| Hospitalist Medicine Physicians Of Texas - Houston, Pllc | |
|
120 Brentwood Commons Way Ste 510 Brentwood TN 37027-2028 | |
| (615) 577-6340 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Texas - Houston, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 Brentwood Commons Way Ste 510, Brentwood, Tennessee |
| Authorized Official Name and Position | Melissa Harlan (DIRECTOR OF PAYER ENROLLMENT) |
| Authorized Official Contact | 6155776340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Texas - Houston, Pllc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Hospitalist Medicine Physicians Of Texas - Houston, Pllc 120 Brentwood Commons Way Ste 510 Brentwood TN 37027-2028 Ph: (615) 577-6340 |
| NPI Number | 1760028740 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 08/03/2022 |
| Medicare PECOS PAC ID | 2860881125 |
|---|---|
| Medicare Enrollment ID | O20211109000125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760028740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Alan Stilley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336109818 PECOS PAC ID: 0244143063 Enrollment ID: I20031107000568 |
| Provider Name | John R Roland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629011077 PECOS PAC ID: 8123932233 Enrollment ID: I20031113000497 |
| Provider Name | Senthil Alagarsamy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073530960 PECOS PAC ID: 3971409228 Enrollment ID: I20031209000372 |
| Provider Name | Maude B Hecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174566582 PECOS PAC ID: 5890698104 Enrollment ID: I20040202000437 |
| Provider Name | Uril C Greene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205887361 PECOS PAC ID: 8820988082 Enrollment ID: I20040319000521 |
| Provider Name | Paul Wl Mallett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700809803 PECOS PAC ID: 7416945415 Enrollment ID: I20040505001823 |
| Provider Name | Kenneth G Ro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124076971 PECOS PAC ID: 3274514377 Enrollment ID: I20040525001552 |
| Provider Name | Jacob Patrick Vigil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801893821 PECOS PAC ID: 2466423173 Enrollment ID: I20040805000280 |
| Provider Name | Robert D Walkup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609833763 PECOS PAC ID: 5890767800 Enrollment ID: I20040811000601 |
| Provider Name | Michael T Balch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508811217 PECOS PAC ID: 3375512247 Enrollment ID: I20040928000386 |
| Provider Name | Sandra I Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922002526 PECOS PAC ID: 0244291516 Enrollment ID: I20041020000547 |
| Provider Name | Manuel Aranda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386609659 PECOS PAC ID: 4880642743 Enrollment ID: I20050106000909 |
| Provider Name | Robert C Rankins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952347098 PECOS PAC ID: 3870543374 Enrollment ID: I20050122000170 |
| Provider Name | Samir Vinodkumar Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528036787 PECOS PAC ID: 3274508874 Enrollment ID: I20050928000820 |
| Provider Name | Trung Nam Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144266883 PECOS PAC ID: 5294758447 Enrollment ID: I20060113000261 |
| Provider Name | Beau L Mccrory |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902862105 PECOS PAC ID: 8123078953 Enrollment ID: I20060125000472 |
| Provider Name | Randy J Goldstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487644498 PECOS PAC ID: 9931115938 Enrollment ID: I20060228000782 |
| Provider Name | Robert Harding |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003864158 PECOS PAC ID: 1557366671 Enrollment ID: I20060925000234 |
| Provider Name | Juan A Montelongo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114955184 PECOS PAC ID: 6305843764 Enrollment ID: I20061026000458 |
| Provider Name | Theodor W Pesch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891711677 PECOS PAC ID: 4981680964 Enrollment ID: I20070201000559 |
| Provider Name | Darrel W Dodson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154403665 PECOS PAC ID: 8729186176 Enrollment ID: I20070607000502 |
| Provider Name | Kenneth A Berumen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588661243 PECOS PAC ID: 0143231845 Enrollment ID: I20070615000169 |
| Provider Name | Helen M Sung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386795276 PECOS PAC ID: 4385744200 Enrollment ID: I20070706000444 |
