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7877 Willow Chase Blvd Houston TX 77070-5934 | |
| (832) 869-4818 | |
| (832) 869-4853 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7877 Willow Chase Blvd, Houston, Texas |
| Authorized Official Name and Position | Faisal Tai (CEO) |
| Authorized Official Contact | 8325067061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
7877 Willow Chase Blvd Houston TX 77070-5934 Ph: (832) 869-4818 | 7877 Willow Chase Blvd Houston TX 77070-5934 Ph: (832) 869-4818 |
| NPI Number | 1013476027 |
|---|---|
| Provider Enumeration Date | 03/19/2019 |
| Last Update Date | 02/06/2025 |
| Certification Date | 02/06/2025 |
| Medicare PECOS PAC ID | 0345573598 |
|---|---|
| Medicare Enrollment ID | O20190604000738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013476027 | NPI | - | NPPES |
| 3979163-01 | Medicaid | TX |
| Provider Name | Rosario Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689617540 PECOS PAC ID: 5799734976 Enrollment ID: I20050113001165 |
| Provider Name | Mustafa Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013988542 PECOS PAC ID: 2961451653 Enrollment ID: I20050120000201 |
| Provider Name | Cesar A Matos-martinez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639240575 PECOS PAC ID: 6103844832 Enrollment ID: I20051110000495 |
| Provider Name | Nanjappa Sreenivas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730101668 PECOS PAC ID: 6103928809 Enrollment ID: I20070227000503 |
| Provider Name | Laura L Champagne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992758684 PECOS PAC ID: 8022110113 Enrollment ID: I20070828000520 |
| Provider Name | Jorge A Raichman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093740979 PECOS PAC ID: 3375635816 Enrollment ID: I20070828000859 |
| Provider Name | Linda Mcclellan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851389118 PECOS PAC ID: 6305896648 Enrollment ID: I20080414000525 |
| Provider Name | Brandy L Beauchamp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245434844 PECOS PAC ID: 4688714546 Enrollment ID: I20091228000411 |
| Provider Name | Ernest A. Kendrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124012067 PECOS PAC ID: 5799828976 Enrollment ID: I20100210000600 |
| Provider Name | David Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083708564 PECOS PAC ID: 4284778853 Enrollment ID: I20100219000549 |
| Provider Name | Nishan D Adihetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316130065 PECOS PAC ID: 7810076882 Enrollment ID: I20101018000499 |
| Provider Name | Divyansu Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710178702 PECOS PAC ID: 2668546771 Enrollment ID: I20101109000217 |
| Provider Name | Dawn Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740481118 PECOS PAC ID: 0941473599 Enrollment ID: I20111027000350 |
| Provider Name | Monique S Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760769756 PECOS PAC ID: 0446426449 Enrollment ID: I20111221000570 |
| Provider Name | James G Harold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760543482 PECOS PAC ID: 6901067024 Enrollment ID: I20120418000080 |
| Provider Name | Sirisha Parvataneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326206822 PECOS PAC ID: 0042465205 Enrollment ID: I20130220000042 |
| Provider Name | Shailesh C Vora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902878473 PECOS PAC ID: 2860479805 Enrollment ID: I20150113001501 |
| Provider Name | Kimberlin Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285016592 PECOS PAC ID: 7214240233 Enrollment ID: I20150721000325 |
| Provider Name | Jamie Diane Bouchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740661917 PECOS PAC ID: 4981919537 Enrollment ID: I20150812006849 |
| Provider Name | Bina Saleh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336517127 PECOS PAC ID: 2163721366 Enrollment ID: I20160421001928 |
| Provider Name | Dawn Soland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053702316 PECOS PAC ID: 5395655724 Enrollment ID: I20160422000061 |
| Provider Name | John E Pierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447664313 PECOS PAC ID: 1254619786 Enrollment ID: I20161103000434 |
| Provider Name | Roman Gabriel Venegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467704783 PECOS PAC ID: 0840579991 Enrollment ID: I20161114002079 |
| Provider Name | Sara Ann Sosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356794846 PECOS PAC ID: 2163707886 Enrollment ID: I20170321000884 |
| Provider Name | Jesus Garcia Mayorga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669615944 PECOS PAC ID: 0941470132 Enrollment ID: I20170519001422 |
| Provider Name | Lindsey F Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881117208 PECOS PAC ID: 0042584591 Enrollment ID: I20170921001529 |
