Med Management Associates | |
7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 | |
(888) 365-6271 | |
(210) 593-9863 |
Full Name | Med Management Associates |
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Speciality | Psychiatry & Neurology |
Location | 7272 Wurzbach Rd, San Antonio, Texas |
Authorized Official Name and Position | Paul A Boskind (CEO-OWNER) |
Authorized Official Contact | 8883656271 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Med Management Associates 7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 Ph: (888) 365-6271 | Med Management Associates 7272 Wurzbach Rd Suite 601 San Antonio TX 78240-4801 Ph: (888) 365-6271 |
NPI Number | 1508233040 |
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Provider Enumeration Date | 09/01/2015 |
Last Update Date | 06/20/2018 |
Medicare PECOS PAC ID | 7810299187 |
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Medicare Enrollment ID | O20160104000560 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508233040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | H7262 (Texas) | Primary |
Provider Name | Radu Ion Aurel Ciubuc |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568477321 PECOS PAC ID: 3971406208 Enrollment ID: I20040202000566 |
Provider Name | Irma Mickle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558301150 PECOS PAC ID: 8022052828 Enrollment ID: I20050613001125 |
Provider Name | Laura Sue Goodwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689615197 PECOS PAC ID: 3779509104 Enrollment ID: I20051014000816 |
Provider Name | Jary M Lesser |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1093733214 PECOS PAC ID: 7517058902 Enrollment ID: I20070814000868 |
Provider Name | Joey Lynne Bryant |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1194761304 PECOS PAC ID: 5991837163 Enrollment ID: I20100723000389 |
Provider Name | Mary Ann Cunningham Matheson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285958850 PECOS PAC ID: 0648394809 Enrollment ID: I20100825000824 |
Provider Name | Mazhar A Khowaja |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770523276 PECOS PAC ID: 3173509858 Enrollment ID: I20100908000112 |
Provider Name | Varughese Max Baby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417107293 PECOS PAC ID: 2769676170 Enrollment ID: I20101029000899 |
Provider Name | Gloria Keraga |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053330225 PECOS PAC ID: 0345434445 Enrollment ID: I20101103000132 |
Provider Name | Nicholas Camperlengo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184761207 PECOS PAC ID: 0244429975 Enrollment ID: I20110112000374 |
Provider Name | Tandra C Rathey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962785147 PECOS PAC ID: 5991969081 Enrollment ID: I20120621000639 |
Provider Name | Mahmoud A Mohamed |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1699764688 PECOS PAC ID: 4789614728 Enrollment ID: I20120727000577 |
Provider Name | Yahya Saeed |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205005519 PECOS PAC ID: 7113191115 Enrollment ID: I20130410000477 |
Provider Name | Carolyn K Tran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336460047 PECOS PAC ID: 5193964450 Enrollment ID: I20130617000586 |
Provider Name | Aaron Brown |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023455649 PECOS PAC ID: 5193952968 Enrollment ID: I20131226001553 |
Provider Name | Lucia Marquez-valdepena |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689010282 PECOS PAC ID: 8325360597 Enrollment ID: I20141126000203 |
Provider Name | Jeralynne Romero Cecilio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578832002 PECOS PAC ID: 7517102718 Enrollment ID: I20150216001795 |
Provider Name | Katelyn Mary Petrovich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730584988 PECOS PAC ID: 1658698931 Enrollment ID: I20150325001728 |
Provider Name | Randie M Arenas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427440551 PECOS PAC ID: 4486974292 Enrollment ID: I20150519001354 |
Provider Name | Olivia C Gachomo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942690359 PECOS PAC ID: 8729240494 Enrollment ID: I20150623002648 |
Provider Name | Laurie K Reimers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386036705 PECOS PAC ID: 3577870260 Enrollment ID: I20150912000233 |
Provider Name | Kamesha Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659742211 PECOS PAC ID: 0648577981 Enrollment ID: I20160331000332 |
Provider Name | Riaz Rahman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275630717 PECOS PAC ID: 8729077235 Enrollment ID: I20160917000079 |
Provider Name | Donna Brunson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710434055 PECOS PAC ID: 6709168081 Enrollment ID: I20170120002315 |
Provider Name | Roselyn Kwenda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740454354 PECOS PAC ID: 9931483153 Enrollment ID: I20170307000161 |
Provider Name | Lavea A Landrum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457703779 PECOS PAC ID: 2466738919 Enrollment ID: I20170417001575 |
Provider Name | Livina C Akpunku |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700254646 PECOS PAC ID: 3577838895 Enrollment ID: I20171011003892 |
Provider Name | Amanda Deann Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083163950 PECOS PAC ID: 1254690696 Enrollment ID: I20180111000041 |
Provider Name | Adeola O Ogunlana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669913489 PECOS PAC ID: 1254688708 Enrollment ID: I20180716002055 |
Provider Name | Samantha Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144560137 PECOS PAC ID: 7012142672 Enrollment ID: I20180910002136 |
