| Villagemd Of Southeast Texas, Pa | |
|
6122 Broadway St Pearland TX 77581-7804 | |
| (713) 461-2915 | |
| (713) 461-5307 |
| Full Name | Villagemd Of Southeast Texas, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6122 Broadway St, Pearland, Texas |
| Authorized Official Name and Position | Wendy Lee Rubas (GENERAL COUNSEL) |
| Authorized Official Contact | 3124657898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Villagemd Of Southeast Texas, Pa Po Box 392929 Pittsburgh PA 15251-9900 Ph: (713) 461-2915 | Villagemd Of Southeast Texas, Pa 6122 Broadway St Pearland TX 77581-7804 Ph: (713) 461-2915 |
| NPI Number | 1841643327 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 4587947346 |
|---|---|
| Medicare Enrollment ID | O20170202000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841643327 | NPI | - | NPPES |
| Provider Name | John J Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578595864 PECOS PAC ID: 4789597410 Enrollment ID: I20031110000252 |
| Provider Name | Shi Tze Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215932900 PECOS PAC ID: 8426959586 Enrollment ID: I20040122000507 |
| Provider Name | Madhavi A Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588667471 PECOS PAC ID: 4183517634 Enrollment ID: I20040206000687 |
| Provider Name | Olendruff L Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730186669 PECOS PAC ID: 8729975289 Enrollment ID: I20040301000929 |
| Provider Name | Thanh Van Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083663033 PECOS PAC ID: 1658262506 Enrollment ID: I20040322001202 |
| Provider Name | Sunitha C Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376507210 PECOS PAC ID: 4981694866 Enrollment ID: I20040513000625 |
| Provider Name | Zahida R Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811077258 PECOS PAC ID: 5294725958 Enrollment ID: I20040514000428 |
| Provider Name | David G Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225130743 PECOS PAC ID: 9638160799 Enrollment ID: I20040519000546 |
| Provider Name | Minh Hang B Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275624074 PECOS PAC ID: 1951382852 Enrollment ID: I20040526001442 |
| Provider Name | Anil A Dara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639113970 PECOS PAC ID: 5698755775 Enrollment ID: I20040721001649 |
| Provider Name | Therese Bertrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942303508 PECOS PAC ID: 9436127289 Enrollment ID: I20040920001226 |
| Provider Name | Julio C Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932225679 PECOS PAC ID: 2163485111 Enrollment ID: I20041110000515 |
| Provider Name | James H Bray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710067145 PECOS PAC ID: 7810951639 Enrollment ID: I20041112000040 |
| Provider Name | Anush S Pillai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376556191 PECOS PAC ID: 7214991082 Enrollment ID: I20041112000416 |
| Provider Name | Bhakti D Gidvani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043293616 PECOS PAC ID: 3577528579 Enrollment ID: I20041201000172 |
| Provider Name | Kathryn V Horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548218985 PECOS PAC ID: 5193783819 Enrollment ID: I20041228000928 |
| Provider Name | Debra K Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134142961 PECOS PAC ID: 6901864982 Enrollment ID: I20041230000425 |
| Provider Name | Timothy J Doyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073540381 PECOS PAC ID: 7618926429 Enrollment ID: I20050119000785 |
| Provider Name | Julia A Kovacs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366527798 PECOS PAC ID: 3476503335 Enrollment ID: I20050127000918 |
| Provider Name | Humaira Faruqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861597619 PECOS PAC ID: 8820043524 Enrollment ID: I20050315001078 |
| Provider Name | Barry E Troyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295733483 PECOS PAC ID: 3173565942 Enrollment ID: I20050523001138 |
| Provider Name | Tina D Corkran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972659084 PECOS PAC ID: 2567405681 Enrollment ID: I20050608001145 |
| Provider Name | Cassandra N Arceneaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275575771 PECOS PAC ID: 7416984943 Enrollment ID: I20050726000778 |
| Provider Name | Robin M Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770559270 PECOS PAC ID: 1850321399 Enrollment ID: I20050815001031 |
| Provider Name | Mansoora A Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841389020 PECOS PAC ID: 5799773115 Enrollment ID: I20050901000100 |
| Provider Name | Hung M Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811978182 PECOS PAC ID: 8022043488 Enrollment ID: I20051004000999 |
| Provider Name | Timothy D Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770679573 PECOS PAC ID: 4183659451 Enrollment ID: I20051005000850 |
| Provider Name | Donald Briscoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750384897 PECOS PAC ID: 7113945536 Enrollment ID: I20051103001165 |
| Provider Name | Hillary Brooke Boswell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083827281 PECOS PAC ID: 4789604174 Enrollment ID: I20051130000492 |
| Provider Name | Nirmala Kethineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891824686 PECOS PAC ID: 1355361593 Enrollment ID: I20051201000904 |
| Provider Name | Crisanto G Dimafelix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003853722 PECOS PAC ID: 4789608555 Enrollment ID: I20060119000359 |
| Provider Name | Maqsood Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073568713 PECOS PAC ID: 8022024314 Enrollment ID: I20060223000420 |
| Provider Name | Jason K Demattia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528013125 PECOS PAC ID: 6204842479 Enrollment ID: I20060224000379 |
| Provider Name | Candice Martin Demattia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669427670 PECOS PAC ID: 1456367549 Enrollment ID: I20060227000607 |
