| Afc Urgent Care | |
|
3195 Dowlen Rd Ste 105 Beaumont TX 77706 | |
| (409) 860-1888 | |
| (409) 860-4668 |
| Full Name | Afc Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 3195 Dowlen Rd Ste 105, Beaumont, Texas |
| Authorized Official Name and Position | Anisha Mohammad (EXECUTIVE ADMINISTRATOR) |
| Authorized Official Contact | 7136369927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afc Urgent Care 7322 Southwest Fwy Ste 620 Houston TX 77074-2142 Ph: (713) 636-9927 | Afc Urgent Care 3195 Dowlen Rd Ste 105 Beaumont TX 77706 Ph: (409) 860-1888 |
| NPI Number | 1841525235 |
|---|---|
| Provider Enumeration Date | 10/02/2009 |
| Last Update Date | 05/30/2019 |
| Medicare PECOS PAC ID | 5698816882 |
|---|---|
| Medicare Enrollment ID | O20100114000255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841525235 | NPI | - | NPPES |
| 0A5621 | Other | TX | MEDICARE PART B |
| 374229801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | M6173 (Texas) | Primary |
| Provider Name | William S Burkes |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609879378 PECOS PAC ID: 2062308869 Enrollment ID: I20040227000165 |
| Provider Name | Irene S Trzupek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447360037 PECOS PAC ID: 1951398858 Enrollment ID: I20040430000259 |
| Provider Name | Thomas B Lackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205904174 PECOS PAC ID: 4688662117 Enrollment ID: I20040504000649 |
| Provider Name | Eugenio Bacani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376629808 PECOS PAC ID: 6103896790 Enrollment ID: I20040729001621 |
| Provider Name | Nita Israni Singhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841221249 PECOS PAC ID: 0941279723 Enrollment ID: I20040928001286 |
| Provider Name | Gary L Rhame |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417903535 PECOS PAC ID: 0840256327 Enrollment ID: I20041207000094 |
| Provider Name | Chad D Lapray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073514097 PECOS PAC ID: 4486611209 Enrollment ID: I20041214000257 |
| Provider Name | Barri L Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518968445 PECOS PAC ID: 3870550692 Enrollment ID: I20041214000311 |
| Provider Name | Michael G Kolcun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124078498 PECOS PAC ID: 1951358159 Enrollment ID: I20050331000076 |
| Provider Name | Susan Helen Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366539058 PECOS PAC ID: 9931137833 Enrollment ID: I20050802000158 |
| Provider Name | Ha T B Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174531560 PECOS PAC ID: 1557391422 Enrollment ID: I20050819000637 |
| Provider Name | Natascha T Dumas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346286192 PECOS PAC ID: 9133144652 Enrollment ID: I20051013000133 |
| Provider Name | Hany Samir Abd-el Malek |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457397978 PECOS PAC ID: 1355357450 Enrollment ID: I20060227000719 |
| Provider Name | Renee Y Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932144037 PECOS PAC ID: 1759389638 Enrollment ID: I20061201000511 |
| Provider Name | Annie M Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487682886 PECOS PAC ID: 5991705246 Enrollment ID: I20070110000317 |
| Provider Name | Mickey Viator |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487697892 PECOS PAC ID: 0648282111 Enrollment ID: I20070226000434 |
| Provider Name | Paula M Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174574859 PECOS PAC ID: 5597858043 Enrollment ID: I20070829000737 |
| Provider Name | Kristy D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982624029 PECOS PAC ID: 4880784032 Enrollment ID: I20071212000406 |
| Provider Name | Ivy J Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699981936 PECOS PAC ID: 8921188988 Enrollment ID: I20080103000031 |
| Provider Name | Elisabeth Diane Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023297652 PECOS PAC ID: 0244317642 Enrollment ID: I20080409000714 |
| Provider Name | Alberto A Gonzalez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265627186 PECOS PAC ID: 1052484409 Enrollment ID: I20080718000318 |
| Provider Name | Rachelle N Silverthorn Cramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114170107 PECOS PAC ID: 1951466465 Enrollment ID: I20090217000589 |
| Provider Name | Elizabeth W Fomby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306805783 PECOS PAC ID: 5193872646 Enrollment ID: I20090420000623 |
| Provider Name | Lars Thestrup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962558304 PECOS PAC ID: 4880788256 Enrollment ID: I20090805000460 |
| Provider Name | Heather A Lene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588997340 PECOS PAC ID: 2567509912 Enrollment ID: I20091016000555 |
| Provider Name | Christopher G Stanfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710025663 PECOS PAC ID: 8628118551 Enrollment ID: I20091228000076 |
| Provider Name | Stephen L Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750513131 PECOS PAC ID: 5799828448 Enrollment ID: I20100203000883 |
