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2102 Treasure Hills Blvd 314406 Harlingen TX 78550-8736 | |
| (956) 296-1437 | |
| (956) 296-6842 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 2102 Treasure Hills Blvd, Harlingen, Texas |
| Authorized Official Name and Position | Michael Brian Hocker (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9562961445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 531968 Harlingen TX 78553-1968 Ph: (956) 296-1437 | 2102 Treasure Hills Blvd 314406 Harlingen TX 78550-8736 Ph: (956) 296-1437 |
| NPI Number | 1477960730 |
|---|---|
| Provider Enumeration Date | 07/18/2014 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Medicare PECOS PAC ID | 3577885276 |
|---|---|
| Medicare Enrollment ID | O20141209000376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477960730 | NPI | - | NPPES |
| 343698201 | Medicaid | TX |
| Provider Name | Gauri G Kanhere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710910773 PECOS PAC ID: 3274429030 Enrollment ID: I20040226001224 |
| Provider Name | Herbert J Nassour |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1972506228 PECOS PAC ID: 0941293419 Enrollment ID: I20040408000547 |
| Provider Name | Javier La Fontaine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164527354 PECOS PAC ID: 0547256414 Enrollment ID: I20040424000237 |
| Provider Name | Timothy R Heath |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053315598 PECOS PAC ID: 4385626456 Enrollment ID: I20040602001388 |
| Provider Name | Manual A Seas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225107246 PECOS PAC ID: 9931184512 Enrollment ID: I20040618001060 |
| Provider Name | Sandra A Esquivel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053320713 PECOS PAC ID: 3173428307 Enrollment ID: I20040707001115 |
| Provider Name | Jesus M Garza Tamez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891773305 PECOS PAC ID: 8921078858 Enrollment ID: I20040728001283 |
| Provider Name | Efraim Vela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912079401 PECOS PAC ID: 1759291800 Enrollment ID: I20040825000524 |
| Provider Name | Danielle J Jimenez-flores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457313777 PECOS PAC ID: 7911968318 Enrollment ID: I20041019001397 |
| Provider Name | Christopher E Olson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639118813 PECOS PAC ID: 9739139981 Enrollment ID: I20050126000483 |
| Provider Name | Garry C Souffrant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942224720 PECOS PAC ID: 0244287233 Enrollment ID: I20050401000293 |
| Provider Name | Humberto D Hidalgo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881753671 PECOS PAC ID: 9830133669 Enrollment ID: I20050613001333 |
| Provider Name | Dorinda Ruby Rodriguez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831184894 PECOS PAC ID: 0244275659 Enrollment ID: I20050627000527 |
| Provider Name | Theodore N Held |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932261849 PECOS PAC ID: 4688610256 Enrollment ID: I20050705000909 |
| Provider Name | Karl M Buttermann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831251883 PECOS PAC ID: 7113963612 Enrollment ID: I20050706000999 |
| Provider Name | Enrique N Silva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790854750 PECOS PAC ID: 1759280662 Enrollment ID: I20050715000522 |
| Provider Name | Maria De Jesus Munoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013917228 PECOS PAC ID: 9436180254 Enrollment ID: I20050822001015 |
| Provider Name | Thelma C Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518018886 PECOS PAC ID: 0042232878 Enrollment ID: I20051221000369 |
| Provider Name | Ann Boozer Mccracken |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518168962 PECOS PAC ID: 6305869710 Enrollment ID: I20060112000060 |
| Provider Name | Robert C Fountila |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952410821 PECOS PAC ID: 1052321361 Enrollment ID: I20060502000251 |
| Provider Name | Joseph Anthony Ogburn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902811474 PECOS PAC ID: 8022028000 Enrollment ID: I20060504000808 |
| Provider Name | Sarah Rodriguez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144278151 PECOS PAC ID: 3779586276 Enrollment ID: I20060823000530 |
| Provider Name | Mary E Klenz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861437782 PECOS PAC ID: 1153325360 Enrollment ID: I20060830000547 |
| Provider Name | Monica R Agarwal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093775470 PECOS PAC ID: 2466458278 Enrollment ID: I20061018000098 |
| Provider Name | Marsha R Griffin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891714309 PECOS PAC ID: 3870590060 Enrollment ID: I20061101000095 |