| Provider Name | Troy T Fiesinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245347541 PECOS PAC ID: 7810906757 Enrollment ID: I20060420000343 |
| Provider Name | Victor M Salcedo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336133834 PECOS PAC ID: 7810883097 Enrollment ID: I20060509000550 |
| Provider Name | Fan Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659368330 PECOS PAC ID: 8224040639 Enrollment ID: I20060630000133 |
| Provider Name | Miranda Wang-gor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821030065 PECOS PAC ID: 5991700023 Enrollment ID: I20060925000342 |
| Provider Name | Thien B Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841228970 PECOS PAC ID: 8921004193 Enrollment ID: I20061011000295 |
| Provider Name | Amy J Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891715025 PECOS PAC ID: 0749288074 Enrollment ID: I20061121000624 |
| Provider Name | Kenya Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245324813 PECOS PAC ID: 1951302488 Enrollment ID: I20070125000162 |
| Provider Name | Cynthia L Cotton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851491757 PECOS PAC ID: 0143221374 Enrollment ID: I20070130000666 |
| Provider Name | Tamika Denson-willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780757229 PECOS PAC ID: 1850490665 Enrollment ID: I20070620000128 |
| Provider Name | Harry Y Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356468839 PECOS PAC ID: 9739289265 Enrollment ID: I20070712000268 |
| Provider Name | Alan J Reichman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245328376 PECOS PAC ID: 8123028545 Enrollment ID: I20070802000100 |
| Provider Name | Kimberly A Pilkinton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578516126 PECOS PAC ID: 3870523061 Enrollment ID: I20070913000003 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548455132 PECOS PAC ID: 0446346886 Enrollment ID: I20071017000565 |
| Provider Name | John M. Morrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609882950 PECOS PAC ID: 2769571777 Enrollment ID: I20071128000678 |
| Provider Name | Brian L Cesarski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508058231 PECOS PAC ID: 8820171473 Enrollment ID: I20080206000175 |
| Provider Name | Kristy D Heatly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548220122 PECOS PAC ID: 2365526951 Enrollment ID: I20080220000533 |
| Provider Name | Jonas Garcia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770550931 PECOS PAC ID: 2668557695 Enrollment ID: I20080314000167 |
| Provider Name | Sergio Giovanni Perossa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316086317 PECOS PAC ID: 9537247812 Enrollment ID: I20080428000376 |
| Provider Name | Quynh Tram Do |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114118593 PECOS PAC ID: 6406925809 Enrollment ID: I20080527000020 |
| Provider Name | Siddharth Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518042035 PECOS PAC ID: 6800975210 Enrollment ID: I20080605000376 |
| Provider Name | Carlos E Buford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568629970 PECOS PAC ID: 7012089816 Enrollment ID: I20080711000097 |
| Provider Name | Michael W Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124019989 PECOS PAC ID: 1759456601 Enrollment ID: I20080812000736 |
| Provider Name | Chanh M Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932366135 PECOS PAC ID: 5597830463 Enrollment ID: I20080813000027 |
| Provider Name | Alan Dinh Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518935006 PECOS PAC ID: 0244390755 Enrollment ID: I20081113000391 |
| Provider Name | Cathlyn H Anderson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023030269 PECOS PAC ID: 8921169178 Enrollment ID: I20081205000377 |
| Provider Name | Frene De'shawn Lacour Chestnut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316196884 PECOS PAC ID: 5991868952 Enrollment ID: I20090116000483 |
| Provider Name | Stephen J Spann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447330881 PECOS PAC ID: 0547250342 Enrollment ID: I20090205000424 |
| Provider Name | Pachie S Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164524427 PECOS PAC ID: 8224193065 Enrollment ID: I20090211000587 |
| Provider Name | Fazal Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891834685 PECOS PAC ID: 7012065766 Enrollment ID: I20090506000379 |
| Provider Name | Miguel A Ramirez-colon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285644971 PECOS PAC ID: 5991853673 Enrollment ID: I20090507000261 |
| Provider Name | Brian C Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023198447 PECOS PAC ID: 0547310971 Enrollment ID: I20090605000434 |
| Provider Name | Ryan Errol Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396959805 PECOS PAC ID: 2567514649 Enrollment ID: I20090721000451 |
| Provider Name | David Frederick Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114055605 PECOS PAC ID: 2062568645 Enrollment ID: I20090923000464 |
| Provider Name | Sheryl D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760715965 PECOS PAC ID: 3375699689 Enrollment ID: I20090928000533 |
| Provider Name | Joel S Blumberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508845736 PECOS PAC ID: 8628988730 Enrollment ID: I20091021000061 |
| Provider Name | Julius A Debroeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023180429 PECOS PAC ID: 0840203576 Enrollment ID: I20091104000341 |
| Provider Name | Ghada A Saqer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548391485 PECOS PAC ID: 0143300624 Enrollment ID: I20091110000552 |
| Provider Name | Diana Grair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184829772 PECOS PAC ID: 7517006513 Enrollment ID: I20091204000341 |
| Provider Name | Rishi R Bhardwaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255514279 PECOS PAC ID: 7911046842 Enrollment ID: I20091205000030 |
