| Sebd Professional Support Services | |
|
130 Hays St Luling TX 78648-3207 | |
| (830) 875-7000 | |
| (830) 875-7053 |
| Full Name | Sebd Professional Support Services |
|---|---|
| Speciality | Family Medicine |
| Location | 130 Hays St, Luling, Texas |
| Authorized Official Name and Position | William Davis (PRESIDENT/CEO) |
| Authorized Official Contact | 5123241000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sebd Professional Support Services 1345 Philomena Austin TX 78723-3185 Ph: (512) 324-3269 | Sebd Professional Support Services 130 Hays St Luling TX 78648-3207 Ph: (830) 875-7000 |
| NPI Number | 1215118609 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 5193634293 |
|---|---|
| Medicare Enrollment ID | O20031126000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215118609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207R00000X | Internal Medicine | () | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| Provider Name | Brent Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588680672 PECOS PAC ID: 8022909738 Enrollment ID: I20040323000592 |
| Provider Name | Andrew Harvey Weary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609861517 PECOS PAC ID: 7911998604 Enrollment ID: I20040520001536 |
| Provider Name | James Chudleigh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417963448 PECOS PAC ID: 5092704627 Enrollment ID: I20040615001546 |
| Provider Name | Diana L Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649265331 PECOS PAC ID: 9133198336 Enrollment ID: I20040924000759 |
| Provider Name | Bing G Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770683484 PECOS PAC ID: 3577523174 Enrollment ID: I20041019000061 |
| Provider Name | Gregg L Mercier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497737076 PECOS PAC ID: 0648232124 Enrollment ID: I20041027000846 |
| Provider Name | Barry F Oswalt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841253556 PECOS PAC ID: 1254393267 Enrollment ID: I20041103000211 |
| Provider Name | Walter L Chesshir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043285836 PECOS PAC ID: 6406893759 Enrollment ID: I20050408000587 |
| Provider Name | Renu Mohandas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205949112 PECOS PAC ID: 3971540972 Enrollment ID: I20050412000274 |
| Provider Name | Arjun Mohandas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639123573 PECOS PAC ID: 6103863121 Enrollment ID: I20050412000437 |
| Provider Name | Alan E Leifeste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700988714 PECOS PAC ID: 0244260370 Enrollment ID: I20050817000970 |
| Provider Name | Hanzy Bustamante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508828641 PECOS PAC ID: 5496786691 Enrollment ID: I20050827000065 |
| Provider Name | Kristin Lee Sagebiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487690251 PECOS PAC ID: 7113947318 Enrollment ID: I20051202000353 |
| Provider Name | Munira a Khambati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215958624 PECOS PAC ID: 7113029166 Enrollment ID: I20070222000553 |
| Provider Name | Thomas G Bening |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285710053 PECOS PAC ID: 9436254455 Enrollment ID: I20070420000061 |
| Provider Name | Stephen D Scoggin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043201247 PECOS PAC ID: 3870482102 Enrollment ID: I20070828001070 |
| Provider Name | Lawrence F Buxton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871586305 PECOS PAC ID: 0749377349 Enrollment ID: I20071029000747 |
| Provider Name | Randall W Kirtley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457374621 PECOS PAC ID: 8325138241 Enrollment ID: I20071217000041 |
| Provider Name | Thresia Joy Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245422203 PECOS PAC ID: 6002906427 Enrollment ID: I20071221000113 |
| Provider Name | Ivan R Nepustil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407879463 PECOS PAC ID: 4981784055 Enrollment ID: I20071231000546 |
| Provider Name | Selina Chrane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699897488 PECOS PAC ID: 5799865846 Enrollment ID: I20080102000531 |
| Provider Name | Yue Deng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821292483 PECOS PAC ID: 4385726348 Enrollment ID: I20080129000752 |
| Provider Name | Kristi Burkhart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215052964 PECOS PAC ID: 5991874265 Enrollment ID: I20080513000701 |
| Provider Name | Jeanet N Tannous |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689874240 PECOS PAC ID: 1254401953 Enrollment ID: I20080607000049 |
| Provider Name | David L Lindzey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730140906 PECOS PAC ID: 0941363964 Enrollment ID: I20090116000162 |
| Provider Name | Griffith M Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811070790 PECOS PAC ID: 7012070980 Enrollment ID: I20090121000236 |