| Provider Name | Kristen Nicole Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063943421 PECOS PAC ID: 1153697982 Enrollment ID: I20171024000666 |
| Provider Name | Faria Chudhri Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174889620 PECOS PAC ID: 0547526055 Enrollment ID: I20171115002632 |
| Provider Name | Mohammad J Javed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497195481 PECOS PAC ID: 2769792746 Enrollment ID: I20180925001177 |
| Provider Name | Jashunta Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760836399 PECOS PAC ID: 7113279415 Enrollment ID: I20181016000265 |
| Provider Name | Kambiz Jahanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902255102 PECOS PAC ID: 6709139355 Enrollment ID: I20181029000669 |
| Provider Name | Tania Rochelle Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700337581 PECOS PAC ID: 6901142959 Enrollment ID: I20190111000483 |
| Provider Name | Vinod Alluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548279870 PECOS PAC ID: 1254336357 Enrollment ID: I20190122001784 |
| Provider Name | Amanda M Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831652080 PECOS PAC ID: 4981946183 Enrollment ID: I20190508000163 |
| Provider Name | Faisal Tai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619381316 PECOS PAC ID: 7911125265 Enrollment ID: I20190604001035 |
| Provider Name | Brian Zachariah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093126302 PECOS PAC ID: 5991038416 Enrollment ID: I20190614000346 |
| Provider Name | Alberto Jehu Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588964621 PECOS PAC ID: 6608100672 Enrollment ID: I20190625001698 |
| Provider Name | Zhe Song |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144677337 PECOS PAC ID: 7416282512 Enrollment ID: I20190711002219 |
| Provider Name | Vanessa Danquah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811351257 PECOS PAC ID: 4587575188 Enrollment ID: I20190806001451 |
| Provider Name | Shivani Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467972380 PECOS PAC ID: 3173892825 Enrollment ID: I20190918003009 |
| Provider Name | Lola O Popoola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922653013 PECOS PAC ID: 5597096677 Enrollment ID: I20191004001057 |
| Provider Name | Kaeside Chukwudi Unachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306477906 PECOS PAC ID: 3375970460 Enrollment ID: I20200302002507 |
| Provider Name | Thelma H Semilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821632712 PECOS PAC ID: 4183051147 Enrollment ID: I20200304000351 |
| Provider Name | Vanitha D Kothapalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164788709 PECOS PAC ID: 2062716681 Enrollment ID: I20200402000682 |
| Provider Name | Celestina Afulenu Nwosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871138677 PECOS PAC ID: 5698105799 Enrollment ID: I20200413002255 |
| Provider Name | Dannielle D Robertson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437278983 PECOS PAC ID: 8820409840 Enrollment ID: I20201124001019 |
| Provider Name | Omar M Haque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598184954 PECOS PAC ID: 8426354853 Enrollment ID: I20201125001746 |
| Provider Name | Raymond Garcia Jr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528667599 PECOS PAC ID: 9234541863 Enrollment ID: I20201223001400 |
| Provider Name | Daniel K Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477813939 PECOS PAC ID: 2466747480 Enrollment ID: I20210203002718 |
| Provider Name | Lorena Lee Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376137638 PECOS PAC ID: 7517375256 Enrollment ID: I20210420000046 |
| Provider Name | Sarat Munjuluri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134651177 PECOS PAC ID: 3072922889 Enrollment ID: I20210507000891 |
| Provider Name | Sheena N Loving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336722172 PECOS PAC ID: 7618376898 Enrollment ID: I20210519002351 |
| Provider Name | Sameera Rasheed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659752020 PECOS PAC ID: 0840529434 Enrollment ID: I20210614000091 |
| Provider Name | Sabrina Daniell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205446515 PECOS PAC ID: 1951704485 Enrollment ID: I20210721003274 |
| Provider Name | Faraz Naeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275062218 PECOS PAC ID: 8325444854 Enrollment ID: I20210909001072 |
| Provider Name | Jeffrey Abass |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851897730 PECOS PAC ID: 6901204460 Enrollment ID: I20211013002784 |
| Provider Name | Melissa A Gimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447880745 PECOS PAC ID: 2062800337 Enrollment ID: I20211020000059 |
