarez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326037615 PECOS PAC ID: 0345268777 Enrollment ID: I20090721000744 |
| Provider Name | Matthew C Morrey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063491975 PECOS PAC ID: 4688603855 Enrollment ID: I20090724000265 |
| Provider Name | Ravi Karia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356523344 PECOS PAC ID: 2365595279 Enrollment ID: I20090724000307 |
| Provider Name | Oscar A Iznaola-esquivel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699968560 PECOS PAC ID: 1254485089 Enrollment ID: I20090813000461 |
| Provider Name | Leslie D Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891825832 PECOS PAC ID: 5294880217 Enrollment ID: I20090827000105 |
| Provider Name | Greggory N Angier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114094273 PECOS PAC ID: 8527104314 Enrollment ID: I20091008000272 |
| Provider Name | Reeti K Joshi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467683581 PECOS PAC ID: 3072650977 Enrollment ID: I20091026000701 |
| Provider Name | Mohamad Ghraowi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942201439 PECOS PAC ID: 1456255751 Enrollment ID: I20091214000436 |
| Provider Name | James Charles Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144226572 PECOS PAC ID: 7517993181 Enrollment ID: I20100223000161 |
| Provider Name | Dwight Toups |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932109600 PECOS PAC ID: 4284778721 Enrollment ID: I20100327000471 |
| Provider Name | Linda Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477531853 PECOS PAC ID: 7911041454 Enrollment ID: I20100406000112 |
| Provider Name | Rachel C Mcginnis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083746119 PECOS PAC ID: 0547390197 Enrollment ID: I20100609000282 |
| Provider Name | Jackson Chia Sheng Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063494797 PECOS PAC ID: 6103957089 Enrollment ID: I20100622000627 |
| Provider Name | Lorraine Stehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841260759 PECOS PAC ID: 5597896035 Enrollment ID: I20100628000884 |
| Provider Name | Bertron Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942289590 PECOS PAC ID: 6002950540 Enrollment ID: I20100701000324 |
| Provider Name | Igor E Matwijiw |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114911369 PECOS PAC ID: 7911030309 Enrollment ID: I20100805000679 |
| Provider Name | Gregory Smolarz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386644953 PECOS PAC ID: 7810949930 Enrollment ID: I20100819000895 |
| Provider Name | William Dell Pickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922001882 PECOS PAC ID: 8628102902 Enrollment ID: I20100823000847 |
| Provider Name | Harold Weems |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225038383 PECOS PAC ID: 5991758849 Enrollment ID: I20100824000430 |
| Provider Name | Victor D Vela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669467031 PECOS PAC ID: 4981602281 Enrollment ID: I20100915000448 |
| Provider Name | Timothy S Lyda |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1952347106 PECOS PAC ID: 5092841437 Enrollment ID: I20100916000326 |
| Provider Name | Thomas Thuong-van Hoang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1730143975 PECOS PAC ID: 6608909429 Enrollment ID: I20100924000708 |
| Provider Name | Peter Joseph Napoli |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518922772 PECOS PAC ID: 4082806435 Enrollment ID: I20101005000053 |
| Provider Name | Kerrie Ranae Mclemore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730406125 PECOS PAC ID: 7517159510 Enrollment ID: I20101008000801 |
| Provider Name | Michael Bendele Blackmon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043202849 PECOS PAC ID: 5698960102 Enrollment ID: I20101110000615 |
| Provider Name | Lynn E Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043326788 PECOS PAC ID: 6507053204 Enrollment ID: I20101207001020 |
| Provider Name | Edward Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013987536 PECOS PAC ID: 3779592464 Enrollment ID: I20110228000382 |
| Provider Name | Marisa E Emmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174722367 PECOS PAC ID: 3678757986 Enrollment ID: I20110412000212 |
| Provider Name | Hector R Villasenor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215016480 PECOS PAC ID: 0042495756 Enrollment ID: I20110422000324 |
