| St. Elizabeth Physician Group, Pllc | |
|
676 Fm 517 Rd W Dickinson TX 77539 | |
| (713) 482-4535 | |
| (713) 482-4560 |
| Full Name | St. Elizabeth Physician Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 676 Fm 517 Rd W, Dickinson, Texas |
| Authorized Official Name and Position | Harold Fattig (PRESIDENT) |
| Authorized Official Contact | 7134824535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Elizabeth Physician Group, Pllc Po Box 1619 Dickinson TX 77539-1619 Ph: (713) 482-4535 | St. Elizabeth Physician Group, Pllc 676 Fm 517 Rd W Dickinson TX 77539 Ph: (713) 482-4535 |
| NPI Number | 1659852234 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 07/21/2020 |
| Medicare PECOS PAC ID | 6002149259 |
|---|---|
| Medicare Enrollment ID | O20190604000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659852234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gary Wayne Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952395048 PECOS PAC ID: 3577466937 Enrollment ID: I20040202000089 |
| Provider Name | Gary Alan Debakey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770663254 PECOS PAC ID: 7113900747 Enrollment ID: I20040617001750 |
| Provider Name | Dorothy F Merritt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881698579 PECOS PAC ID: 2163317009 Enrollment ID: I20060427000436 |
| Provider Name | Gregory N Mrozinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124177621 PECOS PAC ID: 0446417802 Enrollment ID: I20120214000091 |
| Provider Name | Angel Rivera-soto |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255657375 PECOS PAC ID: 1850511940 Enrollment ID: I20141014000528 |
| Provider Name | Diane Jennifer Rosaly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144730573 PECOS PAC ID: 8022376383 Enrollment ID: I20171215000235 |
| Provider Name | Crystal Oramadike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063965978 PECOS PAC ID: 9931538824 Enrollment ID: I20200327001406 |
| Provider Name | Natasha Berkowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871057661 PECOS PAC ID: 2062841752 Enrollment ID: I20200331003804 |
| Provider Name | Brandee Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467987792 PECOS PAC ID: 2567891856 Enrollment ID: I20200408001147 |
| Provider Name | Pamela James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346880028 PECOS PAC ID: 0244660207 Enrollment ID: I20200415002864 |
| Provider Name | Crystal Poungsangchaun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043859424 PECOS PAC ID: 7113358987 Enrollment ID: I20200511002830 |
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Premise Health Of Texas Medical, P.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 Fm 646 Rd W Ste 100, Dickinson, TX 77539 Phone: 281-316-8757 | |
Merritt Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Fm 517 Rd W, Dickinson, TX 77539 Phone: 281-337-3337 | |
Dickinson Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1455 Fm 646 Rd W Ste 100, Dickinson, TX 77539 Phone: 346-689-5870 | |
Dickinson Medical Clinic Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Fm 517 Road E, Dickinson, TX 77539 Phone: 281-534-2525 Fax: 281-337-2721 | |
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