| Provider Name | Janusz A Konikowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437143500 PECOS PAC ID: 4789723438 Enrollment ID: I20091209000457 |
| Provider Name | Viola V Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700870540 PECOS PAC ID: 8628117389 Enrollment ID: I20091209000537 |
| Provider Name | Daniel V Piazza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427042431 PECOS PAC ID: 3476692161 Enrollment ID: I20091210000072 |
| Provider Name | Bich G Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093709834 PECOS PAC ID: 8426198938 Enrollment ID: I20091214000714 |
| Provider Name | Swayam Prakash |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134113129 PECOS PAC ID: 9931264488 Enrollment ID: I20091228000552 |
| Provider Name | Hemalatha R Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386638385 PECOS PAC ID: 5496896250 Enrollment ID: I20091231000134 |
| Provider Name | Angela J Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003984659 PECOS PAC ID: 6709920283 Enrollment ID: I20100222000605 |
| Provider Name | Dwane G Broussard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902801004 PECOS PAC ID: 6709810682 Enrollment ID: I20100315000423 |
| Provider Name | Susan T Erie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609871862 PECOS PAC ID: 8426082306 Enrollment ID: I20100317000074 |
| Provider Name | Ann Madeline Domask |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790780955 PECOS PAC ID: 1254365133 Enrollment ID: I20100318000316 |
| Provider Name | Geoffrey Groff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730184995 PECOS PAC ID: 9739113515 Enrollment ID: I20100324000576 |
| Provider Name | Alex M Su |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609871706 PECOS PAC ID: 2163456807 Enrollment ID: I20100327000222 |
| Provider Name | Shivjit S Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639404551 PECOS PAC ID: 9931232980 Enrollment ID: I20100728000681 |
| Provider Name | Kiranchandra Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053416453 PECOS PAC ID: 8527191246 Enrollment ID: I20100802000949 |
| Provider Name | Brian Christopher Aquino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881671808 PECOS PAC ID: 8527076868 Enrollment ID: I20100824000913 |
| Provider Name | Janice Marie Teer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477530434 PECOS PAC ID: 1254349590 Enrollment ID: I20100824000935 |
| Provider Name | Tara H Shani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588650238 PECOS PAC ID: 1456476621 Enrollment ID: I20100910000711 |
| Provider Name | Juliette A Depue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952594616 PECOS PAC ID: 3971628777 Enrollment ID: I20100916001258 |
| Provider Name | Terry S Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871587147 PECOS PAC ID: 0042335770 Enrollment ID: I20100917000313 |
| Provider Name | Alfredo Ermac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649268384 PECOS PAC ID: 8921011651 Enrollment ID: I20100922000905 |
| Provider Name | Paul E Shepard |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467440131 PECOS PAC ID: 5991718520 Enrollment ID: I20100922001036 |
| Provider Name | Sachin Chandra Senan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487867669 PECOS PAC ID: 2062561764 Enrollment ID: I20100923000780 |
| Provider Name | Phillip Mark Aguilar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578586038 PECOS PAC ID: 8123144300 Enrollment ID: I20100924000734 |
| Provider Name | Deborah A Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821172990 PECOS PAC ID: 7517083579 Enrollment ID: I20100927001377 |
| Provider Name | Marsha Sue Hughart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306829106 PECOS PAC ID: 7012941651 Enrollment ID: I20101019000904 |
| Provider Name | Scott A Lisse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346245818 PECOS PAC ID: 3476450131 Enrollment ID: I20101026000062 |
| Provider Name | Stewart L Niefield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255336871 PECOS PAC ID: 4082514864 Enrollment ID: I20101026000070 |
| Provider Name | Ronnie A Sheena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720083207 PECOS PAC ID: 0446443246 Enrollment ID: I20101026000112 |
| Provider Name | Shiva Satish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629099635 PECOS PAC ID: 8628036241 Enrollment ID: I20101027000219 |
| Provider Name | Diemphuong D Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902986128 PECOS PAC ID: 4385837459 Enrollment ID: I20101027001528 |
| Provider Name | Tejpal S Grover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316023922 PECOS PAC ID: 8426242090 Enrollment ID: I20101028000435 |
| Provider Name | Kristin A Kassaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336229699 PECOS PAC ID: 1658560594 Enrollment ID: I20110107000888 |
| Provider Name | Evette C Kingcaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568540052 PECOS PAC ID: 2668376187 Enrollment ID: I20110218000681 |
| Provider Name | Nam N Hoang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578563524 PECOS PAC ID: 6305029851 Enrollment ID: I20110322000419 |
| Provider Name | Ramashilpa Sudireddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700084670 PECOS PAC ID: 6800079153 Enrollment ID: I20110323000543 |
| Provider Name | Misook P Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982906020 PECOS PAC ID: 8729261995 Enrollment ID: I20110324000958 |
| Provider Name | Robert C Vanzant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104821016 PECOS PAC ID: 2062439615 Enrollment ID: I20110414000711 |
| Provider Name | Mark H Edelman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669483483 PECOS PAC ID: 4688608227 Enrollment ID: I20110603000579 |
| Provider Name | Brent Devin Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013201615 PECOS PAC ID: 8628248515 Enrollment ID: I20110901000416 |
