| Gmg Health Systems Associates Pa | |
|
720 Pleasanton Rd San Antonio TX 78214-1306 | |
| (210) 921-3800 | |
| (210) 334-2851 |
| Full Name | Gmg Health Systems Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 720 Pleasanton Rd, San Antonio, Texas |
| Authorized Official Name and Position | William Gonzaba (PRESIDENT/CEO) |
| Authorized Official Contact | 2109213800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gmg Health Systems Associates Pa 720 Pleasanton Rd San Antonio TX 78214-1306 Ph: (210) 921-3800 | Gmg Health Systems Associates Pa 720 Pleasanton Rd San Antonio TX 78214-1306 Ph: (210) 921-3800 |
| NPI Number | 1023030160 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 03/31/2023 |
| Medicare PECOS PAC ID | 8123932647 |
|---|---|
| Medicare Enrollment ID | O20040121001049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023030160 | NPI | - | NPPES |
| CH4150 | Other | TX | RR MEDICARE |
| 081146501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pedro Taussig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215987672 PECOS PAC ID: 2466358536 Enrollment ID: I20031209001094 |
| Provider Name | Fernando Bazan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679582332 PECOS PAC ID: 7214830553 Enrollment ID: I20040202000672 |
| Provider Name | Edward Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366435133 PECOS PAC ID: 7214824812 Enrollment ID: I20040228000493 |
| Provider Name | Franz Velarde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093795494 PECOS PAC ID: 7911997465 Enrollment ID: I20040515000576 |
| Provider Name | Robert P Cyr |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548466428 PECOS PAC ID: 7214911536 Enrollment ID: I20040615000938 |
| Provider Name | Saul Montelongo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578535365 PECOS PAC ID: 7416927165 Enrollment ID: I20040729000524 |
| Provider Name | Manuel Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568437432 PECOS PAC ID: 8224003991 Enrollment ID: I20040827000227 |
| Provider Name | Modesta Garcia-atwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801905427 PECOS PAC ID: 8022068519 Enrollment ID: I20050122000121 |
| Provider Name | Yolanda J Duglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649230848 PECOS PAC ID: 6507819232 Enrollment ID: I20050223000033 |
| Provider Name | Isaac Kirk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629030143 PECOS PAC ID: 1355396060 Enrollment ID: I20050316000834 |
| Provider Name | Melissa Martinez Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255350427 PECOS PAC ID: 7012963267 Enrollment ID: I20050330000807 |
| Provider Name | Tuong H Le |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902855471 PECOS PAC ID: 8325076029 Enrollment ID: I20050803000434 |
| Provider Name | Justo L Cisneros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427168061 PECOS PAC ID: 3173541760 Enrollment ID: I20051102000529 |
| Provider Name | Cristin A Dickerson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588640148 PECOS PAC ID: 2163434549 Enrollment ID: I20060629000339 |
| Provider Name | Pascual Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811993850 PECOS PAC ID: 1850492687 Enrollment ID: I20070724000545 |
| Provider Name | Luis F Bieler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033126636 PECOS PAC ID: 6800980269 Enrollment ID: I20070917000585 |
| Provider Name | Leeanne K Harshman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760522353 PECOS PAC ID: 4688761869 Enrollment ID: I20071105000355 |
| Provider Name | David E Padilla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265439988 PECOS PAC ID: 4789767799 Enrollment ID: I20080214000257 |
| Provider Name | Bradley E Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225177884 PECOS PAC ID: 9436223997 Enrollment ID: I20080731000372 |
| Provider Name | Venkat Ramana Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538363114 PECOS PAC ID: 7012082878 Enrollment ID: I20080814000029 |
| Provider Name | Maria-gisela Mercado-deane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851319057 PECOS PAC ID: 6608806617 Enrollment ID: I20081125000343 |
| Provider Name | Thomas W Longhway |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154541720 PECOS PAC ID: 8022165331 Enrollment ID: I20090402000227 |
| Provider Name | Louis R Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598969164 PECOS PAC ID: 7214086826 Enrollment ID: I20090601000047 |
| Provider Name | Jesus Garcia Gallegos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427252089 PECOS PAC ID: 6305997693 Enrollment ID: I20090626000212 |
| Provider Name | Ping Sun K Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992858328 PECOS PAC ID: 7214018548 Enrollment ID: I20090914000596 |
| Provider Name | Rayleen Villanueva-rumpf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235101023 PECOS PAC ID: 7719028869 Enrollment ID: I20100111000818 |
| Provider Name | William T Gonzaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548231905 PECOS PAC ID: 1951443795 Enrollment ID: I20100116000352 |
