| Mch Procare | |
|
8050 E Highway 191 Ste 108 Odessa TX 79765-8614 | |
| (432) 640-2401 | |
| (432) 640-4606 |
| Full Name | Mch Procare |
|---|---|
| Speciality | Clinic/Center |
| Location | 8050 E Highway 191 Ste 108, Odessa, Texas |
| Authorized Official Name and Position | Adiel Alvarado (PRESIDENT) |
| Authorized Official Contact | 4326402401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mch Procare Po Box 2129 Odessa TX 79760-2129 Ph: (432) 640-2401 | Mch Procare 8050 E Highway 191 Ste 108 Odessa TX 79765-8614 Ph: (432) 640-2401 |
| NPI Number | 1649391269 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Medicare PECOS PAC ID | 1658358635 |
|---|---|
| Medicare Enrollment ID | O20040707001020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649391269 | NPI | - | NPPES |
| 159279202 | Medicaid | TX |
| Provider Name | Fernando Boccalandro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467441428 PECOS PAC ID: 3577551654 Enrollment ID: I20040505001634 |
| Provider Name | Juanita C Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194855817 PECOS PAC ID: 5698766509 Enrollment ID: I20040520000092 |
| Provider Name | Stephanie Alexandra Kubacak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821086729 PECOS PAC ID: 0143299743 Enrollment ID: I20040930000250 |
| Provider Name | Benjamin J Cunningham |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568452084 PECOS PAC ID: 9638133879 Enrollment ID: I20050729000301 |
| Provider Name | Gonzalo Lievano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558302976 PECOS PAC ID: 0749212892 Enrollment ID: I20050909000077 |
| Provider Name | Eduardo Salcedo |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1114955812 PECOS PAC ID: 8820190614 Enrollment ID: I20070226000289 |
| Provider Name | Sam Eun Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093987885 PECOS PAC ID: 8820158702 Enrollment ID: I20081121000505 |
| Provider Name | Getnet Aberra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801839170 PECOS PAC ID: 3577594357 Enrollment ID: I20100528000362 |
| Provider Name | Tejas Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700061736 PECOS PAC ID: 7416073804 Enrollment ID: I20100922000980 |
| Provider Name | Manohar Angirekula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023007085 PECOS PAC ID: 2769386747 Enrollment ID: I20110308000720 |
| Provider Name | Ramnauth Robert Ramkissoon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962711200 PECOS PAC ID: 8527242783 Enrollment ID: I20110412000960 |
| Provider Name | Daniel Mclain Babbel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093821357 PECOS PAC ID: 7618147711 Enrollment ID: I20110829000335 |
| Provider Name | Varuna Nargunan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386807089 PECOS PAC ID: 0648446013 Enrollment ID: I20120106000056 |
| Provider Name | Sheharyar Merwat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982816310 PECOS PAC ID: 7810034766 Enrollment ID: I20120626000547 |
| Provider Name | Zoila R Barrera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659361970 PECOS PAC ID: 7719897214 Enrollment ID: I20120716000407 |
| Provider Name | Mandeep S Othee |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295850436 PECOS PAC ID: 6103899042 Enrollment ID: I20120913000127 |
| Provider Name | Vijay Borra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356518146 PECOS PAC ID: 4183874019 Enrollment ID: I20121030000229 |
| Provider Name | Matthew a Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437402278 PECOS PAC ID: 1052554896 Enrollment ID: I20130827000557 |
| Provider Name | Kalyan Chakrala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942523626 PECOS PAC ID: 4587889357 Enrollment ID: I20140710002265 |
| Provider Name | Santiago Giraldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669473559 PECOS PAC ID: 0941265177 Enrollment ID: I20150424001127 |
| Provider Name | Jorge G. Alamo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063859189 PECOS PAC ID: 4385934504 Enrollment ID: I20160913000027 |
| Provider Name | Sindhu Kaitha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821309964 PECOS PAC ID: 8022310267 Enrollment ID: I20161003001118 |
| Provider Name | Ghenima Cherid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710263363 PECOS PAC ID: 3577851260 Enrollment ID: I20161012002138 |
| Provider Name | Obinna Ukabam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528354545 PECOS PAC ID: 0345489696 Enrollment ID: I20171211000211 |
| Provider Name | Adam Jeffery Farber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861784399 PECOS PAC ID: 3577842012 Enrollment ID: I20180705001743 |
| Provider Name | Gia Elena Marotta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689817173 PECOS PAC ID: 6103044656 Enrollment ID: I20181219003471 |
| Provider Name | Ma Ellen Novicio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578503231 PECOS PAC ID: 2769384379 Enrollment ID: I20190404002428 |
| Provider Name | Deephak Swaminath |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265757892 PECOS PAC ID: 6002188687 Enrollment ID: I20190909002986 |
| Provider Name | Emily a Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871138735 PECOS PAC ID: 1456786466 Enrollment ID: I20200122001458 |
| Provider Name | Joshua Levinger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942456967 PECOS PAC ID: 9133252257 Enrollment ID: I20200819002791 |
