| Family Health Center Of Bastrop Pllc | |
|
3101 Hwy 71 E 101 Bastrop TX 78602-5159 | |
| (512) 304-0300 | |
| (512) 304-0341 |
| Full Name | Family Health Center Of Bastrop Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3101 Hwy 71 E, Bastrop, Texas |
| Authorized Official Name and Position | Johnny Burns (CEO) |
| Authorized Official Contact | 5123040300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Of Bastrop Pllc 3101 Hwy 71 E 101 Bastrop TX 78602-5159 Ph: (512) 304-0300 | Family Health Center Of Bastrop Pllc 3101 Hwy 71 E 101 Bastrop TX 78602-5159 Ph: (512) 304-0300 |
| NPI Number | 1417246281 |
|---|---|
| Provider Enumeration Date | 04/01/2011 |
| Last Update Date | 07/21/2015 |
| Medicare PECOS PAC ID | 3173793932 |
|---|---|
| Medicare Enrollment ID | O20110902000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417246281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Clyde D Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104917202 PECOS PAC ID: 1355383167 Enrollment ID: I20050523000571 |
| Provider Name | Trey G Brader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952505711 PECOS PAC ID: 1456383116 Enrollment ID: I20050902000383 |
| Provider Name | Sheryl A Innerarity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710165220 PECOS PAC ID: 8628157419 Enrollment ID: I20080505000793 |
| Provider Name | Pompeyo C Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821292426 PECOS PAC ID: 6406935295 Enrollment ID: I20080505000834 |
| Provider Name | Joshua A Crum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851340616 PECOS PAC ID: 4183716186 Enrollment ID: I20080623000017 |
| Provider Name | Brian L Sullivan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053395079 PECOS PAC ID: 4284787177 Enrollment ID: I20090921000679 |
| Provider Name | James E Handy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528027992 PECOS PAC ID: 7012053879 Enrollment ID: I20091008000053 |
| Provider Name | Ronald L Cox |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1962404699 PECOS PAC ID: 1456389626 Enrollment ID: I20091112000290 |
| Provider Name | Guillermo Sanchez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841201803 PECOS PAC ID: 9931017100 Enrollment ID: I20101029000681 |
| Provider Name | Hyon C Shin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558469452 PECOS PAC ID: 1254421894 Enrollment ID: I20101122000745 |
| Provider Name | Lisa M Anstey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649409152 PECOS PAC ID: 0749450872 Enrollment ID: I20110829000683 |
| Provider Name | Olivia Y Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427362219 PECOS PAC ID: 9436329208 Enrollment ID: I20110906000069 |
| Provider Name | Diana Ann Yens |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255394375 PECOS PAC ID: 9436050978 Enrollment ID: I20120926000663 |
| Provider Name | Sarah Kathryn Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255884532 PECOS PAC ID: 2365719614 Enrollment ID: I20170517001523 |
| Provider Name | Jonathan Ryan Fordyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447736608 PECOS PAC ID: 8628326626 Enrollment ID: I20180808001045 |
Sai Medical Group,p.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Childers Dr, Suite# 109, Bastrop, TX 78602 Phone: 512-321-3430 Fax: 512-303-5437 | |
Bastrop Medical Clinic P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 195 S Hasler Blvd, Suite B-1, Bastrop, TX 78602 Phone: 512-308-1555 Fax: 512-308-1565 | |
Robert James Dougherty Mdpa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 441 Highway 71 W, Suite B-1, Bastrop, TX 78602 Phone: 512-581-5016 Fax: 512-581-5022 | |
Riverbend Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 Highway 71 W, Suite C, Bastrop, TX 78602 Phone: 512-304-0313 Fax: 512-237-5768 | |
Lone Star Circle Of Care At Bastrop Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 605 Old Austin Hwy, Bastrop, TX 78602 Phone: 877-800-5722 | |
Bastrop County Medical & Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 Highway 71 W, Bastrop, TX 78602 Phone: 512-321-9091 | |
Family Health Center Of Bastrop Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Hwy 71 E Ste 101, Bastrop, TX 78602 Phone: 512-304-0300 Fax: 512-304-0341 |