| Citizen's Medical Center County Of Victoria | |
|
2701 Hospital Dr Victoria TX 77901-5748 | |
| (361) 573-9181 | |
| (361) 572-5126 |
| Full Name | Citizen's Medical Center County Of Victoria |
|---|---|
| Speciality | Clinic/Center |
| Location | 2701 Hospital Dr, Victoria, Texas |
| Authorized Official Name and Position | Duane L Woods (CFO) |
| Authorized Official Contact | 3615725112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citizen's Medical Center County Of Victoria 2701 Hospital Drive Victoria TX 77901 Ph: (361) 582-7921 | Citizen's Medical Center County Of Victoria 2701 Hospital Dr Victoria TX 77901-5748 Ph: (361) 573-9181 |
| NPI Number | 1205242088 |
|---|---|
| Provider Enumeration Date | 07/01/2014 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 3577785096 |
|---|---|
| Medicare Enrollment ID | O20141117000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205242088 | NPI | - | NPPES |
| Provider Name | Peter M Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902976483 PECOS PAC ID: 5395631782 Enrollment ID: I20040224000132 |
| Provider Name | Carlos E Chinea |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639192370 PECOS PAC ID: 6800788654 Enrollment ID: I20040326000311 |
| Provider Name | Bruce M Bauknight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487616785 PECOS PAC ID: 1355333667 Enrollment ID: I20040407000058 |
| Provider Name | John Lee Mcneill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205812898 PECOS PAC ID: 2466349824 Enrollment ID: I20040611000760 |
| Provider Name | Steve M Samples |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942381751 PECOS PAC ID: 6103885041 Enrollment ID: I20041006001436 |
| Provider Name | Jeffrey Fred Davang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003806464 PECOS PAC ID: 6002802402 Enrollment ID: I20050110001089 |
| Provider Name | Jesse V Deleon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275553596 PECOS PAC ID: 2163479825 Enrollment ID: I20050405000479 |
| Provider Name | James A Knight |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1730142688 PECOS PAC ID: 9739090879 Enrollment ID: I20050711000591 |
| Provider Name | Corey J Scruggs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356359053 PECOS PAC ID: 5395775449 Enrollment ID: I20050817001190 |
| Provider Name | Cheryl L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700960952 PECOS PAC ID: 9133153992 Enrollment ID: I20050921000387 |
| Provider Name | Kelle Lynn Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356361638 PECOS PAC ID: 8527080597 Enrollment ID: I20051220000131 |
| Provider Name | Judith R Gilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104846484 PECOS PAC ID: 7719909480 Enrollment ID: I20051221000774 |
| Provider Name | Robert A Browning |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417972464 PECOS PAC ID: 9335158138 Enrollment ID: I20060412000122 |
| Provider Name | David J Solis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417062340 PECOS PAC ID: 0547270134 Enrollment ID: I20060426000812 |
| Provider Name | Michael Edward Nash |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770587271 PECOS PAC ID: 7517974447 Enrollment ID: I20060509000685 |
| Provider Name | Richard H Leggett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336162064 PECOS PAC ID: 7315845765 Enrollment ID: I20061113000504 |
| Provider Name | Leon I Gilner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295738730 PECOS PAC ID: 4284635459 Enrollment ID: I20070131000194 |
| Provider Name | Robert F Oakley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932120748 PECOS PAC ID: 7416041272 Enrollment ID: I20070924000701 |
| Provider Name | Kurtis R Krueger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366465858 PECOS PAC ID: 5597859355 Enrollment ID: I20070924000708 |
| Provider Name | Tywaun K Tillman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710915012 PECOS PAC ID: 2961422506 Enrollment ID: I20080219000552 |
| Provider Name | Anthony M Vo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679588347 PECOS PAC ID: 5799737268 Enrollment ID: I20080229000128 |
| Provider Name | Adair Frierson Deberry-carlisle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730110651 PECOS PAC ID: 0941373617 Enrollment ID: I20080715000166 |
| Provider Name | Bruce E Wheeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053373902 PECOS PAC ID: 8022190966 Enrollment ID: I20090416000195 |
| 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 | Chelif Junor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598715203 PECOS PAC ID: 7012062938 Enrollment ID: I20090828000279 |
| Provider Name | Aleksandra Vidacic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629272224 PECOS PAC ID: 6901951474 Enrollment ID: I20090904000303 |