| Provider Name | Aurif Abedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922064922 PECOS PAC ID: 2163473919 Enrollment ID: I20211111000712 |
| Provider Name | Victor Bonoan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386300267 PECOS PAC ID: 1951793173 Enrollment ID: I20220120002650 |
| Provider Name | Jacquelyne Chumley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457017030 PECOS PAC ID: 0547653396 Enrollment ID: I20220131001985 |
| Provider Name | Susan Kay Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134560691 PECOS PAC ID: 9032439559 Enrollment ID: I20220207000648 |
| Provider Name | Cindy L Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033786579 PECOS PAC ID: 9133512312 Enrollment ID: I20220210002740 |
| Provider Name | Jennifer Rose Iruegas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295402865 PECOS PAC ID: 0143614289 Enrollment ID: I20220307000436 |
| Provider Name | Kimberly Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437825767 PECOS PAC ID: 4486043924 Enrollment ID: I20220324000004 |
| Provider Name | Kourtney Tapnio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720688930 PECOS PAC ID: 2365837507 Enrollment ID: I20220324001946 |
| Provider Name | Brandi Gebhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780336982 PECOS PAC ID: 4981947678 Enrollment ID: I20220516000663 |
| Provider Name | Janecia S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720557671 PECOS PAC ID: 2062750268 Enrollment ID: I20220607000475 |
| Provider Name | Lynette Davis Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174113112 PECOS PAC ID: 1052379724 Enrollment ID: I20220614000926 |
| Provider Name | Pandora Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518468115 PECOS PAC ID: 6103206446 Enrollment ID: I20220705002473 |
| Provider Name | Cassandra Boduch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083177497 PECOS PAC ID: 2163803487 Enrollment ID: I20220719000165 |
| Provider Name | Edith Ngyeh Funtong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760115372 PECOS PAC ID: 6204210800 Enrollment ID: I20220831001440 |
| Provider Name | Masood Jilani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861682734 PECOS PAC ID: 3577616044 Enrollment ID: I20220922000983 |
| Provider Name | Trisha M Lindemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184344764 PECOS PAC ID: 9335515717 Enrollment ID: I20221026003022 |
| Provider Name | Leah Belsches |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467179556 PECOS PAC ID: 6901275254 Enrollment ID: I20221209000033 |
| Provider Name | Erica R Saldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154030070 PECOS PAC ID: 4789053927 Enrollment ID: I20221212000618 |
| Provider Name | Mustafa Tai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689023152 PECOS PAC ID: 8123310927 Enrollment ID: I20221214003209 |
| Provider Name | Xitong Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609491984 PECOS PAC ID: 3779905286 Enrollment ID: I20221228002285 |
| Provider Name | Visi Marco Lawong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740992106 PECOS PAC ID: 2062882228 Enrollment ID: I20230104000554 |
| Provider Name | Lindsy Pang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730760364 PECOS PAC ID: 8325419047 Enrollment ID: I20230117001641 |
| Provider Name | Miranda L Taing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023571981 PECOS PAC ID: 2163893835 Enrollment ID: I20230118000231 |
| Provider Name | Jennifer Montilla Reserva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932822285 PECOS PAC ID: 4587036124 Enrollment ID: I20230208002331 |
| Provider Name | Raheel Memon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780137406 PECOS PAC ID: 5395093777 Enrollment ID: I20230227000048 |
| Provider Name | Randi Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952012189 PECOS PAC ID: 6103299599 Enrollment ID: I20230306002193 |
| Provider Name | Willicia Raychell Toran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114645595 PECOS PAC ID: 2769855170 Enrollment ID: I20230306002864 |
| Provider Name | Chioma Nwokoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134724982 PECOS PAC ID: 9335514926 Enrollment ID: I20230413000607 |
| Provider Name | Samantha Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841904133 PECOS PAC ID: 1355706698 Enrollment ID: I20230420001819 |
| Provider Name | Tai Ayoola Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750967261 PECOS PAC ID: 5991161044 Enrollment ID: I20230516003497 |
| Provider Name | Olukorede Michael Akinbinu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770835985 PECOS PAC ID: 7719343649 Enrollment ID: I20230519001172 |
| Provider Name | Ivie Osa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487363289 PECOS PAC ID: 4880050525 Enrollment ID: I20230522003206 |