| Provider Name | Michael D Sander |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770531758 PECOS PAC ID: 7315946027 Enrollment ID: I20061206000600 |
| Provider Name | Naohiro Shibuya |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1518976547 PECOS PAC ID: 9133121924 Enrollment ID: I20070207000498 |
| Provider Name | Edward H Tan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457300758 PECOS PAC ID: 0446356760 Enrollment ID: I20070503000252 |
| Provider Name | Roberto Prieto-harris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578777181 PECOS PAC ID: 7911008503 Enrollment ID: I20070726000486 |
| Provider Name | Rosario E Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770648644 PECOS PAC ID: 2961593454 Enrollment ID: I20070813000713 |
| Provider Name | Sunand M Kallumadanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588712848 PECOS PAC ID: 8426144270 Enrollment ID: I20071010000243 |
| Provider Name | Ruben G Mohme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376614396 PECOS PAC ID: 7113001710 Enrollment ID: I20080221000238 |
| Provider Name | Andrew N Dentino |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1295739126 PECOS PAC ID: 2860460730 Enrollment ID: I20080611000259 |
| Provider Name | Jose D Bejarano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518168772 PECOS PAC ID: 7810068855 Enrollment ID: I20080618000363 |
| Provider Name | Cristel Escalona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992909550 PECOS PAC ID: 5698848364 Enrollment ID: I20080715000146 |
| Provider Name | Gerard Joseph Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982730867 PECOS PAC ID: 6406843887 Enrollment ID: I20080812000562 |
| Provider Name | Cynthia A Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962647172 PECOS PAC ID: 4284799743 Enrollment ID: I20090217000164 |
| Provider Name | Michael Escamilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801903893 PECOS PAC ID: 0547317778 Enrollment ID: I20090406000077 |
| Provider Name | Robert S Schenken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821007667 PECOS PAC ID: 6406903442 Enrollment ID: I20090409000194 |
| Provider Name | Barry Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487858049 PECOS PAC ID: 7012069933 Enrollment ID: I20090728000294 |
| Provider Name | Oscar Cano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770774952 PECOS PAC ID: 8820142136 Enrollment ID: I20090821000109 |
| Provider Name | Daniel Albo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1396846564 PECOS PAC ID: 1456407485 Enrollment ID: I20090916000641 |
| Provider Name | Jeremy L Gibson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003876798 PECOS PAC ID: 0345380564 Enrollment ID: I20091221000190 |
| Provider Name | Evy C Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730358490 PECOS PAC ID: 8224179551 Enrollment ID: I20100108000815 |
| Provider Name | Juan Jose Salazar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003804741 PECOS PAC ID: 0143358697 Enrollment ID: I20100504000838 |
| Provider Name | Brian Philip Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619915832 PECOS PAC ID: 4688779986 Enrollment ID: I20100809000870 |
| Provider Name | Everardo Cobos |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194713354 PECOS PAC ID: 0244356673 Enrollment ID: I20100923000218 |
| Provider Name | Paul Anthony Berry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871738831 PECOS PAC ID: 7911195680 Enrollment ID: I20101222000034 |
| Provider Name | Kondapavuluru V. Chowdary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194767541 PECOS PAC ID: 6002729944 Enrollment ID: I20110114000484 |
| Provider Name | Lorena Zenaida Flores-hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710941828 PECOS PAC ID: 1456524990 Enrollment ID: I20111028000647 |
| Provider Name | Teresa Yvette Chapa-cantu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669768743 PECOS PAC ID: 8628242328 Enrollment ID: I20111115000266 |
| Provider Name | Laura E. Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902043318 PECOS PAC ID: 7012183775 Enrollment ID: I20111229000604 |
| Provider Name | Diane Dt Nguyen |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023233756 PECOS PAC ID: 1052402492 Enrollment ID: I20120117000649 |
| Provider Name | Wayne Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457326423 PECOS PAC ID: 2567537145 Enrollment ID: I20120201000769 |
| Provider Name | Jewell E Malick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588746556 PECOS PAC ID: 7517973472 Enrollment ID: I20120329000899 |
| Provider Name | Maureen A Ribail |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831271329 PECOS PAC ID: 7517130883 Enrollment ID: I20120417000309 |
