| Centerwell Senior Primary Care (tx) Pa | |
|
3915 Spencer Hwy Pasadena TX 77504-1200 | |
| (713) 265-6955 | |
| (833) 845-2869 |
| Full Name | Centerwell Senior Primary Care (tx) Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3915 Spencer Hwy, Pasadena, Texas |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care (tx) Pa 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care (tx) Pa 3915 Spencer Hwy Pasadena TX 77504-1200 Ph: (713) 265-6955 |
| NPI Number | 1861959298 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 10/18/2022 |
| Medicare PECOS PAC ID | 4789950247 |
|---|---|
| Medicare Enrollment ID | O20190327001232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861959298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Theresa A Saldana Falcon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821026691 PECOS PAC ID: 6204731847 Enrollment ID: I20031205000302 |
| Provider Name | Mary E Manis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457352288 PECOS PAC ID: 7315920238 Enrollment ID: I20040611000138 |
| Provider Name | Jennifer R Hinkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841206893 PECOS PAC ID: 4981689296 Enrollment ID: I20040621001928 |
| Provider Name | Juan G Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457333411 PECOS PAC ID: 5395780449 Enrollment ID: I20050621000066 |
| Provider Name | Gnana Sumathi Reddy Naini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821094335 PECOS PAC ID: 9931113917 Enrollment ID: I20060131000339 |
| Provider Name | Son V Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902981582 PECOS PAC ID: 7315910759 Enrollment ID: I20061215000087 |
| Provider Name | Mary Gonzales Mercado |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366540023 PECOS PAC ID: 1850381294 Enrollment ID: I20070222000220 |
| Provider Name | Jose A Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053346379 PECOS PAC ID: 5698865483 Enrollment ID: I20071217000675 |
| Provider Name | An Thien Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841357589 PECOS PAC ID: 4183703341 Enrollment ID: I20080430000174 |
| Provider Name | Theresa Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972783694 PECOS PAC ID: 0840344453 Enrollment ID: I20090817000566 |
| Provider Name | Luis A Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629016456 PECOS PAC ID: 9931246576 Enrollment ID: I20091030000096 |
| Provider Name | Geeta Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730180498 PECOS PAC ID: 9436205036 Enrollment ID: I20100205000712 |
| Provider Name | Bodo Brauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679579908 PECOS PAC ID: 4486663895 Enrollment ID: I20100319000256 |
| Provider Name | Sunti Srivathanakul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801870449 PECOS PAC ID: 2062536014 Enrollment ID: I20100827000936 |
| Provider Name | James R Mcclamroch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124036512 PECOS PAC ID: 4486842465 Enrollment ID: I20101216000906 |
| Provider Name | Michielle N Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548243538 PECOS PAC ID: 7214113646 Enrollment ID: I20110518000766 |
| Provider Name | Heather R Bartsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538304951 PECOS PAC ID: 8820269020 Enrollment ID: I20110920000395 |
| Provider Name | Larah Lr Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003168857 PECOS PAC ID: 2062663792 Enrollment ID: I20121106000498 |
| Provider Name | Grethel Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477756229 PECOS PAC ID: 3476690645 Enrollment ID: I20130411000231 |
| Provider Name | Majaz Ali Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336175231 PECOS PAC ID: 4688566177 Enrollment ID: I20141231000930 |
| Provider Name | Abbas Alalawi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881838043 PECOS PAC ID: 5799009007 Enrollment ID: I20150115000128 |
| Provider Name | Yeshewaget Legesse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487072468 PECOS PAC ID: 8123344512 Enrollment ID: I20150302001775 |
| Provider Name | Aymer Al-mutairi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861712481 PECOS PAC ID: 1456662063 Enrollment ID: I20150624000651 |
| Provider Name | Juan C Gavalda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992062160 PECOS PAC ID: 4082920129 Enrollment ID: I20150903001069 |
| Provider Name | Sylvia Longoria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356633135 PECOS PAC ID: 7113220203 Enrollment ID: I20160123000004 |
| Provider Name | Jose L Sandoval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265724637 PECOS PAC ID: 0840594321 Enrollment ID: I20160203001048 |
| Provider Name | Ucheoma D Nwaogwugwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720234016 PECOS PAC ID: 8820261837 Enrollment ID: I20160527001269 |