| Provider Name | Huma I Iftikhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639135866 PECOS PAC ID: 4183896780 Enrollment ID: I20111003000765 |
| Provider Name | Alisha K Kidane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952593386 PECOS PAC ID: 5597899211 Enrollment ID: I20111019000228 |
| Provider Name | Roberto F Alvarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427065283 PECOS PAC ID: 6103907266 Enrollment ID: I20120410000679 |
| Provider Name | David G Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396752259 PECOS PAC ID: 8729169305 Enrollment ID: I20120601000057 |
| Provider Name | Clive K Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366447583 PECOS PAC ID: 2961436845 Enrollment ID: I20120606000764 |
| Provider Name | Caroline Bolz Carter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366670820 PECOS PAC ID: 3375708241 Enrollment ID: I20120626000694 |
| Provider Name | Amber M Zulfiqar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841561941 PECOS PAC ID: 9436315470 Enrollment ID: I20120719000474 |
| Provider Name | Michele Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982954541 PECOS PAC ID: 4587814264 Enrollment ID: I20121016000420 |
| Provider Name | Pooja R Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407106487 PECOS PAC ID: 2466602040 Enrollment ID: I20121016000558 |
| Provider Name | Sweeya R Ramireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366644767 PECOS PAC ID: 0244385292 Enrollment ID: I20121030000188 |
| Provider Name | Theodore Lawler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144208414 PECOS PAC ID: 1759531551 Enrollment ID: I20121031000522 |
| Provider Name | Grace Wen Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609004415 PECOS PAC ID: 7517103195 Enrollment ID: I20130426000640 |
| Provider Name | Jocelyn Szeto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265663710 PECOS PAC ID: 0244479483 Enrollment ID: I20130618000781 |
| Provider Name | Muralidhar R Yerramadha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609184027 PECOS PAC ID: 9133377740 Enrollment ID: I20130722000177 |
| Provider Name | Thriveni R Vellore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225003270 PECOS PAC ID: 1052388436 Enrollment ID: I20130724000506 |
| Provider Name | Timberly Nichelle Gilford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346560638 PECOS PAC ID: 7911140835 Enrollment ID: I20130826000169 |
| Provider Name | Rhea Heidi Balce Balitbit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851619449 PECOS PAC ID: 3072757665 Enrollment ID: I20130923000042 |
| Provider Name | Leesa A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932458908 PECOS PAC ID: 6901032267 Enrollment ID: I20140325001381 |
| Provider Name | Tracie M Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811240765 PECOS PAC ID: 0941426720 Enrollment ID: I20140731001120 |
| Provider Name | Lee Kendall Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629366075 PECOS PAC ID: 9335367226 Enrollment ID: I20140908000711 |
| Provider Name | Kimberly Chanel Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386059186 PECOS PAC ID: 6608095963 Enrollment ID: I20140918000778 |
| Provider Name | Viresh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932425196 PECOS PAC ID: 8729208673 Enrollment ID: I20140929000486 |
| Provider Name | Navnitkumar J Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619268588 PECOS PAC ID: 6800017989 Enrollment ID: I20141015001816 |
| Provider Name | Tracie W Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225017908 PECOS PAC ID: 4486803335 Enrollment ID: I20141218001405 |
| Provider Name | Mohammed Sammour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215371778 PECOS PAC ID: 7719201110 Enrollment ID: I20150113000353 |
| Provider Name | Nang N Immanivong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538567102 PECOS PAC ID: 7113241407 Enrollment ID: I20150114001939 |
| Provider Name | Jeanette Robles-suarez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992040539 PECOS PAC ID: 2961645643 Enrollment ID: I20150527000494 |
| Provider Name | Junhui Jia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881081800 PECOS PAC ID: 7618284555 Enrollment ID: I20150910000045 |
| Provider Name | Steven T Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780723346 PECOS PAC ID: 3678614674 Enrollment ID: I20150928001115 |
| Provider Name | Jernae F Bijou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518362896 PECOS PAC ID: 8729397682 Enrollment ID: I20151016001125 |
| Provider Name | Maria M Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811389844 PECOS PAC ID: 4385954981 Enrollment ID: I20151111001701 |
| Provider Name | Delorean Y Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912305046 PECOS PAC ID: 1254634991 Enrollment ID: I20160129001000 |
| Provider Name | Melanie S Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972969897 PECOS PAC ID: 5698071520 Enrollment ID: I20160302002353 |
| Provider Name | Vera D Gibb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952793911 PECOS PAC ID: 8123325818 Enrollment ID: I20160323001959 |
| Provider Name | Joy I Odafe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528480217 PECOS PAC ID: 3577725142 Enrollment ID: I20160406002211 |
| Provider Name | Kirstin Hermano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588034938 PECOS PAC ID: 6608174677 Enrollment ID: I20160408000157 |
| Provider Name | Jose Franquiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073804019 PECOS PAC ID: 2062632003 Enrollment ID: I20160428000999 |
| Provider Name | Tamica N Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740439058 PECOS PAC ID: 0042442279 Enrollment ID: I20160510002511 |
| Provider Name | Gumaro Granados |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902244452 PECOS PAC ID: 1355631656 Enrollment ID: I20160527000302 |