| Provider Name | Robert a Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982624854 PECOS PAC ID: 6901866656 Enrollment ID: I20090501000256 |
| Provider Name | Erica Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316080740 PECOS PAC ID: 2668520602 Enrollment ID: I20090501000271 |
| Provider Name | Bernard D Morris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598703720 PECOS PAC ID: 1850394768 Enrollment ID: I20090514000285 |
| Provider Name | Charles Franz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912978206 PECOS PAC ID: 9234197195 Enrollment ID: I20090529000145 |
| Provider Name | Akbar Hussaini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740224195 PECOS PAC ID: 7517960669 Enrollment ID: I20090602000723 |
| Provider Name | Lee Roy Rice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164459004 PECOS PAC ID: 6204886351 Enrollment ID: I20090610000523 |
| Provider Name | Michael M Albrecht |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366423246 PECOS PAC ID: 6800781634 Enrollment ID: I20090922000768 |
| Provider Name | Candace Burgoyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922231455 PECOS PAC ID: 3971649625 Enrollment ID: I20091009000227 |
| Provider Name | Jose Oviedo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700876448 PECOS PAC ID: 0840331591 Enrollment ID: I20100104000398 |
| Provider Name | Jerrod a Taber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407184476 PECOS PAC ID: 0446387930 Enrollment ID: I20100414000404 |
| Provider Name | Tammy Sartor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023083839 PECOS PAC ID: 0446388359 Enrollment ID: I20100514000071 |
| Provider Name | Rebecca Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467656033 PECOS PAC ID: 0446382329 Enrollment ID: I20100712000309 |
| Provider Name | Michael C Cricchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073786448 PECOS PAC ID: 3678697927 Enrollment ID: I20100824000570 |
| Provider Name | Nicole P Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790099547 PECOS PAC ID: 5395939516 Enrollment ID: I20101102000538 |
| Provider Name | John Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568451201 PECOS PAC ID: 5991986432 Enrollment ID: I20110216001087 |
| Provider Name | Anita Sharan Jesudass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538239843 PECOS PAC ID: 0446437446 Enrollment ID: I20110531000205 |
| Provider Name | Mitra Jafari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528232014 PECOS PAC ID: 4688841869 Enrollment ID: I20120112000118 |
| Provider Name | Georgia Catherine Hay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801024054 PECOS PAC ID: 6103081393 Enrollment ID: I20120714000059 |
| Provider Name | Veronica Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689957599 PECOS PAC ID: 8426214792 Enrollment ID: I20120801000225 |
| Provider Name | Diana Ann Yens |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255394375 PECOS PAC ID: 9436050978 Enrollment ID: I20120926000663 |
| Provider Name | Brittney a Misercola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104178037 PECOS PAC ID: 8022268911 Enrollment ID: I20121031000276 |
| Provider Name | Dominique Lawrence |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023360237 PECOS PAC ID: 9739330713 Enrollment ID: I20121126000170 |
| Provider Name | Charlene Carmen Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149646 PECOS PAC ID: 7911150537 Enrollment ID: I20130110000317 |
| Provider Name | Dora Lilia Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831176635 PECOS PAC ID: 5597919886 Enrollment ID: I20130214000457 |
| Provider Name | Stephanie M Jasik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396992079 PECOS PAC ID: 3173763489 Enrollment ID: I20130710000555 |
| Provider Name | Ghizlane Benchekroune |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497922132 PECOS PAC ID: 8527236108 Enrollment ID: I20130808000389 |
| Provider Name | Jorah Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326487497 PECOS PAC ID: 4880838671 Enrollment ID: I20130917000731 |
| Provider Name | Lindsey Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043617061 PECOS PAC ID: 0446574511 Enrollment ID: I20150120001122 |
| Provider Name | Sofia T Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932447406 PECOS PAC ID: 7416271150 Enrollment ID: I20150128001641 |
| Provider Name | Natalya a Stadler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962818419 PECOS PAC ID: 9739405465 Enrollment ID: I20150224000537 |
| Provider Name | Juan Davila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215297155 PECOS PAC ID: 0749406494 Enrollment ID: I20151005001263 |
| Provider Name | Sherrel E Downes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053788828 PECOS PAC ID: 5193034973 Enrollment ID: I20151016001961 |
