| Bay Area Psychiatry Services Pc | |
|
6000 S Staples St Ste 406 Corpus Christi TX 78413-2952 | |
| (361) 444-5255 | |
| Not Available |
| Full Name | Bay Area Psychiatry Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6000 S Staples St Ste 406, Corpus Christi, Texas |
| Authorized Official Name and Position | Manjunath Balaram (PRESIDENT) |
| Authorized Official Contact | 6052143737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Psychiatry Services Pc Po Box 6806 Corpus Christi TX 78466-6806 Ph: () - | Bay Area Psychiatry Services Pc 6000 S Staples St Ste 406 Corpus Christi TX 78413-2952 Ph: (361) 444-5255 |
| NPI Number | 1235898701 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 05/09/2024 |
| Certification Date | 07/23/2022 |
| Medicare PECOS PAC ID | 2860885282 |
|---|---|
| Medicare Enrollment ID | O20220208001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235898701 | NPI | - | NPPES |
| R3026 | Other | TX | TEXAS MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Rodolfo Bayardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265438097 PECOS PAC ID: 3375514854 Enrollment ID: I20040805001609 |
| Provider Name | Eva Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326035890 PECOS PAC ID: 5890911721 Enrollment ID: I20140729001641 |
| Provider Name | Lone P Engledowl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205235082 PECOS PAC ID: 9537484688 Enrollment ID: I20150211001844 |
| Provider Name | Manjunath Balaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790042836 PECOS PAC ID: 1254560428 Enrollment ID: I20180126000669 |
| Provider Name | Angela Marie Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487301826 PECOS PAC ID: 3577950153 Enrollment ID: I20220428002757 |
| Provider Name | Ambar Lizzette Bratcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437841327 PECOS PAC ID: 2769840826 Enrollment ID: I20230621003057 |
| Provider Name | Dequajia Quinschelle Cavaness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780453928 PECOS PAC ID: 2668910373 Enrollment ID: I20240813001968 |
| Provider Name | Laquisha Quesada |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801543558 PECOS PAC ID: 7911362140 Enrollment ID: I20241106002679 |
| Provider Name | Shelby Leigh Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649017211 PECOS PAC ID: 6305370016 Enrollment ID: I20241116000135 |
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