Devoted Medical Group Of Texas Inc | |
20405 State Highway 249 Ste 325 Houston TX 77070-2893 | |
(617) 958-1611 | |
Not Available |
Full Name | Devoted Medical Group Of Texas Inc |
---|---|
Speciality | Clinic/Center |
Location | 20405 State Highway 249 Ste 325, Houston, Texas |
Authorized Official Name and Position | Aracely Courtney (PM) |
Authorized Official Contact | 8008668492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Devoted Medical Group Of Texas Inc Po Box 211699 Eagan MN 55121-3699 Ph: () - | Devoted Medical Group Of Texas Inc 20405 State Highway 249 Ste 325 Houston TX 77070-2893 Ph: (617) 958-1611 |
NPI Number | 1982202800 |
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Provider Enumeration Date | 10/13/2020 |
Last Update Date | 01/05/2024 |
Medicare PECOS PAC ID | 5597140566 |
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Medicare Enrollment ID | O20220913000732 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982202800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Terri Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679657266 PECOS PAC ID: 6800833542 Enrollment ID: I20050413001023 |
Provider Name | Valeria Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720197544 PECOS PAC ID: 5193726586 Enrollment ID: I20070129000077 |
Provider Name | Lourdes Regina Ticas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184715674 PECOS PAC ID: 7416021290 Enrollment ID: I20080922000058 |
Provider Name | Sera Iyanoye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972808962 PECOS PAC ID: 2961671417 Enrollment ID: I20110818000041 |
Provider Name | Samuel Collier |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508064114 PECOS PAC ID: 9830229202 Enrollment ID: I20110926000410 |
Provider Name | Leesa A Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932458908 PECOS PAC ID: 6901032267 Enrollment ID: I20140325001381 |
Provider Name | Meghna Sheth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942630603 PECOS PAC ID: 0446483101 Enrollment ID: I20140502001235 |
Provider Name | Marlisa Trevino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992113930 PECOS PAC ID: 1153541503 Enrollment ID: I20141007000203 |
Provider Name | Claire Campbell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477842094 PECOS PAC ID: 0345462784 Enrollment ID: I20141119001090 |
Provider Name | Reena Karimpanamannil Alex |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639575582 PECOS PAC ID: 5890019129 Enrollment ID: I20150115000917 |
Provider Name | Hao Thi Pham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720311160 PECOS PAC ID: 5193957611 Enrollment ID: I20150227000354 |
Provider Name | Julie Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639565369 PECOS PAC ID: 0648586099 Enrollment ID: I20150831000903 |
Provider Name | Natalia Yevonne Rideaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396113585 PECOS PAC ID: 7810206745 Enrollment ID: I20151015002317 |
Provider Name | Jean Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518242064 PECOS PAC ID: 1557528817 Enrollment ID: I20151210000119 |
Provider Name | Nancy Bogenrieder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821472648 PECOS PAC ID: 6204138589 Enrollment ID: I20160104000824 |
Provider Name | Rabia Chaudhry |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598194409 PECOS PAC ID: 2163725409 Enrollment ID: I20160121000231 |
Provider Name | Ellen Miftari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962863498 PECOS PAC ID: 5698073054 Enrollment ID: I20160419000242 |
Provider Name | Sharita Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144572660 PECOS PAC ID: 2466603550 Enrollment ID: I20160801000550 |
Provider Name | Simone Hills |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730540881 PECOS PAC ID: 1254610850 Enrollment ID: I20161123000942 |
Provider Name | Rebecca Conroy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962959007 PECOS PAC ID: 2264712256 Enrollment ID: I20161208002045 |
Provider Name | Laura Ogbechie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255844932 PECOS PAC ID: 3173881687 Enrollment ID: I20171211000465 |
Provider Name | Rodolfo Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922517788 PECOS PAC ID: 8224396528 Enrollment ID: I20171219003004 |
Provider Name | Valerie Valencia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780181255 PECOS PAC ID: 0941556377 Enrollment ID: I20180627002340 |
Provider Name | Rachel A Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245740893 PECOS PAC ID: 0042569022 Enrollment ID: I20180824000099 |
Provider Name | Jennifer Barney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245626472 PECOS PAC ID: 3072858893 Enrollment ID: I20190808003455 |
Provider Name | Juliana Olubunmi Onajobi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376018614 PECOS PAC ID: 6507195138 Enrollment ID: I20190907000073 |
Provider Name | Georgina Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275090698 PECOS PAC ID: 8325379241 Enrollment ID: I20191008001198 |
Provider Name | Rebecca Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417425992 PECOS PAC ID: 0042541781 Enrollment ID: I20191011000323 |