| Provider Name | Marrie B Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407967961 PECOS PAC ID: 8224153457 Enrollment ID: I20100913000047 |
| Provider Name | Jorge A Zuniga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235355330 PECOS PAC ID: 2062587660 Enrollment ID: I20110421000580 |
| Provider Name | Ali M Bajwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659536852 PECOS PAC ID: 7719019330 Enrollment ID: I20111205000458 |
| Provider Name | Roman Jules Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396039673 PECOS PAC ID: 5597922468 Enrollment ID: I20120203000444 |
| Provider Name | Tinh A Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265579296 PECOS PAC ID: 2163451386 Enrollment ID: I20120516000134 |
| Provider Name | Tara B Deville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104184845 PECOS PAC ID: 3971759689 Enrollment ID: I20120813000556 |
| Provider Name | Lewis N Debarge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831448612 PECOS PAC ID: 5092963793 Enrollment ID: I20120921000794 |
| Provider Name | Ryun M Summers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275859944 PECOS PAC ID: 6204085509 Enrollment ID: I20121002000196 |
| Provider Name | Marcy O Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184976748 PECOS PAC ID: 3870743602 Enrollment ID: I20121101000136 |
| Provider Name | Carrie D Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316281017 PECOS PAC ID: 8022261437 Enrollment ID: I20130116000097 |
| Provider Name | Simone O Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740526011 PECOS PAC ID: 7214180462 Enrollment ID: I20130122000026 |
| Provider Name | Philip N Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992044457 PECOS PAC ID: 6204071608 Enrollment ID: I20130405000106 |
| Provider Name | Siomara C Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386980464 PECOS PAC ID: 6103062336 Enrollment ID: I20130415000006 |
| Provider Name | Chelsea L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740543628 PECOS PAC ID: 0143466961 Enrollment ID: I20130424000572 |
| Provider Name | Lorraine S Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679811673 PECOS PAC ID: 5799922795 Enrollment ID: I20130511000014 |
| Provider Name | Sheree N Johnson-street |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730426859 PECOS PAC ID: 4183861909 Enrollment ID: I20130514000602 |
| Provider Name | Jenny L Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487096194 PECOS PAC ID: 0648414839 Enrollment ID: I20130909000648 |
| Provider Name | Stella Ndukwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811286941 PECOS PAC ID: 9133148372 Enrollment ID: I20131214000061 |
| Provider Name | Adam H Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114204716 PECOS PAC ID: 0042443483 Enrollment ID: I20140509000169 |
| Provider Name | Wendy M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659797249 PECOS PAC ID: 6103040084 Enrollment ID: I20140616001320 |
| Provider Name | Donna Ignacio Vasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154333169 PECOS PAC ID: 5496759136 Enrollment ID: I20140617002051 |
| Provider Name | Angela Waggoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659794451 PECOS PAC ID: 3173748126 Enrollment ID: I20140707000828 |
| Provider Name | Amber N Dupree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073955837 PECOS PAC ID: 8325263288 Enrollment ID: I20140709000464 |
| Provider Name | Tracie M Delaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811240765 PECOS PAC ID: 0941426720 Enrollment ID: I20140731001120 |
| Provider Name | Mary V Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649682139 PECOS PAC ID: 7517187594 Enrollment ID: I20140926000421 |
| Provider Name | Vanessa Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194005173 PECOS PAC ID: 9931320090 Enrollment ID: I20141015001050 |
| Provider Name | Eric S Blacher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346537255 PECOS PAC ID: 7517188907 Enrollment ID: I20141029000352 |
| Provider Name | Hermanjeet S Grewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871881300 PECOS PAC ID: 3678799004 Enrollment ID: I20141216000943 |
| Provider Name | Mini M Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346686698 PECOS PAC ID: 4082937164 Enrollment ID: I20141222000363 |
| Provider Name | William Donald Derrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477958049 PECOS PAC ID: 2961725585 Enrollment ID: I20150106000863 |
| Provider Name | Dipen Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134277155 PECOS PAC ID: 5698837060 Enrollment ID: I20150129002543 |
| Provider Name | Syed N Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265534465 PECOS PAC ID: 7113922071 Enrollment ID: I20150204001546 |
| Provider Name | Serena M Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275953382 PECOS PAC ID: 0446575435 Enrollment ID: I20150216000763 |
| Provider Name | Mia M Volrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518364447 PECOS PAC ID: 8022334770 Enrollment ID: I20150224001392 |
| Provider Name | Mark A Barber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629092036 PECOS PAC ID: 6608786686 Enrollment ID: I20150226001904 |
