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2207 S Clear Creek Rd Ste 204 Killeen TX 76549-4132 | |
| (254) 519-8419 | |
| (254) 519-8915 |
| Full Name | |
|---|---|
| Speciality | Urology |
| Location | 2207 S Clear Creek Rd, Killeen, Texas |
| Authorized Official Name and Position | Kimberlee Gabara (DIR PRACTICE OPERATIONS) |
| Authorized Official Contact | 5125563621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2201 S Clear Creek Rd Killeen TX 76549-4110 Ph: (254) 519-8419 | 2207 S Clear Creek Rd Ste 204 Killeen TX 76549-4132 Ph: (254) 519-8419 |
| NPI Number | 1891730396 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 07/17/2024 |
| Certification Date | 07/17/2024 |
| Medicare PECOS PAC ID | 9537183124 |
|---|---|
| Medicare Enrollment ID | O20060123000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891730396 | NPI | - | NPPES |
| 0033NE | Other | TX | BLUE CROSS BLUE SHIELD |
| 178846501 | Medicaid | TX |
| Provider Name | Thomas R Warren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669458030 PECOS PAC ID: 1658357132 Enrollment ID: I20040629000552 |
| Provider Name | Robert R Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841272481 PECOS PAC ID: 6305804188 Enrollment ID: I20041227000524 |
| Provider Name | Arturo Romero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275536781 PECOS PAC ID: 5799731410 Enrollment ID: I20050325000377 |
| Provider Name | Richard M Avery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023073822 PECOS PAC ID: 3375598246 Enrollment ID: I20051025000811 |
| Provider Name | William R Rediske |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134286024 PECOS PAC ID: 5597856294 Enrollment ID: I20070809000664 |
| Provider Name | Erin T Bird |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932169190 PECOS PAC ID: 6204977051 Enrollment ID: I20091231000027 |
| Provider Name | Joaquin Francisco Oronoz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447229166 PECOS PAC ID: 9739281411 Enrollment ID: I20100729000200 |
| Provider Name | Monty L Gohl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376541219 PECOS PAC ID: 3577740539 Enrollment ID: I20110601000088 |
| Provider Name | Kenyatta M Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073772042 PECOS PAC ID: 3072774215 Enrollment ID: I20120413000554 |
| Provider Name | Daniel Francis Mclaughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689693442 PECOS PAC ID: 5799099610 Enrollment ID: I20150805007064 |
| Provider Name | Eugene C Waters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922048826 PECOS PAC ID: 6608172192 Enrollment ID: I20160309001747 |
| Provider Name | Miranda L Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447775895 PECOS PAC ID: 3476810862 Enrollment ID: I20171120000659 |
| Provider Name | Joseph N Bishara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942647961 PECOS PAC ID: 3678872033 Enrollment ID: I20180719003089 |
| Provider Name | Cedilia Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124537881 PECOS PAC ID: 0547529976 Enrollment ID: I20180809006078 |
| Provider Name | Peter Formby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730476698 PECOS PAC ID: 6507102274 Enrollment ID: I20190117000693 |
| Provider Name | Vinod Alluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548279870 PECOS PAC ID: 1254336357 Enrollment ID: I20190122001784 |
| Provider Name | Chau B Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396197661 PECOS PAC ID: 8921392937 Enrollment ID: I20190709001647 |
| Provider Name | Susan Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639739980 PECOS PAC ID: 1456688803 Enrollment ID: I20190808001702 |
| Provider Name | Dorothy E Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548817596 PECOS PAC ID: 7517299894 Enrollment ID: I20191106001650 |
| Provider Name | Autumn Elizabeth Fuselier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295360444 PECOS PAC ID: 0547698615 Enrollment ID: I20200324001450 |
| Provider Name | Phylicia Danielle Yorgure |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649537853 PECOS PAC ID: 1557502192 Enrollment ID: I20201001003113 |
| Provider Name | Kwame Addo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598395063 PECOS PAC ID: 7618381591 Enrollment ID: I20210329000845 |
| Provider Name | Shonda Phillips-young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225607310 PECOS PAC ID: 5294138319 Enrollment ID: I20210728000124 |
| Provider Name | Zachary Mcbeth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972961761 PECOS PAC ID: 8426339698 Enrollment ID: I20220321000720 |
| Provider Name | Raj Sinha |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164445920 PECOS PAC ID: 9032003181 Enrollment ID: I20220416000008 |
| Provider Name | Jasmine Milledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831847631 PECOS PAC ID: 4789071853 Enrollment ID: I20220420002484 |
| Provider Name | Meryl S Logan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730513482 PECOS PAC ID: 6507244274 Enrollment ID: I20220608002319 |
| Provider Name | Sidonie B Ngankeu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174027601 PECOS PAC ID: 3577898683 Enrollment ID: I20221018002244 |
| Provider Name | Shielamae N Carbullido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104600691 PECOS PAC ID: 5395194641 Enrollment ID: I20231212001144 |
| Provider Name | Analucia Cadavid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619465424 PECOS PAC ID: 6002160025 Enrollment ID: I20240130002608 |
| Provider Name | Stephanie Kay Harvey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508087966 PECOS PAC ID: 0749587004 Enrollment ID: I20240202000090 |
| Provider Name | Rayudu Jujjavarapu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104891332 PECOS PAC ID: 8527122340 Enrollment ID: I20241021003344 |
| Provider Name | Michael Stephen Stagar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366908188 PECOS PAC ID: 9234663170 Enrollment ID: I20241114001248 |
| Provider Name | James D Slover |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669647822 PECOS PAC ID: 3375079478 Enrollment ID: I20241212003135 |
| Provider Name | Thea Simone Cristwell-butler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891964474 PECOS PAC ID: 9830625870 Enrollment ID: I20241213000529 |
Texas Star Neurology, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 S W S Young Dr, Suite 201, Killeen, TX 76542 Phone: 254-634-6999 Fax: 254-200-4099 | |
Rock Springs Physician Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5610 E Central Texas Expy, Killeen, TX 76543 Phone: 512-942-0206 | |
Pnuema Stance Mind Care And Consulting Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2504 Montague County Dr, Killeen, TX 76549 Phone: 575-740-6736 | |
America S Counseling Centers Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1711 E Central Texas Expy Ste 101, Killeen, TX 76541 Phone: 254-690-2707 Fax: 254-690-6909 | |
Adult Child And Family Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14138 Hwy 195, Killeen, TX 76542 Phone: 254-519-1144 Fax: 254-519-1155 | |
Shyra Jones Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4708 John David Dr, Apt. B, Killeen, TX 76549 Phone: 254-681-6702 Fax: 888-349-1644 | |