| Provider Name | Jeffrey Dean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497848055 PECOS PAC ID: 7719164649 Enrollment ID: I20110602000104 |
| Provider Name | Matthew C Murray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629253844 PECOS PAC ID: 3779607478 Enrollment ID: I20110727000433 |
| Provider Name | James D Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184920035 PECOS PAC ID: 5890965792 Enrollment ID: I20110901000574 |
| Provider Name | Bryan A Fisk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679633119 PECOS PAC ID: 2163692914 Enrollment ID: I20110902000463 |
| Provider Name | Veronica S Betancur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306008388 PECOS PAC ID: 4981875697 Enrollment ID: I20110928000604 |
| Provider Name | Anthony S Bordon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649474628 PECOS PAC ID: 8729250139 Enrollment ID: I20111007000065 |
| Provider Name | Angela Rori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952685885 PECOS PAC ID: 2860668969 Enrollment ID: I20111220000319 |
| Provider Name | Michael A Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821374695 PECOS PAC ID: 6507027695 Enrollment ID: I20120417000666 |
| Provider Name | David R Mullican |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518192475 PECOS PAC ID: 2769647569 Enrollment ID: I20120628000652 |
| Provider Name | Benjamin Caleb Dubois |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205054301 PECOS PAC ID: 7719143262 Enrollment ID: I20120727000132 |
| Provider Name | Brian N Kanz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184815367 PECOS PAC ID: 5294981742 Enrollment ID: I20120815000828 |
| Provider Name | Jose L Mier Y Teran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386870970 PECOS PAC ID: 3274780606 Enrollment ID: I20120820001085 |
| Provider Name | Srinivas Bhadriraju |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1790796084 PECOS PAC ID: 1759363989 Enrollment ID: I20120907000070 |
| Provider Name | Eli J Becker |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508858507 PECOS PAC ID: 7810956927 Enrollment ID: I20120914000374 |
| Provider Name | Shari S Beams |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639488299 PECOS PAC ID: 5890944912 Enrollment ID: I20121005000222 |
| Provider Name | Kendell K Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346591856 PECOS PAC ID: 6002066743 Enrollment ID: I20121015000731 |
| Provider Name | Kenneth T Lee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1639161243 PECOS PAC ID: 3173592797 Enrollment ID: I20130201000459 |
| Provider Name | Deborah C Andrado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598927568 PECOS PAC ID: 0446405161 Enrollment ID: I20130304000394 |
| Provider Name | Myriah G Willborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740557552 PECOS PAC ID: 2567617178 Enrollment ID: I20130306000101 |
| Provider Name | Amy Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912254566 PECOS PAC ID: 2365677788 Enrollment ID: I20131021000231 |
| Provider Name | Deborah D Vanover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366874505 PECOS PAC ID: 4587899828 Enrollment ID: I20131023000105 |
| Provider Name | Jose Maria Ochoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144548876 PECOS PAC ID: 5193952299 Enrollment ID: I20131217001275 |
| Provider Name | William J Robertson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346202579 PECOS PAC ID: 6901852870 Enrollment ID: I20140110000431 |
| Provider Name | Carissa Kirk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801003959 PECOS PAC ID: 3577728997 Enrollment ID: I20140204000785 |
| Provider Name | Suman K Sinha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114947900 PECOS PAC ID: 8628061397 Enrollment ID: I20140220001345 |
| Provider Name | Amy E Shivone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679866040 PECOS PAC ID: 9335379882 Enrollment ID: I20140228000230 |
| Provider Name | Ulysses Herrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588931455 PECOS PAC ID: 2860623782 Enrollment ID: I20140318001162 |
| Provider Name | Phuong T Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265860571 PECOS PAC ID: 6204069040 Enrollment ID: I20140502000373 |
| Provider Name | John Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992792881 PECOS PAC ID: 9335239045 Enrollment ID: I20140519001507 |
| Provider Name | Bashar N Alshareef |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912142969 PECOS PAC ID: 9537225008 Enrollment ID: I20140614000089 |
