| Walmart Health | |
|
2223 S Loop 256 Palestine TX 75801-4701 | |
| (903) 729-9501 | |
| (903) 729-9503 |
| Full Name | Walmart Health |
|---|---|
| Speciality | General Practice |
| Location | 2223 S Loop 256, Palestine, Texas |
| Authorized Official Name and Position | Richard Henry (ENROLLMENT MANAGER) |
| Authorized Official Contact | 4792582080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walmart Health 702 Sw 8th St Bentonville AR 72716-0445 Ph: (479) 204-8550 | Walmart Health 2223 S Loop 256 Palestine TX 75801-4701 Ph: (903) 729-9501 |
| NPI Number | 1508272444 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 4183955974 |
|---|---|
| Medicare Enrollment ID | O20221006001381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508272444 | NPI | - | NPPES |
| 358648ZHTM | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Titus K Venyah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639130966 PECOS PAC ID: 6608864798 Enrollment ID: I20040505001682 |
| Provider Name | Delores G Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134267198 PECOS PAC ID: 2062484983 Enrollment ID: I20040811000518 |
| Provider Name | Annie Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265424691 PECOS PAC ID: 2163483116 Enrollment ID: I20041022000418 |
| Provider Name | Lisa M Dix-emperador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568410975 PECOS PAC ID: 8426080862 Enrollment ID: I20060706000294 |
| Provider Name | Rebecca A Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568478568 PECOS PAC ID: 0042378317 Enrollment ID: I20081015000642 |
| Provider Name | Diane K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255665311 PECOS PAC ID: 9638216500 Enrollment ID: I20091026000351 |
| Provider Name | Amy J Hosch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881668986 PECOS PAC ID: 6901947209 Enrollment ID: I20100108000548 |
| Provider Name | Adam Trotta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588984751 PECOS PAC ID: 5799938114 Enrollment ID: I20130116000168 |
| Provider Name | Lamont A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215271481 PECOS PAC ID: 6103070198 Enrollment ID: I20130128000433 |
| Provider Name | Belinda J Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396081493 PECOS PAC ID: 2062655731 Enrollment ID: I20130828000111 |
| Provider Name | Megan C Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801190079 PECOS PAC ID: 8022246016 Enrollment ID: I20140121001400 |
| Provider Name | Celya N Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144650805 PECOS PAC ID: 4981837812 Enrollment ID: I20140430001527 |
| Provider Name | Bincy Varughese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023449725 PECOS PAC ID: 6002030988 Enrollment ID: I20140616001403 |
| Provider Name | Tania Marie Shinohara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073503454 PECOS PAC ID: 4385687565 Enrollment ID: I20141122000239 |
| Provider Name | Na Vang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518399344 PECOS PAC ID: 6002138021 Enrollment ID: I20141202002187 |
| Provider Name | Miranda N Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588058259 PECOS PAC ID: 5698093722 Enrollment ID: I20150421001276 |
| Provider Name | Maria Stanovic Karlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750547741 PECOS PAC ID: 3375699275 Enrollment ID: I20150826000477 |
| Provider Name | William Garcia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952728156 PECOS PAC ID: 0446527055 Enrollment ID: I20170602001945 |
| Provider Name | Eberechi Agbara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790135838 PECOS PAC ID: 8325336696 Enrollment ID: I20171218000766 |
| Provider Name | Lillie M Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942740584 PECOS PAC ID: 5092054056 Enrollment ID: I20190308001986 |
| Provider Name | Galinda Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619320264 PECOS PAC ID: 0446589857 Enrollment ID: I20190911000111 |
| Provider Name | Delesa Gabrielle Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114576881 PECOS PAC ID: 0244561439 Enrollment ID: I20191021000965 |
| Provider Name | Pierrette Larisse Laure Tantchou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720374804 PECOS PAC ID: 7911138763 Enrollment ID: I20191115001212 |
| Provider Name | Jacqueline D Ehima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922518026 PECOS PAC ID: 8325307069 Enrollment ID: I20191209002631 |
| Provider Name | Kimberly L Mabry-paroline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104460328 PECOS PAC ID: 4880029537 Enrollment ID: I20200127002031 |
| Provider Name | Peace C Ahanonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891277992 PECOS PAC ID: 9537565544 Enrollment ID: I20210831000020 |
| Provider Name | Jennifer Ann Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457809709 PECOS PAC ID: 3173916046 Enrollment ID: I20220217001424 |
| Provider Name | Sarah K Brezina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114692001 PECOS PAC ID: 1951709161 Enrollment ID: I20230316002044 |
| Provider Name | Rekha Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821611757 PECOS PAC ID: 0244604775 Enrollment ID: I20230323000278 |
| Provider Name | Weslin Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821521238 PECOS PAC ID: 3678846961 Enrollment ID: I20230426002669 |
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: Medicare Enrolled Practice Location: 2265 S Sycamore St, Palestine, TX 75801 Phone: 903-721-6448 | |
Brandy Ricard, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Medical Dr, Palestine, TX 75801 Phone: 903-723-3300 Fax: 903-723-3308 |