| Provider Name | Tom S Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538165550 PECOS PAC ID: 7810081296 Enrollment ID: I20070915000219 |
| Provider Name | Vijayabhasker K Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144287947 PECOS PAC ID: 8123076858 Enrollment ID: I20070926000277 |
| Provider Name | Zsolt Fodor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205858271 PECOS PAC ID: 8426952623 Enrollment ID: I20071115000435 |
| Provider Name | Faye Maryann Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063628618 PECOS PAC ID: 0042391484 Enrollment ID: I20080111000315 |
| Provider Name | Joseph Lennon Donnelly Iii |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750327995 PECOS PAC ID: 0042381584 Enrollment ID: I20080611000464 |
| Provider Name | Argelia Woo-telles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548266216 PECOS PAC ID: 7012967219 Enrollment ID: I20080710000152 |
| Provider Name | Damon Lee Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184731952 PECOS PAC ID: 7911905856 Enrollment ID: I20090121000521 |
| Provider Name | Sandeep Duggal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609813872 PECOS PAC ID: 3375518871 Enrollment ID: I20090127000619 |
| Provider Name | John M Mackay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851380810 PECOS PAC ID: 7911063938 Enrollment ID: I20090226000647 |
| Provider Name | Gabriel A Valencia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104063627 PECOS PAC ID: 6002966678 Enrollment ID: I20090603000222 |
| Provider Name | Marco Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104015577 PECOS PAC ID: 7517019607 Enrollment ID: I20090721000592 |
| Provider Name | Anthony N Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902063373 PECOS PAC ID: 3779626601 Enrollment ID: I20100201000556 |
| Provider Name | Eric L Babb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831115328 PECOS PAC ID: 1052444833 Enrollment ID: I20100730000151 |
| Provider Name | Edna M Chavez-gelo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699086991 PECOS PAC ID: 8022133834 Enrollment ID: I20100916001311 |
| Provider Name | Robin Montgomery Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811162092 PECOS PAC ID: 5991878324 Enrollment ID: I20110105000771 |
| Provider Name | Subhankar Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104842137 PECOS PAC ID: 0941276646 Enrollment ID: I20110301000440 |
| Provider Name | Cecilia Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700180460 PECOS PAC ID: 0547446338 Enrollment ID: I20110511000698 |
| Provider Name | Lincoln George Coffie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235390204 PECOS PAC ID: 0244354421 Enrollment ID: I20110815000293 |
| Provider Name | Steven Krebel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467545558 PECOS PAC ID: 4183893878 Enrollment ID: I20110815000630 |
| Provider Name | Joseph A Ramsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619968724 PECOS PAC ID: 2466420005 Enrollment ID: I20110907001151 |
| Provider Name | Briana Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689836025 PECOS PAC ID: 1153591854 Enrollment ID: I20110908001639 |
| Provider Name | Shanna M Calero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003079666 PECOS PAC ID: 3870764202 Enrollment ID: I20110915000532 |
| Provider Name | Steven L Lanski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467491100 PECOS PAC ID: 8123291879 Enrollment ID: I20111025000884 |
| Provider Name | Josue E Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255592432 PECOS PAC ID: 9931371838 Enrollment ID: I20111117000165 |
| Provider Name | Jimy Roger Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346261096 PECOS PAC ID: 5496929671 Enrollment ID: I20111128000543 |
| Provider Name | Thomas Michael Mercado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750519286 PECOS PAC ID: 0749457620 Enrollment ID: I20120117000666 |
| Provider Name | Chioma J Mgbokwere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144501875 PECOS PAC ID: 9830359728 Enrollment ID: I20120330000292 |
| Provider Name | Jeff P Vista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750339883 PECOS PAC ID: 3577456011 Enrollment ID: I20120629000295 |
| Provider Name | Taron Taray Peebles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437423696 PECOS PAC ID: 6901061746 Enrollment ID: I20120629000347 |
| Provider Name | Annette G Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639421084 PECOS PAC ID: 5799920930 Enrollment ID: I20130318000412 |
