| First Physicians | |
|
901 Turtle Creek Dr, Tyler, TX 75701 | |
| (903) 596-3555 | |
| (903) 596-3560 |
| Full Name | First Physicians |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 901 Turtle Creek Dr, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124062484 | NPI | - | NPPES |
| 130864507 | Medicaid | TX | |
| 00T07K | Other | TX | BLUE CROSS |
| 130864502 | Medicaid | TX | |
| CC7791 | Other | TX | RAILROAD MEDICARE |
| CD9882 | Other | TX | RAILROAD MEDICARE |
| 4944030003 | Other | TX | PALMETTO DME |
| CC6186 | Other | TX | RAILROAD MEDICARE |
| 085332701 | Medicaid | TX |
| Provider Name | Lucia Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386745982 PECOS PAC ID: 4486567302 Enrollment ID: I20031107000034 |
| Provider Name | Charles D Haas |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821095266 PECOS PAC ID: 1254236805 Enrollment ID: I20031205000328 |
| Provider Name | James M Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871520577 PECOS PAC ID: 8426942756 Enrollment ID: I20040209001056 |
| Provider Name | Paul Joonyeob Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942288634 PECOS PAC ID: 9739074543 Enrollment ID: I20040219000975 |
| Provider Name | Stephen C Hardin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366406373 PECOS PAC ID: 9739075599 Enrollment ID: I20040226001220 |
| Provider Name | Michael David Austin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134199284 PECOS PAC ID: 4385531961 Enrollment ID: I20040228000373 |
| Provider Name | Edwin D Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649200700 PECOS PAC ID: 9537057740 Enrollment ID: I20040309000857 |
| Provider Name | Michael J Klouda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982633319 PECOS PAC ID: 8426948191 Enrollment ID: I20040317000333 |
| Provider Name | Donald E Arego |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487698106 PECOS PAC ID: 9032006481 Enrollment ID: I20040417000623 |
| Provider Name | Krishna P Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992773444 PECOS PAC ID: 5597751719 Enrollment ID: I20040423001066 |
| Provider Name | Eleazar Vera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407822299 PECOS PAC ID: 2062409923 Enrollment ID: I20040430000732 |
| Provider Name | Eric S Madore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982678884 PECOS PAC ID: 0941298053 Enrollment ID: I20040505001178 |
| Provider Name | Julian Deese |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477598969 PECOS PAC ID: 2466442074 Enrollment ID: I20040515000292 |
| Provider Name | Marinel C Munda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881620433 PECOS PAC ID: 9335139658 Enrollment ID: I20040517001318 |
| Provider Name | Dennis S Devinney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457398935 PECOS PAC ID: 8921089897 Enrollment ID: I20040526001191 |
| Provider Name | James E Gulde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881682987 PECOS PAC ID: 6305740549 Enrollment ID: I20040607000719 |
| Provider Name | Ilanko Upendran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124051073 PECOS PAC ID: 1456333921 Enrollment ID: I20040607001249 |
| Provider Name | Gordon G Uretsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477512820 PECOS PAC ID: 1951384080 Enrollment ID: I20040610000460 |
| Provider Name | George M Plotkin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184739641 PECOS PAC ID: 2062496854 Enrollment ID: I20040617001210 |
| Provider Name | Wendell S Phillips |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164497871 PECOS PAC ID: 8325022031 Enrollment ID: I20040617001424 |
| Provider Name | Charles H Lee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245338748 PECOS PAC ID: 7012991748 Enrollment ID: I20040617001504 |
| Provider Name | James Michael Orms |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487694717 PECOS PAC ID: 1557346657 Enrollment ID: I20040622001605 |
| Provider Name | Lisa Joan Graves-austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508804634 PECOS PAC ID: 5395721419 Enrollment ID: I20040628001482 |
| Provider Name | Kris B Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710967906 PECOS PAC ID: 2466423827 Enrollment ID: I20040802000490 |
| Provider Name | Gary D Babbitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326018797 PECOS PAC ID: 5092786137 Enrollment ID: I20040803001163 |
| Provider Name | Brent O Davis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871588012 PECOS PAC ID: 4587636048 Enrollment ID: I20040806000466 |
| Provider Name | Scott J Lamb |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1831192277 PECOS PAC ID: 5991782401 Enrollment ID: I20040825000274 |
| Provider Name | Todd A Parrish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861491920 PECOS PAC ID: 4688640733 Enrollment ID: I20040909000470 |