| Provider Name | Anoop Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346517141 PECOS PAC ID: 1951528660 Enrollment ID: I20150331001925 |
| Provider Name | Sylvain Nitcheu Tientcheu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346632239 PECOS PAC ID: 8729306733 Enrollment ID: I20150422001623 |
| Provider Name | Russell D Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649663295 PECOS PAC ID: 0042531865 Enrollment ID: I20150605000206 |
| Provider Name | Abelardo Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528471976 PECOS PAC ID: 6204147028 Enrollment ID: I20150622000413 |
| Provider Name | Davita A Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740672419 PECOS PAC ID: 8325193592 Enrollment ID: I20150624000419 |
| Provider Name | Peter O Amokeodo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619363009 PECOS PAC ID: 1658683941 Enrollment ID: I20150629002399 |
| Provider Name | Joe D Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174915375 PECOS PAC ID: 3375855406 Enrollment ID: I20150702001215 |
| Provider Name | Brandi B Baez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023400645 PECOS PAC ID: 7315259264 Enrollment ID: I20150706002640 |
| Provider Name | Jessica D Opoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356737449 PECOS PAC ID: 8628383585 Enrollment ID: I20150820012152 |
| Provider Name | Araceli Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326426198 PECOS PAC ID: 7012224702 Enrollment ID: I20150912000248 |
| Provider Name | Abigail O Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710353487 PECOS PAC ID: 7911215637 Enrollment ID: I20150930000721 |
| Provider Name | Roya Saemian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558764472 PECOS PAC ID: 4688984701 Enrollment ID: I20151102001924 |
| Provider Name | Tiyashi Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235497132 PECOS PAC ID: 7517277940 Enrollment ID: I20151113001686 |
| Provider Name | Stephen Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245352756 PECOS PAC ID: 1557661550 Enrollment ID: I20151124000072 |
| Provider Name | Karina Martinez Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245595420 PECOS PAC ID: 0244530079 Enrollment ID: I20151201001892 |
| Provider Name | Hanna Eadeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083850176 PECOS PAC ID: 9436337508 Enrollment ID: I20160212000787 |
| Provider Name | Candis Elaine Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679957385 PECOS PAC ID: 4385949510 Enrollment ID: I20160225000614 |
| Provider Name | Odette T Kourouma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134525868 PECOS PAC ID: 3577868611 Enrollment ID: I20160226001214 |
| Provider Name | Trent C Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336506187 PECOS PAC ID: 4587960745 Enrollment ID: I20160315000278 |
| Provider Name | Ashley B Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093183147 PECOS PAC ID: 0345546305 Enrollment ID: I20160317000632 |
| Provider Name | Sharon Obrero Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306233697 PECOS PAC ID: 0244537306 Enrollment ID: I20160405000964 |
| Provider Name | Waylon C Bergeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306209721 PECOS PAC ID: 5799084000 Enrollment ID: I20160506001976 |
| Provider Name | Sumera Muzaffar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346478419 PECOS PAC ID: 2961791447 Enrollment ID: I20160523002539 |
| Provider Name | Reagin L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326409301 PECOS PAC ID: 8426349853 Enrollment ID: I20160615001326 |
| Provider Name | Samiat O Telufusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881042448 PECOS PAC ID: 2062704430 Enrollment ID: I20160705000752 |
| Provider Name | Ashley N Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649631672 PECOS PAC ID: 5395038483 Enrollment ID: I20160727001020 |
| Provider Name | Kevin R Tavangarian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760822886 PECOS PAC ID: 1153615471 Enrollment ID: I20160810000251 |
| Provider Name | Brittaney S Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184076259 PECOS PAC ID: 3971891698 Enrollment ID: I20161013000199 |
| Provider Name | Myoshi Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386038099 PECOS PAC ID: 0941517189 Enrollment ID: I20161015000151 |
| Provider Name | Seema R Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225584642 PECOS PAC ID: 5395033716 Enrollment ID: I20161018000178 |
| Provider Name | Jennifer D Effler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235457631 PECOS PAC ID: 8729277710 Enrollment ID: I20161021001145 |
| Provider Name | Nida Chhotani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508121682 PECOS PAC ID: 6406096593 Enrollment ID: I20161027001599 |
| Provider Name | Gloria I Ijie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811346729 PECOS PAC ID: 3971883067 Enrollment ID: I20161207000663 |
| Provider Name | Lorenzo F Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013351204 PECOS PAC ID: 9830479781 Enrollment ID: I20161210000100 |