| Provider Name | Jeffrey S Freyder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174813026 PECOS PAC ID: 8325278120 Enrollment ID: I20201210000880 |
| Provider Name | Antonyos Mahfoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508220641 PECOS PAC ID: 9537490644 Enrollment ID: I20210104001477 |
| Provider Name | Courtney Kay Myers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154976660 PECOS PAC ID: 0941614309 Enrollment ID: I20210126000565 |
| Provider Name | Nathaniel Wolkenfeld |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023317351 PECOS PAC ID: 8426279092 Enrollment ID: I20210526000605 |
| Provider Name | Nathanael James Longacre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801406954 PECOS PAC ID: 6204234529 Enrollment ID: I20211018000452 |
| Provider Name | Irene Vera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710561360 PECOS PAC ID: 6305237405 Enrollment ID: I20211228001694 |
| Provider Name | Ngan Vu Kim Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790439800 PECOS PAC ID: 2961895834 Enrollment ID: I20220217001161 |
| Provider Name | Benjamin Luis Aguilar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205470077 PECOS PAC ID: 5890180442 Enrollment ID: I20220316003931 |
| Provider Name | Sagarika P. Satyavada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316331267 PECOS PAC ID: 7517340060 Enrollment ID: I20220816000697 |
| Provider Name | Genevieve U Okafor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871953943 PECOS PAC ID: 3779874409 Enrollment ID: I20220905000275 |
| Provider Name | Chineme Chima-nlewem |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073124004 PECOS PAC ID: 9436526662 Enrollment ID: I20221101001987 |
| Provider Name | Katrina Loera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346959954 PECOS PAC ID: 4082084199 Enrollment ID: I20230106001282 |
| Provider Name | Nilo Pura Napay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972210318 PECOS PAC ID: 2264804053 Enrollment ID: I20230203000645 |
| Provider Name | Mayra Villa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548972763 PECOS PAC ID: 5597137653 Enrollment ID: I20230218000322 |
| Provider Name | Francisco Xavier Baeza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376257097 PECOS PAC ID: 4284007949 Enrollment ID: I20230227002994 |
| Provider Name | Rao S Mandalapu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356510077 PECOS PAC ID: 4385018217 Enrollment ID: I20230316000749 |
| Provider Name | Mason Crumrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851086888 PECOS PAC ID: 4082089388 Enrollment ID: I20230418001227 |
| Provider Name | Eduardo Jose Morfa Romero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518322163 PECOS PAC ID: 5597028472 Enrollment ID: I20230907004155 |
| Provider Name | Angela Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861274441 PECOS PAC ID: 3971959750 Enrollment ID: I20231031001363 |
| Provider Name | Jemimah Doma Omavuezi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588371751 PECOS PAC ID: 5698121267 Enrollment ID: I20231102001829 |
| Provider Name | Samy Heshmat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124218664 PECOS PAC ID: 9234370354 Enrollment ID: I20231107003772 |
| Provider Name | Alma Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245004381 PECOS PAC ID: 6709234198 Enrollment ID: I20231124000051 |
| Provider Name | Saima Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407416787 PECOS PAC ID: 0648507129 Enrollment ID: I20240408000233 |
| Provider Name | Varunsiri Atti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336660984 PECOS PAC ID: 8426498205 Enrollment ID: I20240426000773 |
| Provider Name | Amber Elisa Vetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952070195 PECOS PAC ID: 9537680764 Enrollment ID: I20250304004070 |
| Provider Name | Bich Thao Dang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215597323 PECOS PAC ID: 3678802667 Enrollment ID: I20250716001162 |
| Provider Name | Mabel Jimenez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659937431 PECOS PAC ID: 9133506793 Enrollment ID: I20250805000848 |
| Provider Name | Nakira Nkogallogo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609740638 PECOS PAC ID: 2961999735 Enrollment ID: I20251015000958 |
| Provider Name | Kiana E Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720938855 PECOS PAC ID: 1759860018 Enrollment ID: I20260206001562 |
| Provider Name | Stacie Rene Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770436487 PECOS PAC ID: 4082198106 Enrollment ID: I20260317003427 |
| Provider Name | Crystal Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821969874 PECOS PAC ID: 6608351853 Enrollment ID: I20260326001387 |
John H. Doran,m.d., P.l.lc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Dotsy Ave, Odessa, TX 79763 Phone: 432-333-3295 Fax: 432-333-8840 |
Permian Women's Center, P.a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 405 N Tom Green Ave, Odessa, TX 79761 Phone: 432-580-9876 |
Sing Dy Uy,md Clinic PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2461-a East 11th St, Odessa, TX 79761 Phone: 432-334-8845 Fax: 432-334-8875 |
University Prompt Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2651 Kermit Hwy, Odessa, TX 79763 Phone: 432-333-3637 |
Scotty Ortega PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4415 Hinkle St, Odessa, TX 79762 Phone: 432-940-3240 |
Ahmed Hassan, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 325-763-8473 |