Provider Name | Elena N Cosenza |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1538644737 PECOS PAC ID: 0547513699 Enrollment ID: I20181019000947 |
Provider Name | Vilma Lorena Rangel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033684642 PECOS PAC ID: 0345585600 Enrollment ID: I20181214002644 |
Provider Name | Pamela Rene Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467927939 PECOS PAC ID: 8628314531 Enrollment ID: I20190115001148 |
Provider Name | Melissa Ann Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740797133 PECOS PAC ID: 6507121753 Enrollment ID: I20190205002559 |
Provider Name | Tamara M. Thibodeaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932665106 PECOS PAC ID: 7618218470 Enrollment ID: I20190404002688 |
Provider Name | Maegan Danielle Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063981074 PECOS PAC ID: 4981939618 Enrollment ID: I20190717001426 |
Provider Name | Samuel Aiguos Omorogbe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083261390 PECOS PAC ID: 6204838311 Enrollment ID: I20190930002704 |
Provider Name | Vianey Escobedo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306487186 PECOS PAC ID: 3072945161 Enrollment ID: I20191111002043 |
Provider Name | George Paul Flanagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134772585 PECOS PAC ID: 0648603852 Enrollment ID: I20191202001622 |
Provider Name | Linda Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861930554 PECOS PAC ID: 8820373111 Enrollment ID: I20191212001560 |
Provider Name | Olayemi Cynthia Akindele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801245998 PECOS PAC ID: 6608201454 Enrollment ID: I20200124000652 |
Provider Name | Marie Monyato Omorogbe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982989083 PECOS PAC ID: 9739518614 Enrollment ID: I20200327000934 |
Provider Name | Yolanda M Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093365439 PECOS PAC ID: 8628491636 Enrollment ID: I20200709002150 |
Provider Name | Latonya Renee Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780293704 PECOS PAC ID: 4880007541 Enrollment ID: I20210119002822 |
Provider Name | Chariah Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750848057 PECOS PAC ID: 7618381385 Enrollment ID: I20210121001264 |
Provider Name | Eyitayo O Odeniyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215398532 PECOS PAC ID: 8729487822 Enrollment ID: I20210521001317 |
Provider Name | Kyle Wilson Mcgonigal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417521014 PECOS PAC ID: 1153720065 Enrollment ID: I20210526001640 |
Provider Name | Takela Smith-clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740864610 PECOS PAC ID: 0840692174 Enrollment ID: I20210709000461 |
Provider Name | Maurice James Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134796329 PECOS PAC ID: 9234531237 Enrollment ID: I20210714000074 |
Provider Name | Laura E Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801551031 PECOS PAC ID: 3678962891 Enrollment ID: I20211109003204 |
Provider Name | Charity Chioma Durant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679189369 PECOS PAC ID: 4688060809 Enrollment ID: I20220414002170 |
Provider Name | Rachel Smith-bowery |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326782541 PECOS PAC ID: 0749668408 Enrollment ID: I20220608001659 |
Provider Name | Jose Arnulfo Grijalva |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1932690419 PECOS PAC ID: 6901286616 Enrollment ID: I20220712000017 |
Provider Name | Donald Laurier Payette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174806046 PECOS PAC ID: 2961653043 Enrollment ID: I20220712000355 |
Provider Name | Natalie Alexandra Forde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326767138 PECOS PAC ID: 4880060581 Enrollment ID: I20221021000030 |
Provider Name | Osaze Elijah Arhunmwunde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912620618 PECOS PAC ID: 0749656338 Enrollment ID: I20221024000831 |
Provider Name | Larissa Deblanc |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083154330 PECOS PAC ID: 7911374285 Enrollment ID: I20221031001939 |
Provider Name | Andrea Elease Myers-griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588321939 PECOS PAC ID: 9931579836 Enrollment ID: I20230123000618 |
Provider Name | James Christopher Barraza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104538909 PECOS PAC ID: 3870965338 Enrollment ID: I20230209000448 |
Provider Name | Eric Muh Changeh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669174397 PECOS PAC ID: 5890150882 Enrollment ID: I20230426001715 |
Provider Name | Kara N Lindemayer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376099416 PECOS PAC ID: 2668750852 Enrollment ID: I20230504000310 |
Provider Name | David Arredondo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295428159 PECOS PAC ID: 7113386988 Enrollment ID: I20230711003859 |
Provider Name | Nina Caserio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255021895 PECOS PAC ID: 0446611198 Enrollment ID: I20230728000563 |
Provider Name | Ma Camille Pamandre Tabtab |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265008395 PECOS PAC ID: 1951756659 Enrollment ID: I20231016002817 |
Provider Name | Jaime Kim Biggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952972457 PECOS PAC ID: 9234535519 Enrollment ID: I20231030001999 |
Provider Name | Ololade Temilade Bello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912694746 PECOS PAC ID: 4486001666 Enrollment ID: I20231109001092 |
Provider Name | Deanne Marie Garay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417356387 PECOS PAC ID: 0941658983 Enrollment ID: I20231130003000 |
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