| Provider Name | Florence Nkruko Ngwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396452652 PECOS PAC ID: 1557727096 Enrollment ID: I20230525001296 |
| Provider Name | Tanya Nichell Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336855121 PECOS PAC ID: 7113384694 Enrollment ID: I20230530001155 |
| Provider Name | Angela Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427608603 PECOS PAC ID: 6002273331 Enrollment ID: I20230601001173 |
| Provider Name | Juliana F Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093348526 PECOS PAC ID: 0840612362 Enrollment ID: I20230606001137 |
| Provider Name | Daniel Wen Dan Liaou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790367597 PECOS PAC ID: 9931567476 Enrollment ID: I20230615001609 |
| Provider Name | Catherine Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700406725 PECOS PAC ID: 2163880550 Enrollment ID: I20230616000139 |
| Provider Name | Somto Randy Obi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700348174 PECOS PAC ID: 9931567963 Enrollment ID: I20230622002336 |
| Provider Name | Victor Ohale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679978167 PECOS PAC ID: 5395094064 Enrollment ID: I20230711001496 |
| Provider Name | Oluwaferanmi Afolabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881011385 PECOS PAC ID: 4385005271 Enrollment ID: I20230725000916 |
| Provider Name | Li Juan Polvadore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285194126 PECOS PAC ID: 0547621328 Enrollment ID: I20230726001109 |
| Provider Name | Shankar Mulloth Nandakumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477174084 PECOS PAC ID: 0042671729 Enrollment ID: I20230727001478 |
| Provider Name | Carolyn Denice Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962188219 PECOS PAC ID: 6800190257 Enrollment ID: I20230803000917 |
| Provider Name | Robin Hiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851099329 PECOS PAC ID: 2264892215 Enrollment ID: I20230803004008 |
| Provider Name | Lan Chi Vo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497098735 PECOS PAC ID: 8729451869 Enrollment ID: I20230814002745 |
| Provider Name | Paulette Osamor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174197651 PECOS PAC ID: 0840652459 Enrollment ID: I20230814004115 |
| Provider Name | Rene Compean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568028439 PECOS PAC ID: 1759759749 Enrollment ID: I20230815002451 |
| Provider Name | Anna Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841976784 PECOS PAC ID: 6800258054 Enrollment ID: I20230821000071 |
| Provider Name | Ghislaine Tonye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679160949 PECOS PAC ID: 6800255894 Enrollment ID: I20230824001132 |
| Provider Name | Weston Grove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467034181 PECOS PAC ID: 4082077490 Enrollment ID: I20230901001963 |
| Provider Name | Zohaib Sohail |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588070312 PECOS PAC ID: 3173740818 Enrollment ID: I20230907001411 |
| Provider Name | Abraham Ghattas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477970473 PECOS PAC ID: 4385945880 Enrollment ID: I20230912003492 |
| Provider Name | Wing Ka Joey Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891430054 PECOS PAC ID: 2567816689 Enrollment ID: I20230922003330 |
| Provider Name | Iyeshia Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689350159 PECOS PAC ID: 1355795394 Enrollment ID: I20230926001208 |
| Provider Name | Andrea Ancer Leal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649058264 PECOS PAC ID: 1759735277 Enrollment ID: I20231002001891 |
| Provider Name | Kerry Beth O'leary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871112201 PECOS PAC ID: 7911352331 Enrollment ID: I20231004003068 |
| Provider Name | Jasperina Shei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629719430 PECOS PAC ID: 1850746934 Enrollment ID: I20231010000836 |
| Provider Name | Elizabeth Michelle Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528604063 PECOS PAC ID: 0547615361 Enrollment ID: I20231016000553 |
| Provider Name | Victoria Lynn Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417674094 PECOS PAC ID: 5698121549 Enrollment ID: I20231027003279 |
| Provider Name | Rani Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699303875 PECOS PAC ID: 9739536285 Enrollment ID: I20231106002410 |
| Provider Name | Yasmine Matthews Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457131765 PECOS PAC ID: 7810344215 Enrollment ID: I20231107000880 |
| Provider Name | Alina Burger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205515335 PECOS PAC ID: 1355799479 Enrollment ID: I20231130001851 |
