| Texas Health Foundation, Inc | |
|
3610 Stagg Dr Beaumont TX 77701-3713 | |
| (409) 923-0012 | |
| Not Available |
| Full Name | Texas Health Foundation, Inc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 3610 Stagg Dr, Beaumont, Texas |
| Authorized Official Name and Position | Kimberly A Wilson (PRESIDENT) |
| Authorized Official Contact | 4099230012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Health Foundation, Inc Po Box 7072 Beaumont TX 77726-7072 Ph: (409) 923-0012 | Texas Health Foundation, Inc 3610 Stagg Dr Beaumont TX 77701-3713 Ph: (409) 923-0012 |
| NPI Number | 1992473391 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Medicare PECOS PAC ID | 5597153221 |
|---|---|
| Medicare Enrollment ID | O20211028001587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992473391 | NPI | - | NPPES |
| Provider Name | Sean D Wengroff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043273873 PECOS PAC ID: 2860380136 Enrollment ID: I20040308001379 |
| Provider Name | Marcelo Totorica |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770532210 PECOS PAC ID: 2264403542 Enrollment ID: I20040802000652 |
| Provider Name | Mark L Lobaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710984091 PECOS PAC ID: 7719874742 Enrollment ID: I20050711000520 |
| Provider Name | William N Hawkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629079231 PECOS PAC ID: 6103835624 Enrollment ID: I20060411000789 |
| Provider Name | Michael A Amaro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184658791 PECOS PAC ID: 0941201651 Enrollment ID: I20070124000077 |
| Provider Name | Steven R Edmondson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164429890 PECOS PAC ID: 8820272917 Enrollment ID: I20110414000404 |
| Provider Name | Kathryn A Moff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538358411 PECOS PAC ID: 3072756816 Enrollment ID: I20130827000665 |
| Provider Name | Rhonda Monceaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922664903 PECOS PAC ID: 6901130772 Enrollment ID: I20190627002120 |
| Provider Name | Peter Ye |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669827887 PECOS PAC ID: 1759706013 Enrollment ID: I20200803002985 |
| Provider Name | Mary W Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245244359 PECOS PAC ID: 4183617350 Enrollment ID: I20210303001870 |
| Provider Name | Mazin A Al Saleh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619968690 PECOS PAC ID: 9537140157 Enrollment ID: I20220914003574 |
| Provider Name | Paola Gabriela Torres Ortiz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821583881 PECOS PAC ID: 2062757677 Enrollment ID: I20220915003887 |
| Provider Name | Kelcie C Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174012884 PECOS PAC ID: 9739564154 Enrollment ID: I20220920003475 |
| Provider Name | Maliyhah F Al-bayan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477057040 PECOS PAC ID: 5092181768 Enrollment ID: I20221020001897 |
| Provider Name | Lora Verrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184040354 PECOS PAC ID: 5193178275 Enrollment ID: I20240124004309 |
| Provider Name | Georgina O Iyamu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588168074 PECOS PAC ID: 6901276625 Enrollment ID: I20240325000891 |
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