| Standard Medical Group of Southeast Texas | |
|
2400 Highway 365 Ste 108 Nederland TX 77627-6268 | |
| (409) 920-4037 | |
| Not Available |
| Full Name | Standard Medical Group of Southeast Texas |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 Highway 365 Ste 108, Nederland, Texas |
| Authorized Official Name and Position | Kristopher Dela Cruz (PRESIDENT) |
| Authorized Official Contact | 4095271623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Standard Medical Group of Southeast Texas 2300 Farm To Market Road 365 540 Nederland TX 77627-6270 Ph: (409) 724-3053 | Standard Medical Group of Southeast Texas 2400 Highway 365 Ste 108 Nederland TX 77627-6268 Ph: (409) 920-4037 |
| NPI Number | 1992509665 |
|---|---|
| Provider Enumeration Date | 04/02/2025 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Medicare PECOS PAC ID | 9830603893 |
|---|---|
| Medicare Enrollment ID | O20250710001648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992509665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| 363L00000X | Nurse Practitioner | (NU) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (NU) | Secondary |
| Provider Name | Dianna Belaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689038655 PECOS PAC ID: 7911297734 Enrollment ID: I20160608000177 |
| Provider Name | Kristopher Gabas Dela Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821403809 PECOS PAC ID: 9335418847 Enrollment ID: I20170627000171 |
| Provider Name | Tung Van Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578038527 PECOS PAC ID: 9931453966 Enrollment ID: I20181110000128 |
| Provider Name | Stephanie Rachele Cloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558073973 PECOS PAC ID: 7012067051 Enrollment ID: I20250714003927 |
Medplus Mobile Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Nederland Ave Ste B, Nederland, TX 77627 Phone: 409-719-6035 |
Alliance Physicians Group of Texas, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 Highway 365, Nederland, TX 77627 Phone: 409-722-6553 Fax: 409-729-1500 |
Mid County Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 S Highway 69, Nederland, TX 77627 Phone: 409-727-4422 Fax: 409-729-5662 |
Tom Toomey MD PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1323 S 27th St, Suite 300, Nederland, TX 77627 Phone: 409-727-1180 |
Murdock Family Health and Wellness PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2400 Highway 365 Ste 101, Nederland, TX 77627 Phone: 409-724-2600 Fax: 409-724-2637 |
Moses E Wilcox Sr MD PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 S 27th St, Nederland, TX 77627 Phone: 409-727-0794 Fax: 409-727-6030 |