| Provider Name | Deanne Marie Garay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417356387 PECOS PAC ID: 0941658983 Enrollment ID: I20231130003000 |
| Provider Name | Jordan Alyssa Shull |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275152985 PECOS PAC ID: 6305294240 Enrollment ID: I20231202000521 |
| Provider Name | Nicole Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669154993 PECOS PAC ID: 1658729520 Enrollment ID: I20231204000524 |
| Provider Name | Maryam Sajjad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144954959 PECOS PAC ID: 5496104028 Enrollment ID: I20231207004070 |
| Provider Name | Mary Adeoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356022768 PECOS PAC ID: 1557710191 Enrollment ID: I20231208000374 |
| Provider Name | Marvella Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164145751 PECOS PAC ID: 0143679621 Enrollment ID: I20231208002119 |
| Provider Name | Jenna Sobczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184236556 PECOS PAC ID: 0749639045 Enrollment ID: I20231212002850 |
| Provider Name | Lea Esther Zemmour Orvik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285310284 PECOS PAC ID: 5193174365 Enrollment ID: I20231213001568 |
| Provider Name | Nermin T. Koch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457971475 PECOS PAC ID: 7719336833 Enrollment ID: I20231213003903 |
| Provider Name | Yvonne Tamufor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730836339 PECOS PAC ID: 4880044049 Enrollment ID: I20231229002016 |
| Provider Name | Christina R Goodson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710598768 PECOS PAC ID: 5395197164 Enrollment ID: I20240117001836 |
| Provider Name | Percy J Grantham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649946229 PECOS PAC ID: 7618335928 Enrollment ID: I20240117003958 |
| Provider Name | Adrian Manuel Carrillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265204556 PECOS PAC ID: 8729430475 Enrollment ID: I20240118000016 |
| Provider Name | Nikole Lauren Mercaldi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083954580 PECOS PAC ID: 6901256536 Enrollment ID: I20240118000262 |
| Provider Name | Michael Chengchun Li |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245811074 PECOS PAC ID: 3274985940 Enrollment ID: I20240118000379 |
| Provider Name | Melissa Denise Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164205415 PECOS PAC ID: 0143672766 Enrollment ID: I20240119000916 |
| Provider Name | Wali Yousufzai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235703109 PECOS PAC ID: 6901258219 Enrollment ID: I20240122004246 |
| Provider Name | Jacqueline Del Fierro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396292207 PECOS PAC ID: 5698128734 Enrollment ID: I20240125001460 |
| Provider Name | Alaa Mhsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285403303 PECOS PAC ID: 8729421029 Enrollment ID: I20240202002712 |
| Provider Name | Jorge Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205603222 PECOS PAC ID: 2062855307 Enrollment ID: I20240203000427 |
| Provider Name | Dana Gueringer Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518735265 PECOS PAC ID: 5395188411 Enrollment ID: I20240206001986 |
| Provider Name | Merrissa Wesley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386410421 PECOS PAC ID: 5799129532 Enrollment ID: I20240220001910 |
| Provider Name | Frank Chinenye Ogbonna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790564151 PECOS PAC ID: 0749624526 Enrollment ID: I20240220003317 |
| Provider Name | Brian Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023730488 PECOS PAC ID: 7214387117 Enrollment ID: I20240222001968 |
| Provider Name | Lashonda Valentine Oneal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972241453 PECOS PAC ID: 3779928775 Enrollment ID: I20240229002211 |
| Provider Name | Brian Christopher Nyberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689968844 PECOS PAC ID: 3779712302 Enrollment ID: I20240308001342 |
| Provider Name | Claire Teng Co Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396508578 PECOS PAC ID: 5991142622 Enrollment ID: I20240318001687 |
| Provider Name | Veronica Olivo Estrella |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710143102 PECOS PAC ID: 9133566672 Enrollment ID: I20240320001660 |
| Provider Name | Sandra Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659139467 PECOS PAC ID: 8426495821 Enrollment ID: I20240321000197 |
| Provider Name | Jamie Norton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205391604 PECOS PAC ID: 3678910890 Enrollment ID: I20240325000383 |
| Provider Name | Delisa Duncan Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568501187 PECOS PAC ID: 4284071234 Enrollment ID: I20240326001855 |
| Provider Name | Selina Ann Hernandez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386276368 PECOS PAC ID: 7113364043 Enrollment ID: I20240327000906 |