| Provider Name | Froilan M Francisco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568600971 PECOS PAC ID: 2264570951 Enrollment ID: I20160726000092 |
| Provider Name | Richard E Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134563927 PECOS PAC ID: 5294029591 Enrollment ID: I20160809003095 |
| Provider Name | Howard R Bernstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588715494 PECOS PAC ID: 9638470982 Enrollment ID: I20160824001004 |
| Provider Name | Syed Khurram Shahid |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770944522 PECOS PAC ID: 0749576700 Enrollment ID: I20160831001474 |
| Provider Name | Swarna A Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821541665 PECOS PAC ID: 5092002634 Enrollment ID: I20160924000339 |
| Provider Name | Rela Annette Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700943933 PECOS PAC ID: 3274633714 Enrollment ID: I20160929000621 |
| Provider Name | Ronnalyn D Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326592247 PECOS PAC ID: 9830487255 Enrollment ID: I20161018000186 |
| Provider Name | Quang Dang Bui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518954049 PECOS PAC ID: 6305829334 Enrollment ID: I20161025000459 |
| Provider Name | Nida Chhotani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508121682 PECOS PAC ID: 6406096593 Enrollment ID: I20161027001599 |
| Provider Name | Lincy Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356896682 PECOS PAC ID: 3476831009 Enrollment ID: I20161101002522 |
| Provider Name | Rebecca V Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386900439 PECOS PAC ID: 0143500181 Enrollment ID: I20161208000124 |
| Provider Name | Jasmine Dark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866160 PECOS PAC ID: 2961783469 Enrollment ID: I20161221000291 |
| Provider Name | Daniel Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578910220 PECOS PAC ID: 5991087264 Enrollment ID: I20170120001836 |
| Provider Name | Daisy M Granados |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235577784 PECOS PAC ID: 1557643590 Enrollment ID: I20170126001349 |
| Provider Name | Tabassum Taqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164787255 PECOS PAC ID: 4688825813 Enrollment ID: I20170210000495 |
| Provider Name | Anu Kelur Mariyappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215153879 PECOS PAC ID: 6406991264 Enrollment ID: I20170213000387 |
| Provider Name | Terence Afuh Achuo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659745917 PECOS PAC ID: 8628352440 Enrollment ID: I20170222002713 |
| Provider Name | Sini Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740729847 PECOS PAC ID: 0143505974 Enrollment ID: I20170317001871 |
| Provider Name | Whitney R Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810315 PECOS PAC ID: 7416232673 Enrollment ID: I20170330001727 |
| Provider Name | Paige L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679013585 PECOS PAC ID: 3971889411 Enrollment ID: I20170417001235 |
| Provider Name | Shauntel E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730629387 PECOS PAC ID: 6901182302 Enrollment ID: I20170420000368 |
| Provider Name | Amy Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376987057 PECOS PAC ID: 8628355385 Enrollment ID: I20170505000515 |
| Provider Name | Winston R Liaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952502759 PECOS PAC ID: 5698852101 Enrollment ID: I20170621000723 |
| Provider Name | Louis Gilbert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285051599 PECOS PAC ID: 3870862741 Enrollment ID: I20170708000157 |
| Provider Name | Jilu J Varghese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386875698 PECOS PAC ID: 3274789755 Enrollment ID: I20170727000966 |
| Provider Name | Tia L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841723889 PECOS PAC ID: 2860763570 Enrollment ID: I20170728002732 |
| Provider Name | Neda M Mehmandoost |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710392493 PECOS PAC ID: 3577834746 Enrollment ID: I20170807000907 |
| Provider Name | Porchae B Brisby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952826232 PECOS PAC ID: 6204100209 Enrollment ID: I20170914001057 |
| Provider Name | Erika Renee Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699227660 PECOS PAC ID: 8123300423 Enrollment ID: I20170923000016 |
| Provider Name | Jennifer R Deckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821535469 PECOS PAC ID: 1759655178 Enrollment ID: I20170925001465 |
| Provider Name | Cassandra Chidimma Eneremadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013453711 PECOS PAC ID: 1557637717 Enrollment ID: I20171017000479 |
| Provider Name | Michael Judd Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720388069 PECOS PAC ID: 7113293226 Enrollment ID: I20171017003161 |
| Provider Name | Anna L Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215452081 PECOS PAC ID: 6507132214 Enrollment ID: I20171025001060 |
| Provider Name | Rosemary Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619490463 PECOS PAC ID: 8527334176 Enrollment ID: I20171025003338 |
| Provider Name | Melissa K Wilkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922553510 PECOS PAC ID: 1557637964 Enrollment ID: I20171030000958 |
| Provider Name | Clavis Registe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205349123 PECOS PAC ID: 2466710470 Enrollment ID: I20171221000716 |
| Provider Name | Danilo Manere Judit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760523609 PECOS PAC ID: 1759372089 Enrollment ID: I20171227001743 |
| Provider Name | Sasha Robeye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144632175 PECOS PAC ID: 3476812793 Enrollment ID: I20180112001234 |
| Provider Name | Libby John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598149932 PECOS PAC ID: 0345509345 Enrollment ID: I20180122000178 |
