| Aurora Concepts, Pllc | |
|
233 Hurst Street Suite B Center TX 75935 | |
| (936) 598-3296 | |
| (936) 598-9208 |
| Full Name | Aurora Concepts, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 233 Hurst Street, Center, Texas |
| Authorized Official Name and Position | Anita Dawn Barnes (MEMBER/MANAGER) |
| Authorized Official Contact | 9365902906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Concepts, Pllc Po Box 213 Center TX 75935 Ph: (936) 598-3296 | Aurora Concepts, Pllc 233 Hurst Street Suite B Center TX 75935 Ph: (936) 598-3296 |
| NPI Number | 1750779542 |
|---|---|
| Provider Enumeration Date | 12/31/2014 |
| Last Update Date | 07/16/2019 |
| Medicare PECOS PAC ID | 7618292376 |
|---|---|
| Medicare Enrollment ID | O20150221000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750779542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anita D Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386642940 PECOS PAC ID: 1850392499 Enrollment ID: I20070124000442 |
| Provider Name | Jane D Todd |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922021682 PECOS PAC ID: 8628976230 Enrollment ID: I20080812000138 |
| Provider Name | Cali C Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093233546 PECOS PAC ID: 8820364128 Enrollment ID: I20171031002013 |
| Provider Name | Elizabeth A Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285134163 PECOS PAC ID: 2062773930 Enrollment ID: I20180312000569 |
| Provider Name | Jessica M Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750866844 PECOS PAC ID: 6901136134 Enrollment ID: I20191001001120 |
| Provider Name | Robert D Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639242290 PECOS PAC ID: 7214363241 Enrollment ID: I20200211000047 |
| Provider Name | Tina L Coen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538794169 PECOS PAC ID: 1254725070 Enrollment ID: I20220221002311 |
| Provider Name | Chrissy Shupak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356060255 PECOS PAC ID: 5698151330 Enrollment ID: I20221003002141 |
| Provider Name | Christina Ann Dux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194385815 PECOS PAC ID: 8123450947 Enrollment ID: I20230131002313 |
| Provider Name | William Judson Humphries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225726904 PECOS PAC ID: 0345586863 Enrollment ID: I20230719004245 |
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