| Provider Name | Catherine G Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467906602 PECOS PAC ID: 5092097477 Enrollment ID: I20170119000945 |
| Provider Name | Kassey Burney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457809949 PECOS PAC ID: 5799068334 Enrollment ID: I20170206002793 |
| Provider Name | Andrea O Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699217620 PECOS PAC ID: 4789967191 Enrollment ID: I20170209001431 |
| Provider Name | Cristina G Mallari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992046361 PECOS PAC ID: 9133403199 Enrollment ID: I20170313000083 |
| Provider Name | Mechelle Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942672241 PECOS PAC ID: 0244515625 Enrollment ID: I20170327002417 |
| Provider Name | Whitney R Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810315 PECOS PAC ID: 7416232673 Enrollment ID: I20170330001727 |
| Provider Name | Shauntel E Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730629387 PECOS PAC ID: 6901182302 Enrollment ID: I20170420000368 |
| Provider Name | Rachael Stanton Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124567185 PECOS PAC ID: 3274819453 Enrollment ID: I20170425001055 |
| Provider Name | David J Fisher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619387834 PECOS PAC ID: 8123396777 Enrollment ID: I20170622002205 |
| Provider Name | Shannon Lynn Havens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144740416 PECOS PAC ID: 5597030122 Enrollment ID: I20171009001236 |
| Provider Name | Cassandra Chidimma Eneremadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013453711 PECOS PAC ID: 1557637717 Enrollment ID: I20171017000479 |
| Provider Name | Lacheria D Vanburen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790221919 PECOS PAC ID: 4981960804 Enrollment ID: I20171109001885 |
| Provider Name | Anupa Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871017582 PECOS PAC ID: 8022380872 Enrollment ID: I20171114000275 |
| Provider Name | Sharde Angelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831619014 PECOS PAC ID: 1153687645 Enrollment ID: I20171116001542 |
| Provider Name | Danielle Fernald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033622493 PECOS PAC ID: 0648536037 Enrollment ID: I20171120000229 |
| Provider Name | Maher Chehab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699294728 PECOS PAC ID: 6406113604 Enrollment ID: I20171127000304 |
| Provider Name | Nick Bryant G Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669926879 PECOS PAC ID: 0042577736 Enrollment ID: I20171205002937 |
| Provider Name | Julane Gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588181218 PECOS PAC ID: 7416217781 Enrollment ID: I20180206000102 |
| Provider Name | Erica Orozco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922511724 PECOS PAC ID: 2567723372 Enrollment ID: I20180219000710 |
| Provider Name | Jhoanne Christine D Elevazo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831641737 PECOS PAC ID: 4789945379 Enrollment ID: I20180222000483 |
| Provider Name | Karin Marie Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609219096 PECOS PAC ID: 4486892544 Enrollment ID: I20180228000382 |
| Provider Name | Shannon Keith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447767819 PECOS PAC ID: 8921360223 Enrollment ID: I20180327000543 |
| Provider Name | Phillip Martin Bellan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467448712 PECOS PAC ID: 8628331279 Enrollment ID: I20180411002885 |
| Provider Name | Elissa Michelle Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922507599 PECOS PAC ID: 1456615467 Enrollment ID: I20180427000846 |
| Provider Name | Marni G Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891797304 PECOS PAC ID: 3678558525 Enrollment ID: I20180507000548 |
| Provider Name | Brian M Karst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710483490 PECOS PAC ID: 1052675519 Enrollment ID: I20180509000592 |
| Provider Name | Peter Abraham Kwayu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013406503 PECOS PAC ID: 0244595338 Enrollment ID: I20180518001785 |
| Provider Name | Manoj Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083117667 PECOS PAC ID: 7214292119 Enrollment ID: I20180524000693 |
| Provider Name | Hoda Obando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629567714 PECOS PAC ID: 5496010845 Enrollment ID: I20180606000118 |
| Provider Name | Sharell C Marlitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235631656 PECOS PAC ID: 8123373305 Enrollment ID: I20180611002579 |
| Provider Name | Katherine Marie Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275030751 PECOS PAC ID: 3577818202 Enrollment ID: I20180620001157 |
| Provider Name | Michelle V Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639533854 PECOS PAC ID: 5092063172 Enrollment ID: I20180806002797 |
| Provider Name | Odalis Lizeth Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245742758 PECOS PAC ID: 6103174982 Enrollment ID: I20180810000951 |
| Provider Name | Donna Spoerle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417433087 PECOS PAC ID: 3375893324 Enrollment ID: I20180912001986 |
