Ms Lisa Teixeira, | |
4125 Bangs Ave, Modesto, CA 95356-8713 | |
(209) 557-2314 | |
(209) 557-1764 |
Full Name | Ms Lisa Teixeira |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4125 Bangs Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063635001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCS25717 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Teixeira, 4125 Bangs Ave, Modesto, CA 95356-8713 Ph: (209) 557-2314 | Ms Lisa Teixeira, 4125 Bangs Ave, Modesto, CA 95356-8713 Ph: (209) 557-2314 |
Mr. William Leon Boddie Ii, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite # 450, Modesto, CA 95350 Phone: 209-557-6217 Fax: 209-557-9032 | |
Diana Faith Kigenyi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Road, Modesto, CA 95355 Phone: 209-557-6200 | |
Ms. Shamerin Bourang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Rd, Modesto, CA 95355 Phone: 209-557-6213 | |
Mrs. Maria Edith Martinez, MSW,ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste I, Modesto, CA 95350 Phone: 209-526-1476 | |
Paul Samuel Crenshaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 726 14th St Ste A, Modesto, CA 95354 Phone: 209-614-1440 | |
Erika Navarro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1866 Maria Ct, Modesto, CA 95354 Phone: 209-531-4268 | |
Miss Deally S. Curran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Scenic Dr, Modesto, CA 95350 Phone: 209-380-6204 Fax: 209-558-4321 |