| Provider Name | Craig M Delisi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689616849 PECOS PAC ID: 4082674528 Enrollment ID: I20041019000110 |
| Provider Name | Rodney D Burrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871536714 PECOS PAC ID: 5890755334 Enrollment ID: I20041019000126 |
| Provider Name | Clarence Edward Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538273180 PECOS PAC ID: 4486615366 Enrollment ID: I20041023000266 |
| Provider Name | Joel D Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922090497 PECOS PAC ID: 1850352428 Enrollment ID: I20041026001031 |
| Provider Name | William B Roberson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750386413 PECOS PAC ID: 7517946155 Enrollment ID: I20041111000175 |
| Provider Name | Theodore I Gould |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649269051 PECOS PAC ID: 9739143611 Enrollment ID: I20041119000355 |
| Provider Name | Harvey H Dayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710091137 PECOS PAC ID: 4981661667 Enrollment ID: I20041214000806 |
| Provider Name | Robert C Wessman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629044300 PECOS PAC ID: 3577512748 Enrollment ID: I20050113001100 |
| Provider Name | Karen K Wies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609893270 PECOS PAC ID: 1951353523 Enrollment ID: I20050211000697 |
| Provider Name | Aileen C Francisco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720142458 PECOS PAC ID: 2668424730 Enrollment ID: I20050216000906 |
| Provider Name | Olawole S Oluwole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902993686 PECOS PAC ID: 2163475997 Enrollment ID: I20050222000195 |
| Provider Name | Jonathan A Markowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386636017 PECOS PAC ID: 9830143676 Enrollment ID: I20050304000342 |
| Provider Name | James Cochran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154304467 PECOS PAC ID: 8224946389 Enrollment ID: I20050308000895 |
| Provider Name | William R Giles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386662419 PECOS PAC ID: 3173561974 Enrollment ID: I20050421001170 |
| Provider Name | Shailesh Gupta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1295781078 PECOS PAC ID: 3678472685 Enrollment ID: I20050428000215 |
| Provider Name | Beverly L. Waddleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629004684 PECOS PAC ID: 9830002294 Enrollment ID: I20050504000914 |
| Provider Name | Charles Godo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790796316 PECOS PAC ID: 8224073150 Enrollment ID: I20050622000228 |
| Provider Name | Joseph M Conflitti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720022650 PECOS PAC ID: 8224026232 Enrollment ID: I20050728001133 |
| Provider Name | Maxwell P Kwaku |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083641534 PECOS PAC ID: 1557391802 Enrollment ID: I20050816000825 |
| Provider Name | David J Sloan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134132749 PECOS PAC ID: 2567493331 Enrollment ID: I20050822001434 |
| Provider Name | Gerald J Akpassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447296975 PECOS PAC ID: 9739113952 Enrollment ID: I20050926001244 |
| Provider Name | Craig M Mcmullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487614616 PECOS PAC ID: 5698793438 Enrollment ID: I20051109001123 |
| Provider Name | John Turner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1750306536 PECOS PAC ID: 9234152240 Enrollment ID: I20060105000181 |
| Provider Name | Sanford E Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992781090 PECOS PAC ID: 0648284943 Enrollment ID: I20060125000883 |
| Provider Name | Andrei Gasic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184623407 PECOS PAC ID: 3779550009 Enrollment ID: I20060201000602 |
| Provider Name | Perry C Wallach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538115431 PECOS PAC ID: 2264443019 Enrollment ID: I20060509000306 |
| Provider Name | Miguel Sierra-hoffman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265472906 PECOS PAC ID: 9335105576 Enrollment ID: I20060622000169 |
| 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 | An T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831187061 PECOS PAC ID: 2264435833 Enrollment ID: I20060821000481 |
| Provider Name | Stephen P Rydzak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184656555 PECOS PAC ID: 0749193811 Enrollment ID: I20060908000408 |
| Provider Name | Dixie A Rochester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790707255 PECOS PAC ID: 0244234888 Enrollment ID: I20060913000066 |
| Provider Name | James Ralph Vanderburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396821997 PECOS PAC ID: 5799780607 Enrollment ID: I20070209000237 |