| Provider Name | Robin E Adams |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992815070 PECOS PAC ID: 5092855858 Enrollment ID: I20091229000642 |
| Provider Name | Belur J Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891756680 PECOS PAC ID: 4789726464 Enrollment ID: I20100119000099 |
| Provider Name | Marshall Wiener |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083685457 PECOS PAC ID: 8527100510 Enrollment ID: I20100129000148 |
| Provider Name | Brian D Mcdaniel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962468538 PECOS PAC ID: 7416858642 Enrollment ID: I20100225000345 |
| Provider Name | David L Janssen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093894198 PECOS PAC ID: 8022065838 Enrollment ID: I20100302000967 |
| Provider Name | Richard E Rogers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598837684 PECOS PAC ID: 2466588561 Enrollment ID: I20100329000170 |
| Provider Name | Leonard Paul Linke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679803803 PECOS PAC ID: 5890822506 Enrollment ID: I20100428000352 |
| Provider Name | Adi Klein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912929423 PECOS PAC ID: 1254337454 Enrollment ID: I20100803001129 |
| Provider Name | Peter Joseph Napoli |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518922772 PECOS PAC ID: 4082806435 Enrollment ID: I20101005000053 |
| Provider Name | Arsen M Zacharian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386802833 PECOS PAC ID: 9638362841 Enrollment ID: I20101020000999 |
| Provider Name | Nicholas Metzger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831103316 PECOS PAC ID: 3274517743 Enrollment ID: I20101116001104 |
| Provider Name | Rhonda D Bludau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700109105 PECOS PAC ID: 8123207271 Enrollment ID: I20110121000672 |
| Provider Name | John E Barber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518993328 PECOS PAC ID: 7517952211 Enrollment ID: I20110209000332 |
| Provider Name | Shahid Hashmi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144259680 PECOS PAC ID: 4587786314 Enrollment ID: I20110211000069 |
| Provider Name | Andrew C Clemmons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013951763 PECOS PAC ID: 6406037860 Enrollment ID: I20110218000390 |
| Provider Name | Andrew Wynn Murkett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184793531 PECOS PAC ID: 7618069675 Enrollment ID: I20110221000718 |
| Provider Name | George A Osuchukwu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962612887 PECOS PAC ID: 9739367178 Enrollment ID: I20110707000056 |
| Provider Name | Fayak S Kamili |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164642666 PECOS PAC ID: 7012182835 Enrollment ID: I20111206000779 |
| Provider Name | Indrani Swami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013098706 PECOS PAC ID: 7810888245 Enrollment ID: I20120113000286 |
| Provider Name | Donna Wagner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487743969 PECOS PAC ID: 1557353117 Enrollment ID: I20120213000191 |
| Provider Name | Ernest L Stone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821177940 PECOS PAC ID: 8022000694 Enrollment ID: I20120215000912 |
| Provider Name | Buddy Ray Nielsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114007051 PECOS PAC ID: 1355232786 Enrollment ID: I20120215001004 |
| Provider Name | Kristen A Hatch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598041055 PECOS PAC ID: 3971761453 Enrollment ID: I20120301000315 |
| Provider Name | Carlos Palacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871785535 PECOS PAC ID: 8426125576 Enrollment ID: I20120324000106 |
| Provider Name | Sunil C Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396704870 PECOS PAC ID: 4082678602 Enrollment ID: I20120404000591 |
| Provider Name | Mahboob Alam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831342641 PECOS PAC ID: 3173779220 Enrollment ID: I20120806000941 |
| Provider Name | Daniel A Cano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295069904 PECOS PAC ID: 3577710896 Enrollment ID: I20120821000970 |
| Provider Name | Theresa Olguin Ybarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043508344 PECOS PAC ID: 6901069236 Enrollment ID: I20120907000128 |
| Provider Name | Martha Avila-adame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184970816 PECOS PAC ID: 3375792773 Enrollment ID: I20120928000253 |
| Provider Name | Shabbir I Saiyed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639250434 PECOS PAC ID: 4082505367 Enrollment ID: I20130124000222 |
| Provider Name | Khawer Khadimally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811200280 PECOS PAC ID: 2163664863 Enrollment ID: I20130808000690 |
| Provider Name | Ismail Adesanya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740412840 PECOS PAC ID: 1658522578 Enrollment ID: I20130808000727 |