| Provider Name | Jenelle Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841777000 PECOS PAC ID: 8022369990 Enrollment ID: I20180918000079 |
| Provider Name | Jose Anselmo Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376032102 PECOS PAC ID: 9234480658 Enrollment ID: I20180925001417 |
| Provider Name | Zedeeka A Duke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073625711 PECOS PAC ID: 5496006462 Enrollment ID: I20181002000400 |
| Provider Name | Toni Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538619655 PECOS PAC ID: 2264786573 Enrollment ID: I20181126000669 |
| Provider Name | Corey Paul Devillier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659848943 PECOS PAC ID: 2860736147 Enrollment ID: I20181128001552 |
| Provider Name | Sara Lynn Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174099824 PECOS PAC ID: 8628312766 Enrollment ID: I20181130001425 |
| Provider Name | Rachel D Espinal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669955845 PECOS PAC ID: 1052655669 Enrollment ID: I20181210001134 |
| Provider Name | Robert M Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518336056 PECOS PAC ID: 3274879754 Enrollment ID: I20190104002106 |
| Provider Name | Michael D Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437457249 PECOS PAC ID: 8325287519 Enrollment ID: I20190125001823 |
| Provider Name | Hannah O Ogunyomi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689109043 PECOS PAC ID: 4385921121 Enrollment ID: I20190204002291 |
| Provider Name | Marquita Casely-hayford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649663105 PECOS PAC ID: 6305121377 Enrollment ID: I20190205000387 |
| Provider Name | Jigisha Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891950770 PECOS PAC ID: 5294901187 Enrollment ID: I20190226001531 |
| Provider Name | Rukiya Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861975401 PECOS PAC ID: 9335481001 Enrollment ID: I20190429001652 |
| Provider Name | Stephanie M Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750863734 PECOS PAC ID: 8820330400 Enrollment ID: I20190501000334 |
| Provider Name | Amini Gamilah Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194289355 PECOS PAC ID: 6800138371 Enrollment ID: I20190502001325 |
| Provider Name | Brenda Karst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270532 PECOS PAC ID: 1153664248 Enrollment ID: I20190513000426 |
| Provider Name | Amanda Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528563848 PECOS PAC ID: 3375876360 Enrollment ID: I20190606000157 |
| Provider Name | Elizabeth B Condit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295200475 PECOS PAC ID: 9638402324 Enrollment ID: I20190612001448 |
| Provider Name | Katrina N Menissy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174002893 PECOS PAC ID: 1052602091 Enrollment ID: I20190618001833 |
| Provider Name | Bobby Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174189732 PECOS PAC ID: 9739413501 Enrollment ID: I20190627002064 |
| Provider Name | Ashley Wooderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528537859 PECOS PAC ID: 4880922640 Enrollment ID: I20190819001832 |
| Provider Name | Evelyn George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295399772 PECOS PAC ID: 1153659099 Enrollment ID: I20190829003793 |
| Provider Name | Aimee G Lavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245882877 PECOS PAC ID: 6204261704 Enrollment ID: I20200110000096 |
| Provider Name | Chinwe J Ekweariri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629552336 PECOS PAC ID: 9830524909 Enrollment ID: I20200117001057 |
| Provider Name | Roland T Glenister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649763541 PECOS PAC ID: 9436406642 Enrollment ID: I20200123000442 |
| Provider Name | Cassandra Flores Carmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073153136 PECOS PAC ID: 2961839568 Enrollment ID: I20200220001005 |
| Provider Name | Lakisha Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053723981 PECOS PAC ID: 9436378528 Enrollment ID: I20200313000320 |
| Provider Name | Guillermo M Macias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013547231 PECOS PAC ID: 8820138217 Enrollment ID: I20200409002211 |
| Provider Name | Kelly Ann Waldvogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023668803 PECOS PAC ID: 8820428592 Enrollment ID: I20200420002930 |
| Provider Name | Dionnedra Northern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184183634 PECOS PAC ID: 7012347735 Enrollment ID: I20200421002007 |
| Provider Name | Tini T Isaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699250233 PECOS PAC ID: 0648601765 Enrollment ID: I20200505002095 |
| Provider Name | Kaitlin B Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740752245 PECOS PAC ID: 9931520657 Enrollment ID: I20200605000547 |
| Provider Name | Tinamarie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679985881 PECOS PAC ID: 2163745944 Enrollment ID: I20200610001075 |
| Provider Name | Jessica M Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750932703 PECOS PAC ID: 1951723659 Enrollment ID: I20200625002916 |