| Provider Name | Teresa L Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952499543 PECOS PAC ID: 6709824246 Enrollment ID: I20070228000405 |
| Provider Name | Francisco M Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487742037 PECOS PAC ID: 8224130893 Enrollment ID: I20070228000411 |
| Provider Name | Lawrence Quan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144252800 PECOS PAC ID: 8022112408 Enrollment ID: I20070323000289 |
| Provider Name | Sharlet Gayl Slough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932118072 PECOS PAC ID: 5597869594 Enrollment ID: I20070416000466 |
| Provider Name | Bruce E Ellerin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285635052 PECOS PAC ID: 1153392865 Enrollment ID: I20070620000446 |
| Provider Name | Jose Ricardo Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154358638 PECOS PAC ID: 8921918426 Enrollment ID: I20070705000611 |
| Provider Name | Albert M Stephen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396710455 PECOS PAC ID: 8628179835 Enrollment ID: I20070718000321 |
| Provider Name | Kenneth R Kemp |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942392998 PECOS PAC ID: 5193819852 Enrollment ID: I20070926000167 |
| Provider Name | Ndukwe Uduma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689768525 PECOS PAC ID: 4284635186 Enrollment ID: I20071015000445 |
| Provider Name | Joseph B Coopwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881619203 PECOS PAC ID: 6305863945 Enrollment ID: I20071112000525 |
| Provider Name | Shari Spitzer |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1184629198 PECOS PAC ID: 3072601897 Enrollment ID: I20071113000142 |
| Provider Name | William C Conner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932300266 PECOS PAC ID: 3870673346 Enrollment ID: I20080109000689 |
| Provider Name | Guillermo A Saade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760464366 PECOS PAC ID: 7012828122 Enrollment ID: I20080226000781 |
| Provider Name | Andrew C Roberts |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700826260 PECOS PAC ID: 9133191372 Enrollment ID: I20080311000649 |
| Provider Name | Susan C Mcmullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699758136 PECOS PAC ID: 8921197286 Enrollment ID: I20080325000061 |
| Provider Name | Pradeep Shirodkar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598747289 PECOS PAC ID: 0749366862 Enrollment ID: I20080328000484 |
| Provider Name | Michal Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659497311 PECOS PAC ID: 8921185141 Enrollment ID: I20080411000220 |
| Provider Name | Lajuan J Chambers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033156757 PECOS PAC ID: 1850324443 Enrollment ID: I20080411000490 |
| Provider Name | Bethany G Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245419001 PECOS PAC ID: 8820176431 Enrollment ID: I20080423000225 |
| Provider Name | Qasim Nayeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780649905 PECOS PAC ID: 9537177431 Enrollment ID: I20080506000062 |
| Provider Name | Mary J Starling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053464610 PECOS PAC ID: 8527137751 Enrollment ID: I20080514000522 |
| Provider Name | Kristin L Ault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609078211 PECOS PAC ID: 0244300721 Enrollment ID: I20080610000644 |
| Provider Name | Rajesh P Subramania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588694525 PECOS PAC ID: 2668426081 Enrollment ID: I20080709000699 |
| Provider Name | Robert A Boudreau |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326147281 PECOS PAC ID: 2466524194 Enrollment ID: I20080711000372 |
| Provider Name | Amanda E George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619152139 PECOS PAC ID: 4183798655 Enrollment ID: I20080731000440 |
| Provider Name | Brenda Jane Frisbie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336172238 PECOS PAC ID: 1456429463 Enrollment ID: I20081003000546 |
| Provider Name | Kalpana K Basoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104949460 PECOS PAC ID: 2365500485 Enrollment ID: I20081018000086 |
| Provider Name | Farzad Fakouri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043408495 PECOS PAC ID: 7517026859 Enrollment ID: I20081031000509 |
| Provider Name | Sujatha A White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184649691 PECOS PAC ID: 1951477801 Enrollment ID: I20081124000111 |
| Provider Name | Muzakeer Shaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114969300 PECOS PAC ID: 6305842550 Enrollment ID: I20081201000367 |
| Provider Name | Biljana P Krstic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134397672 PECOS PAC ID: 5991866253 Enrollment ID: I20081204000471 |
| Provider Name | Kevin L Fain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174511281 PECOS PAC ID: 5395800106 Enrollment ID: I20090211000304 |