| Provider Name | Guadalupe Flores |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528056124 PECOS PAC ID: 0840455176 Enrollment ID: I20120711000376 |
| Provider Name | Vijian Dhevan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003015421 PECOS PAC ID: 0446407753 Enrollment ID: I20120821000884 |
| Provider Name | Tyreen Vidal Heybeck |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003144593 PECOS PAC ID: 6406006055 Enrollment ID: I20121017000494 |
| Provider Name | Vergil Datu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629303946 PECOS PAC ID: 1052561172 Enrollment ID: I20121026000379 |
| Provider Name | Jimmy Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740506385 PECOS PAC ID: 8426293739 Enrollment ID: I20130314000103 |
| Provider Name | Jose E Campo-maldonado |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720224231 PECOS PAC ID: 2668609439 Enrollment ID: I20131226001449 |
| Provider Name | Ayda Garza Montalvo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295762268 PECOS PAC ID: 7315121951 Enrollment ID: I20140106000820 |
| Provider Name | Eron G Manusov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477523447 PECOS PAC ID: 2668487919 Enrollment ID: I20140714000290 |
| Provider Name | James C Sander |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962630590 PECOS PAC ID: 7517185697 Enrollment ID: I20140903000690 |
| Provider Name | Bilal Anwer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1912274572 PECOS PAC ID: 5092935007 Enrollment ID: I20140925000516 |
| Provider Name | Michael Eisen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366757056 PECOS PAC ID: 5092038406 Enrollment ID: I20141216000212 |
| Provider Name | Alfonso Mercado |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528390093 PECOS PAC ID: 3678896529 Enrollment ID: I20141229000756 |
| Provider Name | Scott J Spear |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346225190 PECOS PAC ID: 6103913116 Enrollment ID: I20141230001670 |
| Provider Name | Chelsea Chang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033475801 PECOS PAC ID: 2466772678 Enrollment ID: I20150528002412 |
| Provider Name | Dustin B Prins |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619140191 PECOS PAC ID: 6800039520 Enrollment ID: I20150910000578 |
| Provider Name | Sylvia Longoria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356633135 PECOS PAC ID: 7113220203 Enrollment ID: I20160123000004 |
| Provider Name | Henry Reinhart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184917197 PECOS PAC ID: 8224329644 Enrollment ID: I20160615001074 |
| Provider Name | Arturo Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649563925 PECOS PAC ID: 8426270950 Enrollment ID: I20160725000138 |
| Provider Name | Naomi D Acolatse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073855698 PECOS PAC ID: 0042531741 Enrollment ID: I20160811002367 |
| Provider Name | Frank Gerold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851607410 PECOS PAC ID: 5991005506 Enrollment ID: I20160829003010 |
| Provider Name | Carlos T. Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154769701 PECOS PAC ID: 2062708027 Enrollment ID: I20160831001638 |
| Provider Name | Saul Rivas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235405333 PECOS PAC ID: 7719275825 Enrollment ID: I20161005001176 |
| Provider Name | Michelle Corona Costley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992009930 PECOS PAC ID: 3476832304 Enrollment ID: I20161117001386 |
| Provider Name | Delisa Guadarrama |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356637227 PECOS PAC ID: 6103106745 Enrollment ID: I20161216001612 |
| Provider Name | Denise De Los Santos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619237906 PECOS PAC ID: 9436475506 Enrollment ID: I20170117001499 |
| Provider Name | Goldie D Strader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851776496 PECOS PAC ID: 9032487152 Enrollment ID: I20170614001067 |
| Provider Name | Thresiamma K Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700316726 PECOS PAC ID: 4981973237 Enrollment ID: I20170630000802 |
| Provider Name | Alejandro Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871908178 PECOS PAC ID: 8527354554 Enrollment ID: I20170804000714 |
| Provider Name | Jose Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346655669 PECOS PAC ID: 9032404215 Enrollment ID: I20171004001159 |
| Provider Name | Angela M Tanguma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003332438 PECOS PAC ID: 6103191382 Enrollment ID: I20171016000103 |
| Provider Name | Gerardo Munoz Monaco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023336211 PECOS PAC ID: 5294972170 Enrollment ID: I20171102000403 |
| Provider Name | Alejandro Javier Rios Tovar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477845709 PECOS PAC ID: 3678839131 Enrollment ID: I20171116000195 |
