| Island Physicians LLC | |
|
600 Elizabeth St Building B, 4th Floor Corpus Christi TX 78404 | |
| (361) 371-8933 | |
| Not Available |
| Full Name | Island Physicians LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Elizabeth St, Corpus Christi, Texas |
| Authorized Official Name and Position | Brent Pennington (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3619851221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Physicians LLC Po Box 6696 Corpus Christi TX 78466-6696 Ph: (361) 985-1221 | Island Physicians LLC 600 Elizabeth St Building B, 4th Floor Corpus Christi TX 78404 Ph: (361) 371-8933 |
| NPI Number | 1134997158 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 4183076037 |
|---|---|
| Medicare Enrollment ID | O20240117000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134997158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Brent Lee Pennington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205098753 PECOS PAC ID: 7416105457 Enrollment ID: I20131120001852 |
| Provider Name | Debra Carpenter Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932514007 PECOS PAC ID: 0941426027 Enrollment ID: I20140725001136 |
| Provider Name | Al-hasan Khaled Al-afghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558618900 PECOS PAC ID: 5395060438 Enrollment ID: I20150211001658 |
| Provider Name | Andrew Aoshima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831578665 PECOS PAC ID: 9436403847 Enrollment ID: I20200203000300 |
South Texas Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3912 Saratoga Blvd, Corpus Christi, TX 78415 Phone: 361-854-7001 Fax: 361-855-8444 |
Michael S Lovoi MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13725 Northwest Blvd Ste 120, Corpus Christi, TX 78410 Phone: 361-387-5161 Fax: 361-387-4871 |
Advanced Gastroenterology and Nutrition of Texas PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Gordon St, Corpus Christi, TX 78404 Phone: 361-320-1890 Fax: 361-320-1891 |
Corpus Christi Cardiovascular Center, LLP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 613 Elizabeth St, Suite 102, Corpus Christi, TX 78404 Phone: 361-887-8111 Fax: 361-887-8780 |
Morgan Primary Care PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2202 Morgan Ave, Corpus Christi, TX 78405 Phone: 361-884-3966 Fax: 361-884-1842 |
South Texas Adult Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6200 Saratoga Blvd, Bldg 5, Corpus Christi, TX 78414 Phone: 361-225-2255 Fax: 361-854-3672 |