| Provider Name | Timothy Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255829511 PECOS PAC ID: 7012330103 Enrollment ID: I20200708001063 |
| Provider Name | Mohammad Aimal Khoaja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851832257 PECOS PAC ID: 5597181883 Enrollment ID: I20200818000440 |
| Provider Name | Eddy Alecia Love Lavalais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619512001 PECOS PAC ID: 6709203649 Enrollment ID: I20200824003089 |
| Provider Name | Erin Veronie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588198758 PECOS PAC ID: 1456624154 Enrollment ID: I20200908000408 |
| Provider Name | Andrea Randazzo Kummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902419880 PECOS PAC ID: 2668892589 Enrollment ID: I20201015000039 |
| Provider Name | Shajjia Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164027579 PECOS PAC ID: 1951713130 Enrollment ID: I20201211000883 |
| Provider Name | Kayeeta Vernetta Sauls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851915367 PECOS PAC ID: 1850703844 Enrollment ID: I20201216000628 |
| Provider Name | Kevin Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801410238 PECOS PAC ID: 0244642163 Enrollment ID: I20201218000159 |
| Provider Name | Naomi Fay Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710532098 PECOS PAC ID: 1557773314 Enrollment ID: I20201218002426 |
| Provider Name | Kyle Kettle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861092504 PECOS PAC ID: 8123431400 Enrollment ID: I20210105002089 |
| Provider Name | Talin Cusato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013544550 PECOS PAC ID: 3072923713 Enrollment ID: I20210111000232 |
| Provider Name | Keagan Glyn Mouret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265082358 PECOS PAC ID: 6507270493 Enrollment ID: I20210204002378 |
| Provider Name | Kenneth Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952878811 PECOS PAC ID: 0941543128 Enrollment ID: I20210210002686 |
| Provider Name | Diamond T Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912544602 PECOS PAC ID: 0749695666 Enrollment ID: I20210226000398 |
| Provider Name | Damian Carrillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124553672 PECOS PAC ID: 3476969940 Enrollment ID: I20210308001855 |
| Provider Name | Jubril O Aderibigbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861025272 PECOS PAC ID: 8022425859 Enrollment ID: I20210323002407 |
| Provider Name | Michael K Brandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679108104 PECOS PAC ID: 0345659553 Enrollment ID: I20210429000166 |
| Provider Name | Lauren Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891303129 PECOS PAC ID: 6709285984 Enrollment ID: I20210519002384 |
| Provider Name | Abigail Christine Bessire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881203982 PECOS PAC ID: 3274932678 Enrollment ID: I20210603003108 |
| Provider Name | Dorothy Webb Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740270008 PECOS PAC ID: 9335163062 Enrollment ID: I20210608001128 |
| Provider Name | Blanca I Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770164311 PECOS PAC ID: 4486057502 Enrollment ID: I20210728000095 |
| Provider Name | Renee Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730688979 PECOS PAC ID: 0840551123 Enrollment ID: I20210803000241 |
| Provider Name | Yasmin Jawer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992336580 PECOS PAC ID: 7416352166 Enrollment ID: I20210819000088 |
| Provider Name | Adam Jaynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154875441 PECOS PAC ID: 4082010087 Enrollment ID: I20210830003127 |
| Provider Name | Candice Elizabeth Parrack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992343420 PECOS PAC ID: 8123425824 Enrollment ID: I20210922003494 |
| Provider Name | Lura Jean O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861950388 PECOS PAC ID: 6901136746 Enrollment ID: I20211104000170 |
| Provider Name | Cheryl Np Spell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447808373 PECOS PAC ID: 6204263890 Enrollment ID: I20211105001501 |
| Provider Name | Femin A Cheru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861169724 PECOS PAC ID: 2668861030 Enrollment ID: I20211105002206 |
| Provider Name | Eva Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083200687 PECOS PAC ID: 5193114312 Enrollment ID: I20211109003348 |
| Provider Name | Tracy Ann Strown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023646718 PECOS PAC ID: 1052701570 Enrollment ID: I20211124000008 |
| Provider Name | Elizabeth Nyawira Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255913489 PECOS PAC ID: 8527458355 Enrollment ID: I20211209000555 |
| Provider Name | Eunice Olufunke Ayansola Owoade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417550773 PECOS PAC ID: 4486045374 Enrollment ID: I20220104001184 |
| Provider Name | Margaret Eme Bassey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609435643 PECOS PAC ID: 9537553953 Enrollment ID: I20220301002453 |