| Provider Name | Maria D Aguinaga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023338902 PECOS PAC ID: 1355584236 Enrollment ID: I20130823001225 |
| Provider Name | Stuart Mellet Connell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669646303 PECOS PAC ID: 0446493357 Enrollment ID: I20130826000060 |
| Provider Name | Fariborz Gorouhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407058530 PECOS PAC ID: 7810077690 Enrollment ID: I20131015001260 |
| Provider Name | Aaron R New |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013179977 PECOS PAC ID: 3274769633 Enrollment ID: I20131114000149 |
| Provider Name | Scott A Reed |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689096885 PECOS PAC ID: 9234360744 Enrollment ID: I20140326001880 |
| Provider Name | Yasir Lal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225220783 PECOS PAC ID: 7315010527 Enrollment ID: I20140403001955 |
| Provider Name | Christina Y Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629407051 PECOS PAC ID: 3870710122 Enrollment ID: I20140808001766 |
| Provider Name | Ifiok Idem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427288174 PECOS PAC ID: 1153590682 Enrollment ID: I20140829001969 |
| Provider Name | Michael J Maloy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326334392 PECOS PAC ID: 7416176714 Enrollment ID: I20140918001979 |
| Provider Name | Tope O Ajibade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740586411 PECOS PAC ID: 5092986349 Enrollment ID: I20140926000432 |
| Provider Name | Javier M Vazquez Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770999377 PECOS PAC ID: 1557581824 Enrollment ID: I20141008002186 |
| Provider Name | Bhaskar Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114057544 PECOS PAC ID: 4688767916 Enrollment ID: I20141103000953 |
| Provider Name | Melanie R Janak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962803973 PECOS PAC ID: 8921220336 Enrollment ID: I20141119000133 |
| Provider Name | Jason N Cochrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033513890 PECOS PAC ID: 4688997943 Enrollment ID: I20141218000728 |
| Provider Name | Sarah E Mueller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831588326 PECOS PAC ID: 1850615527 Enrollment ID: I20150129000409 |
| Provider Name | Kalpesh P Bhesaniya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922318179 PECOS PAC ID: 9335384346 Enrollment ID: I20150129001397 |
| Provider Name | Mohammed Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538443791 PECOS PAC ID: 7315112992 Enrollment ID: I20150130000174 |
| Provider Name | Mohammed Rashedul Mowla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619122017 PECOS PAC ID: 6608063334 Enrollment ID: I20150203001034 |
| Provider Name | Matthew Mccurdy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1003068347 PECOS PAC ID: 5193967263 Enrollment ID: I20150226000637 |
| Provider Name | Sayyed Farhan Ali Jaffri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548494016 PECOS PAC ID: 0345496295 Enrollment ID: I20150310000829 |
| Provider Name | Shaiquel A Jilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306139035 PECOS PAC ID: 1850513730 Enrollment ID: I20150325000815 |
| Provider Name | Kristi Suzanne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235522509 PECOS PAC ID: 0446578199 Enrollment ID: I20150409002036 |
| Provider Name | Priscilla Layton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659787612 PECOS PAC ID: 1254659394 Enrollment ID: I20150421001601 |
| Provider Name | Arif K Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184936338 PECOS PAC ID: 2365685138 Enrollment ID: I20150427000360 |
| Provider Name | Cody Randy Charlton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720182710 PECOS PAC ID: 8224349279 Enrollment ID: I20150618000185 |
| Provider Name | Prasanthi K Arety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528333713 PECOS PAC ID: 3274845938 Enrollment ID: I20150709000066 |
| Provider Name | Tariq Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588061030 PECOS PAC ID: 7416261839 Enrollment ID: I20150729009657 |
| Provider Name | Dustin E Christensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144696832 PECOS PAC ID: 2365758547 Enrollment ID: I20150902002224 |
| Provider Name | Nancy Waiganjo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326300633 PECOS PAC ID: 6507182219 Enrollment ID: I20150910000125 |
| Provider Name | Victoria Foxell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508248634 PECOS PAC ID: 1355650417 Enrollment ID: I20151013000471 |
| Provider Name | Jeremy E Bludau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558746875 PECOS PAC ID: 9234448036 Enrollment ID: I20151019000476 |
| Provider Name | Kevin Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790152346 PECOS PAC ID: 4880904481 Enrollment ID: I20151111001901 |