| Provider Name | Dwight Anthony Townsend |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811981590 PECOS PAC ID: 1658279948 Enrollment ID: I20171116000698 |
| Provider Name | Ester Nicole Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508385808 PECOS PAC ID: 0446516868 Enrollment ID: I20171117000036 |
| Provider Name | Kristan Tara Diaz-rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326396078 PECOS PAC ID: 6103078878 Enrollment ID: I20171214002988 |
| Provider Name | Michael Timothy Lago |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891094306 PECOS PAC ID: 2668767260 Enrollment ID: I20171220000551 |
| Provider Name | Alejandro Bocanegra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861886368 PECOS PAC ID: 8123310034 Enrollment ID: I20180108001931 |
| Provider Name | Anna Marquis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619385408 PECOS PAC ID: 7214259308 Enrollment ID: I20180221000209 |
| Provider Name | Luz Olaya Pettle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356640916 PECOS PAC ID: 6204157233 Enrollment ID: I20180320000605 |
| Provider Name | Laura E Manzanilla Luberti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770891020 PECOS PAC ID: 7113163791 Enrollment ID: I20180419001343 |
| Provider Name | Michelle Varon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275045361 PECOS PAC ID: 3173886652 Enrollment ID: I20180516000019 |
| Provider Name | Juan Juan Menjivar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417342445 PECOS PAC ID: 8628363660 Enrollment ID: I20180521000865 |
| Provider Name | Grigoriy Rapoport |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063807261 PECOS PAC ID: 4183919756 Enrollment ID: I20180524002052 |
| Provider Name | Brandon Robert Cantazaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023404084 PECOS PAC ID: 3375835416 Enrollment ID: I20180530001513 |
| Provider Name | Perla Lizeth Olivo Uribe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417458456 PECOS PAC ID: 5092060392 Enrollment ID: I20180608000917 |
| Provider Name | Baldemar Gonzalez Alanis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043605835 PECOS PAC ID: 5395030720 Enrollment ID: I20180611000846 |
| Provider Name | Nausheen Jamal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437393899 PECOS PAC ID: 8426236373 Enrollment ID: I20180626003644 |
| Provider Name | Ronald Regala Cortez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659868958 PECOS PAC ID: 3173879533 Enrollment ID: I20180627003699 |
| Provider Name | Tiffany Marie Ticer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992192447 PECOS PAC ID: 7810243607 Enrollment ID: I20180710000641 |
| Provider Name | Veronica L Salazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972997963 PECOS PAC ID: 6406142439 Enrollment ID: I20180712000174 |
| Provider Name | Alberto Allegre Alonso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346504875 PECOS PAC ID: 3274840749 Enrollment ID: I20180719001685 |
| Provider Name | Evan Dustin Perez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1437561412 PECOS PAC ID: 5193013886 Enrollment ID: I20180731003390 |
| Provider Name | Vilma Lorena Rangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033684642 PECOS PAC ID: 0345585600 Enrollment ID: I20181214002644 |
| Provider Name | Rachel Anne Giese |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780902254 PECOS PAC ID: 4789929944 Enrollment ID: I20181218000108 |
| Provider Name | Sandy Magallan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366928236 PECOS PAC ID: 6709122864 Enrollment ID: I20190110000030 |
| Provider Name | Stacey L Gaona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114375938 PECOS PAC ID: 8426396797 Enrollment ID: I20190212000703 |
| Provider Name | Myra Leigh De La Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316410426 PECOS PAC ID: 4486993557 Enrollment ID: I20190307000874 |
| Provider Name | Barbara A. Stewart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508975608 PECOS PAC ID: 9335111897 Enrollment ID: I20190311000382 |
| Provider Name | Dustin J Paul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316380249 PECOS PAC ID: 3375886724 Enrollment ID: I20190528001859 |
| Provider Name | Cesar Hernan Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700263456 PECOS PAC ID: 7315235447 Enrollment ID: I20190528002078 |
| Provider Name | Pamela D Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740234616 PECOS PAC ID: 8921016718 Enrollment ID: I20190624002286 |
| Provider Name | Sonya Marie Saenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245694868 PECOS PAC ID: 3173812740 Enrollment ID: I20190627002227 |