| Provider Name | Andrew P Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225003122 PECOS PAC ID: 1557403391 Enrollment ID: I20100116000393 |
| Provider Name | Gina M Esparza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679506521 PECOS PAC ID: 1355483199 Enrollment ID: I20100116000414 |
| Provider Name | Vincent G Gonzaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538192489 PECOS PAC ID: 1254473093 Enrollment ID: I20100116000425 |
| Provider Name | Esther Urbaez Duran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447469150 PECOS PAC ID: 3870624604 Enrollment ID: I20100623000414 |
| Provider Name | Gabriel Alberto Urrea-botero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285887166 PECOS PAC ID: 5991829533 Enrollment ID: I20100902000733 |
| Provider Name | Barbara Ann Tuitele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083724918 PECOS PAC ID: 3870785553 Enrollment ID: I20101013000664 |
| Provider Name | Lori M Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891925327 PECOS PAC ID: 6406049931 Enrollment ID: I20101018000196 |
| Provider Name | Paula C Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497810717 PECOS PAC ID: 0143413591 Enrollment ID: I20101019000322 |
| Provider Name | Ana Myriam Ballester Fiallo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811007412 PECOS PAC ID: 5991991358 Enrollment ID: I20101124000236 |
| Provider Name | Melissa Delafuente Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306141312 PECOS PAC ID: 0941481097 Enrollment ID: I20110222000829 |
| Provider Name | Anuj Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215231964 PECOS PAC ID: 1153504337 Enrollment ID: I20110325000091 |
| Provider Name | James Carter Outlaw |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427244755 PECOS PAC ID: 7911184437 Enrollment ID: I20110613000025 |
| Provider Name | Jully Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689959264 PECOS PAC ID: 3274708599 Enrollment ID: I20111214000572 |
| Provider Name | Jacobo S Morales Mendez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770743544 PECOS PAC ID: 6406018258 Enrollment ID: I20120424000526 |
| Provider Name | Jenna L Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114275922 PECOS PAC ID: 9436307162 Enrollment ID: I20120920000795 |
| Provider Name | Diana M Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578819868 PECOS PAC ID: 9931357514 Enrollment ID: I20120925000067 |
| Provider Name | John A Mireles |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952425530 PECOS PAC ID: 0042452963 Enrollment ID: I20130806000343 |
| Provider Name | Luis Carlos Anaya Hoyos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154578078 PECOS PAC ID: 5991949182 Enrollment ID: I20130909000554 |
| Provider Name | Karen Evelin Olarte Merida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245460260 PECOS PAC ID: 0840434486 Enrollment ID: I20130920000210 |
| Provider Name | Alejandro Lerma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679892566 PECOS PAC ID: 8527202191 Enrollment ID: I20130920000580 |
| Provider Name | Craig Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184915282 PECOS PAC ID: 3577799154 Enrollment ID: I20131204001695 |
| Provider Name | Scarlett Y Monroy Alba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740493980 PECOS PAC ID: 9537228978 Enrollment ID: I20140227000640 |
| Provider Name | Claudia X Ubinas Frias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215227392 PECOS PAC ID: 4789805664 Enrollment ID: I20141017000320 |
| Provider Name | Guillermo Madero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235384439 PECOS PAC ID: 1759412216 Enrollment ID: I20141024001799 |
| Provider Name | Deanna Kaye Ridings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336540293 PECOS PAC ID: 9032431317 Enrollment ID: I20141124001762 |
| Provider Name | Terri Kirn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770843625 PECOS PAC ID: 2163648742 Enrollment ID: I20150413001658 |
| Provider Name | Robert C Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518942333 PECOS PAC ID: 7012069123 Enrollment ID: I20150618001595 |
| Provider Name | Jason Anthony Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205093200 PECOS PAC ID: 8820245798 Enrollment ID: I20150622000991 |
| Provider Name | Erick F Alvarez Mosqueira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881954345 PECOS PAC ID: 8123339728 Enrollment ID: I20150624000263 |
| Provider Name | Carlos E Garcia Fajardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568859742 PECOS PAC ID: 7810207883 Enrollment ID: I20151103001130 |
| Provider Name | Christi Marie Willome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558735480 PECOS PAC ID: 2264732916 Enrollment ID: I20151201003322 |
| Provider Name | Susan Elizabeth Wilgus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831563410 PECOS PAC ID: 1850692757 Enrollment ID: I20151218000516 |
| Provider Name | Winter Leann Honig Peuziat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609241553 PECOS PAC ID: 5294038907 Enrollment ID: I20160129000145 |
| Provider Name | Aaron Calev Garza Romero |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1912294976 PECOS PAC ID: 5991000200 Enrollment ID: I20160224002716 |