| Provider Name | Sandra M Viscon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447698329 PECOS PAC ID: 0648413112 Enrollment ID: I20130830000752 |
| Provider Name | Jose Frank Lim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326368150 PECOS PAC ID: 0941434799 Enrollment ID: I20131009001658 |
| Provider Name | James Thomas Dellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306042304 PECOS PAC ID: 4789738139 Enrollment ID: I20131214000122 |
| Provider Name | Cray L Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053622100 PECOS PAC ID: 7416185962 Enrollment ID: I20140108001767 |
| Provider Name | David Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689002081 PECOS PAC ID: 7618106345 Enrollment ID: I20140129001181 |
| Provider Name | Toni Gafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134561855 PECOS PAC ID: 0941431852 Enrollment ID: I20140318000826 |
| Provider Name | Yu He |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649563602 PECOS PAC ID: 7012148935 Enrollment ID: I20140318000925 |
| Provider Name | Julia C Beaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619270659 PECOS PAC ID: 1052542479 Enrollment ID: I20140328001055 |
| Provider Name | Georgina Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912323593 PECOS PAC ID: 0749406593 Enrollment ID: I20140731000103 |
| Provider Name | Kunal Dhiren Thakrar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255626438 PECOS PAC ID: 7911133863 Enrollment ID: I20140818001474 |
| Provider Name | Nachman Ullman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154516813 PECOS PAC ID: 0840324901 Enrollment ID: I20141111001274 |
| Provider Name | Michael J Means |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972576452 PECOS PAC ID: 0840181459 Enrollment ID: I20141208002346 |
| Provider Name | Madhu Achalla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427357094 PECOS PAC ID: 9739401217 Enrollment ID: I20141212000153 |
| Provider Name | Nagela F Sainte-thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598058679 PECOS PAC ID: 8921225392 Enrollment ID: I20150303002381 |
| Provider Name | Ernesto Alarcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275936072 PECOS PAC ID: 1355669235 Enrollment ID: I20150407000230 |
| Provider Name | Angela M Kastl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679961163 PECOS PAC ID: 5496071714 Enrollment ID: I20150529001735 |
| Provider Name | Kimberly Dabbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841631298 PECOS PAC ID: 1759503238 Enrollment ID: I20150615001543 |
| Provider Name | Phillip Trent Fivecoat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578768933 PECOS PAC ID: 3577784214 Enrollment ID: I20150618002080 |
| Provider Name | Daniel B Brillhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902164569 PECOS PAC ID: 8426360470 Enrollment ID: I20150702002165 |
| Provider Name | Jonathan Mario Gutierrez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689930455 PECOS PAC ID: 3274841317 Enrollment ID: I20151009000057 |
| Provider Name | Paul V Manson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548571938 PECOS PAC ID: 3577705714 Enrollment ID: I20151111000030 |
| Provider Name | Ricardo Reyna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043494735 PECOS PAC ID: 0749582740 Enrollment ID: I20160107002595 |
| Provider Name | Jana Danyce Tristan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467823831 PECOS PAC ID: 8123322120 Enrollment ID: I20160211002506 |
| Provider Name | June Bounsing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922465319 PECOS PAC ID: 3476857285 Enrollment ID: I20160215001147 |
| Provider Name | Laura Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558736504 PECOS PAC ID: 4486943719 Enrollment ID: I20160510000917 |
| Provider Name | Saranya Srinivasan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932335932 PECOS PAC ID: 5496901894 Enrollment ID: I20160511000391 |
| Provider Name | Joseph K Mimubuu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164882247 PECOS PAC ID: 7315236346 Enrollment ID: I20160516000513 |
| Provider Name | Daniel Arredondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649630500 PECOS PAC ID: 2567751225 Enrollment ID: I20160519000244 |
| Provider Name | Eyitemi Onome Oghogho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356786651 PECOS PAC ID: 7315230992 Enrollment ID: I20160719002068 |