| Provider Name | Hector Munoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740643931 PECOS PAC ID: 8022303890 Enrollment ID: I20190718001132 |
| Provider Name | Liezet Alexis Cepeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588027858 PECOS PAC ID: 1658660352 Enrollment ID: I20190722001541 |
| Provider Name | Michelle Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710333620 PECOS PAC ID: 9638460082 Enrollment ID: I20190723001223 |
| Provider Name | Elissa Test Serapio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508209669 PECOS PAC ID: 1254623200 Enrollment ID: I20190727000214 |
| Provider Name | Isaacc G Nino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740767177 PECOS PAC ID: 5395071005 Enrollment ID: I20190801001364 |
| Provider Name | Marcos A Herrera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720066749 PECOS PAC ID: 6800805417 Enrollment ID: I20190823000816 |
| Provider Name | Caesar A. Ricci |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417268418 PECOS PAC ID: 6002144060 Enrollment ID: I20190828004205 |
| Provider Name | Gracie Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215583430 PECOS PAC ID: 5193055648 Enrollment ID: I20190925002885 |
| Provider Name | Mohammed Ibrahim Shakhatreh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811278088 PECOS PAC ID: 9234359365 Enrollment ID: I20191125001093 |
| Provider Name | Tara Phillipp Vierra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629323118 PECOS PAC ID: 1153757265 Enrollment ID: I20200210001463 |
| Provider Name | Michael R Dobbs |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689668865 PECOS PAC ID: 9830123777 Enrollment ID: I20200316000933 |
| Provider Name | Jose Cano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770015950 PECOS PAC ID: 5991074296 Enrollment ID: I20200327001138 |
| Provider Name | Maria De La Luz Villegas |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366622938 PECOS PAC ID: 6901235795 Enrollment ID: I20200330002419 |
| Provider Name | Tyrel Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437793551 PECOS PAC ID: 7214366871 Enrollment ID: I20200401003500 |
| Provider Name | Cynthia Michelle Garza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568984466 PECOS PAC ID: 0749619104 Enrollment ID: I20200406001769 |
| Provider Name | Rachel Dawn Styer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386173177 PECOS PAC ID: 6103256367 Enrollment ID: I20200501000039 |
| Provider Name | Aaron Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154888279 PECOS PAC ID: 4284055237 Enrollment ID: I20200601000684 |
| Provider Name | Andres Esteban Arboleda Morejon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154855815 PECOS PAC ID: 9032530571 Enrollment ID: I20200609000994 |
| Provider Name | Fatimah Oluwakemi Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013448968 PECOS PAC ID: 8729409149 Enrollment ID: I20200610001514 |
| Provider Name | Alcides Amador |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417338286 PECOS PAC ID: 4183902679 Enrollment ID: I20200611003038 |
| Provider Name | James Nicholas Fahey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205368602 PECOS PAC ID: 2062781503 Enrollment ID: I20200611003346 |
| Provider Name | Carolina Gomez De Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669993143 PECOS PAC ID: 3072935717 Enrollment ID: I20200625000494 |
| Provider Name | Raman Babayeuski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942598958 PECOS PAC ID: 0244521102 Enrollment ID: I20200707001338 |
| Provider Name | Adam Bender-heine |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457771438 PECOS PAC ID: 3476855008 Enrollment ID: I20200720002147 |
| Provider Name | Roger Galindo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578684544 PECOS PAC ID: 8628120508 Enrollment ID: I20200724000423 |
| Provider Name | Michael Brandon Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558781344 PECOS PAC ID: 3173825346 Enrollment ID: I20200727001860 |
| Provider Name | Schamma Salomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316478852 PECOS PAC ID: 6709201411 Enrollment ID: I20200728003864 |
| Provider Name | Crystal Leanne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942819214 PECOS PAC ID: 9335565910 Enrollment ID: I20200813000061 |
| Provider Name | Frank G Gilliam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912074162 PECOS PAC ID: 4486697398 Enrollment ID: I20200817000456 |
| Provider Name | Vanessa Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093769184 PECOS PAC ID: 1153747449 Enrollment ID: I20200818000356 |
| Provider Name | Laura Iris Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215575212 PECOS PAC ID: 2769809987 Enrollment ID: I20200902000221 |