| Provider Name | Ngoc Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487021762 PECOS PAC ID: 5890005102 Enrollment ID: I20151116002269 |
| Provider Name | Yasir Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023308210 PECOS PAC ID: 2567772288 Enrollment ID: I20160407002218 |
| Provider Name | Florence F Oladoyin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508145400 PECOS PAC ID: 9335447309 Enrollment ID: I20160408000123 |
| Provider Name | Celia P Goode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376917500 PECOS PAC ID: 3072811835 Enrollment ID: I20160411001601 |
| Provider Name | Kathryn Marie Custer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821228370 PECOS PAC ID: 8325338692 Enrollment ID: I20160531000162 |
| Provider Name | Jonathan A Verma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376836114 PECOS PAC ID: 8628363280 Enrollment ID: I20160822000100 |
| Provider Name | Opeyemi Awe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669813234 PECOS PAC ID: 1557595626 Enrollment ID: I20160822000242 |
| Provider Name | Pamela Ross Breazeale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346524303 PECOS PAC ID: 5698061836 Enrollment ID: I20160914001089 |
| Provider Name | Samuel W Copeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063774198 PECOS PAC ID: 8123327103 Enrollment ID: I20161109002537 |
| Provider Name | Laura R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790233864 PECOS PAC ID: 7416236054 Enrollment ID: I20161122001470 |
| Provider Name | Darren Ramoutar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578706172 PECOS PAC ID: 1456580356 Enrollment ID: I20161220001062 |
| Provider Name | Haley Elizabeth Yarbrough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720525694 PECOS PAC ID: 6103109434 Enrollment ID: I20170213001365 |
| Provider Name | Danielle Nicole Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356888325 PECOS PAC ID: 0749563906 Enrollment ID: I20170213002594 |
| Provider Name | Donna M. Oldmixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705713 PECOS PAC ID: 9830459023 Enrollment ID: I20180208000609 |
| Provider Name | David Mykal Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083126205 PECOS PAC ID: 7315209103 Enrollment ID: I20180314001018 |
| Provider Name | Amanda Gilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679082051 PECOS PAC ID: 7810259827 Enrollment ID: I20180402000778 |
| Provider Name | Shanmei L Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235687492 PECOS PAC ID: 8123381316 Enrollment ID: I20180423001364 |
| Provider Name | Julia Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699160440 PECOS PAC ID: 1052603065 Enrollment ID: I20180614000053 |
| Provider Name | Anna Lindsay Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275011025 PECOS PAC ID: 8527304153 Enrollment ID: I20190117003400 |
| Provider Name | Laci Kriegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376011809 PECOS PAC ID: 8527306174 Enrollment ID: I20190206003254 |
| Provider Name | Adaeze Nwosu-iheme |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710229323 PECOS PAC ID: 1153600556 Enrollment ID: I20190722000604 |
| Provider Name | Hannah S Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285053611 PECOS PAC ID: 4486982592 Enrollment ID: I20190828001356 |
| Provider Name | Caitlin Elizabeth Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780246009 PECOS PAC ID: 9931439072 Enrollment ID: I20191002002792 |
| Provider Name | Zachary Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366098915 PECOS PAC ID: 0941632574 Enrollment ID: I20191119002759 |
| Provider Name | Tanweer Hussain Majid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093912370 PECOS PAC ID: 6204086937 Enrollment ID: I20191210000759 |
| Provider Name | Stephanie Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124689187 PECOS PAC ID: 8325474778 Enrollment ID: I20200204001323 |
| Provider Name | Chelsea Laging |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104460435 PECOS PAC ID: 4486083599 Enrollment ID: I20200410000088 |
| Provider Name | Kelley Renee Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093319774 PECOS PAC ID: 6800208919 Enrollment ID: I20201215000720 |
| Provider Name | Ashraf Abusara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265745715 PECOS PAC ID: 5092009027 Enrollment ID: I20201218002215 |
| Provider Name | Philip T Shirley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801401559 PECOS PAC ID: 3375957038 Enrollment ID: I20210121000708 |
| Provider Name | Kaylan A Vollmering |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750970422 PECOS PAC ID: 8527472133 Enrollment ID: I20210121003004 |
| Provider Name | Denise Mary Tomanek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801401856 PECOS PAC ID: 0749696391 Enrollment ID: I20210308000694 |