| Provider Name | Kevin R Tavangarian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760822886 PECOS PAC ID: 1153615471 Enrollment ID: I20160810000251 |
| Provider Name | Ryan S Mangel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811139306 PECOS PAC ID: 0446449631 Enrollment ID: I20160910000103 |
| Provider Name | Shuo Cui |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033554928 PECOS PAC ID: 8022397348 Enrollment ID: I20161109001028 |
| Provider Name | Omer Nazeer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134475270 PECOS PAC ID: 3173742582 Enrollment ID: I20161117000869 |
| Provider Name | Mandy M Vanstory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851842421 PECOS PAC ID: 7315228772 Enrollment ID: I20161227001560 |
| Provider Name | Paris B Lovett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467485649 PECOS PAC ID: 3072573997 Enrollment ID: I20170118002709 |
| Provider Name | Kelly Mccormick Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538524723 PECOS PAC ID: 0749587590 Enrollment ID: I20170126001822 |
| Provider Name | Pratik Shashikant Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689012932 PECOS PAC ID: 3577798065 Enrollment ID: I20170301000994 |
| Provider Name | Sheequita S Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154865574 PECOS PAC ID: 7719262815 Enrollment ID: I20170331000366 |
| Provider Name | Matthew D Strawn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386030393 PECOS PAC ID: 6800165796 Enrollment ID: I20170710000617 |
| Provider Name | Justine M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841722162 PECOS PAC ID: 6305115957 Enrollment ID: I20170713000575 |
| Provider Name | Daniel S Frank |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730506007 PECOS PAC ID: 4486924206 Enrollment ID: I20170726002828 |
| Provider Name | Miguel Angel Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225324692 PECOS PAC ID: 7719258482 Enrollment ID: I20170731001599 |
| Provider Name | Charlton E Collie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992123426 PECOS PAC ID: 6305061375 Enrollment ID: I20170802001070 |
| Provider Name | Kristen Neely-gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326587353 PECOS PAC ID: 4486923034 Enrollment ID: I20170815000299 |
| Provider Name | Kangmei Lievano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689099293 PECOS PAC ID: 4486926243 Enrollment ID: I20170815001118 |
| Provider Name | Sheema Samdani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710304977 PECOS PAC ID: 7113145582 Enrollment ID: I20170816003135 |
| Provider Name | Caleb J Cadis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023498318 PECOS PAC ID: 2365722923 Enrollment ID: I20170929001736 |
| Provider Name | Benjamin D Daggett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881833937 PECOS PAC ID: 1759656523 Enrollment ID: I20171004000922 |
| Provider Name | Anthony I Ozoemena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770007163 PECOS PAC ID: 1153697636 Enrollment ID: I20171027002444 |
| Provider Name | Derrick E. Randdolf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104205343 PECOS PAC ID: 8426348178 Enrollment ID: I20171130001563 |
| Provider Name | Sasha M Dib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891189833 PECOS PAC ID: 2466740675 Enrollment ID: I20180205002050 |
| Provider Name | Daisha Latoya Mclarty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700270741 PECOS PAC ID: 6507154747 Enrollment ID: I20180213002877 |
| Provider Name | Rosemary Estebes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396283065 PECOS PAC ID: 3779845292 Enrollment ID: I20180321002430 |
| Provider Name | William Harold Hatch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700233970 PECOS PAC ID: 9638432396 Enrollment ID: I20180410002147 |
| Provider Name | Adam Villalba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750768248 PECOS PAC ID: 9133482821 Enrollment ID: I20180411000308 |
| Provider Name | Claudia H Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477931491 PECOS PAC ID: 4587927165 Enrollment ID: I20180412001487 |
| Provider Name | John Beauchamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205221579 PECOS PAC ID: 6204190119 Enrollment ID: I20180501000427 |
| Provider Name | Devesh Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710116876 PECOS PAC ID: 1052577590 Enrollment ID: I20180517002508 |
| Provider Name | David Menachem Getreu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326426420 PECOS PAC ID: 9335404896 Enrollment ID: I20180604001778 |