| Provider Name | Ahmad Asadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899497 PECOS PAC ID: 7012302797 Enrollment ID: I20220316000066 |
| Provider Name | Christy Moosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871071472 PECOS PAC ID: 6608260351 Enrollment ID: I20220404000179 |
| Provider Name | Robena Lewars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427719442 PECOS PAC ID: 3577958511 Enrollment ID: I20220405000399 |
| Provider Name | Harouna Pare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598101248 PECOS PAC ID: 7719374537 Enrollment ID: I20220426002505 |
| Provider Name | Stefanie Krejci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366046328 PECOS PAC ID: 7113304379 Enrollment ID: I20220510001313 |
| Provider Name | Colleen Kuhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407513146 PECOS PAC ID: 3375920192 Enrollment ID: I20220517002872 |
| Provider Name | Angela Christine Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215689815 PECOS PAC ID: 6901283357 Enrollment ID: I20220524002491 |
| Provider Name | Sheryl Yvette Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528531704 PECOS PAC ID: 1254718620 Enrollment ID: I20220525000124 |
| Provider Name | Olanrewaju Omobola Olurode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396304390 PECOS PAC ID: 8426387812 Enrollment ID: I20220531000440 |
| Provider Name | Amy Michelle Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659922862 PECOS PAC ID: 3072992429 Enrollment ID: I20220615002553 |
| Provider Name | Jessica I Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528725819 PECOS PAC ID: 8729461637 Enrollment ID: I20220810000526 |
| Provider Name | Bushra Mahmood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114654456 PECOS PAC ID: 8224413380 Enrollment ID: I20220910000401 |
| Provider Name | Tiesha Deloach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790360568 PECOS PAC ID: 9032594619 Enrollment ID: I20220919000308 |
| Provider Name | Shanice Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689276396 PECOS PAC ID: 6709274509 Enrollment ID: I20221103001699 |
| Provider Name | Adolf V Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013369420 PECOS PAC ID: 8325329550 Enrollment ID: I20221201001553 |
| Provider Name | Abimbola B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801385810 PECOS PAC ID: 0446629976 Enrollment ID: I20221206000590 |
| Provider Name | Oluwatoyin Grace Ukinamemen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730807892 PECOS PAC ID: 8426427683 Enrollment ID: I20221209000574 |
| Provider Name | Saeeda Sultana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861035958 PECOS PAC ID: 3375959844 Enrollment ID: I20221215001348 |
| Provider Name | Margaret A Mosley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801989215 PECOS PAC ID: 3870774920 Enrollment ID: I20230119000718 |
| Provider Name | Alex Haslam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962133686 PECOS PAC ID: 7911378062 Enrollment ID: I20230127000594 |
| Provider Name | Heather Mansker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255894796 PECOS PAC ID: 8224400130 Enrollment ID: I20230202000203 |
| Provider Name | Kyle Garrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093472524 PECOS PAC ID: 6406229343 Enrollment ID: I20230223003096 |
| Provider Name | Manuel Lazaro Falcon Valdes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821713017 PECOS PAC ID: 5395119176 Enrollment ID: I20230317000650 |
| Provider Name | Nina D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861015331 PECOS PAC ID: 4385018134 Enrollment ID: I20230320000561 |
| Provider Name | Juliet Dontoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962893859 PECOS PAC ID: 3274908363 Enrollment ID: I20230403000829 |
| Provider Name | Bandana Nepal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972242980 PECOS PAC ID: 4082089941 Enrollment ID: I20230405002857 |
| Provider Name | Kafayat Adigun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659996817 PECOS PAC ID: 7517322662 Enrollment ID: I20230425002486 |
| Provider Name | Yamila Casas Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306556006 PECOS PAC ID: 1658736681 Enrollment ID: I20230427000141 |
| Provider Name | Sharon Denise Grush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962846220 PECOS PAC ID: 4688062987 Enrollment ID: I20230508002490 |
| Provider Name | Uyiosa Chu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134885882 PECOS PAC ID: 4486010436 Enrollment ID: I20230517000015 |
| Provider Name | Yordanis Camejo Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174225833 PECOS PAC ID: 7214393701 Enrollment ID: I20230525003524 |
| Provider Name | Aleen Elsaadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669973038 PECOS PAC ID: 3476910829 Enrollment ID: I20230531001179 |
| Provider Name | Sylena Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992370381 PECOS PAC ID: 4981007366 Enrollment ID: I20230614002017 |
| Provider Name | Elora D Pliska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316371 PECOS PAC ID: 2062810971 Enrollment ID: I20230621000016 |
