| Thrive Medical Clinic | |
|
2217 Park Bend Dr Ste 210 Austin TX 78758-5674 | |
| (512) 697-7090 | |
| (512) 697-7097 |
| Full Name | Thrive Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 2217 Park Bend Dr Ste 210, Austin, Texas |
| Authorized Official Name and Position | Brad Eric Venghaus (OWNER) |
| Authorized Official Contact | 9797430360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Medical Clinic 2217 Park Bend Dr Ste 210 Austin TX 78758-5674 Ph: (512) 697-7090 | Thrive Medical Clinic 2217 Park Bend Dr Ste 210 Austin TX 78758-5674 Ph: (512) 697-7090 |
| NPI Number | 1821585340 |
|---|---|
| Provider Enumeration Date | 04/19/2018 |
| Last Update Date | 01/14/2024 |
| Certification Date | 01/14/2024 |
| Medicare PECOS PAC ID | 2567717713 |
|---|---|
| Medicare Enrollment ID | O20180612002648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821585340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | Q5594 (Texas) | Primary |
| Provider Name | Irma L Aguirre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891739801 PECOS PAC ID: 9133156565 Enrollment ID: I20050718000822 |
| Provider Name | Nathan a Graves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992705768 PECOS PAC ID: 3779502158 Enrollment ID: I20051115000487 |
| Provider Name | Nancy Pachuca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053666271 PECOS PAC ID: 7214161165 Enrollment ID: I20131008000429 |
| Provider Name | Antoine Nguyen Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619293388 PECOS PAC ID: 0446487961 Enrollment ID: I20131209000200 |
| Provider Name | Sumbal K Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851314421 PECOS PAC ID: 8426215237 Enrollment ID: I20150306000831 |
| Provider Name | Brad Eric Venghaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598101057 PECOS PAC ID: 6709171192 Enrollment ID: I20160824001890 |
| Provider Name | Gail C Crear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790129716 PECOS PAC ID: 0042598252 Enrollment ID: I20161022000153 |
| Provider Name | Shaina Mccullough |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164080685 PECOS PAC ID: 6901227370 Enrollment ID: I20200611000536 |
| Provider Name | Angela Maria Alarcon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275185977 PECOS PAC ID: 6507264900 Enrollment ID: I20211015001919 |
| Provider Name | Kanika Bhansali |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528602760 PECOS PAC ID: 4688065444 Enrollment ID: I20220105001507 |
| Provider Name | Carter Hanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477209583 PECOS PAC ID: 6103295472 Enrollment ID: I20221208000253 |
| Provider Name | Consuleo V Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053059196 PECOS PAC ID: 6901279256 Enrollment ID: I20230307001684 |
| Provider Name | Kohlbe Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346707908 PECOS PAC ID: 8729312079 Enrollment ID: I20230509003138 |
| Provider Name | Mariana Racovita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881066272 PECOS PAC ID: 2062716160 Enrollment ID: I20250527001253 |
| Provider Name | Makayla Nicole Goertz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376349886 PECOS PAC ID: 1557876703 Enrollment ID: I20250716000704 |
Harold D Lewis DO PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 |
Julie Graves Moy MD Mph PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 |
Edie E. Shulman M.D., PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 |
Doctx3 PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 E Slaughter Ln Ste 404, Austin, TX 78744 Phone: 469-277-8253 |