| Provider Name | Nathan P Vafaie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447637848 PECOS PAC ID: 2264787449 Enrollment ID: I20180611002365 |
| Provider Name | Henry Thomas Workman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962819235 PECOS PAC ID: 0941555643 Enrollment ID: I20180621000191 |
| Provider Name | Guillermo N Cazares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851617658 PECOS PAC ID: 9537459979 Enrollment ID: I20180706000924 |
| Provider Name | Irma Hernandez-zeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023526340 PECOS PAC ID: 0446509939 Enrollment ID: I20180816000727 |
| Provider Name | Sarah C Sante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588042907 PECOS PAC ID: 1254646557 Enrollment ID: I20180918000577 |
| Provider Name | Garry J Kennebrew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255605952 PECOS PAC ID: 7214271006 Enrollment ID: I20181205001511 |
| Provider Name | Bryan T Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831661388 PECOS PAC ID: 1153668629 Enrollment ID: I20190123000797 |
| Provider Name | Andrew Luis Bolano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699162552 PECOS PAC ID: 0941542849 Enrollment ID: I20190424002735 |
| Provider Name | Antonio Baca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043486236 PECOS PAC ID: 3870765134 Enrollment ID: I20190503000151 |
| Provider Name | Neal Aj Nettesheim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083008676 PECOS PAC ID: 1052617701 Enrollment ID: I20190516000524 |
| Provider Name | Siobhan Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538548615 PECOS PAC ID: 5294078762 Enrollment ID: I20190524000740 |
| Provider Name | Christian David Magallanes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912392069 PECOS PAC ID: 5395000574 Enrollment ID: I20190524000749 |
| Provider Name | Patrick E Mcelaney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518491067 PECOS PAC ID: 7315280633 Enrollment ID: I20190529002719 |
| Provider Name | Reham Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932558723 PECOS PAC ID: 5193017820 Enrollment ID: I20190817000036 |
| Provider Name | Imtiaz A Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356481261 PECOS PAC ID: 4284717083 Enrollment ID: I20191016000751 |
| Provider Name | Anisha Malhotra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033648589 PECOS PAC ID: 0749612448 Enrollment ID: I20191119001062 |
| Provider Name | Nhat Q Trinh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245689397 PECOS PAC ID: 7113260019 Enrollment ID: I20200109001630 |
| Provider Name | Ming T Lin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427088947 PECOS PAC ID: 9133186125 Enrollment ID: I20200124000272 |
| Provider Name | Leah B Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871133561 PECOS PAC ID: 3375979206 Enrollment ID: I20200212000989 |
| Provider Name | Guy Bennallack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245610344 PECOS PAC ID: 6901160795 Enrollment ID: I20200401000984 |
| Provider Name | Paola Arias Mendoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174924047 PECOS PAC ID: 7719316447 Enrollment ID: I20200401001786 |
| Provider Name | Lauren A Bennallack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902216468 PECOS PAC ID: 3577866946 Enrollment ID: I20200406001635 |
| Provider Name | Alexander M Kresta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104350636 PECOS PAC ID: 3274962568 Enrollment ID: I20200408001270 |
| Provider Name | Charles Thomas Spencer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477844041 PECOS PAC ID: 2668615832 Enrollment ID: I20200619000732 |
| Provider Name | Kyle Walch Sherwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407376882 PECOS PAC ID: 0547682502 Enrollment ID: I20200619000825 |
| Provider Name | Debjeet Sarkar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689777054 PECOS PAC ID: 8325276264 Enrollment ID: I20200716002908 |
| Provider Name | Mohamed A Aly Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437512282 PECOS PAC ID: 9739503772 Enrollment ID: I20200722004056 |
| Provider Name | Brian Yu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366962193 PECOS PAC ID: 5698045649 Enrollment ID: I20200728003588 |
| Provider Name | Kevin Nathaniel Blythe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902149123 PECOS PAC ID: 5193013928 Enrollment ID: I20200729000931 |
