| Complete Healthcare Services Pa | |
|
315 W Houston St Jasper TX 75951-4013 | |
| (409) 384-3430 | |
| (409) 383-0571 |
| Full Name | Complete Healthcare Services Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 315 W Houston St, Jasper, Texas |
| Authorized Official Name and Position | Martin E. Gilliland (PRESIDENT) |
| Authorized Official Contact | 4093843430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Healthcare Services Pa 315 W Houston St Jasper TX 75951-4013 Ph: (409) 384-3430 | Complete Healthcare Services Pa 315 W Houston St Jasper TX 75951-4013 Ph: (409) 384-3430 |
| NPI Number | 1043307986 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 09/14/2016 |
| Medicare PECOS PAC ID | 7113958539 |
|---|---|
| Medicare Enrollment ID | O20050825000689 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043307986 | NPI | - | NPPES |
| 127285807 | Medicaid | TX | |
| 00R88W | Other | TX | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Burton N Lakey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649297631 PECOS PAC ID: 5193721389 Enrollment ID: I20061011000356 |
| Provider Name | Shaunde J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124268529 PECOS PAC ID: 2769427269 Enrollment ID: I20090331000253 |
| Provider Name | Larry D Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942276605 PECOS PAC ID: 0749258309 Enrollment ID: I20100730000874 |
| Provider Name | Martin E Gilliland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376509190 PECOS PAC ID: 0648201061 Enrollment ID: I20101122000953 |
| Provider Name | Debra L Wendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720397771 PECOS PAC ID: 8022280908 Enrollment ID: I20111019000408 |
| Provider Name | Alicia D Scoggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407899495 PECOS PAC ID: 1951542133 Enrollment ID: I20130801000075 |
| Provider Name | Vicky M St John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033580394 PECOS PAC ID: 1254631963 Enrollment ID: I20151202002484 |
| Provider Name | Rheala Shantel Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114471760 PECOS PAC ID: 7315234481 Enrollment ID: I20160919000692 |
| Provider Name | Deeanna Lynne Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861993784 PECOS PAC ID: 8224330691 Enrollment ID: I20220727000103 |
| Provider Name | Ashlee Jade Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992482095 PECOS PAC ID: 3870948839 Enrollment ID: I20231011000553 |
Redd Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 811 N Main St, Jasper, TX 75951 Phone: 409-489-8938 Fax: 251-260-8205 | |
Christus Southeast Texas Family Practice And Women's Services Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 494 Springhill St, Suite 200, Jasper, TX 75951 Phone: 409-381-5750 Fax: 409-384-2018 | |
Christus Jasper Memorial Hospital Family Practice Center - Jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1276 S Peachtree St, Jasper, TX 75951 Phone: 361-887-9083 | |
Emd Health Centers Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203b S Main St, Jasper, TX 75951 Phone: 409-224-8289 | |
Hooked On Health Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 494 Springhill St Ste 200, Jasper, TX 75951 Phone: 409-489-4864 Fax: 409-489-4868 | |
Lp -jasper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5114 Us Highway 190 E, Jasper, TX 75951 Phone: 615-468-3188 |