| United Regional Heath Care System | |
|
1600 11th St Wichita Falls TX 76301-4388 | |
| (940) 764-3034 | |
| (940) 764-8315 |
| Full Name | United Regional Heath Care System |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1600 11th St, Wichita Falls, Texas |
| Authorized Official Name and Position | Phyllis A Cowling (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9407643034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Regional Heath Care System 1600 11th St Wichita Falls TX 76301-4388 Ph: (940) 764-3034 | United Regional Heath Care System 1600 11th St Wichita Falls TX 76301-4388 Ph: (940) 764-3034 |
| NPI Number | 1023013448 |
|---|---|
| Provider Enumeration Date | 06/14/2005 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 7315846813 |
|---|---|
| Medicare Enrollment ID | O20040105000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023013448 | NPI | - | NPPES |
| 10649B | Medicaid | SC | |
| XHSP30169 | Medicaid | CA | |
| HH0128 | Other | TX | BLUE CROSS OF TEXAS |
| 00L72S | Other | TX | BLUE CROSS HOSP BASED PHY |
| 100103590A | Medicaid | KS | |
| 23340 | Medicaid | AZ | |
| 135237905 | Medicaid | TX | |
| XHSP40169 | Medicaid | CA | |
| 100702600A | Medicaid | OK | |
| 135237907 | Medicaid | TX | |
| 408086137 | Medicaid | MI | |
| 135237904 | Medicaid | TX | |
| 135237906 | Medicaid | TX | |
| 8303401 | Medicaid | NJ |
| Provider Name | Vedampattu P Ganeshram |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407818669 PECOS PAC ID: 9234039413 Enrollment ID: I20040113000242 |
| Provider Name | Andre P Desire |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568427714 PECOS PAC ID: 8628021730 Enrollment ID: I20050303000317 |
| Provider Name | Bradley E Samuelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912015165 PECOS PAC ID: 2365499811 Enrollment ID: I20050406000683 |
| Provider Name | Bruce L Palmer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750474078 PECOS PAC ID: 4385676360 Enrollment ID: I20050910000182 |
| Provider Name | Jack C Askins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316039712 PECOS PAC ID: 9931131919 Enrollment ID: I20051013000390 |
| Provider Name | Venkateswarlu Thota |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437111697 PECOS PAC ID: 4284726332 Enrollment ID: I20070822000458 |
| Provider Name | Sriram Sudarshan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285696492 PECOS PAC ID: 2668373507 Enrollment ID: I20080201000293 |
| Provider Name | Fardin S Djafari |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043298391 PECOS PAC ID: 8022195718 Enrollment ID: I20100422000596 |
| Provider Name | Soe-ni Nicholas Kong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720066806 PECOS PAC ID: 3375620073 Enrollment ID: I20100422000869 |
| Provider Name | Shonalatha J Sudarshan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164484374 PECOS PAC ID: 9739219049 Enrollment ID: I20100614000289 |
| Provider Name | Darpan Sahni Kumar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629208871 PECOS PAC ID: 6507175635 Enrollment ID: I20170720003145 |
| Provider Name | Chukwudi Lawrence Obiagwu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245573252 PECOS PAC ID: 4183968043 Enrollment ID: I20200903002349 |
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