| Provider Name | Nevin Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063943363 PECOS PAC ID: 0143568261 Enrollment ID: I20200909000638 |
| Provider Name | Amanda L Killeen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033668173 PECOS PAC ID: 9032537956 Enrollment ID: I20200909002357 |
| Provider Name | Dernay Toy Coley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215542899 PECOS PAC ID: 3274952338 Enrollment ID: I20200923002593 |
| Provider Name | Atanacio Gomez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114456449 PECOS PAC ID: 8820367071 Enrollment ID: I20201016002681 |
| Provider Name | Sason D Tavakoli-sabour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649626706 PECOS PAC ID: 3375963093 Enrollment ID: I20201020000236 |
| Provider Name | Terence Herman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1124097498 PECOS PAC ID: 9133135718 Enrollment ID: I20201021000080 |
| Provider Name | Aref Qureini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437681251 PECOS PAC ID: 8729359526 Enrollment ID: I20201125000313 |
| Provider Name | Daniel Varela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477084176 PECOS PAC ID: 0547672065 Enrollment ID: I20201207001837 |
| Provider Name | Rebecca Resendiz Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437469574 PECOS PAC ID: 8921308180 Enrollment ID: I20201210000277 |
| Provider Name | Victoria Jean Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275164469 PECOS PAC ID: 4880008176 Enrollment ID: I20210127003400 |
| Provider Name | Kent Aaron Carter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821523499 PECOS PAC ID: 0840568861 Enrollment ID: I20210128003135 |
| Provider Name | Gamal Mostafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245261031 PECOS PAC ID: 9234115981 Enrollment ID: I20210312001981 |
| Provider Name | Sasha M. Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174118954 PECOS PAC ID: 3274940762 Enrollment ID: I20210330000600 |
| Provider Name | Niral Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912361056 PECOS PAC ID: 1254624836 Enrollment ID: I20210421000892 |
| Provider Name | Francisco Pascual Gomez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114375359 PECOS PAC ID: 9931480068 Enrollment ID: I20210519001771 |
| Provider Name | Sarah Baguiwet Souffrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134746233 PECOS PAC ID: 5092115535 Enrollment ID: I20210621001584 |
| Provider Name | Jorge Casquero-leon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902289119 PECOS PAC ID: 0547508673 Enrollment ID: I20210720002303 |
| Provider Name | Yvonne Uresti Medelez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649812678 PECOS PAC ID: 5890198022 Enrollment ID: I20210727000110 |
| Provider Name | Andres Rafael Suarez Parraga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386140002 PECOS PAC ID: 9931503638 Enrollment ID: I20210803001012 |
| Provider Name | Xavier Blanco Criado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710482906 PECOS PAC ID: 4183028574 Enrollment ID: I20210806001692 |
| Provider Name | Daniela Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013413822 PECOS PAC ID: 1759785991 Enrollment ID: I20210810001422 |
| Provider Name | Amanda Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760892475 PECOS PAC ID: 5092032896 Enrollment ID: I20210810002128 |
| Provider Name | Miguel Augusto Alvarez Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649767377 PECOS PAC ID: 2163827817 Enrollment ID: I20210819000352 |
| Provider Name | Lizeth Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669044327 PECOS PAC ID: 2163827759 Enrollment ID: I20210819002132 |
| Provider Name | Santiago Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316436520 PECOS PAC ID: 4486059433 Enrollment ID: I20210830000744 |
| Provider Name | Duncan Ramsey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598152670 PECOS PAC ID: 8820305949 Enrollment ID: I20210830001460 |
| Provider Name | Maria Fernanda Munoz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285209916 PECOS PAC ID: 8325444706 Enrollment ID: I20210909003810 |
| Provider Name | Kelsey Finke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588016976 PECOS PAC ID: 3274939368 Enrollment ID: I20210915002827 |
| Provider Name | Yuri Cuellar-de La Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760987952 PECOS PAC ID: 8628402948 Enrollment ID: I20210916000860 |
| Provider Name | Ihsan Moussa Salloum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760457147 PECOS PAC ID: 8224195912 Enrollment ID: I20211020000574 |
| Provider Name | Nawaz Hack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912136375 PECOS PAC ID: 9638333990 Enrollment ID: I20211115000085 |
| Provider Name | Diana Chapa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811965528 PECOS PAC ID: 1951204478 Enrollment ID: I20211118001078 |