| Provider Name | Pasha Matthias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043078645 PECOS PAC ID: 7517304462 Enrollment ID: I20240327001562 |
| Provider Name | Katherine Lisa Mondragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528823002 PECOS PAC ID: 9739526567 Enrollment ID: I20240328000669 |
| Provider Name | Eunice Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093272338 PECOS PAC ID: 6709219421 Enrollment ID: I20240401002793 |
| Provider Name | Samuel Speights |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194405209 PECOS PAC ID: 7416395025 Enrollment ID: I20240402001869 |
| Provider Name | Lisa A. Abiuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992203566 PECOS PAC ID: 8426443045 Enrollment ID: I20240402001905 |
| Provider Name | Ihuoma Akuesu Aguoru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730953167 PECOS PAC ID: 8820098080 Enrollment ID: I20240409003181 |
| Provider Name | Patricia Cortez-animas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922858364 PECOS PAC ID: 7618315631 Enrollment ID: I20240409003802 |
| Provider Name | Olivia Russ |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770356750 PECOS PAC ID: 8426497090 Enrollment ID: I20240415004023 |
| Provider Name | Daniyal Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669049862 PECOS PAC ID: 0143621144 Enrollment ID: I20240417003282 |
| Provider Name | Christy K Narvaez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811447931 PECOS PAC ID: 6103265285 Enrollment ID: I20240423000700 |
| Provider Name | Syed Yusuf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427547546 PECOS PAC ID: 5092042168 Enrollment ID: I20240426000164 |
| Provider Name | Mary Irene Mccullough |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699039933 PECOS PAC ID: 9830481282 Enrollment ID: I20240506001918 |
| Provider Name | J'briel Porter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831615137 PECOS PAC ID: 7517308679 Enrollment ID: I20240507004605 |
| Provider Name | Zeshan Mehmood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295387330 PECOS PAC ID: 3173964574 Enrollment ID: I20240516002027 |
| Provider Name | William G. Mcinturf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225698293 PECOS PAC ID: 3375879935 Enrollment ID: I20240605001797 |
| Provider Name | Alina Wasim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265953137 PECOS PAC ID: 8820530710 Enrollment ID: I20240606002730 |
| Provider Name | Charity Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003289216 PECOS PAC ID: 7810430626 Enrollment ID: I20240621001252 |
| Provider Name | Sabeen Riaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831345727 PECOS PAC ID: 2264652668 Enrollment ID: I20240621003548 |
| Provider Name | Maritza Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538730783 PECOS PAC ID: 5698111391 Enrollment ID: I20240716004148 |
| Provider Name | Lauro Amezcua-patino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659364396 PECOS PAC ID: 1153385273 Enrollment ID: I20240807001297 |
| Provider Name | Mysti Gaspard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841035318 PECOS PAC ID: 3476090416 Enrollment ID: I20240807003934 |
| Provider Name | Nicoleta Alexandra Nistor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376221135 PECOS PAC ID: 6608314661 Enrollment ID: I20240821003255 |
| Provider Name | Rizwan Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578163788 PECOS PAC ID: 7113466715 Enrollment ID: I20240827003704 |
| Provider Name | Cortney Hockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770312357 PECOS PAC ID: 2062951452 Enrollment ID: I20240829001703 |
| Provider Name | Scott Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588845697 PECOS PAC ID: 1153352190 Enrollment ID: I20240830001709 |
| Provider Name | Shaina A King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770311862 PECOS PAC ID: 0446799514 Enrollment ID: I20240903003862 |
| Provider Name | Olga Yaneth Rostron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710717566 PECOS PAC ID: 8729527809 Enrollment ID: I20240903004224 |
| Provider Name | Ali Rehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144906801 PECOS PAC ID: 6608225297 Enrollment ID: I20240911004301 |
| Provider Name | Misbah Riaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619483468 PECOS PAC ID: 8325589302 Enrollment ID: I20240917004831 |
| Provider Name | Dana Lafayette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245351261 PECOS PAC ID: 1658812953 Enrollment ID: I20240925004454 |
| Provider Name | Meera Nitin Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164299368 PECOS PAC ID: 1658802764 Enrollment ID: I20240930004165 |
