| Pak Medical Group, Pllc | |
|
1762 E Common St New Braunfels TX 78130-6059 | |
| (830) 730-8580 | |
| (830) 327-1021 |
| Full Name | Pak Medical Group, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1762 E Common St, New Braunfels, Texas |
| Authorized Official Name and Position | Veronica Jean Harlan (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8307305025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pak Medical Group, Pllc 1672 Independence Dr Ste 310 New Braunfels TX 78132-3982 Ph: (830) 730-5025 | Pak Medical Group, Pllc 1762 E Common St New Braunfels TX 78130-6059 Ph: (830) 730-8580 |
| NPI Number | 1992297816 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 01/22/2024 |
| Medicare PECOS PAC ID | 4486904315 |
|---|---|
| Medicare Enrollment ID | O20180913002148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992297816 | NPI | - | NPPES |
| 3947798-01 | Medicaid | TX | |
| 3947798-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | David A Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285727206 PECOS PAC ID: 3577514538 Enrollment ID: I20050207000890 |
| Provider Name | Filomeno P Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376549204 PECOS PAC ID: 9133019748 Enrollment ID: I20050914000195 |
| Provider Name | Ho Sung Sung Pak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518025766 PECOS PAC ID: 1759313794 Enrollment ID: I20050915000404 |
| Provider Name | Primo Abel Mayhua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376587568 PECOS PAC ID: 2567487028 Enrollment ID: I20051013000395 |
| Provider Name | Arindam Bandyopadhyay |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407843972 PECOS PAC ID: 4981624855 Enrollment ID: I20051207000197 |
| Provider Name | Fransisco Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972569895 PECOS PAC ID: 5092705202 Enrollment ID: I20060120000777 |
| Provider Name | Guido Jose Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720053739 PECOS PAC ID: 2769484096 Enrollment ID: I20070215000250 |
| Provider Name | Daniel R Cruz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073708996 PECOS PAC ID: 8527156611 Enrollment ID: I20071127000347 |
| Provider Name | Jaime A Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962538439 PECOS PAC ID: 4880758788 Enrollment ID: I20090121000292 |
| Provider Name | Nancy K Lough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538318969 PECOS PAC ID: 2668520834 Enrollment ID: I20090427000420 |
| Provider Name | Freddy Angulo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255472205 PECOS PAC ID: 7719038900 Enrollment ID: I20090629000511 |
| Provider Name | James Ray Bartay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518055581 PECOS PAC ID: 0345372041 Enrollment ID: I20100715000654 |
| Provider Name | Anne Shackelford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366779134 PECOS PAC ID: 2163546987 Enrollment ID: I20100901000082 |
| Provider Name | Sankararao Tamtam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588625735 PECOS PAC ID: 8820285745 Enrollment ID: I20101203001202 |
| Provider Name | Christopher Wofford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427195171 PECOS PAC ID: 5294995940 Enrollment ID: I20120404000565 |
| Provider Name | Erin L Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477746121 PECOS PAC ID: 3971769027 Enrollment ID: I20120718000515 |
| Provider Name | Anthony C Bienek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336376995 PECOS PAC ID: 8820233356 Enrollment ID: I20130403000434 |
| Provider Name | Shanna Lynn Kalage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114360740 PECOS PAC ID: 3274767330 Enrollment ID: I20131004000219 |
| Provider Name | Jennifer M Freytag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669887329 PECOS PAC ID: 9537387477 Enrollment ID: I20140905001688 |
| Provider Name | Clay T Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578900486 PECOS PAC ID: 7315259595 Enrollment ID: I20150630002303 |
| Provider Name | Aimee Bearden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255881827 PECOS PAC ID: 7719268952 Enrollment ID: I20170103000529 |
| Provider Name | Diana Joye Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053859462 PECOS PAC ID: 7810271301 Enrollment ID: I20170301000155 |
| Provider Name | Gwendolyn M Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891225934 PECOS PAC ID: 2466722202 Enrollment ID: I20170726003415 |
| Provider Name | John E Stanhope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740331016 PECOS PAC ID: 4486790748 Enrollment ID: I20170823003396 |
| Provider Name | Jeremy Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184892622 PECOS PAC ID: 6002116324 Enrollment ID: I20180201001380 |
| Provider Name | Natalie Kay Baiamonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316442247 PECOS PAC ID: 6709140031 Enrollment ID: I20180514000687 |
| Provider Name | Jennifer Ann Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689709321 PECOS PAC ID: 4385909423 Enrollment ID: I20180521001375 |
| Provider Name | Illiana Turnini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487131421 PECOS PAC ID: 3577812122 Enrollment ID: I20180815002822 |
| Provider Name | Michelle R Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184081747 PECOS PAC ID: 4486999117 Enrollment ID: I20181227000503 |
| Provider Name | Christina Diana Mortenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083256283 PECOS PAC ID: 1355774662 Enrollment ID: I20191127000335 |
| Provider Name | Mallory Antoinette Jacobs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124406475 PECOS PAC ID: 1456786193 Enrollment ID: I20200127001489 |
| Provider Name | William Vance Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841796562 PECOS PAC ID: 7618306895 Enrollment ID: I20200409001997 |
| Provider Name | Maria Salinas |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043530207 PECOS PAC ID: 0840517504 Enrollment ID: I20211117001033 |
| Provider Name | Ryan Andrew Armour |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003080557 PECOS PAC ID: 6800051269 Enrollment ID: I20220405003220 |
| Provider Name | Ashley M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063194009 PECOS PAC ID: 1759737919 Enrollment ID: I20231024001779 |
| Provider Name | Nora Saul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801132014 PECOS PAC ID: 6709030521 Enrollment ID: I20231031002478 |
Lakeview Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 921 Lakeview Blvd, New Braunfels, TX 78130 Phone: 210-620-7744 | |
Haoran Yu, Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 43 Yu Dr, New Braunfels, TX 78130 Phone: 830-608-9300 Fax: 830-626-1727 | |
Seacole Labs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 S Business Ih 35 Ste C17, New Braunfels, TX 78130 Phone: 210-245-6088 | |
Deborah L Melendez, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 E Common St, Ste. 201, New Braunfels, TX 78130 Phone: 830-625-5557 | |
Volente Physicians Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2010 Hoffmann Ln, New Braunfels, TX 78132 Phone: 214-903-0776 | |
Lori Hickson, Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1619 E. Common St., Bldg. L, Suite 1201, New Braunfels, TX 78130 Phone: 830-203-6695 Fax: 830-214-6292 | |
Melissa H Miskell Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 598 N Union Ave, Suite 300, New Braunfels, TX 78130 Phone: 830-627-7979 Fax: 830-626-3963 |