| Provider Name | Angel Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467859470 PECOS PAC ID: 8426317348 Enrollment ID: I20180122001159 |
| Provider Name | Abel Moreno Flores |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164835310 PECOS PAC ID: 8325267362 Enrollment ID: I20180202001184 |
| Provider Name | Ruth Akani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356792568 PECOS PAC ID: 7719247766 Enrollment ID: I20180212002282 |
| Provider Name | Dana E Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992210991 PECOS PAC ID: 2567722754 Enrollment ID: I20180306000759 |
| Provider Name | Nisha Renny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679082747 PECOS PAC ID: 5092078121 Enrollment ID: I20180424000786 |
| Provider Name | Ushma Solanki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396286969 PECOS PAC ID: 5496019895 Enrollment ID: I20180511001388 |
| Provider Name | Tamira L Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033644356 PECOS PAC ID: 9638434202 Enrollment ID: I20180531002315 |
| Provider Name | Chris Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023496247 PECOS PAC ID: 0547528028 Enrollment ID: I20180702001593 |
| Provider Name | Pamela H Francisco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316268055 PECOS PAC ID: 7911221072 Enrollment ID: I20180822000071 |
| Provider Name | Shalonda L Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144468208 PECOS PAC ID: 2163705187 Enrollment ID: I20180928000888 |
| Provider Name | Ihuoma K Ibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821510108 PECOS PAC ID: 6305197310 Enrollment ID: I20181001001440 |
| Provider Name | Priya Davar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831585603 PECOS PAC ID: 3375895675 Enrollment ID: I20181016000356 |
| Provider Name | Sharon Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720566888 PECOS PAC ID: 0749533727 Enrollment ID: I20181020000281 |
| Provider Name | Carnai Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437531118 PECOS PAC ID: 0547513525 Enrollment ID: I20181020000399 |
| Provider Name | Hannah Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902319536 PECOS PAC ID: 8426302688 Enrollment ID: I20181107001734 |
| Provider Name | Avinash Narine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235427030 PECOS PAC ID: 9032428297 Enrollment ID: I20181112002427 |
| Provider Name | Bright Ohene Odei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023423308 PECOS PAC ID: 3173740958 Enrollment ID: I20181116002102 |
| Provider Name | Toni Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538619655 PECOS PAC ID: 2264786573 Enrollment ID: I20181126000669 |
| Provider Name | Brittany Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568949386 PECOS PAC ID: 8325383581 Enrollment ID: I20181218000091 |
| Provider Name | Jessica S Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013407535 PECOS PAC ID: 1153670252 Enrollment ID: I20181219001389 |
| Provider Name | Rozanne B Allred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992275374 PECOS PAC ID: 9537406814 Enrollment ID: I20190124000778 |
| Provider Name | Julie Sawyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134687460 PECOS PAC ID: 5698016210 Enrollment ID: I20190409001657 |
| Provider Name | Crystal Sweeting Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578024188 PECOS PAC ID: 1557604220 Enrollment ID: I20190521000446 |
| Provider Name | Lissy Alias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336628163 PECOS PAC ID: 4082948435 Enrollment ID: I20190619001094 |
| Provider Name | Lilia M Rasul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255846473 PECOS PAC ID: 6901132257 Enrollment ID: I20190725000318 |
| Provider Name | Matthew C Burnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083270458 PECOS PAC ID: 4183951338 Enrollment ID: I20190809001710 |
| Provider Name | Annette Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801201322 PECOS PAC ID: 6800123712 Enrollment ID: I20190814002515 |
| Provider Name | Joanna Kaplan Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528621760 PECOS PAC ID: 9335477645 Enrollment ID: I20190826000051 |
| Provider Name | Elizabeth Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750668158 PECOS PAC ID: 7113154097 Enrollment ID: I20190916001906 |
| Provider Name | Beatrice Wemegah Gyebi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366816787 PECOS PAC ID: 3476883067 Enrollment ID: I20190924003750 |
| Provider Name | Daniel Pinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124551270 PECOS PAC ID: 5991035362 Enrollment ID: I20190927000295 |
| Provider Name | Crystal Pouncil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336673011 PECOS PAC ID: 6901138809 Enrollment ID: I20191025001601 |
| Provider Name | Gaurang Chandrakant Zala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255541678 PECOS PAC ID: 2961566609 Enrollment ID: I20191029002705 |
| Provider Name | Kim Tuyet N Ho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801396411 PECOS PAC ID: 6406289180 Enrollment ID: I20191211000596 |
| Provider Name | Isaac E Van Sligtenhorst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194105064 PECOS PAC ID: 0446683908 Enrollment ID: I20191214000024 |
| Provider Name | Steven Starks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992038889 PECOS PAC ID: 2860623121 Enrollment ID: I20191220000948 |
| Provider Name | Sanjay Jaswani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548418288 PECOS PAC ID: 1153591946 Enrollment ID: I20191227000615 |
| Provider Name | Nicole T Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518502772 PECOS PAC ID: 4789018615 Enrollment ID: I20191230001887 |
| Provider Name | Shobha Shitaprasad Patil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689057390 PECOS PAC ID: 3779918438 Enrollment ID: I20200127002169 |
