| Readycare-dilley | |
|
801 Fm W 117 Dilly TX 78017 | |
| (830) 334-2058 | |
| Not Available |
| Full Name | Readycare-dilley |
|---|---|
| Speciality | Clinic/Center |
| Location | 801 Fm W 117, Dilly, Texas |
| Authorized Official Name and Position | Monica Ann Martinez (RURAL HEALTH CLINIC DIRECTOR) |
| Authorized Official Contact | 8303342058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Readycare-dilley 200 S Interstate 35 Pearsall TX 78061-6601 Ph: (830) 334-2058 | Readycare-dilley 801 Fm W 117 Dilly TX 78017 Ph: (830) 334-2058 |
| NPI Number | 1215574959 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 08/15/2022 |
| Certification Date | 08/15/2022 |
| Medicare PECOS PAC ID | 4981599693 |
|---|---|
| Medicare Enrollment ID | O20200318000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215574959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | James Bean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124008446 PECOS PAC ID: 7315072436 Enrollment ID: I20100315000832 |
| Provider Name | Samer Arab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639353576 PECOS PAC ID: 3971764424 Enrollment ID: I20120411000084 |
| Provider Name | Carlos D Godinez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144281445 PECOS PAC ID: 6002971025 Enrollment ID: I20130919000158 |
| Provider Name | Mary L Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770514614 PECOS PAC ID: 4385959139 Enrollment ID: I20150824000062 |
| Provider Name | Oluwabukola Shoaga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992150635 PECOS PAC ID: 4183905805 Enrollment ID: I20190604001305 |
| Provider Name | Diane Roel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639675374 PECOS PAC ID: 1850655937 Enrollment ID: I20200429000328 |
| Provider Name | Earl M Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699296012 PECOS PAC ID: 3476881822 Enrollment ID: I20200511002173 |
| Provider Name | John David Barrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659981348 PECOS PAC ID: 1759796766 Enrollment ID: I20210224000913 |
| Provider Name | Katherine Renee Vosburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326332040 PECOS PAC ID: 1850517269 Enrollment ID: I20240201003904 |