| Health Center Of Southeast Texas-shepherd | |
|
307 N William Barnett Ave Cleveland TX 77327-4061 | |
| (281) 592-2224 | |
| (281) 592-2225 |
| Full Name | Health Center Of Southeast Texas-shepherd |
|---|---|
| Speciality | Clinic/Center |
| Location | 307 N William Barnett Ave, Cleveland, Texas |
| Authorized Official Name and Position | Steven Racciato (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2815922224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Center Of Southeast Texas-shepherd 307 N William Barnett Ave Cleveland TX 77327-4061 Ph: (281) 592-2224 | Health Center Of Southeast Texas-shepherd 307 N William Barnett Ave Cleveland TX 77327-4061 Ph: (281) 592-2224 |
| NPI Number | 1225059686 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 10/30/2020 |
| Medicare PECOS PAC ID | 9739195041 |
|---|---|
| Medicare Enrollment ID | O20060223000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225059686 | NPI | - | NPPES |
| 179566803 | Medicaid | TX | |
| 179566801 | Medicaid | TX | |
| 0044NH | Other | TX | BLUE CROSS/S GROUP NUMBER |
| 179566802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Singaraju Katari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013912245 PECOS PAC ID: 0941280895 Enrollment ID: I20040722000205 |
| Provider Name | Jasmine Sulaiman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063498491 PECOS PAC ID: 2769462241 Enrollment ID: I20060223000571 |
| Provider Name | Robert L Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861469850 PECOS PAC ID: 4082890439 Enrollment ID: I20110519000082 |
| Provider Name | Gwendolyn F Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285648733 PECOS PAC ID: 7012915192 Enrollment ID: I20131223001627 |
| Provider Name | Crystal L Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144636812 PECOS PAC ID: 1153645882 Enrollment ID: I20150128001222 |
| Provider Name | Liwayway Guadalquiver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396181079 PECOS PAC ID: 3577889831 Enrollment ID: I20150303002111 |
| Provider Name | Nurzy Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245607761 PECOS PAC ID: 9638479611 Enrollment ID: I20151123002217 |
| Provider Name | Alexa L Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366809469 PECOS PAC ID: 8224334610 Enrollment ID: I20160310002156 |
| Provider Name | Elynita R Sabado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710378864 PECOS PAC ID: 2668771445 Enrollment ID: I20160428001949 |
| Provider Name | Maria G Rojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508553 PECOS PAC ID: 1355627381 Enrollment ID: I20170405002724 |
| Provider Name | Pauline Mopur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801331624 PECOS PAC ID: 8325324577 Enrollment ID: I20170424002334 |
| Provider Name | Grace Ogwumike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477149979 PECOS PAC ID: 0244645976 Enrollment ID: I20210210002566 |
| Provider Name | Ana Patricia Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225631740 PECOS PAC ID: 6204234297 Enrollment ID: I20211005002915 |
| Provider Name | Tamanna Ferdous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598228744 PECOS PAC ID: 5092107409 Enrollment ID: I20220114002144 |
| Provider Name | Ricardo Escobar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154814606 PECOS PAC ID: 8426390238 Enrollment ID: I20220829003682 |
| Provider Name | Reshmibhat Parameswaranunni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255890182 PECOS PAC ID: 9739410812 Enrollment ID: I20220901000125 |
| Provider Name | Laurier Junior Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962025445 PECOS PAC ID: 4486000411 Enrollment ID: I20231027001877 |
| Provider Name | Monica Donnell Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629460324 PECOS PAC ID: 1951750421 Enrollment ID: I20231208001715 |
| Provider Name | Carla Andrea Claros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477333037 PECOS PAC ID: 3971955295 Enrollment ID: I20240122004217 |
| Provider Name | Milagros Aguilar-castro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447926019 PECOS PAC ID: 7911342084 Enrollment ID: I20240228002185 |
Prime Medic Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S College Ave, Cleveland, TX 77327 Phone: 281-592-8622 Fax: 281-592-8699 | |
Welllife Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 203 N College Ave Ste 2001, Cleveland, TX 77327 Phone: 832-318-9800 | |
Family Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 E Dallas St, Cleveland, TX 77327 Phone: 713-659-9533 | |
Prime Medic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 S College Ave, Cleveland, TX 77327 Phone: 281-592-8622 Fax: 281-592-8699 | |
Health Center Of Southeast Texas - Terrenos Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 871 Cr 3549, Cleveland, TX 77327 Phone: 281-592-2224 | |
Memorial Rehab Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N College Ave, Suite 1001, Cleveland, TX 77327 Phone: 281-592-2426 Fax: 281-593-0060 |