| Provider Name | Lisa M Higgs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508234105 PECOS PAC ID: 6507176732 Enrollment ID: I20151030000838 |
| Provider Name | Savannah E Harebottle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730543158 PECOS PAC ID: 2961700653 Enrollment ID: I20160413001162 |
| Provider Name | Karina Gutierrez Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992148605 PECOS PAC ID: 0749573251 Enrollment ID: I20160721000310 |
| Provider Name | Michellee N Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194278028 PECOS PAC ID: 4284929399 Enrollment ID: I20160827000307 |
| Provider Name | Catherine Edwards |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326392051 PECOS PAC ID: 7719265826 Enrollment ID: I20161025000503 |
| Provider Name | Jennifer Severance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639520596 PECOS PAC ID: 9537448949 Enrollment ID: I20161107002331 |
| Provider Name | Karina L Rea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952647059 PECOS PAC ID: 4981900859 Enrollment ID: I20161115001022 |
| Provider Name | Suzanne Cockrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942752522 PECOS PAC ID: 0042592297 Enrollment ID: I20170123002319 |
| Provider Name | Lanny Stone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487673315 PECOS PAC ID: 3678857349 Enrollment ID: I20170223001712 |
| Provider Name | Veronica S Parker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316380512 PECOS PAC ID: 3476856154 Enrollment ID: I20170619002272 |
| Provider Name | Kristy a Batey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659484434 PECOS PAC ID: 0648218214 Enrollment ID: I20170920001266 |
| Provider Name | Christopher Carl Hanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023548252 PECOS PAC ID: 6204101934 Enrollment ID: I20171005003700 |
| Provider Name | Edward Ulrich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295953487 PECOS PAC ID: 7315125200 Enrollment ID: I20171219003269 |
| Provider Name | Dorothy Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326416801 PECOS PAC ID: 2264734177 Enrollment ID: I20180110002840 |
| Provider Name | Naroby B Zorrilla |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164847455 PECOS PAC ID: 6901127372 Enrollment ID: I20180116000234 |
| Provider Name | Karyn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891107108 PECOS PAC ID: 6507127214 Enrollment ID: I20180220002851 |
| Provider Name | Aylene a Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992211213 PECOS PAC ID: 0446511406 Enrollment ID: I20180308000444 |
| Provider Name | Illiana Turnini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487131421 PECOS PAC ID: 3577812122 Enrollment ID: I20180815002822 |
| Provider Name | Ricardo Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154765691 PECOS PAC ID: 8426348822 Enrollment ID: I20180925001422 |
| Provider Name | Jessica M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104312644 PECOS PAC ID: 5193062636 Enrollment ID: I20190123000116 |
| Provider Name | Matthew a Bartow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225482466 PECOS PAC ID: 1759621337 Enrollment ID: I20190318002021 |
| Provider Name | Natalia Cristina Colorado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124332721 PECOS PAC ID: 6406095009 Enrollment ID: I20190502002380 |
| Provider Name | Elizabeth Pollock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033665344 PECOS PAC ID: 7214202571 Enrollment ID: I20190820000427 |
| Provider Name | Katherine Marie Adams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972954782 PECOS PAC ID: 5698003655 Enrollment ID: I20190829000085 |
| Provider Name | Hillary Mozingo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396216602 PECOS PAC ID: 6002243722 Enrollment ID: I20200219000259 |
| Provider Name | Brian E Jameson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376805069 PECOS PAC ID: 5890915987 Enrollment ID: I20200305000829 |
| Provider Name | Carie Danielle Fansler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952931040 PECOS PAC ID: 6901234657 Enrollment ID: I20200312000922 |
| Provider Name | Laura Louise Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356803183 PECOS PAC ID: 0648608224 Enrollment ID: I20200313000093 |
| Provider Name | Tabbatha Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417589623 PECOS PAC ID: 4789012279 Enrollment ID: I20200316002357 |
| Provider Name | Amanda Rachael Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760027254 PECOS PAC ID: 8921437732 Enrollment ID: I20200330003303 |
| Provider Name | Hazel Rose King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558905356 PECOS PAC ID: 1850720673 Enrollment ID: I20200330003648 |
| Provider Name | Rachel M Meler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346884178 PECOS PAC ID: 6406285774 Enrollment ID: I20200408000463 |