Provider Name | Alyse Tumelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386291912 PECOS PAC ID: 5799017679 Enrollment ID: I20191025000742 |
Provider Name | Trevor Cobb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427606763 PECOS PAC ID: 5991133571 Enrollment ID: I20200313000206 |
Provider Name | Andrew Sumarsono |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750822094 PECOS PAC ID: 3577980564 Enrollment ID: I20200908000738 |
Provider Name | Natalia Klusacek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497142285 PECOS PAC ID: 1759686660 Enrollment ID: I20210427000464 |
Provider Name | Teresa Delbridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174164248 PECOS PAC ID: 1658706734 Enrollment ID: I20211229000290 |
Provider Name | Cindy Suthar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750815981 PECOS PAC ID: 6204113194 Enrollment ID: I20220802000475 |
Provider Name | Rachel Penning |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932632296 PECOS PAC ID: 0840576021 Enrollment ID: I20220913001384 |
Provider Name | Marilyn Canales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083183347 PECOS PAC ID: 9537493861 Enrollment ID: I20220913004050 |
Provider Name | Nishea Flores |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831685635 PECOS PAC ID: 5698000461 Enrollment ID: I20220926000042 |
Provider Name | Reginald Castor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275268328 PECOS PAC ID: 3779969506 Enrollment ID: I20221003001326 |
Provider Name | Lindsay Stephens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982103693 PECOS PAC ID: 9537545181 Enrollment ID: I20221005000154 |
Provider Name | Amanda Hunt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023614377 PECOS PAC ID: 9133595036 Enrollment ID: I20221018001934 |
Provider Name | Sara Modeste |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881785426 PECOS PAC ID: 8224298112 Enrollment ID: I20221018001937 |
Provider Name | Tamara Deshazo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326417171 PECOS PAC ID: 2769760776 Enrollment ID: I20221122003274 |
Provider Name | Salli Fulminar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609275536 PECOS PAC ID: 7719356062 Enrollment ID: I20221209000035 |
Provider Name | Jordan Seese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154845931 PECOS PAC ID: 2264704519 Enrollment ID: I20221213000149 |
Provider Name | Kim Czerwinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760959811 PECOS PAC ID: 5193766863 Enrollment ID: I20221214002795 |
Provider Name | Vanessa Pedroso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235481722 PECOS PAC ID: 2961623343 Enrollment ID: I20221215001950 |
Provider Name | Tomora Owens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073860086 PECOS PAC ID: 7012386782 Enrollment ID: I20221220001403 |
Provider Name | Kari Nichol Benton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285187575 PECOS PAC ID: 3375915903 Enrollment ID: I20230208001989 |
Provider Name | Beth Vanairsdale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932277514 PECOS PAC ID: 8022028257 Enrollment ID: I20230217002314 |
Provider Name | Rachel Weaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588084768 PECOS PAC ID: 5799157707 Enrollment ID: I20230220001802 |
Provider Name | Kevin Mickle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801360318 PECOS PAC ID: 1052651544 Enrollment ID: I20230308002101 |
Provider Name | Kelly Board |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649719915 PECOS PAC ID: 4789930645 Enrollment ID: I20230328001841 |
Provider Name | Alyse Poll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598135089 PECOS PAC ID: 8921309287 Enrollment ID: I20230404002624 |
Provider Name | Sarah Bible |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699210351 PECOS PAC ID: 6800173832 Enrollment ID: I20230412001847 |
Provider Name | Amy Barton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063713436 PECOS PAC ID: 1850573262 Enrollment ID: I20230417001178 |
Provider Name | Brittany Daniels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033551247 PECOS PAC ID: 2365679693 Enrollment ID: I20230424001665 |
Provider Name | Claudia Fages |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730796426 PECOS PAC ID: 2769867381 Enrollment ID: I20230508000884 |
Provider Name | Carrie Huffstickler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053781310 PECOS PAC ID: 5193017473 Enrollment ID: I20230508001278 |
Provider Name | Katrina Oconnor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033657267 PECOS PAC ID: 6507122132 Enrollment ID: I20230530001015 |
Provider Name | Jorge Nodal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316583263 PECOS PAC ID: 0547695835 Enrollment ID: I20230606000008 |
Provider Name | Crystelle Carmack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295031169 PECOS PAC ID: 2668641044 Enrollment ID: I20230612000119 |
Provider Name | Daisy Rosado Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588035075 PECOS PAC ID: 3274822036 Enrollment ID: I20230614001737 |
Provider Name | Lisa Byrd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407845829 PECOS PAC ID: 0042398133 Enrollment ID: I20230801002719 |