| Provider Name | Heather Ann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295445104 PECOS PAC ID: 0941731632 Enrollment ID: I20241004003049 |
| Provider Name | Olabimpe Labiyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548973852 PECOS PAC ID: 4082145669 Enrollment ID: I20241007003134 |
| Provider Name | Ricque Brister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932320389 PECOS PAC ID: 0143211375 Enrollment ID: I20241011001422 |
| Provider Name | Swathi Muppa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659925469 PECOS PAC ID: 7911439914 Enrollment ID: I20241015004420 |
| Provider Name | Veronica Anyango Ogot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043047137 PECOS PAC ID: 3274065164 Enrollment ID: I20241016003870 |
| Provider Name | Alejandra Lizette Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174357040 PECOS PAC ID: 7618409111 Enrollment ID: I20241021004464 |
| Provider Name | Vu Hoang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700639267 PECOS PAC ID: 8921531096 Enrollment ID: I20241028002812 |
| Provider Name | Trisha Chau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679246193 PECOS PAC ID: 9739612698 Enrollment ID: I20241030002495 |
| Provider Name | Kurrun Singh Sekhon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912641614 PECOS PAC ID: 1052844875 Enrollment ID: I20241031001060 |
| Provider Name | Tuyet Elan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982346995 PECOS PAC ID: 5890133516 Enrollment ID: I20241031002187 |
| Provider Name | Teresa Hegwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366802399 PECOS PAC ID: 7012377831 Enrollment ID: I20241101001108 |
| Provider Name | Milda Alis Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962220129 PECOS PAC ID: 4688712748 Enrollment ID: I20241104002038 |
| Provider Name | Larisa Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144874801 PECOS PAC ID: 4486066586 Enrollment ID: I20241110000023 |
| Provider Name | Brittany Rachel Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447986963 PECOS PAC ID: 5294269494 Enrollment ID: I20241111002657 |
| Provider Name | Josephine Novak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689241812 PECOS PAC ID: 2466853494 Enrollment ID: I20241115000030 |
| Provider Name | Vera Debime Ngole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972282754 PECOS PAC ID: 4486189636 Enrollment ID: I20241125001395 |
| Provider Name | Maury Rose Hefele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083377238 PECOS PAC ID: 0244765659 Enrollment ID: I20241127004234 |
| Provider Name | Erick Brian Willars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245924075 PECOS PAC ID: 3274068192 Enrollment ID: I20241130000214 |
| Provider Name | Cynthia Margarita Luna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194543256 PECOS PAC ID: 8426584103 Enrollment ID: I20241204002845 |
| Provider Name | Jesusa Elena Jasso |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649910332 PECOS PAC ID: 4789110438 Enrollment ID: I20241205000970 |
| Provider Name | Susan Brenda Msoma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821712290 PECOS PAC ID: 3476089830 Enrollment ID: I20241209001992 |
| Provider Name | Amber Brooke Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952124927 PECOS PAC ID: 4284160516 Enrollment ID: I20241210004790 |
| Provider Name | Maj-britt Laura Larbi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851117303 PECOS PAC ID: 2567998693 Enrollment ID: I20241212000040 |
| Provider Name | Biena Andulan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487379095 PECOS PAC ID: 2668912940 Enrollment ID: I20241213000080 |
| Provider Name | Jeffrey Vehawn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780389718 PECOS PAC ID: 6800322884 Enrollment ID: I20241213002528 |
Parker Place Property Owners Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10914 Bridlepark Cir, Houston, TX 77016 Phone: 281-449-3233 | |
Healthy Therapeutic Solutions. Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Commerce Park Dr Ste 219, Houston, TX 77036 Phone: 771-771-5151 Fax: 771-771-5156 | |
Pate Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 South Fwy, Ste F, Houston, TX 77021 Phone: 713-741-8516 Fax: 713-741-8517 | |
Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Uvalde, Houston, TX 77015 Phone: 713-455-7008 Fax: 713-455-4870 | |
West Belfort Family Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8449 W Belfort, 220, Houston, TX 77071 Phone: 281-974-1723 | |
Harizon Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7642 Crofton St, Houston, TX 77028 Phone: 832-318-3643 | |
Heartland Physicians Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2222 Maroneal St, 1716, Houston, TX 77030 Phone: 304-346-1969 |