| Provider Name | Christopher S Boylan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285629501 PECOS PAC ID: 7315842325 Enrollment ID: I20090508000313 |
| Provider Name | Kelechukwu K Olejeme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437323920 PECOS PAC ID: 6204988496 Enrollment ID: I20090720000144 |
| Provider Name | Blair R Macbeath |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1457363053 PECOS PAC ID: 1052458809 Enrollment ID: I20091027000568 |
| Provider Name | Anthony D Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962446898 PECOS PAC ID: 2062553720 Enrollment ID: I20100104000456 |
| Provider Name | Ravi K Sreerama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154373397 PECOS PAC ID: 4284775842 Enrollment ID: I20100105000686 |
| Provider Name | Thomas F Mccloskey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851399331 PECOS PAC ID: 7618018193 Enrollment ID: I20100106000116 |
| Provider Name | Nghia D Truong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407876626 PECOS PAC ID: 3870634918 Enrollment ID: I20100111000733 |
| Provider Name | Douglas F Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083641559 PECOS PAC ID: 6103830773 Enrollment ID: I20100215000764 |
| Provider Name | Samuel W Raborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346271913 PECOS PAC ID: 1658284724 Enrollment ID: I20100217000821 |
| Provider Name | Bryan T Hyland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215972591 PECOS PAC ID: 2769526243 Enrollment ID: I20100222000559 |
| Provider Name | John G Pogue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225068695 PECOS PAC ID: 0446395560 Enrollment ID: I20100301000569 |
| Provider Name | Roderick B Meese |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336134642 PECOS PAC ID: 0547165565 Enrollment ID: I20100316000669 |
| Provider Name | Andrew E Bentley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326151523 PECOS PAC ID: 2365578770 Enrollment ID: I20100324000982 |
| Provider Name | David M Dick |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477548618 PECOS PAC ID: 7012812035 Enrollment ID: I20100329000526 |
| Provider Name | Robert W Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598750739 PECOS PAC ID: 5890879159 Enrollment ID: I20100329001140 |
| Provider Name | Robert J Carney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063407203 PECOS PAC ID: 1759286776 Enrollment ID: I20100330000902 |
| Provider Name | Frank I Navetta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811982986 PECOS PAC ID: 7719882737 Enrollment ID: I20100330001043 |
| Provider Name | Thaddeus Rex Tolleson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912992082 PECOS PAC ID: 2264516525 Enrollment ID: I20100330001150 |
| Provider Name | David A Hector |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578558987 PECOS PAC ID: 1658276670 Enrollment ID: I20100503000770 |
| Provider Name | Roger C Sessions |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720086382 PECOS PAC ID: 8527034669 Enrollment ID: I20100614000184 |
| Provider Name | Clinton J Pace |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821234717 PECOS PAC ID: 8022148154 Enrollment ID: I20100616000059 |
| Provider Name | Dale R Klepzig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396935631 PECOS PAC ID: 8729118708 Enrollment ID: I20100618000061 |
| Provider Name | Gabriel M Zevallos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013965599 PECOS PAC ID: 5890751325 Enrollment ID: I20100708000140 |
| Provider Name | Mark Malone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487744827 PECOS PAC ID: 1456322205 Enrollment ID: I20100728000603 |
| Provider Name | Allison L Hennigan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730335829 PECOS PAC ID: 2062545536 Enrollment ID: I20100804000553 |
| Provider Name | James M Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134121866 PECOS PAC ID: 3870626088 Enrollment ID: I20100809000187 |
| Provider Name | Savitha Shastry |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518174465 PECOS PAC ID: 9335263409 Enrollment ID: I20100825001025 |
| Provider Name | Charles P Cameron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679898886 PECOS PAC ID: 9436341120 Enrollment ID: I20101013000916 |
| Provider Name | Darryl G White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154316974 PECOS PAC ID: 5395938997 Enrollment ID: I20101014001203 |
| Provider Name | Marianne Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285733758 PECOS PAC ID: 3476746553 Enrollment ID: I20101021000390 |
| Provider Name | Pamela K Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053419606 PECOS PAC ID: 8224222914 Enrollment ID: I20101026001420 |
