Corridor Primary Care, Pa | |
1320 Wonder World Dr Ste 101 San Marcos TX 78666-7558 | |
(512) 392-1700 | |
(512) 396-8743 |
Full Name | Corridor Primary Care, Pa |
---|---|
Speciality | Pediatrics |
Location | 1320 Wonder World Dr Ste 101, San Marcos, Texas |
Authorized Official Name and Position | Michelle M Bludworth (OFFICE MANAGER) |
Authorized Official Contact | 5123921700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Corridor Primary Care, Pa 1320 Wonder World Dr Ste 101 San Marcos TX 78666-7558 Ph: (512) 392-1700 | Corridor Primary Care, Pa 1320 Wonder World Dr Ste 101 San Marcos TX 78666-7558 Ph: (512) 392-1700 |
NPI Number | 1124050836 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 12/10/2007 |
Medicare PECOS PAC ID | 4183669070 |
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Medicare Enrollment ID | O20050621001307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124050836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
Provider Name | Angela P Black |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1972671733 PECOS PAC ID: 5395799241 Enrollment ID: I20050303000754 |
Provider Name | Sue A Harrison |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1558392399 PECOS PAC ID: 9739124629 Enrollment ID: I20050621001301 |
Provider Name | Michael J Grady |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1376574111 PECOS PAC ID: 3072558964 Enrollment ID: I20050621001320 |
Provider Name | Jeanne E Flinn |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629009469 PECOS PAC ID: 3870539133 Enrollment ID: I20050708000201 |
Provider Name | Jill Humphrey |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1790874402 PECOS PAC ID: 3173625852 Enrollment ID: I20070227000322 |
Provider Name | Michelle E Miller |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1346395217 PECOS PAC ID: 8224107933 Enrollment ID: I20080521000518 |
Provider Name | Rebecca Shively |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508920935 PECOS PAC ID: 4587721568 Enrollment ID: I20090318000318 |
Provider Name | Larry D Beville |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770897498 PECOS PAC ID: 2668642919 Enrollment ID: I20110824000781 |
Provider Name | Noelle Susanne Williams |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1902190663 PECOS PAC ID: 3577782499 Enrollment ID: I20140908002238 |
Provider Name | Julie Michele Fisher |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275892887 PECOS PAC ID: 9638484694 Enrollment ID: I20150819009066 |
Provider Name | Nicole Hannemann |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407117146 PECOS PAC ID: 4082923701 Enrollment ID: I20151021000088 |
Provider Name | Meghan Elissa Dupre |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1114269214 PECOS PAC ID: 2769777978 Enrollment ID: I20160827000021 |
Texas State University Student Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 298 Student Center Drive, San Marcos, TX 78666 Phone: 512-245-2161 Fax: 512-245-3918 | |
Southwest Family Medicine, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Jackson Ln, San Marcos, TX 78666 Phone: 512-393-3325 Fax: 512-393-3328 | |
South Austin Endocrinology And Obesity Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1340 Wonder World Dr Ste 2203, San Marcos, TX 78666 Phone: 512-969-8991 Fax: 512-982-6186 | |
My Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1346 Thorpe Ln, San Marcos, TX 78666 Phone: 512-392-7800 | |
Central Texas Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2005 Medical Pkwy, Suite C, San Marcos, TX 78666 Phone: 512-396-3911 Fax: 512-353-0807 | |
Live Oak Health Partners Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666 Phone: 512-353-6400 Fax: 512-353-3039 |