| Provider Name | Tehmina A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922186014 PECOS PAC ID: 4284821612 Enrollment ID: I20160816000293 |
| Provider Name | Lincy Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356896682 PECOS PAC ID: 3476831009 Enrollment ID: I20161101002522 |
| Provider Name | Crystal S Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538618293 PECOS PAC ID: 3173806494 Enrollment ID: I20170213001027 |
| Provider Name | Blanca I Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437403904 PECOS PAC ID: 6507098159 Enrollment ID: I20170419002649 |
| Provider Name | Corina G Serna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699206052 PECOS PAC ID: 7012286669 Enrollment ID: I20170713000607 |
| Provider Name | Renee Broussard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316478506 PECOS PAC ID: 7719247519 Enrollment ID: I20180215000527 |
| Provider Name | Ashley Bose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407233687 PECOS PAC ID: 7911290242 Enrollment ID: I20180621002131 |
| Provider Name | Christina Crenshaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174015184 PECOS PAC ID: 1254689888 Enrollment ID: I20180730002329 |
| Provider Name | Stacey Jay Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144700311 PECOS PAC ID: 0345599189 Enrollment ID: I20180828000508 |
| Provider Name | Christine Solveig Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215370929 PECOS PAC ID: 8022234442 Enrollment ID: I20180914001911 |
| Provider Name | Jennifer Utoh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770963357 PECOS PAC ID: 3577868462 Enrollment ID: I20181022000379 |
| Provider Name | Yasheka Shonte' Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952750424 PECOS PAC ID: 8325392376 Enrollment ID: I20181112000461 |
| Provider Name | Grace E Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801103767 PECOS PAC ID: 2961791280 Enrollment ID: I20181212003197 |
| Provider Name | Dipali Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912388141 PECOS PAC ID: 9931446770 Enrollment ID: I20190131002929 |
| Provider Name | Dalila Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699203711 PECOS PAC ID: 4082049994 Enrollment ID: I20200123001998 |
| Provider Name | Carlos A Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881231793 PECOS PAC ID: 9032544796 Enrollment ID: I20200127002190 |
| Provider Name | Michael Todd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437117637 PECOS PAC ID: 9032148176 Enrollment ID: I20200218001452 |
| Provider Name | Shaina J Arellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285271361 PECOS PAC ID: 2769811678 Enrollment ID: I20200327002570 |
| Provider Name | Leena Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114154994 PECOS PAC ID: 8426209677 Enrollment ID: I20200710001462 |
| Provider Name | Osiris Paz Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659921377 PECOS PAC ID: 7416371745 Enrollment ID: I20200713000509 |
| Provider Name | Jose Luis Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811533581 PECOS PAC ID: 1254758634 Enrollment ID: I20200831001922 |
| Provider Name | Usman Khan Jilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053774844 PECOS PAC ID: 8426395849 Enrollment ID: I20201008000649 |
| Provider Name | Olaronke Latunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811359490 PECOS PAC ID: 1052640117 Enrollment ID: I20201021001936 |
| Provider Name | Mary Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639533953 PECOS PAC ID: 9234428160 Enrollment ID: I20210120000906 |
| Provider Name | Monica Isabel Olague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013539287 PECOS PAC ID: 4789093089 Enrollment ID: I20210517000568 |
| Provider Name | Paul E Harbison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154832418 PECOS PAC ID: 6002211216 Enrollment ID: I20210826002076 |
| Provider Name | Melissa Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679043459 PECOS PAC ID: 6305236746 Enrollment ID: I20211129002345 |
| Provider Name | Sharmistha Panda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295247500 PECOS PAC ID: 8527458710 Enrollment ID: I20211202000097 |
| Provider Name | Maria Alejandra Vargas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366904971 PECOS PAC ID: 2860870359 Enrollment ID: I20220613001934 |
| Provider Name | Pete Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225708233 PECOS PAC ID: 4183000318 Enrollment ID: I20220926002085 |
| Provider Name | Angela Adanna Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487222048 PECOS PAC ID: 1658747993 Enrollment ID: I20221012000521 |
| Provider Name | Elizabeth Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619584711 PECOS PAC ID: 0244600450 Enrollment ID: I20230105000023 |