| Provider Name | Dinesh K Sangana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669434908 PECOS PAC ID: 3072572072 Enrollment ID: I20101101000656 |
| Provider Name | Rebecca L Cali |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1992766091 PECOS PAC ID: 7810921178 Enrollment ID: I20101111000569 |
| Provider Name | Olayiwola Abdullateef Salmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457585739 PECOS PAC ID: 7012062029 Enrollment ID: I20101124000352 |
| Provider Name | David A Olvera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750585337 PECOS PAC ID: 1658569058 Enrollment ID: I20101229000995 |
| Provider Name | Isaac J.t. Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700809555 PECOS PAC ID: 0941298780 Enrollment ID: I20110301000429 |
| Provider Name | Qin Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720271489 PECOS PAC ID: 1557543360 Enrollment ID: I20110315000343 |
| Provider Name | Jason B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467752915 PECOS PAC ID: 1153504626 Enrollment ID: I20110321000597 |
| Provider Name | Michael Jason Chastant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083944185 PECOS PAC ID: 4284818923 Enrollment ID: I20110405000397 |
| Provider Name | Ali Alhousseini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124225248 PECOS PAC ID: 9931253663 Enrollment ID: I20110415000351 |
| Provider Name | Darrell Allan Bunch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710974811 PECOS PAC ID: 4688708167 Enrollment ID: I20110422000274 |
| Provider Name | Frederick Tinio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114902111 PECOS PAC ID: 5193793735 Enrollment ID: I20110523000644 |
| Provider Name | Sarah C Tyner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780979336 PECOS PAC ID: 9537337985 Enrollment ID: I20110729000449 |
| Provider Name | Gina M Jetter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346422532 PECOS PAC ID: 3577732817 Enrollment ID: I20110803000302 |
| Provider Name | Kristina O Mitchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104121409 PECOS PAC ID: 8820267164 Enrollment ID: I20110803000320 |
| Provider Name | Salah Almohammed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992859573 PECOS PAC ID: 2163588393 Enrollment ID: I20110815000157 |
| Provider Name | Courtney E Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265727457 PECOS PAC ID: 1153591870 Enrollment ID: I20110906000717 |
| Provider Name | Liem T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982865952 PECOS PAC ID: 8224209135 Enrollment ID: I20110927000070 |
| Provider Name | Maria M Crompton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629373717 PECOS PAC ID: 0749452886 Enrollment ID: I20111013000327 |
| Provider Name | Upali S Walgama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265577175 PECOS PAC ID: 9436322187 Enrollment ID: I20111026000041 |
| Provider Name | Chimkama Ibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366606337 PECOS PAC ID: 1456525914 Enrollment ID: I20111117000670 |
| Provider Name | Deepti A Govathoti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316190754 PECOS PAC ID: 3779757265 Enrollment ID: I20111118000321 |
| Provider Name | Linda Bassam Mughrabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235316449 PECOS PAC ID: 0840466611 Enrollment ID: I20111228000329 |
| Provider Name | Lori Fuquay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407990872 PECOS PAC ID: 9335289917 Enrollment ID: I20120105000488 |
| Provider Name | Alireza Behboudi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245302819 PECOS PAC ID: 6305962473 Enrollment ID: I20120201000363 |
| Provider Name | Michael W Mcshan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912082249 PECOS PAC ID: 9335307776 Enrollment ID: I20120220000541 |
| Provider Name | Titilola Rosemarie Adio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700021193 PECOS PAC ID: 7315901535 Enrollment ID: I20120328000976 |
| Provider Name | Virginia A Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366720112 PECOS PAC ID: 8921269598 Enrollment ID: I20120409000688 |
| Provider Name | Loretta Eve Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780952580 PECOS PAC ID: 5698937191 Enrollment ID: I20120430000279 |
| Provider Name | Bruno A Romeo Miramon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366564148 PECOS PAC ID: 8729241567 Enrollment ID: I20120515000535 |
| Provider Name | Scott W Holland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356431936 PECOS PAC ID: 8325201411 Enrollment ID: I20120530000399 |
| Provider Name | Santosh N Hakkapakki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568641371 PECOS PAC ID: 8022199082 Enrollment ID: I20120714000076 |
| Provider Name | Brandi Love |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548521131 PECOS PAC ID: 8820254287 Enrollment ID: I20120730000577 |