| Provider Name | Nancy Kwan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609164649 PECOS PAC ID: 7012153042 Enrollment ID: I20140912000801 |
| Provider Name | Sunil Kumar Chillakuru Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760624928 PECOS PAC ID: 0648490425 Enrollment ID: I20140929002132 |
| Provider Name | Sydney Lane Boule |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730470451 PECOS PAC ID: 5193945236 Enrollment ID: I20141013001136 |
| Provider Name | Siddharth S Mukerji |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720100027 PECOS PAC ID: 5193946028 Enrollment ID: I20141017002184 |
| Provider Name | Jorge Aaron Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235407214 PECOS PAC ID: 7214250489 Enrollment ID: I20141218001581 |
| Provider Name | Cheryl D Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912253279 PECOS PAC ID: 8729301791 Enrollment ID: I20141223001385 |
| Provider Name | Dina Trombley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013915073 PECOS PAC ID: 6901129949 Enrollment ID: I20141229000104 |
| Provider Name | Haley N Burk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770988149 PECOS PAC ID: 5294058079 Enrollment ID: I20141231001097 |
| Provider Name | Elsie Deleon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700166436 PECOS PAC ID: 2567785298 Enrollment ID: I20150102001293 |
| Provider Name | Cheryl L Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720425630 PECOS PAC ID: 2163746330 Enrollment ID: I20150116000209 |
| Provider Name | Shantan G Reddy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689872848 PECOS PAC ID: 6002982360 Enrollment ID: I20150120001783 |
| Provider Name | Ashley W Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104231513 PECOS PAC ID: 2961728175 Enrollment ID: I20150306000247 |
| Provider Name | Bernadette Vela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033510847 PECOS PAC ID: 8022334994 Enrollment ID: I20150312000275 |
| Provider Name | Christopher Hoyt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598833592 PECOS PAC ID: 6507046489 Enrollment ID: I20150320000596 |
| Provider Name | Christina Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962714196 PECOS PAC ID: 5698907335 Enrollment ID: I20150414002169 |
| Provider Name | Lori Lee Martel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518358290 PECOS PAC ID: 7719206788 Enrollment ID: I20150427000065 |
| Provider Name | Kimberly Dabbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841631298 PECOS PAC ID: 1759503238 Enrollment ID: I20150615001543 |
| Provider Name | April M Hallquist |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679894489 PECOS PAC ID: 5698087070 Enrollment ID: I20150629001563 |
| Provider Name | Stephanie Christine Baker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427378470 PECOS PAC ID: 9436461472 Enrollment ID: I20150706001923 |
| Provider Name | Kathryn E Brannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720364334 PECOS PAC ID: 1052587102 Enrollment ID: I20150716002156 |
| Provider Name | Janet Sewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477936649 PECOS PAC ID: 7517273709 Enrollment ID: I20150902002696 |
| Provider Name | Mary Ann Dutchover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154730166 PECOS PAC ID: 9335457738 Enrollment ID: I20151005002876 |
| Provider Name | Allison K Schebler-poulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265750848 PECOS PAC ID: 4587789482 Enrollment ID: I20151120000077 |
| Provider Name | Annie Drachenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194951707 PECOS PAC ID: 9032358957 Enrollment ID: I20151208000750 |
| Provider Name | Maria P Cisneros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720451461 PECOS PAC ID: 1355645284 Enrollment ID: I20160212000748 |
| Provider Name | Andres Fernando Gil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681420 PECOS PAC ID: 0749588622 Enrollment ID: I20160408000979 |
| Provider Name | Robert J Gunderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598748907 PECOS PAC ID: 7214926500 Enrollment ID: I20160411001352 |
| Provider Name | Jamie Renee Mullenix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427311919 PECOS PAC ID: 6901120617 Enrollment ID: I20160428000079 |
| Provider Name | Sharhonda Lemay Colbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760848253 PECOS PAC ID: 2961706742 Enrollment ID: I20160509002099 |