| Provider Name | Bianca F Persaud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962723924 PECOS PAC ID: 1153564489 Enrollment ID: I20200323001564 |
| Provider Name | Mini Philip Chennemkara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841755956 PECOS PAC ID: 0941638027 Enrollment ID: I20200324001774 |
| Provider Name | Holly L Thibodeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104028554 PECOS PAC ID: 8921198219 Enrollment ID: I20200330001649 |
| Provider Name | Trisha R Coover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407115009 PECOS PAC ID: 1759687833 Enrollment ID: I20200501000116 |
| Provider Name | Ihuoma Joshua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700252780 PECOS PAC ID: 8426366733 Enrollment ID: I20200506003094 |
| Provider Name | Elizabeth Kay Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758042 PECOS PAC ID: 0042641524 Enrollment ID: I20200518000774 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639588163 PECOS PAC ID: 1850616681 Enrollment ID: I20200528002969 |
| Provider Name | Maria A Cerana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700232063 PECOS PAC ID: 9830484732 Enrollment ID: I20200529002534 |
| Provider Name | Angel Justo Rivero Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467099820 PECOS PAC ID: 4284057035 Enrollment ID: I20200713000591 |
| Provider Name | Suzan Skef |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427312107 PECOS PAC ID: 7618281346 Enrollment ID: I20201002000349 |
| Provider Name | Jackie Lynn Snell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114229366 PECOS PAC ID: 2264852268 Enrollment ID: I20201013001608 |
| Provider Name | Sybil Leslie Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255963682 PECOS PAC ID: 6507294493 Enrollment ID: I20201021002964 |
| Provider Name | Sheila Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619332756 PECOS PAC ID: 3476857855 Enrollment ID: I20201119002348 |
| Provider Name | Patricia Wieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639216112 PECOS PAC ID: 4082696281 Enrollment ID: I20201124000077 |
| Provider Name | Morgan Brittany Londenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174137475 PECOS PAC ID: 1850703794 Enrollment ID: I20201217000051 |
| Provider Name | Cindy Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689262461 PECOS PAC ID: 9931513876 Enrollment ID: I20210204000543 |
| Provider Name | Hanna Maria Morkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346441185 PECOS PAC ID: 2567876378 Enrollment ID: I20210205000774 |
| Provider Name | Shaza Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629439534 PECOS PAC ID: 2062705726 Enrollment ID: I20210310001006 |
| Provider Name | Emily Beth Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043707441 PECOS PAC ID: 5890102438 Enrollment ID: I20210329000625 |
| Provider Name | Ha My To |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447794912 PECOS PAC ID: 8729495031 Enrollment ID: I20210405001285 |
| Provider Name | Myounghee M Jeong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417418682 PECOS PAC ID: 1153658521 Enrollment ID: I20210420000079 |
| Provider Name | Lisha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174117105 PECOS PAC ID: 1850709221 Enrollment ID: I20210423000911 |
| Provider Name | Emily Machann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871173575 PECOS PAC ID: 4688083769 Enrollment ID: I20210430000518 |
| Provider Name | Sarat Munjuluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134651177 PECOS PAC ID: 3072922889 Enrollment ID: I20210507000891 |
| Provider Name | Florence Ogugua Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639679277 PECOS PAC ID: 7416181227 Enrollment ID: I20210521001945 |
| Provider Name | Joy Amaechi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548719834 PECOS PAC ID: 9830598572 Enrollment ID: I20210528001104 |
| Provider Name | Maureen O'kane Grissom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144411513 PECOS PAC ID: 6507265170 Enrollment ID: I20210602000821 |
| Provider Name | William Elder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033140306 PECOS PAC ID: 3072692490 Enrollment ID: I20210603002420 |
| Provider Name | Surendra Raythatha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407054026 PECOS PAC ID: 6800799032 Enrollment ID: I20210607000190 |
| Provider Name | Brittany E Bodkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902452337 PECOS PAC ID: 1254733504 Enrollment ID: I20210709001007 |
| Provider Name | Phuoc Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154992428 PECOS PAC ID: 2264835115 Enrollment ID: I20210729001547 |
| Provider Name | Maria Nina M Jacinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205403672 PECOS PAC ID: 8224432265 Enrollment ID: I20210812001604 |
| Provider Name | Afshan Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427547736 PECOS PAC ID: 2062760630 Enrollment ID: I20211020001014 |
| Provider Name | Oyinade Omobola Odia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184145021 PECOS PAC ID: 0042608952 Enrollment ID: I20211026002542 |
| Provider Name | Heenaben Rathod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417566548 PECOS PAC ID: 5799173506 Enrollment ID: I20211028000560 |
| Provider Name | Cody Blake Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073192530 PECOS PAC ID: 7416346887 Enrollment ID: I20211105002053 |
| Provider Name | Rachael Y Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578727632 PECOS PAC ID: 3678746583 Enrollment ID: I20211111000745 |
| Provider Name | Vincent Kanayathu Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053969956 PECOS PAC ID: 9739366394 Enrollment ID: I20211202000182 |
| Provider Name | Usha Sadanala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326308248 PECOS PAC ID: 2769708007 Enrollment ID: I20220119000913 |