| Provider Name | Rodney Duckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003401050 PECOS PAC ID: 5092173765 Enrollment ID: I20230628001583 |
| Provider Name | Guerlyne Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245683747 PECOS PAC ID: 5092094557 Enrollment ID: I20230705000111 |
| Provider Name | Alphine Tuitoek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750964169 PECOS PAC ID: 6002275906 Enrollment ID: I20230711001113 |
| Provider Name | Melanie Janell Halcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790469658 PECOS PAC ID: 3072972454 Enrollment ID: I20230718001997 |
| Provider Name | Crystal D Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205594918 PECOS PAC ID: 4587025291 Enrollment ID: I20230727003051 |
| Provider Name | Miranda Danielle Greco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053947663 PECOS PAC ID: 4587028261 Enrollment ID: I20230913003714 |
| Provider Name | Gwendoline Keri Bongkishiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487239414 PECOS PAC ID: 2466816855 Enrollment ID: I20230919001710 |
| Provider Name | Jessica Elizondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992456578 PECOS PAC ID: 1850745613 Enrollment ID: I20230927002315 |
| Provider Name | Norlan Montano Coto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104512029 PECOS PAC ID: 5395199830 Enrollment ID: I20231002002872 |
| Provider Name | Rita Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902441421 PECOS PAC ID: 3577917970 Enrollment ID: I20231003001930 |
| Provider Name | Marissa Lee Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902536527 PECOS PAC ID: 8729433586 Enrollment ID: I20231013001491 |
| Provider Name | Temitope Macdowald Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962965996 PECOS PAC ID: 7911143417 Enrollment ID: I20231017003079 |
| Provider Name | Robert Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154000586 PECOS PAC ID: 9335596824 Enrollment ID: I20231106000027 |
| Provider Name | Danitra B Glasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104415439 PECOS PAC ID: 6406203975 Enrollment ID: I20231106003179 |
| Provider Name | Emily Elise Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356037261 PECOS PAC ID: 3870940703 Enrollment ID: I20231114001527 |
| Provider Name | Anahita Jafari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528849163 PECOS PAC ID: 6507213378 Enrollment ID: I20231116000326 |
| Provider Name | Shelley A Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104459106 PECOS PAC ID: 3173971223 Enrollment ID: I20231129002976 |
| Provider Name | Amy Elizabeth Craigen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124895214 PECOS PAC ID: 4880045558 Enrollment ID: I20240106000048 |
| Provider Name | Tyra Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285334201 PECOS PAC ID: 9739531351 Enrollment ID: I20240119001071 |
| Provider Name | Susan Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275246043 PECOS PAC ID: 4587037494 Enrollment ID: I20240212004180 |
| Provider Name | Shahzadi Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205593928 PECOS PAC ID: 9537503396 Enrollment ID: I20240220002579 |
| Provider Name | Sarra Elizabeth Allsopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285343384 PECOS PAC ID: 7517301047 Enrollment ID: I20240222003661 |
| Provider Name | Cynthia Yulo Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972281079 PECOS PAC ID: 3375989593 Enrollment ID: I20240311002418 |
| Provider Name | Nicole Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902656713 PECOS PAC ID: 5193165736 Enrollment ID: I20240430003734 |
| Provider Name | Veronica Ruth Riojas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730946575 PECOS PAC ID: 5496195695 Enrollment ID: I20240506001132 |
| Provider Name | Ashlene Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073103594 PECOS PAC ID: 5991169377 Enrollment ID: I20240520003093 |
| Provider Name | Zainab Tahir Javed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932959509 PECOS PAC ID: 3274975545 Enrollment ID: I20240531002683 |
Shama P Quraishi Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2342 Dowlen Rd Ste 102, Beaumont, TX 77706 Phone: 409-832-7195 Fax: 409-832-8199 | |
Rhg Of Texas Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Dowlen Rd, Beaumont, TX 77706 Phone: 615-672-7122 | |
Preventive Medicine Of Southeast Texas, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5875 N Major Dr, Beaumont, TX 77713 Phone: 409-892-2262 Fax: 409-899-8475 | |
Kandaswamy Jayaraj Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3030 North St, #310, Beaumont, TX 77702 Phone: 409-892-2111 Fax: 409-892-2173 | |
Legacy Community Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 Harrison St Ste 320, Beaumont, TX 77702 Phone: 409-899-1360 Fax: 713-523-4897 | |
Private Hospital Group Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 College St, Beaumont, TX 77707 Phone: 409-722-1197 | |
Beaumont Spine Pain And Sports Medicince Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5220 Eastex Fwy, Beaumont, TX 77708 Phone: 409-924-8600 |