| Provider Name | Ryan Gratton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194253997 PECOS PAC ID: 3678998333 Enrollment ID: I20200729001470 |
| Provider Name | Jared L Cohen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669836219 PECOS PAC ID: 8820411101 Enrollment ID: I20200921002440 |
| Provider Name | Farzaneh Ghobadi-ghadikolai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801215322 PECOS PAC ID: 7517245731 Enrollment ID: I20200929000723 |
| Provider Name | Kristen M. French |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568179 PECOS PAC ID: 7113140518 Enrollment ID: I20201103002538 |
| Provider Name | Obioma N Ogbonna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467680173 PECOS PAC ID: 7315196797 Enrollment ID: I20201111000832 |
| Provider Name | Stephen Dunay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336487834 PECOS PAC ID: 7012223092 Enrollment ID: I20201118000136 |
| Provider Name | Adam J Bonder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801236690 PECOS PAC ID: 9032414818 Enrollment ID: I20210322000355 |
| Provider Name | Kathryn M Kory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316554256 PECOS PAC ID: 0446669758 Enrollment ID: I20210517000892 |
| Provider Name | Emily Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063901213 PECOS PAC ID: 3779982616 Enrollment ID: I20210526002818 |
| Provider Name | Cory Gottfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588160717 PECOS PAC ID: 3375943608 Enrollment ID: I20210608002921 |
| Provider Name | Miguel Arbulu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316344179 PECOS PAC ID: 6901185008 Enrollment ID: I20210707002534 |
| Provider Name | Danny Yau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922591999 PECOS PAC ID: 8921401647 Enrollment ID: I20210719002356 |
| Provider Name | Robert Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639662083 PECOS PAC ID: 2062816150 Enrollment ID: I20210811003791 |
| Provider Name | Ben Saiyasombat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700380128 PECOS PAC ID: 3870841588 Enrollment ID: I20210817000586 |
| Provider Name | Nicholas A Novella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609355858 PECOS PAC ID: 8123423241 Enrollment ID: I20210826002824 |
| Provider Name | Bethany S Lacheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336638345 PECOS PAC ID: 7618226317 Enrollment ID: I20210930002258 |
| Provider Name | Tung Nguyen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073833521 PECOS PAC ID: 9537307830 Enrollment ID: I20211012000648 |
| Provider Name | Ross Connor Candelore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104327527 PECOS PAC ID: 9234562331 Enrollment ID: I20211101001855 |
| Provider Name | Valerie A Hoerster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437689353 PECOS PAC ID: 3779843073 Enrollment ID: I20220104000530 |
| Provider Name | Shawn Franklin Gasaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215561642 PECOS PAC ID: 9335119197 Enrollment ID: I20220209000709 |
| Provider Name | Laura Leija |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760912646 PECOS PAC ID: 6406272665 Enrollment ID: I20220215001905 |
| Provider Name | Araceli Curi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700551173 PECOS PAC ID: 9739573270 Enrollment ID: I20220228001819 |
| Provider Name | Jahan Rad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629573290 PECOS PAC ID: 5890047336 Enrollment ID: I20220303000955 |
| Provider Name | Servando Rivera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548885353 PECOS PAC ID: 0143615013 Enrollment ID: I20220312000208 |
| Provider Name | Mansoor Ahmad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639583321 PECOS PAC ID: 2365747862 Enrollment ID: I20220321000439 |
| Provider Name | Scott Douglas Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831159490 PECOS PAC ID: 0446152532 Enrollment ID: I20220406000058 |
| Provider Name | Huy Phan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609308733 PECOS PAC ID: 5597189753 Enrollment ID: I20220419002733 |
| Provider Name | Bryant M Bullock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730572652 PECOS PAC ID: 8527308725 Enrollment ID: I20220427002095 |
| Provider Name | Paras Pandya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295706802 PECOS PAC ID: 7416982657 Enrollment ID: I20220520001115 |
| Provider Name | John Cash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366805376 PECOS PAC ID: 2769777937 Enrollment ID: I20220525000100 |