| Provider Name | Margaret Eme Bassey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609435643 PECOS PAC ID: 9537553953 Enrollment ID: I20220301002453 |
| Provider Name | Yeshimebet Ayalew Meshesha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356853220 PECOS PAC ID: 7719371145 Enrollment ID: I20220301002914 |
| Provider Name | Danielle Nicole Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639780554 PECOS PAC ID: 2163816356 Enrollment ID: I20220304000839 |
| Provider Name | Vivian Irabor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902284508 PECOS PAC ID: 9739573890 Enrollment ID: I20220307001001 |
| Provider Name | Madelin Arteaga Ocana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144988502 PECOS PAC ID: 9234523218 Enrollment ID: I20220309000040 |
| Provider Name | Ethel Obioha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518592690 PECOS PAC ID: 4385735372 Enrollment ID: I20220309000504 |
| Provider Name | Precious Uwaezuoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104284553 PECOS PAC ID: 6608261227 Enrollment ID: I20220317002738 |
| Provider Name | Mushtaque Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689843518 PECOS PAC ID: 3476745217 Enrollment ID: I20220325001403 |
| Provider Name | Shamaila Haris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194037010 PECOS PAC ID: 0345507877 Enrollment ID: I20220405001704 |
| Provider Name | Bridget Nwaogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376906578 PECOS PAC ID: 4183001316 Enrollment ID: I20220510000262 |
| Provider Name | Michael Mgerian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023674231 PECOS PAC ID: 5294069191 Enrollment ID: I20220517003129 |
| Provider Name | Aaron G Wesp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831169788 PECOS PAC ID: 2769386630 Enrollment ID: I20220519001636 |
| Provider Name | Shannon Amacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154646388 PECOS PAC ID: 0648457770 Enrollment ID: I20220523000530 |
| Provider Name | Chanthy Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205368990 PECOS PAC ID: 7810260247 Enrollment ID: I20220602003011 |
| Provider Name | Jakelyn Esmeralda Alfaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902431232 PECOS PAC ID: 8022497486 Enrollment ID: I20220615002754 |
| Provider Name | Emaan N Lehardy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730673591 PECOS PAC ID: 0547670374 Enrollment ID: I20220721002116 |
| Provider Name | Faiza Wajid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326359126 PECOS PAC ID: 1254568900 Enrollment ID: I20220920000973 |
| Provider Name | Ruth G Trochez Gallego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700510674 PECOS PAC ID: 0547634719 Enrollment ID: I20230330000936 |
| Provider Name | Jorge E Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881380129 PECOS PAC ID: 8729443437 Enrollment ID: I20230503000494 |
| Provider Name | Urielle Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679976799 PECOS PAC ID: 1052633112 Enrollment ID: I20230511003739 |
| Provider Name | Shaheen Lakhani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639542491 PECOS PAC ID: 9739482019 Enrollment ID: I20230517001708 |
| Provider Name | Ashley M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750870218 PECOS PAC ID: 9133586225 Enrollment ID: I20230605003318 |
| Provider Name | Mary T Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912178781 PECOS PAC ID: 8527125764 Enrollment ID: I20230612002503 |
| Provider Name | Lucille Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043295793 PECOS PAC ID: 0941271860 Enrollment ID: I20230707001155 |
| Provider Name | Michelle Sablatura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760153514 PECOS PAC ID: 0042673469 Enrollment ID: I20230831002684 |
| Provider Name | Liuber Forte Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285282020 PECOS PAC ID: 7517320955 Enrollment ID: I20230831003500 |
| Provider Name | Laura Anne Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255703799 PECOS PAC ID: 7618278334 Enrollment ID: I20230908000667 |
| Provider Name | Sara Rachel Elkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740446319 PECOS PAC ID: 8123474640 Enrollment ID: I20231019001928 |
| Provider Name | Latoya Dimitra Buchanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225464043 PECOS PAC ID: 2961858923 Enrollment ID: I20231026003018 |
| Provider Name | Aurora Jankowiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144823105 PECOS PAC ID: 7810309317 Enrollment ID: I20231031002558 |
| Provider Name | Alexandra Ebong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831680305 PECOS PAC ID: 0345596649 Enrollment ID: I20231205001563 |
| Provider Name | Denise Sample |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083919898 PECOS PAC ID: 5395909683 Enrollment ID: I20240314004329 |
Synergy Med-solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18618 Weeping Willow Ln, Pearland, TX 77584 Phone: 832-229-8402 | |
Ungs Primary, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10970 Shadow Creek Pkwy, Suite 250, Pearland, TX 77584 Phone: 713-436-9475 | |
Arigend Health Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2734 Sunrise Blvd Ste 311, Pearland, TX 77584 Phone: 281-858-3904 | |
Saji Mary Pa Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2743 Smith Ranch Rd Ste 1001, Pearland, TX 77584 Phone: 832-400-2291 | |
Novus Monitoring Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2813 Smith Ranch Rd Ste 145, Pearland, TX 77584 Phone: 346-971-4720 | |
Vitalcare Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1816 Broadway St, Ste 110, Pearland, TX 77581 Phone: 281-482-9994 Fax: 281-482-2231 | |
Pearland Integrative Family Medicine Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3129 Kingsley Drive, Suite 440, Pearland, TX 77584 Phone: 713-412-3251 Fax: 832-426-7770 |