| Palestine Pediatrics | |
|
4002 S Loop 256 Palestine TX 75801-8491 | |
| (903) 731-5030 | |
| Not Available |
| Full Name | Palestine Pediatrics |
|---|---|
| Speciality | Family Medicine |
| Location | 4002 S Loop 256, Palestine, Texas |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6169207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palestine Pediatrics 4002 S Loop 256 Ste A Palestine TX 75801-8492 Ph: (037) 315-4429 | Palestine Pediatrics 4002 S Loop 256 Palestine TX 75801-8491 Ph: (903) 731-5030 |
| NPI Number | 1558521179 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 05/30/2026 |
| Certification Date | 05/30/2026 |
| Medicare PECOS PAC ID | 6305901927 |
|---|---|
| Medicare Enrollment ID | O20090216000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558521179 | NPI | - | NPPES |
| Provider Name | Joel W Howell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093779969 PECOS PAC ID: 4183518376 Enrollment ID: I20040210000060 |
| Provider Name | Joseph R Berger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508859596 PECOS PAC ID: 5395730527 Enrollment ID: I20040417000212 |
| Provider Name | Paul Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710075239 PECOS PAC ID: 4385634161 Enrollment ID: I20040513001389 |
| Provider Name | Delores G Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134267198 PECOS PAC ID: 2062484983 Enrollment ID: I20040811000518 |
| Provider Name | Dileep C Bhateley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467456962 PECOS PAC ID: 9638146129 Enrollment ID: I20040914000759 |
| Provider Name | Syed M Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649369521 PECOS PAC ID: 7911960810 Enrollment ID: I20041111000349 |
| Provider Name | Russell C Packard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881686392 PECOS PAC ID: 0143270876 Enrollment ID: I20050201000114 |
| Provider Name | Arlene Harden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396904868 PECOS PAC ID: 6103861737 Enrollment ID: I20050624000058 |
| Provider Name | Yvette F. Westford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023041076 PECOS PAC ID: 9537191069 Enrollment ID: I20050906001022 |
| Provider Name | Andrew C Roberts |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700826260 PECOS PAC ID: 9133191372 Enrollment ID: I20080311000649 |
| Provider Name | Miguel E Castellanos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144256926 PECOS PAC ID: 4789759044 Enrollment ID: I20080820000753 |
| Provider Name | Sujatha N Venkata Thota |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194994616 PECOS PAC ID: 7719037340 Enrollment ID: I20090602000586 |
| Provider Name | Christina Sheely |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154379899 PECOS PAC ID: 5799757480 Enrollment ID: I20090615000382 |
| Provider Name | Robert a Launikitis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629272299 PECOS PAC ID: 9638222409 Enrollment ID: I20090728000273 |
| Provider Name | Zachary L Kelley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225298094 PECOS PAC ID: 8224199526 Enrollment ID: I20090731000329 |
| Provider Name | Fredric C Puckett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154596765 PECOS PAC ID: 5890848329 Enrollment ID: I20090731000397 |
| Provider Name | Kenneth L Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508847948 PECOS PAC ID: 1355368648 Enrollment ID: I20090818000607 |
| Provider Name | Ahammed Hashim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235134420 PECOS PAC ID: 1759362981 Enrollment ID: I20100107000429 |
| Provider Name | Robert G Blackwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700878865 PECOS PAC ID: 7214067651 Enrollment ID: I20100611000409 |
| Provider Name | Binusha Moitheennazima |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760658330 PECOS PAC ID: 1759457468 Enrollment ID: I20100922000171 |
| Provider Name | Margaret Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134330178 PECOS PAC ID: 7416143367 Enrollment ID: I20101118000478 |
| Provider Name | Olusesan a Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215192828 PECOS PAC ID: 0143491449 Enrollment ID: I20110917000026 |
| Provider Name | Sherry E Mcilwain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639419880 PECOS PAC ID: 3375782618 Enrollment ID: I20130618000725 |
| Provider Name | Abhishek Vedavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942536164 PECOS PAC ID: 4284877549 Enrollment ID: I20130905000609 |
| Provider Name | Danny L Bowman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629202502 PECOS PAC ID: 8022252733 Enrollment ID: I20130919000492 |
| Provider Name | Gentiana Bakaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164626941 PECOS PAC ID: 0749306116 Enrollment ID: I20131019000109 |
| Provider Name | Matthew B Rudolph |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629200308 PECOS PAC ID: 0840448791 Enrollment ID: I20140815001773 |
| Provider Name | Tania Marie Shinohara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073503454 PECOS PAC ID: 4385687565 Enrollment ID: I20141122000239 |
| Provider Name | Shahroz Kidwai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013200062 PECOS PAC ID: 7618193871 Enrollment ID: I20150121000151 |
| Provider Name | Brian T Dillon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114919362 PECOS PAC ID: 4385668532 Enrollment ID: I20160219001841 |
| Provider Name | Kevin Scott Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306284211 PECOS PAC ID: 2769608256 Enrollment ID: I20160801001774 |
| Provider Name | Ro-jon a Grogans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669608659 PECOS PAC ID: 7618250390 Enrollment ID: I20170202001406 |
| Provider Name | Walid I Zaza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316028517 PECOS PAC ID: 8729028592 Enrollment ID: I20180613001869 |
| Provider Name | Trevor Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003278003 PECOS PAC ID: 6305195280 Enrollment ID: I20180827001409 |
| Provider Name | Beta Jo Hamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376553040 PECOS PAC ID: 8224026349 Enrollment ID: I20191112001298 |
| Provider Name | Joseph L Claiborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164954665 PECOS PAC ID: 3274803119 Enrollment ID: I20200713001734 |