| Provider Name | Nawalage Ravi Nayanadul Cooray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275071136 PECOS PAC ID: 3971907312 Enrollment ID: I20210809000249 |
| Provider Name | Nadia Bening |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043471360 PECOS PAC ID: 3476959412 Enrollment ID: I20210831001186 |
| Provider Name | Jacob Michael Sondergaard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740861707 PECOS PAC ID: 1850798554 Enrollment ID: I20210922003520 |
| Provider Name | Jessica L. Tellez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669375 PECOS PAC ID: 4688062862 Enrollment ID: I20211020000982 |
| Provider Name | Susan G Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669925111 PECOS PAC ID: 1355730235 Enrollment ID: I20211115002194 |
| Provider Name | Tara K Ortiz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669767240 PECOS PAC ID: 8426398462 Enrollment ID: I20220104002737 |
| Provider Name | Tuyen B Thiem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508520537 PECOS PAC ID: 0042605917 Enrollment ID: I20220312000292 |
| Provider Name | John Michael Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134876485 PECOS PAC ID: 2769877901 Enrollment ID: I20220324002177 |
| Provider Name | Cory Ann O Connell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1679234926 PECOS PAC ID: 6002294386 Enrollment ID: I20220526002352 |
| Provider Name | Travis John Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104284884 PECOS PAC ID: 7315320926 Enrollment ID: I20220815002601 |
| Provider Name | Catherine Lynn Schryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518602663 PECOS PAC ID: 3072996065 Enrollment ID: I20220824002349 |
| Provider Name | Erin Brooke Winn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952911778 PECOS PAC ID: 9931576907 Enrollment ID: I20221103001750 |
| Provider Name | Michael Evan Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679184642 PECOS PAC ID: 9335517796 Enrollment ID: I20221116002257 |
| Provider Name | John Douglas Robinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063943025 PECOS PAC ID: 4486036365 Enrollment ID: I20231213003169 |
| Provider Name | Holly Knutson Kane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093408981 PECOS PAC ID: 1850741059 Enrollment ID: I20240101000254 |
| Provider Name | Glikeria Gaddis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497446751 PECOS PAC ID: 3375996556 Enrollment ID: I20240124003940 |
| Provider Name | Nicole Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750161725 PECOS PAC ID: 6507201399 Enrollment ID: I20240304000087 |
| Provider Name | Caroline Michelle Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023798113 PECOS PAC ID: 2668912742 Enrollment ID: I20240904004461 |
| Provider Name | Kirsten Marie Ainsworth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407375108 PECOS PAC ID: 5496280232 Enrollment ID: I20241203001445 |
| Provider Name | Kimberly Jay Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285460311 PECOS PAC ID: 0345778817 Enrollment ID: I20250110003493 |
| Provider Name | Christa Ann Lincke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275377095 PECOS PAC ID: 6507396389 Enrollment ID: I20250208000093 |
| Provider Name | Sarika Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730808239 PECOS PAC ID: 2860996238 Enrollment ID: I20250918002142 |
| Provider Name | Roland Abou Jaoude |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235360314 PECOS PAC ID: 7416440763 Enrollment ID: I20251204001831 |
| Provider Name | Sandra Alfaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972104677 PECOS PAC ID: 0941793244 Enrollment ID: I20251204003263 |
| Provider Name | Haley Dawn Dorsett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477359776 PECOS PAC ID: 5294228516 Enrollment ID: I20251204003986 |
| Provider Name | Veronica Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174492045 PECOS PAC ID: 1759854144 Enrollment ID: I20260626001846 |
Titanium General Internal Medicine Medical Services PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Memorial Dr, Luling, TX 78648 Phone: 702-453-3799 Fax: 702-453-5741 |
Seton Family of Hospitals Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Hays St, Luling, TX 78648 Phone: 830-875-7000 |
Duong and Associates PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Memorial Dr, Luling, TX 78648 Phone: 210-832-2349 |
Vejovis Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Memorial Dr, Luling, TX 78648 Phone: 512-761-0125 |
Sarah Lester PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Memorial Dr, Luling, TX 78648 Phone: 702-453-3799 Fax: 702-453-5741 |
Tri-county Clinical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 Hays St, Luling, TX 78648 Phone: 512-324-2000 |