| La Magna Health Pllc | |
|
1631 11th St Unit B Wichita Falls TX 76301-4332 | |
| (940) 687-5000 | |
| (940) 263-3018 |
| Full Name | La Magna Health Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 1631 11th St Unit B, Wichita Falls, Texas |
| Authorized Official Name and Position | Andre Desire (OWNER) |
| Authorized Official Contact | 9402633001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Magna Health Pllc 1631 11th St Unit B Wichita Falls TX 76301-4332 Ph: (940) 687-5000 | La Magna Health Pllc 1631 11th St Unit B Wichita Falls TX 76301-4332 Ph: (940) 687-5000 |
| NPI Number | 1699285346 |
|---|---|
| Provider Enumeration Date | 10/09/2017 |
| Last Update Date | 12/12/2022 |
| Medicare PECOS PAC ID | 0749540045 |
|---|---|
| Medicare Enrollment ID | O20180206001403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699285346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Savita R Kurup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568457968 PECOS PAC ID: 0840253399 Enrollment ID: I20041105000889 |
| Provider Name | Dominic A Offiong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497730097 PECOS PAC ID: 3274553649 Enrollment ID: I20051130000271 |
| Provider Name | Tania Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700939741 PECOS PAC ID: 7911068879 Enrollment ID: I20110506000361 |
| Provider Name | Haroon Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376596155 PECOS PAC ID: 0042219883 Enrollment ID: I20120328000725 |
| Provider Name | Siby Sam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053607051 PECOS PAC ID: 4183879943 Enrollment ID: I20130227000372 |
| Provider Name | Dresslgn A Habtgiorgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235369117 PECOS PAC ID: 6709926421 Enrollment ID: I20140813001102 |
| Provider Name | Priyadarshini S Ranbhise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083737217 PECOS PAC ID: 8628163995 Enrollment ID: I20141022002143 |
| Provider Name | Abdier Delgado Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619384427 PECOS PAC ID: 9931328069 Enrollment ID: I20150224000400 |
| Provider Name | Robin Qubty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285911636 PECOS PAC ID: 2668608092 Enrollment ID: I20151014002628 |
| Provider Name | Shoaib Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033653654 PECOS PAC ID: 3173892197 Enrollment ID: I20170707001091 |
| Provider Name | Gilbert A Ojong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194137331 PECOS PAC ID: 5890094775 Enrollment ID: I20171030001683 |
| Provider Name | Trevon Roshad Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528571759 PECOS PAC ID: 9133483613 Enrollment ID: I20180509001553 |
| Provider Name | Anas Albrejawi Alhomsi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033590690 PECOS PAC ID: 3375897697 Enrollment ID: I20181126001012 |
| Provider Name | Jamie C Meadors |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144735952 PECOS PAC ID: 5395093785 Enrollment ID: I20190104000181 |
| Provider Name | Karla Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588175624 PECOS PAC ID: 9537405790 Enrollment ID: I20190108003311 |
| Provider Name | Dawn P Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053525600 PECOS PAC ID: 9739245911 Enrollment ID: I20190911000404 |
| Provider Name | Valmy E Ngomba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881048379 PECOS PAC ID: 9335488006 Enrollment ID: I20190918000093 |
| Provider Name | Roland T Glenister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649763541 PECOS PAC ID: 9436406642 Enrollment ID: I20200123000442 |
| Provider Name | Daniel A Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063014934 PECOS PAC ID: 3375958143 Enrollment ID: I20210209002579 |
| Provider Name | Kyaw L Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598259426 PECOS PAC ID: 4385998178 Enrollment ID: I20210428000872 |
| Provider Name | Ya Wen Fuh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073099107 PECOS PAC ID: 6507100104 Enrollment ID: I20210428002563 |
| Provider Name | Micheal Ogorchukwu Anyirah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184112724 PECOS PAC ID: 6709287923 Enrollment ID: I20210625001014 |
| Provider Name | Vivian Ekechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518457662 PECOS PAC ID: 5193127744 Enrollment ID: I20211007000695 |
| Provider Name | San Myat Htun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487216354 PECOS PAC ID: 8628454188 Enrollment ID: I20221006001323 |
| Provider Name | Alan Nelson Barbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477275352 PECOS PAC ID: 3870969488 Enrollment ID: I20221024001618 |
| Provider Name | Talha Javed Ramzan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669966701 PECOS PAC ID: 6204200850 Enrollment ID: I20230321002857 |
| Provider Name | Blair Arthur Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073272043 PECOS PAC ID: 8426423955 Enrollment ID: I20230413002465 |
| Provider Name | Anirudh Tadakamalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134740970 PECOS PAC ID: 3870917933 Enrollment ID: I20230418000874 |
| Provider Name | Thamer Saad Almalki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366929457 PECOS PAC ID: 5597120717 Enrollment ID: I20230424000026 |
| Provider Name | Pravalika Rudraraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407474562 PECOS PAC ID: 6608299730 Enrollment ID: I20230424001478 |
| Provider Name | Sabina Nasirova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144859505 PECOS PAC ID: 3779990304 Enrollment ID: I20230426002323 |
| Provider Name | Stefanie Janine Marco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144713736 PECOS PAC ID: 7214274257 Enrollment ID: I20230426002857 |
| Provider Name | Anisha Vupputuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801262480 PECOS PAC ID: 2264782861 Enrollment ID: I20230823002967 |
| Provider Name | Kalyan C Chilukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750999801 PECOS PAC ID: 4486018223 Enrollment ID: I20230913001412 |
| Provider Name | Leandra L Donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184317240 PECOS PAC ID: 0446604797 Enrollment ID: I20230920004155 |
| Provider Name | April D Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710764782 PECOS PAC ID: 7911353909 Enrollment ID: I20231027000010 |
| Provider Name | Brooke Alaine Callen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801668868 PECOS PAC ID: 6800245697 Enrollment ID: I20231205002038 |
| Provider Name | Michelle Darlene Urquizo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841062460 PECOS PAC ID: 9133578255 Enrollment ID: I20231213004038 |
| Provider Name | Jason Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023699691 PECOS PAC ID: 5698218253 Enrollment ID: I20240624003789 |
| Provider Name | Kejal Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124699525 PECOS PAC ID: 6002354842 Enrollment ID: I20240812003353 |
United Regional Health Care System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 11th St, Wichita Falls, TX 76301 Phone: 940-764-3034 Fax: 940-764-8315 | |
Endocrinology Of Northern Texas Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Eureka Cir, Suite A, Wichita Falls, TX 76308 Phone: 203-531-6586 | |
North Central Texas Community Health Care Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4105 Maplewood Ave Ste 1000, Wichita Falls, TX 76308 Phone: 940-766-6306 | |
Kell West Family Practice Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5500 Kell West Blvd, Suite 400, Wichita Falls, TX 76310 Phone: 940-696-0011 Fax: 940-696-2248 | |
North Central Texas Community Health Care Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Lee Street, Wichita Falls, TX 76301 Phone: 940-766-6306 Fax: 940-766-6504 | |
Rajesh Atluri, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 Midwestern Parkway, Wichita Falls, TX 76302 Phone: 940-689-8900 Fax: 940-689-8901 | |
Flower Mai Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4003 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-766-3600 Fax: 940-766-3610 |