| Provider Name | Jennifer Leigh Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316296809 PECOS PAC ID: 3779732904 Enrollment ID: I20160615001179 |
| Provider Name | Swetha Panati |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992934228 PECOS PAC ID: 4688979651 Enrollment ID: I20160621000125 |
| Provider Name | Ilaria Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912354242 PECOS PAC ID: 2062704836 Enrollment ID: I20160714002243 |
| Provider Name | Abhay Vakil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245642081 PECOS PAC ID: 5890919344 Enrollment ID: I20160729001712 |
| Provider Name | Natalia Ivanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942640123 PECOS PAC ID: 1951694728 Enrollment ID: I20160801002447 |
| Provider Name | Gabriela Vazquez Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184065815 PECOS PAC ID: 5698060358 Enrollment ID: I20160820000129 |
| Provider Name | Rene Franco |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972948081 PECOS PAC ID: 0840585410 Enrollment ID: I20160822000624 |
| Provider Name | Harsh Adhyaru |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528312121 PECOS PAC ID: 5193011393 Enrollment ID: I20160915000173 |
| Provider Name | Stephen Laga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952361818 PECOS PAC ID: 3577617430 Enrollment ID: I20160915001159 |
| Provider Name | Patricia Squires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073932067 PECOS PAC ID: 1052608742 Enrollment ID: I20160923000629 |
| Provider Name | Cara M Hartquist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619317997 PECOS PAC ID: 9739323361 Enrollment ID: I20160923001153 |
| Provider Name | Emily Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649725557 PECOS PAC ID: 2961790118 Enrollment ID: I20161004002072 |
| Provider Name | Mei An Tonette Ty Arias |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1467709485 PECOS PAC ID: 4486932548 Enrollment ID: I20161025002445 |
| Provider Name | Tammy Renee Huff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417490566 PECOS PAC ID: 3577843820 Enrollment ID: I20170113000522 |
| Provider Name | David Bennet Graham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962606822 PECOS PAC ID: 7416177209 Enrollment ID: I20170304000031 |
| Provider Name | William B Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659634277 PECOS PAC ID: 0143457283 Enrollment ID: I20170712001841 |
| Provider Name | Pranav Bhatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619394756 PECOS PAC ID: 1355612029 Enrollment ID: I20170731001611 |
| Provider Name | Khalid Sherani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760873293 PECOS PAC ID: 3577835743 Enrollment ID: I20170823000717 |
| Provider Name | Alma Mcdaniel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306189808 PECOS PAC ID: 8022234491 Enrollment ID: I20170925002375 |
| Provider Name | Matthew M Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326305236 PECOS PAC ID: 6002190055 Enrollment ID: I20170927004200 |
| Provider Name | Devin Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477090637 PECOS PAC ID: 8325321771 Enrollment ID: I20180102000700 |
| Provider Name | Laura C Flores-rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104121250 PECOS PAC ID: 3779880018 Enrollment ID: I20180222002295 |
| Provider Name | Leslie M Harrell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811208010 PECOS PAC ID: 5890085112 Enrollment ID: I20180404001104 |
| Provider Name | Hope Abrego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689179087 PECOS PAC ID: 9436414448 Enrollment ID: I20180522002178 |
| Provider Name | Geoffrey Paul Glebus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154555126 PECOS PAC ID: 9133362825 Enrollment ID: I20180628002894 |
| Provider Name | Paul James Schmitt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003115270 PECOS PAC ID: 0547498305 Enrollment ID: I20180703001110 |
| Provider Name | Pearl Diana Mwansa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487033650 PECOS PAC ID: 9931411170 Enrollment ID: I20180716000701 |
| Provider Name | Priyal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205220654 PECOS PAC ID: 7214245703 Enrollment ID: I20180925003965 |
| Provider Name | Naktal Satam Hamoud |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922237494 PECOS PAC ID: 6002066941 Enrollment ID: I20181016002973 |
