| Special Health Resources For Texas, Incorporated | |
|
410 N 4th St Longview TX 75601-6511 | |
| (903) 234-0776 | |
| (903) 234-9769 |
| Full Name | Special Health Resources For Texas, Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 N 4th St, Longview, Texas |
| Authorized Official Name and Position | Shaun'ta Whitehead (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9032340776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Special Health Resources For Texas, Incorporated Po Box 2709 Longview TX 75606-2709 Ph: (903) 234-0776 | Special Health Resources For Texas, Incorporated 410 N 4th St Longview TX 75601-6511 Ph: (903) 234-0776 |
| NPI Number | 1043209919 |
|---|---|
| Provider Enumeration Date | 10/13/2005 |
| Last Update Date | 06/22/2023 |
| Medicare PECOS PAC ID | 1355326158 |
|---|---|
| Medicare Enrollment ID | O20040623001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043209919 | NPI | - | NPPES |
| 0848160-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
| Provider Name | Kathleen Margaret Knopp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386670040 PECOS PAC ID: 9830158393 Enrollment ID: I20041012000191 |
| Provider Name | Clifford T Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669485645 PECOS PAC ID: 3870548779 Enrollment ID: I20050314000722 |
| Provider Name | Yasser F Zeid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548369424 PECOS PAC ID: 1850325663 Enrollment ID: I20050921000713 |
| Provider Name | Rebecca L Hough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891773040 PECOS PAC ID: 8022101476 Enrollment ID: I20070830000752 |
| Provider Name | Robert D Hough |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457494296 PECOS PAC ID: 6204929656 Enrollment ID: I20070830000761 |
| Provider Name | Linda C Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164499661 PECOS PAC ID: 9830238732 Enrollment ID: I20091207000415 |
| Provider Name | Martin Cutrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801809918 PECOS PAC ID: 2769548130 Enrollment ID: I20101201000803 |
| Provider Name | Rikki Dawn Sandvik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972808277 PECOS PAC ID: 9133305931 Enrollment ID: I20110511000873 |
| Provider Name | Sylyna G Kennedy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750421095 PECOS PAC ID: 6507034782 Enrollment ID: I20110713000503 |
| Provider Name | Patricia Brooke Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346556420 PECOS PAC ID: 0547430928 Enrollment ID: I20110822000262 |
| Provider Name | Margaret M Dodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780987289 PECOS PAC ID: 3173794724 Enrollment ID: I20110912000771 |
| Provider Name | Alexandra Dionne Kittrell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801134085 PECOS PAC ID: 2769629252 Enrollment ID: I20130430000237 |
| Provider Name | Mary Beth Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215362215 PECOS PAC ID: 8325274251 Enrollment ID: I20131122000906 |
| Provider Name | Vanessa Renee Neiman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326356130 PECOS PAC ID: 5294955191 Enrollment ID: I20140926001950 |
| Provider Name | Courtney Marie Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508236027 PECOS PAC ID: 2365744604 Enrollment ID: I20160105000083 |
| Provider Name | Aubrey C Gibbs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235355488 PECOS PAC ID: 1850604919 Enrollment ID: I20160418001902 |
| Provider Name | Janice L Gibbons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003997099 PECOS PAC ID: 3375707268 Enrollment ID: I20160420001904 |
| Provider Name | Jacqueline Moran Weber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689113060 PECOS PAC ID: 4880979590 Enrollment ID: I20170321000482 |
| Provider Name | Amy Marie Lett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013458272 PECOS PAC ID: 3173890886 Enrollment ID: I20170601000551 |
| Provider Name | Kayli Elizabeth Robison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427550250 PECOS PAC ID: 9436481074 Enrollment ID: I20191030003101 |
| Provider Name | Moheb M Milad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598286494 PECOS PAC ID: 8426329087 Enrollment ID: I20201028001358 |
| Provider Name | Whitney Kay Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659962645 PECOS PAC ID: 4981011293 Enrollment ID: I20210405000988 |
| Provider Name | Cecilia Hope Drennen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811494529 PECOS PAC ID: 7719381821 Enrollment ID: I20210812000079 |
| Provider Name | Darla Renee Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396473898 PECOS PAC ID: 8921461260 Enrollment ID: I20230901003456 |
| Provider Name | Shaza Moussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699331603 PECOS PAC ID: 2466897525 Enrollment ID: I20240228002163 |
Wellness Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-758-2610 Fax: 903-758-3124 | |
Family Focus Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101b Woodbine Pl, Longview, TX 75601 Phone: 903-236-6222 Fax: 903-236-0808 | |
Whole Counseling, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 N Fredonia St Ste 114, Longview, TX 75601 Phone: 720-404-5682 | |
Longview Wellness Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 W Fairmont St, Longview, TX 75604 Phone: 903-758-2610 Fax: 903-758-7081 | |
Wellness Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 N Fredonia St, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 | |
Gail D Stockman Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N 4th St, Suite A, Longview, TX 75601 Phone: 406-253-3430 |