| Provider Name | Andrew David Zabel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518487701 PECOS PAC ID: 5294113858 Enrollment ID: I20220609002757 |
| Provider Name | Joseph Oshoma Iluore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225599673 PECOS PAC ID: 2062891179 Enrollment ID: I20220621001556 |
| Provider Name | Kayla B Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740800788 PECOS PAC ID: 4789006966 Enrollment ID: I20220630001984 |
| Provider Name | Anudeep Dasaraju |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811456601 PECOS PAC ID: 2961734140 Enrollment ID: I20220711002020 |
| Provider Name | Uchechukwu Anigbogu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467940551 PECOS PAC ID: 9133506801 Enrollment ID: I20220718002136 |
| Provider Name | Salah Sherif |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790758530 PECOS PAC ID: 4284616046 Enrollment ID: I20220718003428 |
| Provider Name | Trevor Lynn Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811212202 PECOS PAC ID: 4082867346 Enrollment ID: I20220723000414 |
| Provider Name | James Welsey Grow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649896341 PECOS PAC ID: 7810379922 Enrollment ID: I20220806000241 |
| Provider Name | Valerie Cecile Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740937333 PECOS PAC ID: 3577947068 Enrollment ID: I20220901001063 |
| Provider Name | Matthew R Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679848147 PECOS PAC ID: 4981026473 Enrollment ID: I20220912003255 |
| Provider Name | Stefanie Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891236014 PECOS PAC ID: 7618353483 Enrollment ID: I20220930002188 |
| Provider Name | Sam Blair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093216095 PECOS PAC ID: 4486022845 Enrollment ID: I20221116002422 |
| Provider Name | Rodmond Singleton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184073835 PECOS PAC ID: 2860723947 Enrollment ID: I20221130003363 |
| Provider Name | Samuel Montgomery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932425162 PECOS PAC ID: 8325280910 Enrollment ID: I20230110002165 |
| Provider Name | Francisco J Vargas Nava |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184170185 PECOS PAC ID: 1153650197 Enrollment ID: I20230111001193 |
| Provider Name | Laura S Pumarejo-gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831696517 PECOS PAC ID: 3577953066 Enrollment ID: I20230117002234 |
| Provider Name | David K Peak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952835126 PECOS PAC ID: 1052733201 Enrollment ID: I20230208002053 |
| Provider Name | Komron Maclean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528569951 PECOS PAC ID: 2163765165 Enrollment ID: I20230306000552 |
| Provider Name | Charlie A Lopez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588124465 PECOS PAC ID: 3678803756 Enrollment ID: I20230322000015 |
| Provider Name | Alexandra E Palmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386203784 PECOS PAC ID: 6608240080 Enrollment ID: I20230327001227 |
| Provider Name | Vanessa E Duran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659640977 PECOS PAC ID: 8820307499 Enrollment ID: I20230403001668 |
| Provider Name | Armin Valdes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316470909 PECOS PAC ID: 4486011707 Enrollment ID: I20230601000705 |
| Provider Name | Carol S Twyman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073579314 PECOS PAC ID: 5496859027 Enrollment ID: I20230602001082 |
Bill G. Sekulovski, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Eastpark Dr, Suite 102, Brentwood, TN 37027 Phone: 615-373-5700 | |
Monogram Health Professional Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5410 Maryland Way Ste 301, Brentwood, TN 37027 Phone: 615-673-4455 | |
Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5410 Maryland Way Ste 300, Brentwood, TN 37027 Phone: 615-377-5658 | |
Vanguard Crewcare Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 Maryland Way Ste 200, Brentwood, TN 37027 Phone: 615-577-4927 | |
Bluesky Housecalls, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 Westpark Dr, Brentwood, TN 37027 Phone: 615-340-6840 Fax: 615-600-4804 | |
Brentwood Family Care Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5046 Thoroughbred Ln, Brentwood, TN 37027 Phone: 615-370-8080 Fax: 615-371-8906 | |
Elite Physicians Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9005 Overlook Blvd, Brentwood, TN 37027 Phone: 615-873-2975 Fax: 615-873-2975 |