| Provider Name | Manrique A Guerrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780055889 PECOS PAC ID: 1951702661 Enrollment ID: I20210701000128 |
| Provider Name | Sara Dornbusch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427639194 PECOS PAC ID: 9436558137 Enrollment ID: I20210723001822 |
| Provider Name | Monica Ann Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629610464 PECOS PAC ID: 8527456557 Enrollment ID: I20211025002612 |
| Provider Name | Samuel R Haliburton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336804525 PECOS PAC ID: 4183014574 Enrollment ID: I20211129000304 |
| Provider Name | Carolina E Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174928048 PECOS PAC ID: 9133443476 Enrollment ID: I20220111001349 |
| Provider Name | Kelly-ann Louise Holford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952985343 PECOS PAC ID: 4880080886 Enrollment ID: I20220330002523 |
| Provider Name | Abdelkader Almanfi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366678203 PECOS PAC ID: 7618262775 Enrollment ID: I20220509001079 |
| Provider Name | Pamella Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033863733 PECOS PAC ID: 4789062142 Enrollment ID: I20220526000799 |
| Provider Name | Jennifer Mae Nickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518625730 PECOS PAC ID: 8426311234 Enrollment ID: I20220823000512 |
| Provider Name | Chelsea Diane Yanta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750031282 PECOS PAC ID: 3779951348 Enrollment ID: I20221201003293 |
| Provider Name | Lisa Blacketter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851630040 PECOS PAC ID: 9234375452 Enrollment ID: I20230119001483 |
| Provider Name | Kristina Alexis Whiteley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184336901 PECOS PAC ID: 9133591381 Enrollment ID: I20230216000403 |
| Provider Name | Vanessa Vanover Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598492985 PECOS PAC ID: 7012380082 Enrollment ID: I20230222003232 |
| Provider Name | Nancy Elizabeth Parma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306550058 PECOS PAC ID: 3072986611 Enrollment ID: I20230302000997 |
| Provider Name | Kathleen Marie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245946680 PECOS PAC ID: 4688048044 Enrollment ID: I20230327000454 |
| Provider Name | Angela Burgin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952006678 PECOS PAC ID: 7719349737 Enrollment ID: I20230808002377 |
| Provider Name | Howell Mallory Finch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235634296 PECOS PAC ID: 1759743693 Enrollment ID: I20230809003294 |
| Provider Name | Anselm Tintinu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477878361 PECOS PAC ID: 8820231418 Enrollment ID: I20230830000120 |
| Provider Name | Megan Beth Angerstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538849625 PECOS PAC ID: 3375998537 Enrollment ID: I20231009003063 |
| Provider Name | Donescia Hypolite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538667423 PECOS PAC ID: 3476814427 Enrollment ID: I20240109002911 |
| Provider Name | Naila Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386684876 PECOS PAC ID: 3173566866 Enrollment ID: I20240313000851 |
| Provider Name | Jesse David Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326812769 PECOS PAC ID: 2769829597 Enrollment ID: I20240328000911 |
| Provider Name | Marcel Kroschk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932788718 PECOS PAC ID: 7416359302 Enrollment ID: I20240919003432 |
| Provider Name | Valorie Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720805013 PECOS PAC ID: 8123550993 Enrollment ID: I20241017002790 |
| Provider Name | Adam Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003522525 PECOS PAC ID: 2062876170 Enrollment ID: I20250128004071 |
Gulshan K, Minocha. Md.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, 406, Victoria, TX 77901 Phone: 361-572-0000 Fax: 361-574-1787 | |
Javier Vazquez Ortiz M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 Hospital Dr Ste 202, Victoria, TX 77901 Phone: 361-220-7016 Fax: 361-894-6373 | |
Frederick B Niegos Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 Phone: 361-574-1870 Fax: 361-574-1871 | |
Victoria Pediatrics & Adolescents Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Retama Cir, Victoria, TX 77901 Phone: 361-576-2134 Fax: 361-578-0221 | |
Victoria Physicians Solutions,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Divyatish Primary Care Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E San Antonio St Ste 304w, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Victoria Electrocardiography Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 N Laurent St, Suite 550, Victoria, TX 77901 Phone: 361-572-0333 Fax: 361-572-0104 |