| Premier Provider Health Pa | |
|
4316 James Casey St Ste B-100 Austin TX 78745-1142 | |
| (512) 444-4325 | |
| Not Available |
| Full Name | Premier Provider Health Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4316 James Casey St Ste B-100, Austin, Texas |
| Authorized Official Name and Position | Han Ngoc Pham (CEO) |
| Authorized Official Contact | 2142741507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Provider Health Pa 7314 Centenary Ave Ste 700 Dallas TX 75225-4624 Ph: (214) 274-1507 | Premier Provider Health Pa 4316 James Casey St Ste B-100 Austin TX 78745-1142 Ph: (512) 444-4325 |
| NPI Number | 1013397066 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/21/2022 |
| Medicare PECOS PAC ID | 2264531276 |
|---|---|
| Medicare Enrollment ID | O20070615000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013397066 | NPI | - | NPPES |
| 187308502 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | M0223 (Texas) | Primary |
| Provider Name | Han Pham Hulen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770593436 PECOS PAC ID: 7719923101 Enrollment ID: I20050707000711 |
| Provider Name | Nichole Johnson |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1386852051 PECOS PAC ID: 0143390062 Enrollment ID: I20080604000517 |
| Provider Name | Michelle J Gossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952349441 PECOS PAC ID: 9234105172 Enrollment ID: I20090521000264 |
| Provider Name | Maria L Lindahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568785566 PECOS PAC ID: 4587795083 Enrollment ID: I20100628000383 |
| Provider Name | Linda H Pham |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1881837094 PECOS PAC ID: 0941472161 Enrollment ID: I20111012000768 |
| Provider Name | Janet L Gregory |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427291434 PECOS PAC ID: 2365637188 Enrollment ID: I20120706000177 |
| Provider Name | Holli Waller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053622167 PECOS PAC ID: 6800043977 Enrollment ID: I20140327000229 |
| Provider Name | Ashley Huddleston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568490621 PECOS PAC ID: 5294745121 Enrollment ID: I20150720002541 |
| Provider Name | Autumn Savage |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1245598408 PECOS PAC ID: 1951689561 Enrollment ID: I20161102002453 |
| Provider Name | Justin K Cherian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356789168 PECOS PAC ID: 9537438627 Enrollment ID: I20170705002264 |
| Provider Name | Heather Ashton Gilcrease |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184154817 PECOS PAC ID: 5799057717 Enrollment ID: I20170824003241 |
| Provider Name | Devin Sessions |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790104958 PECOS PAC ID: 8426372095 Enrollment ID: I20170922002717 |
| Provider Name | Stephanie Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265924583 PECOS PAC ID: 5496005290 Enrollment ID: I20180828003923 |
| Provider Name | Kimberly Chou |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1255789962 PECOS PAC ID: 4082901400 Enrollment ID: I20200522000150 |
| Provider Name | Enid Ling-stowers |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1134233992 PECOS PAC ID: 4183633860 Enrollment ID: I20210426002475 |
| Provider Name | Diana Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912437773 PECOS PAC ID: 8820494636 Enrollment ID: I20210902000875 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 | |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 | |
Texas Medclinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253 |