| Provider Name | Kwabena A Osman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376828400 PECOS PAC ID: 4183870785 Enrollment ID: I20120815000205 |
| Provider Name | Adam Duran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265675706 PECOS PAC ID: 7517115439 Enrollment ID: I20120919000274 |
| Provider Name | Kimberley A Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295084499 PECOS PAC ID: 6901055763 Enrollment ID: I20121011000362 |
| Provider Name | Lamont A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215271481 PECOS PAC ID: 6103070198 Enrollment ID: I20130128000433 |
| Provider Name | Cicily D Cross-blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205105319 PECOS PAC ID: 6204080740 Enrollment ID: I20130208000157 |
| Provider Name | Raul A Torres-heisecke |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1952518813 PECOS PAC ID: 8123267580 Enrollment ID: I20130614000155 |
| Provider Name | Paul Andrew Kyser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124339437 PECOS PAC ID: 0042450579 Enrollment ID: I20130705000413 |
| Provider Name | Annelise N Ribeiro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861671281 PECOS PAC ID: 2769624402 Enrollment ID: I20130809000189 |
| Provider Name | Katherine S Root |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083932818 PECOS PAC ID: 2567606445 Enrollment ID: I20130916000064 |
| Provider Name | Laura J Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649416199 PECOS PAC ID: 5496999070 Enrollment ID: I20130920000654 |
| Provider Name | Ronald J Pinkenburg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194796805 PECOS PAC ID: 0547252074 Enrollment ID: I20131112000960 |
| Provider Name | Adam T Newman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154310688 PECOS PAC ID: 9436144946 Enrollment ID: I20131205000357 |
| Provider Name | Megan C Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801190079 PECOS PAC ID: 8022246016 Enrollment ID: I20140121001400 |
| Provider Name | Kendra Hoyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518011642 PECOS PAC ID: 9133032204 Enrollment ID: I20140222000182 |
| Provider Name | Celya N Tilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144650805 PECOS PAC ID: 4981837812 Enrollment ID: I20140430001527 |
| Provider Name | Vandana Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285871681 PECOS PAC ID: 2466598354 Enrollment ID: I20140611001416 |
| Provider Name | Daniel Mark Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467745299 PECOS PAC ID: 4981828662 Enrollment ID: I20140619001920 |
| Provider Name | Matthew B Rudolph |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629200308 PECOS PAC ID: 0840448791 Enrollment ID: I20140815001773 |
| Provider Name | Cheryl C Remigio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992097059 PECOS PAC ID: 7315115771 Enrollment ID: I20140826002788 |
| Provider Name | Janet L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386736205 PECOS PAC ID: 7113977547 Enrollment ID: I20141009000716 |
| Provider Name | Natalie Inge Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356351977 PECOS PAC ID: 6800797325 Enrollment ID: I20141103001805 |
| Provider Name | Jeffrey Scott Gilroy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538177514 PECOS PAC ID: 0941281455 Enrollment ID: I20141125001524 |
| Provider Name | Monica G Hudspeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371960 PECOS PAC ID: 2264755586 Enrollment ID: I20141217002211 |
| Provider Name | Zachary G Cannon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457648974 PECOS PAC ID: 7810114287 Enrollment ID: I20150109000980 |
| Provider Name | Hani A Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386999761 PECOS PAC ID: 7416268974 Enrollment ID: I20150624002511 |
| Provider Name | Mary E Sorial |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427322585 PECOS PAC ID: 1153633854 Enrollment ID: I20150709001118 |
| Provider Name | Aleksandr Korniyenko |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881995983 PECOS PAC ID: 6608046008 Enrollment ID: I20150902000983 |
| Provider Name | Effiok S Ekpenyong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225392053 PECOS PAC ID: 4284695065 Enrollment ID: I20151104002652 |
| Provider Name | Jena R Decanter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215306584 PECOS PAC ID: 5991015786 Enrollment ID: I20151106000986 |
| Provider Name | Carlo Greg Demandante |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528134517 PECOS PAC ID: 3971731928 Enrollment ID: I20151109001700 |
| Provider Name | Kristin M Meharry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487024709 PECOS PAC ID: 9234439878 Enrollment ID: I20151203001286 |
| Provider Name | Matthew James Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821461070 PECOS PAC ID: 6406156090 Enrollment ID: I20151203003006 |