| Provider Name | Julian Garcia |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578752259 PECOS PAC ID: 5294125548 Enrollment ID: I20211201001352 |
| Provider Name | Georginne Mabasa Lim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689211500 PECOS PAC ID: 9234529371 Enrollment ID: I20220328001578 |
| Provider Name | Graham A. Hamilton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124106927 PECOS PAC ID: 8921268814 Enrollment ID: I20220404000835 |
| Provider Name | Marco A Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023759164 PECOS PAC ID: 7810374188 Enrollment ID: I20220509000286 |
| Provider Name | Arvin D Sigua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568105294 PECOS PAC ID: 7719364876 Enrollment ID: I20220512000180 |
| Provider Name | Marissa Jane Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346983137 PECOS PAC ID: 4486031036 Enrollment ID: I20220519002353 |
| Provider Name | Roque M Mifuji Lira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023678349 PECOS PAC ID: 7517345093 Enrollment ID: I20220613001299 |
| Provider Name | Brianna Lee Woodliff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982136495 PECOS PAC ID: 7517230931 Enrollment ID: I20220615001354 |
| Provider Name | Edward J Kruse |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1093746984 PECOS PAC ID: 5294748935 Enrollment ID: I20220615001878 |
| Provider Name | Joanna Marie Garza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023755568 PECOS PAC ID: 7012397540 Enrollment ID: I20220630000958 |
| Provider Name | Alejandro Candil |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386094357 PECOS PAC ID: 4981991197 Enrollment ID: I20220713001616 |
| Provider Name | Jennifer S Walt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821450222 PECOS PAC ID: 0648564906 Enrollment ID: I20220726002840 |
| Provider Name | Christine Dahlhausen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215384920 PECOS PAC ID: 7315233863 Enrollment ID: I20220907003723 |
| Provider Name | Stephanie N. Campbell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831620400 PECOS PAC ID: 9234477985 Enrollment ID: I20220926000146 |
| Provider Name | Daniel Paul Bolton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861870933 PECOS PAC ID: 3971886177 Enrollment ID: I20221017000280 |
| Provider Name | Jennifer Ann Montez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528772126 PECOS PAC ID: 8729459854 Enrollment ID: I20230126003271 |
| Provider Name | Aramide Mikhail Tijani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154945087 PECOS PAC ID: 3072970821 Enrollment ID: I20230609000263 |
| Provider Name | Lucia Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316393440 PECOS PAC ID: 5294016382 Enrollment ID: I20231006001638 |
| Provider Name | Karl Goodkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538176466 PECOS PAC ID: 6901991470 Enrollment ID: I20231011003661 |
| Provider Name | Deepu Varughese George |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174949267 PECOS PAC ID: 6608226097 Enrollment ID: I20231227002696 |
| Provider Name | Evangelina Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679259741 PECOS PAC ID: 8224471974 Enrollment ID: I20240209000149 |
| Provider Name | Grecia Dominguez Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396333068 PECOS PAC ID: 3971946351 Enrollment ID: I20240213002860 |
| Provider Name | Martha Maricela Solis-trevino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306463096 PECOS PAC ID: 0648611384 Enrollment ID: I20240513003714 |
| Provider Name | Scott Berl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235422619 PECOS PAC ID: 3476866955 Enrollment ID: I20240515000088 |
| Provider Name | Aamir Nafees Ahmad |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801392311 PECOS PAC ID: 3173871548 Enrollment ID: I20240722002095 |
| Provider Name | Naomie P Jean |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013577717 PECOS PAC ID: 6608232186 Enrollment ID: I20240724003797 |
| Provider Name | Michael Aaron Higham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508442906 PECOS PAC ID: 5496157018 Enrollment ID: I20240806002438 |
| Provider Name | Daryl Henderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093717001 PECOS PAC ID: 5698874287 Enrollment ID: I20240831000262 |
| Provider Name | Carlos Julian Martinez-menendez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366936569 PECOS PAC ID: 9335680024 Enrollment ID: I20240921000195 |
Kathleen A Salvatore Md Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1713 Treasure Hills Blvd, Suite 1c, Harlingen, TX 78550 Phone: 956-412-2700 Fax: 956-412-2701 | |
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