| Provider Name | Rocio Marisol Neri-hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285095307 PECOS PAC ID: 4082911698 Enrollment ID: I20160328000226 |
| Provider Name | Norys Castro Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265797690 PECOS PAC ID: 6406153857 Enrollment ID: I20160330000155 |
| Provider Name | Stuart Alfred Saunders |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245359793 PECOS PAC ID: 0749571107 Enrollment ID: I20160615002308 |
| Provider Name | Cynthia M Villanueva Ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104262963 PECOS PAC ID: 2567752652 Enrollment ID: I20160806000082 |
| Provider Name | Vernon E Zurick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174556567 PECOS PAC ID: 5991738742 Enrollment ID: I20160822001102 |
| Provider Name | Julian Falla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710141437 PECOS PAC ID: 2365614013 Enrollment ID: I20160831002807 |
| Provider Name | Mark Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578796348 PECOS PAC ID: 4981750346 Enrollment ID: I20161011001921 |
| Provider Name | Cresencio Duran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689848137 PECOS PAC ID: 2668611328 Enrollment ID: I20161222000452 |
| Provider Name | David Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669917662 PECOS PAC ID: 2466734058 Enrollment ID: I20170113002144 |
| Provider Name | Kurt T Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063954048 PECOS PAC ID: 2062794621 Enrollment ID: I20170117001167 |
| Provider Name | Sindhura Alapati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528370319 PECOS PAC ID: 7012220189 Enrollment ID: I20170315001813 |
| Provider Name | Maria Margarita Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740721265 PECOS PAC ID: 5294010658 Enrollment ID: I20170327001202 |
| Provider Name | Miguel Alejandro Palacios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700204468 PECOS PAC ID: 8022302074 Enrollment ID: I20170516001007 |
| Provider Name | Nubia-paola Forero-medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346553146 PECOS PAC ID: 4385878552 Enrollment ID: I20170721002235 |
| Provider Name | Judy Cantu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124439880 PECOS PAC ID: 9032416128 Enrollment ID: I20170725002269 |
| Provider Name | Martha Elizabeth Guadamud Pacheco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275920043 PECOS PAC ID: 9335410299 Enrollment ID: I20170810002657 |
| Provider Name | Douglas G Valbuena Plaza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447670898 PECOS PAC ID: 3678853322 Enrollment ID: I20170814000706 |
| Provider Name | Claudia Berenice Prado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780198077 PECOS PAC ID: 6305103953 Enrollment ID: I20171206002889 |
| Provider Name | Srikanth Medarametla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770842817 PECOS PAC ID: 2365768124 Enrollment ID: I20180501002794 |
| Provider Name | Diane D Bricco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306994231 PECOS PAC ID: 0345268678 Enrollment ID: I20180530002876 |
| Provider Name | Maria L Martinez Ugarte |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1346424264 PECOS PAC ID: 8820244890 Enrollment ID: I20181005002424 |
| Provider Name | Clark Kholeif |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831484112 PECOS PAC ID: 7315230943 Enrollment ID: I20190205000674 |
| Provider Name | Eduardo Marques Zilli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639301658 PECOS PAC ID: 9931343076 Enrollment ID: I20190222002197 |
| Provider Name | Andrea C Leong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376100248 PECOS PAC ID: 1850628413 Enrollment ID: I20190806001754 |
| Provider Name | Carla Ines Acra Despradel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114181666 PECOS PAC ID: 6800050311 Enrollment ID: I20190815003406 |
| Provider Name | Michelle Renae Gonzaba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700230604 PECOS PAC ID: 4880982677 Enrollment ID: I20190920000776 |
| Provider Name | Monica Chopra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184674475 PECOS PAC ID: 3072516848 Enrollment ID: I20191021000757 |
| Provider Name | Brenda F Amador Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962050369 PECOS PAC ID: 9638504335 Enrollment ID: I20200127000042 |
| Provider Name | Leah Marie Grove Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750911483 PECOS PAC ID: 9830527985 Enrollment ID: I20200324000543 |
| Provider Name | Andrea Gutierrez De Velasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306489745 PECOS PAC ID: 9335578079 Enrollment ID: I20200401001941 |
| Provider Name | Andrew James Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073812715 PECOS PAC ID: 7315232766 Enrollment ID: I20200421000394 |
| Provider Name | Rosalie Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841809357 PECOS PAC ID: 6709202948 Enrollment ID: I20200818002413 |
| Provider Name | Atul Anant Utturkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700204427 PECOS PAC ID: 9032413711 Enrollment ID: I20200826002176 |