| Provider Name | Elyzabeth Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780210492 PECOS PAC ID: 9133592421 Enrollment ID: I20230307003341 |
| Provider Name | Carolina Aceves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063094985 PECOS PAC ID: 7517330806 Enrollment ID: I20230308000285 |
| Provider Name | Altagracia Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831748359 PECOS PAC ID: 9335512623 Enrollment ID: I20230308000292 |
| Provider Name | Manuel Lazaro Falcon Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821713017 PECOS PAC ID: 5395119176 Enrollment ID: I20230317000650 |
| Provider Name | Andrew A Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891358586 PECOS PAC ID: 6901230077 Enrollment ID: I20230406001545 |
| Provider Name | Hasan Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215270152 PECOS PAC ID: 3274824081 Enrollment ID: I20230504002686 |
| Provider Name | Ricardo Jorge Quintana Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730713983 PECOS PAC ID: 1254796691 Enrollment ID: I20230508001859 |
| Provider Name | Mais Alnoukari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962907733 PECOS PAC ID: 4880930759 Enrollment ID: I20230526000200 |
| Provider Name | Janeth Pashanasi De Mingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780392456 PECOS PAC ID: 5890152870 Enrollment ID: I20230606003719 |
| Provider Name | Javeria Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275816878 PECOS PAC ID: 3577829167 Enrollment ID: I20230607003746 |
| Provider Name | Yilian Romero Muniz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184092207 PECOS PAC ID: 6507224276 Enrollment ID: I20230628001347 |
| Provider Name | Lashay Dupree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811667371 PECOS PAC ID: 6002277332 Enrollment ID: I20230802001780 |
| Provider Name | Lester Alejandro Rios Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366071284 PECOS PAC ID: 9436510468 Enrollment ID: I20230807002159 |
| Provider Name | Veronica M Beaty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720791569 PECOS PAC ID: 1759742786 Enrollment ID: I20230807002393 |
| Provider Name | Marco Antonio Gamez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639885650 PECOS PAC ID: 7012379951 Enrollment ID: I20230809003316 |
| Provider Name | Naila S Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447690490 PECOS PAC ID: 8628360849 Enrollment ID: I20230829001665 |
| Provider Name | Paul N Karkorian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568896967 PECOS PAC ID: 6406131804 Enrollment ID: I20240118002208 |
| Provider Name | Ravi Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437600624 PECOS PAC ID: 1254763881 Enrollment ID: I20240129003520 |
| Provider Name | Annum Zulfiqar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033798715 PECOS PAC ID: 2668816422 Enrollment ID: I20240220002811 |
| Provider Name | Mary Alice Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932606068 PECOS PAC ID: 2264878362 Enrollment ID: I20240312001440 |
| Provider Name | Alejandro Carlos Hidalgo Parada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992950620 PECOS PAC ID: 0840732798 Enrollment ID: I20240606001360 |
| Provider Name | Lucy Luxi Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982167052 PECOS PAC ID: 6305225194 Enrollment ID: I20240815002055 |
| Provider Name | Melba Lafita Casana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174128250 PECOS PAC ID: 7315478476 Enrollment ID: I20241001001845 |
| Provider Name | Joshunda Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689195174 PECOS PAC ID: 4183036502 Enrollment ID: I20241023000069 |
| Provider Name | Ana Paula Frambach Simao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093389876 PECOS PAC ID: 7810392784 Enrollment ID: I20250217001371 |
Patients Urgent Care Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 E Sam Houston Pkwy S, Pasadena, TX 77505 Phone: 713-948-7000 | |
Gendi Multi Specialty Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 Phone: 713-477-0400 Fax: 713-477-2711 | |
Mobee Medical Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3315 Burke Rd Ste 306, Pasadena, TX 77504 Phone: 346-298-1817 | |
Latin American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4135 Spencer Hwy, Pasadena, TX 77504 Phone: 832-613-7948 | |
St. Luke's Health Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2626 Spencer Hwy Ste 130, Pasadena, TX 77504 Phone: 281-974-2102 Fax: 281-715-5300 | |
Gordon Sack Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3339 Fairview St, Pasadena, TX 77504 Phone: 713-910-6464 Fax: 713-910-6995 | |
Memorial Hermann Community Benefit Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Park Ln, Suite M, Pasadena, TX 77506 Phone: 832-658-5230 Fax: 713-473-0385 |