| Provider Name | Justin Fowler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386835585 PECOS PAC ID: 3971746058 Enrollment ID: I20181024002116 |
| Provider Name | Mark Winston Smith |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326111790 PECOS PAC ID: 1658465695 Enrollment ID: I20181029000934 |
| Provider Name | Shelby Byrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902346034 PECOS PAC ID: 7214280833 Enrollment ID: I20181030000378 |
| Provider Name | Ramaswamy Ravi Kumar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578521662 PECOS PAC ID: 1951350289 Enrollment ID: I20181231001811 |
| Provider Name | Brittany Ackley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295155844 PECOS PAC ID: 9032433842 Enrollment ID: I20190306001842 |
| Provider Name | Phillip Granville Pace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194086926 PECOS PAC ID: 4183848138 Enrollment ID: I20190523000868 |
| Provider Name | Krishanthan Vigneswaran |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437418746 PECOS PAC ID: 9537492350 Enrollment ID: I20190611001848 |
| Provider Name | Jeff Will Josma |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1740609031 PECOS PAC ID: 9638403975 Enrollment ID: I20190620001696 |
| Provider Name | Lindsey L Osteen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487138210 PECOS PAC ID: 4183958135 Enrollment ID: I20190625001068 |
| Provider Name | John David Rumisek |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1144270463 PECOS PAC ID: 6608817242 Enrollment ID: I20191118003150 |
| Provider Name | Douglas R. Koontz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265420509 PECOS PAC ID: 2567442502 Enrollment ID: I20191210002740 |
| Provider Name | Maliha Beg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790171643 PECOS PAC ID: 2668778929 Enrollment ID: I20200123000456 |
| Provider Name | Elizabeth Ann Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225502248 PECOS PAC ID: 3173950631 Enrollment ID: I20200221000761 |
| Provider Name | Christie R Shoemaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629614078 PECOS PAC ID: 3678900164 Enrollment ID: I20200221002323 |
| Provider Name | Sergio A Leon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083814057 PECOS PAC ID: 3274687454 Enrollment ID: I20200302000294 |
| Provider Name | Paul V Birinyi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851603906 PECOS PAC ID: 8022310473 Enrollment ID: I20200317001957 |
| Provider Name | Autumn Morales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972539302 PECOS PAC ID: 5294739660 Enrollment ID: I20200619001813 |
| Provider Name | Kristyn Mathewson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255865382 PECOS PAC ID: 9931477387 Enrollment ID: I20200727001418 |
| Provider Name | George Liras |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891159802 PECOS PAC ID: 6002108784 Enrollment ID: I20200729001279 |
| Provider Name | Tracy Jo Snow Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225478019 PECOS PAC ID: 8123343381 Enrollment ID: I20210301002306 |
| Provider Name | Karina Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114509734 PECOS PAC ID: 1850776790 Enrollment ID: I20220914000207 |
| Provider Name | Sandra Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831895036 PECOS PAC ID: 6406220730 Enrollment ID: I20230328000725 |
| Provider Name | Nubia Loera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619677267 PECOS PAC ID: 2860835212 Enrollment ID: I20240213002112 |
Sunil Mathews, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7701 Las Colinas Rdg Ste 260, Irving, TX 75063 Phone: 972-869-3448 Fax: 972-459-7729 | |
Family Medicine And Research Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1625 N Story Rd Ste 148, Family Medicine And Research Center, Irving, TX 75061 Phone: 469-952-8052 | |
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Reliant Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1302 Lane St, Suite # 300, Irving, TX 75061 Phone: 817-808-3443 Fax: 817-887-5522 | |
Your Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1141 Kinwest Pkwy, Suite 100, Irving, TX 75063 Phone: 214-239-2222 Fax: 214-239-2223 | |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 320 Decker Dr, Irving, TX 75062 Phone: 773-292-4800 Fax: 312-564-4059 | |
Do Not Use Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1706 W Irving Blvd, Irving, TX 75061 Phone: 972-254-1474 Fax: 972-259-3037 |