| Healthtexas Provider Network | |
|
4400 Ih 30 W Suite 100 Greenville TX 75402-4620 | |
| (469) 800-3524 | |
| (469) 800-3564 |
| Full Name | Healthtexas Provider Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 4400 Ih 30 W, Greenville, Texas |
| Authorized Official Name and Position | Jessica Harding (OPERATIONS MANAGER) |
| Authorized Official Contact | 4698008500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthtexas Provider Network 8080 N Central Expy Ste 600 Dallas TX 75206-3794 Ph: (469) 800-8649 | Healthtexas Provider Network 4400 Ih 30 W Suite 100 Greenville TX 75402-4620 Ph: (469) 800-3524 |
| NPI Number | 1790723468 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 06/07/2022 |
| Medicare PECOS PAC ID | 3971568023 |
|---|---|
| Medicare Enrollment ID | O20041130000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790723468 | NPI | - | NPPES |
| 00J629 | Other | TX | BCBS GROUP |
| 137940607 | Medicaid | TX | |
| 091888002 | Medicaid | TX | |
| 137940601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Robert F Deuell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407894959 PECOS PAC ID: 4688626120 Enrollment ID: I20050214000248 |
| Provider Name | Terry L Sadler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376658609 PECOS PAC ID: 6002869492 Enrollment ID: I20050225000147 |
| Provider Name | Clifford Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669485645 PECOS PAC ID: 3870548779 Enrollment ID: I20050314000722 |
| Provider Name | Elham Ziai-jamalabadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568433027 PECOS PAC ID: 6002818853 Enrollment ID: I20070207000150 |
| Provider Name | Linda Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215953666 PECOS PAC ID: 7113024753 Enrollment ID: I20070516000415 |
| Provider Name | Joshua K Trussell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760684195 PECOS PAC ID: 5395897995 Enrollment ID: I20090713000320 |
| Provider Name | George Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992733802 PECOS PAC ID: 1850457227 Enrollment ID: I20100830000126 |
| Provider Name | Martin Cutrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801809918 PECOS PAC ID: 2769548130 Enrollment ID: I20101201000803 |
| Provider Name | Kimberly H Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164691465 PECOS PAC ID: 0941480271 Enrollment ID: I20110203000690 |
| Provider Name | Joshua Hamilton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487850582 PECOS PAC ID: 3375708142 Enrollment ID: I20120628000323 |
| Provider Name | Sherri D Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982975827 PECOS PAC ID: 4284877283 Enrollment ID: I20130823000141 |
| Provider Name | Andrew Standerwick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598961898 PECOS PAC ID: 1557527991 Enrollment ID: I20131029001454 |
| Provider Name | Harold A Barnard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710074612 PECOS PAC ID: 3173512340 Enrollment ID: I20131107001329 |
Hunt Memorial Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Ridgecrest Rd Ste A, Greenville, TX 75402 Phone: 903-453-2850 Fax: 903-453-2859 | |
Hunt Regional Medical Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4101 Wesley St Ste D, Greenville, TX 75401 Phone: 903-408-5870 Fax: 903-408-5879 | |
Texas Gastrointestinal Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 Joe Ramsey Blvd, Suite 220, Greenville, TX 75401 Phone: 903-408-7885 Fax: 903-408-7899 | |
Doctor Is In, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4812 Roberts St, Greenville, TX 75401 Phone: 903-455-1234 Fax: 903-455-2122 | |
Ahad M Hassan Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4812 Roberts St, Greenville, TX 75401 Phone: 972-636-4080 | |
D&f Med, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 Live Oak St, Greenville, TX 75402 Phone: 903-455-3500 | |
Borelli Inpatient Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4215 Joe Ramsey Blvd E, 7th Floor, Greenville, TX 75401 Phone: 903-408-5000 |