| Provider Name | Hilary S Currie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760846083 PECOS PAC ID: 9638478308 Enrollment ID: I20200831002564 |
| Provider Name | Mark Stephen Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952831778 PECOS PAC ID: 7315346947 Enrollment ID: I20210601001912 |
| Provider Name | Rachel Elise Merrifield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023509601 PECOS PAC ID: 3476957374 Enrollment ID: I20210813000640 |
| Provider Name | Julia Lace Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316510027 PECOS PAC ID: 7214332832 Enrollment ID: I20210819003336 |
| Provider Name | Francisco Espino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902449820 PECOS PAC ID: 6406282334 Enrollment ID: I20210922001627 |
| Provider Name | Jane Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417244849 PECOS PAC ID: 2163645961 Enrollment ID: I20211129002767 |
| Provider Name | Amy Sheridan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346903705 PECOS PAC ID: 2567856255 Enrollment ID: I20220223000256 |
| Provider Name | Mohammad Samiullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578025607 PECOS PAC ID: 6608257134 Enrollment ID: I20220715000033 |
| Provider Name | Candice M Buckles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053806794 PECOS PAC ID: 9739435736 Enrollment ID: I20220719001007 |
| Provider Name | Patricia Diane Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396480026 PECOS PAC ID: 0941681829 Enrollment ID: I20220725000148 |
| Provider Name | Julie Romanovich Quinn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710604806 PECOS PAC ID: 3274901525 Enrollment ID: I20221117003356 |
| Provider Name | Sandy L Webb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669933693 PECOS PAC ID: 8224363742 Enrollment ID: I20221129000598 |
| Provider Name | Inder Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417117581 PECOS PAC ID: 2365597242 Enrollment ID: I20221208000916 |
| Provider Name | Paul Abrams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619264280 PECOS PAC ID: 8729238381 Enrollment ID: I20230201002190 |
| Provider Name | Abdul Badr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285996116 PECOS PAC ID: 8820347156 Enrollment ID: I20230511003718 |
| Provider Name | Shehriyar Mehershahi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720463524 PECOS PAC ID: 9234511197 Enrollment ID: I20230829004072 |
| Provider Name | Robel Eyob Ghebrekristos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336768878 PECOS PAC ID: 6901250976 Enrollment ID: I20230925001574 |
| Provider Name | Timothy Gilligan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891216594 PECOS PAC ID: 7315397452 Enrollment ID: I20240102001543 |
| Provider Name | Tyler Nicholson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205356482 PECOS PAC ID: 4082058391 Enrollment ID: I20240214003201 |
| Provider Name | Yazan Khouri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154654861 PECOS PAC ID: 1850536343 Enrollment ID: I20240315001795 |
| Provider Name | Austin Barbar Fares |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700382496 PECOS PAC ID: 5395184436 Enrollment ID: I20240513000378 |
| Provider Name | Tae-young Nam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821690447 PECOS PAC ID: 3971045808 Enrollment ID: I20240606004238 |
| Provider Name | Momin Islam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528695665 PECOS PAC ID: 7315489051 Enrollment ID: I20240610000532 |
| Provider Name | Stacy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508338856 PECOS PAC ID: 1557894334 Enrollment ID: I20241031003632 |
| Provider Name | Li Wan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164171732 PECOS PAC ID: 0547641169 Enrollment ID: I20250213002579 |
| Provider Name | Tabatha Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578378238 PECOS PAC ID: 2466972286 Enrollment ID: I20250225000243 |
| Provider Name | Erickson Andrews |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881154300 PECOS PAC ID: 0547795858 Enrollment ID: I20250604001083 |
| Provider Name | Patrick Rushford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639664378 PECOS PAC ID: 4486165214 Enrollment ID: I20250618000223 |
| Provider Name | Jarvis J Garner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982345112 PECOS PAC ID: 1557879509 Enrollment ID: I20250801001882 |
| Provider Name | Mariam Fatima Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285375626 PECOS PAC ID: 0446751903 Enrollment ID: I20250827004361 |
| Provider Name | Andrena Pauline Glick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669353603 PECOS PAC ID: 4789172396 Enrollment ID: I20251023004826 |
| Provider Name | Anthony Nickolas Gavalas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114544830 PECOS PAC ID: 3375039779 Enrollment ID: I20260106002599 |
| Provider Name | Tiffany Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902467665 PECOS PAC ID: 6002393733 Enrollment ID: I20260123000883 |
| Provider Name | Joseph Jerold Ganshert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801327937 PECOS PAC ID: 5193203511 Enrollment ID: I20260128001452 |
| Provider Name | Anthony Wetherington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831177302 PECOS PAC ID: 5991708570 Enrollment ID: I20260330000948 |
| Provider Name | Elisabeth Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164392452 PECOS PAC ID: 7911470430 Enrollment ID: I20260625004326 |
Crossroads Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4002 S Loop 256 Ste K, Palestine, TX 75801 Phone: 903-729-3015 Fax: 903-729-2738 |
Michael S. Gorby, M.D.P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 S Sycamore St, Palestine, TX 75801 Phone: 903-729-8328 Fax: 903-729-5640 |
Magnolia Health Systems Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E Oak St, Palestine, TX 75801 Phone: 903-731-4555 Fax: 903-731-4699 |
Magnolia Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 S Loop 256, Palestine, TX 75801 Phone: 903-723-8800 Fax: 903-723-3862 |
East Texas Family Medicine PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4201 S Loop 256, Palestine, TX 75801 Phone: 903-723-8533 Fax: 903-723-5190 |
Adams NP Medical Services, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2265 S Sycamore St, Palestine, TX 75801 Phone: 903-721-6448 |