| Provider Name | John A Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679943914 PECOS PAC ID: 2567762172 Enrollment ID: I20151204000354 |
| Provider Name | Saima A Zafar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437131273 PECOS PAC ID: 7618035726 Enrollment ID: I20160114000194 |
| Provider Name | Carol Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093091993 PECOS PAC ID: 8022311307 Enrollment ID: I20160120001208 |
| Provider Name | Navya Kanuri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265669394 PECOS PAC ID: 4981851318 Enrollment ID: I20160123000047 |
| Provider Name | Andrea Corine Cooley |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1003070483 PECOS PAC ID: 9335463322 Enrollment ID: I20160307002647 |
| Provider Name | Ruperl C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063670917 PECOS PAC ID: 3375669682 Enrollment ID: I20160309001011 |
| Provider Name | Betsy Chappell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356701221 PECOS PAC ID: 1254638687 Enrollment ID: I20160329002271 |
| Provider Name | Brandon M Ashton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164780524 PECOS PAC ID: 1759680036 Enrollment ID: I20160509001913 |
| Provider Name | Ashish Gangasani |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1497952683 PECOS PAC ID: 8325199979 Enrollment ID: I20160510000466 |
| Provider Name | Kranthi Kiran Ragireddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972733541 PECOS PAC ID: 8628226826 Enrollment ID: I20160511000246 |
| Provider Name | Umair Sohail |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376879940 PECOS PAC ID: 0143468066 Enrollment ID: I20160519001286 |
| Provider Name | Moises Adrian Sidransky |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1639469281 PECOS PAC ID: 4284937970 Enrollment ID: I20160713000544 |
| Provider Name | Mohammed Suhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457799355 PECOS PAC ID: 0547559312 Enrollment ID: I20160907001332 |
| Provider Name | Brandi Michelle Pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831643386 PECOS PAC ID: 5395032437 Enrollment ID: I20160917000052 |
| Provider Name | Ajay Pachika |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477566248 PECOS PAC ID: 0749286565 Enrollment ID: I20160929002301 |
| Provider Name | Brenton Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205382454 PECOS PAC ID: 9830487420 Enrollment ID: I20161014000376 |
| Provider Name | Andrew Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831509884 PECOS PAC ID: 5597043786 Enrollment ID: I20161021001636 |
| Provider Name | Consuella Deanne Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831643568 PECOS PAC ID: 3678852761 Enrollment ID: I20161114000008 |
| Provider Name | Katherine A Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891245908 PECOS PAC ID: 3577843408 Enrollment ID: I20161209001307 |
| Provider Name | Jennifer Christopher Rettig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265977144 PECOS PAC ID: 0941582498 Enrollment ID: I20170118002577 |
| Provider Name | David Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083149397 PECOS PAC ID: 4284911611 Enrollment ID: I20170511001840 |
| Provider Name | Meghan Leann Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649720806 PECOS PAC ID: 4789951765 Enrollment ID: I20170523000373 |
| Provider Name | Arthur B Diamond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912935032 PECOS PAC ID: 4385558022 Enrollment ID: I20170607000627 |
| Provider Name | Sadia Malik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598995359 PECOS PAC ID: 5991941908 Enrollment ID: I20170619001941 |
| Provider Name | Nadyn Michele Giralt Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417361148 PECOS PAC ID: 4284902974 Enrollment ID: I20170621002705 |
| Provider Name | Adam Shar |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1912291006 PECOS PAC ID: 7113212523 Enrollment ID: I20170731001956 |
| Provider Name | Jeremy Day |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346660883 PECOS PAC ID: 8527330166 Enrollment ID: I20170817000627 |
| Provider Name | Elizabeth Hope Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922524644 PECOS PAC ID: 9436425774 Enrollment ID: I20171101000189 |
| Provider Name | Sonja Hampshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669983482 PECOS PAC ID: 2567729320 Enrollment ID: I20171202000192 |
| Provider Name | Matthew Scott Mackrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760876916 PECOS PAC ID: 2567718927 Enrollment ID: I20180627003599 |
| Mailing Address | Practice Location Address |
|---|---|
| First Physicians Po Box 9477, Tyler, TX 75711-9477 Ph: (903) 594-2450 | First Physicians 901 Turtle Creek Dr, Tyler, TX 75701 Ph: (903) 596-3555 |