| Provider Name | Courtney Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417576448 PECOS PAC ID: 6507270592 Enrollment ID: I20210203000740 |
| Provider Name | Stephanie Tijerina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235720293 PECOS PAC ID: 4688080575 Enrollment ID: I20210301000730 |
| Provider Name | Laura Rose Pinon Triplett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518454479 PECOS PAC ID: 6305193608 Enrollment ID: I20210608002461 |
| Provider Name | Idalys Santos-sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437655164 PECOS PAC ID: 0042562092 Enrollment ID: I20210623002262 |
| Provider Name | Zahir Osuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568968147 PECOS PAC ID: 9537564497 Enrollment ID: I20210816004071 |
| Provider Name | Naresha N Hill-moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366112765 PECOS PAC ID: 2163829755 Enrollment ID: I20210924000057 |
| Provider Name | Mariel Salais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609539659 PECOS PAC ID: 9032507058 Enrollment ID: I20211025001954 |
| Provider Name | Manuel Guadalupe Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477212470 PECOS PAC ID: 2163816141 Enrollment ID: I20220309000412 |
| Provider Name | Salvador Ricardo Garcia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1598051245 PECOS PAC ID: 1951690635 Enrollment ID: I20220330001121 |
| Provider Name | Carlos Andres Perez Ruiz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1386130151 PECOS PAC ID: 7214285824 Enrollment ID: I20220715000587 |
| Provider Name | Lavonna Zavala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841909843 PECOS PAC ID: 3173992708 Enrollment ID: I20221202002905 |
| Provider Name | Christen Leah Cuevas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386021145 PECOS PAC ID: 8527399526 Enrollment ID: I20230309001062 |
| Provider Name | Jose A Bermea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245867746 PECOS PAC ID: 5294150090 Enrollment ID: I20230614003737 |
| Provider Name | Carlos Vinicio Garcia Monterroso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114545290 PECOS PAC ID: 9234554056 Enrollment ID: I20230705002928 |
| Provider Name | Jose Alejandro Cortes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144858614 PECOS PAC ID: 4385005826 Enrollment ID: I20230801001998 |
| Provider Name | Cristina G Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851929350 PECOS PAC ID: 5597180562 Enrollment ID: I20230802001418 |
| Provider Name | Kimberly Elena Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578246708 PECOS PAC ID: 9234591439 Enrollment ID: I20230821002058 |
| Provider Name | David Nava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083234371 PECOS PAC ID: 5092178392 Enrollment ID: I20230905002371 |
| Provider Name | Nicolas Alexander Morton-gonzaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407477060 PECOS PAC ID: 0648634865 Enrollment ID: I20230906003359 |
| Provider Name | Laura Maria Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487273538 PECOS PAC ID: 1254786213 Enrollment ID: I20231011000470 |
| Provider Name | Lam T Le |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881059228 PECOS PAC ID: 0244507333 Enrollment ID: I20240122002315 |
| Provider Name | Maxwell Cretcher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255863973 PECOS PAC ID: 6103194964 Enrollment ID: I20240214000683 |
| Provider Name | Ruby Jessica Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841950672 PECOS PAC ID: 0244677219 Enrollment ID: I20240326002767 |
| Provider Name | Sean Snodgress |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205030665 PECOS PAC ID: 4880755891 Enrollment ID: I20240402004370 |
| Provider Name | Tatiana Rugeles Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447812375 PECOS PAC ID: 0840660858 Enrollment ID: I20240711004016 |
| Provider Name | Alejandro Macias Sustaita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447831243 PECOS PAC ID: 8325587926 Enrollment ID: I20240827003833 |
| Provider Name | Ryan David Willett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629531280 PECOS PAC ID: 0446795942 Enrollment ID: I20250410002894 |
Nitya Surgical Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd # 650b, San Antonio, TX 78229 Phone: 713-464-7555 Fax: 713-464-0219 | |
Doctor At Your Service Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 Phone: 210-479-3297 Fax: 210-479-3295 | |
Alexis Wiesenthal Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8038 Wurzbach Rd Ste 320, San Antonio, TX 78229 Phone: 210-614-3365 | |
R Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-531-9488 | |
Barrio Comprehensive Family Health Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooklyn Ave Ste 300, San Antonio, TX 78212 Phone: 210-225-5930 Fax: 210-476-0246 | |
Insulin Rounds P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12951 Huebner Rd, #780355, San Antonio, TX 78278 Phone: 210-862-5506 | |
Shaenfield Vision Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9218 Potranco Rd, Suite 105, San Antonio, TX 78251 Phone: 832-331-9831 Fax: 210-855-8365 |