Provider Name | Miranda Caccamise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831539436 PECOS PAC ID: 3476782095 Enrollment ID: I20230801003328 |
Provider Name | Maggie Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255870408 PECOS PAC ID: 5092055624 Enrollment ID: I20230803003788 |
Provider Name | Meghan Burrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245599406 PECOS PAC ID: 1052568136 Enrollment ID: I20230809000504 |
Provider Name | Robert Glass |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497049571 PECOS PAC ID: 5991922999 Enrollment ID: I20230824001314 |
Provider Name | Robert Greaud |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457613390 PECOS PAC ID: 5799929766 Enrollment ID: I20231009000777 |
Provider Name | Amy Braddock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720531254 PECOS PAC ID: 4981992476 Enrollment ID: I20231020001153 |
Provider Name | Paul Di Capua |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295037430 PECOS PAC ID: 5294990420 Enrollment ID: I20231029000076 |
Provider Name | Ashley Belbin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154865178 PECOS PAC ID: 5294019642 Enrollment ID: I20240131001225 |
Provider Name | Cristina Bolivar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104344456 PECOS PAC ID: 5294096707 Enrollment ID: I20240212001203 |
Provider Name | Julianna Gage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619536505 PECOS PAC ID: 6800125691 Enrollment ID: I20240215000593 |
Provider Name | Vanessa Valles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487088043 PECOS PAC ID: 4789828302 Enrollment ID: I20240226000571 |
Provider Name | Arianna Villa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609451830 PECOS PAC ID: 9537551924 Enrollment ID: I20240311000978 |
Provider Name | Brook Calton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1528395019 PECOS PAC ID: 6204078231 Enrollment ID: I20240401002144 |
Provider Name | Kendra Hurst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780156844 PECOS PAC ID: 3870839491 Enrollment ID: I20240402000206 |
Provider Name | Kerryann Fogarty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477032332 PECOS PAC ID: 7517201478 Enrollment ID: I20240403001791 |
Provider Name | Stephanie Trembulak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548702806 PECOS PAC ID: 1951725233 Enrollment ID: I20240422003040 |
Provider Name | Trisha Np Khalilieh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922547439 PECOS PAC ID: 1052695665 Enrollment ID: I20240422003063 |
Provider Name | Shane Bridgman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447762380 PECOS PAC ID: 0749541902 Enrollment ID: I20240423000709 |
Provider Name | Lauren Strickland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235740259 PECOS PAC ID: 1254744816 Enrollment ID: I20240424000723 |
Provider Name | Erin Hopkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467897652 PECOS PAC ID: 8426365438 Enrollment ID: I20240424001352 |
Provider Name | Susana Guzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871963769 PECOS PAC ID: 5698061448 Enrollment ID: I20240424001974 |
Provider Name | Sylvester Miniea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497352835 PECOS PAC ID: 5092107144 Enrollment ID: I20240424003262 |
Provider Name | Stephanie Ten Eyck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487043923 PECOS PAC ID: 3274853940 Enrollment ID: I20240429001859 |
Provider Name | Shannon Trevino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407112055 PECOS PAC ID: 7214329614 Enrollment ID: I20240430002141 |
Provider Name | Tanya Magdor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164446571 PECOS PAC ID: 6204905284 Enrollment ID: I20240501000096 |
Provider Name | Daniel Horn |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780903971 PECOS PAC ID: 8224277991 Enrollment ID: I20240515000756 |
Provider Name | Jeffrey Lin |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1326282716 PECOS PAC ID: 5193978369 Enrollment ID: I20240516000471 |
Provider Name | Meghan Mcgrath |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689883134 PECOS PAC ID: 9638261241 Enrollment ID: I20240516003421 |
Provider Name | Susan Carl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336662097 PECOS PAC ID: 0840556767 Enrollment ID: I20240520000528 |
Provider Name | Jason Wong |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821052242 PECOS PAC ID: 3375532559 Enrollment ID: I20240522004274 |
Provider Name | Julie Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831551233 PECOS PAC ID: 5799127676 Enrollment ID: I20240523000913 |
Provider Name | Alec Petersen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013370568 PECOS PAC ID: 1153618186 Enrollment ID: I20240523003777 |
Provider Name | Alison Mcgough Holliday |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992265581 PECOS PAC ID: 0840632618 Enrollment ID: I20240524000838 |
Provider Name | Nelia Jain |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174844682 PECOS PAC ID: 3577702539 Enrollment ID: I20240524001752 |
Provider Name | Shana Noel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265942155 PECOS PAC ID: 6305108473 Enrollment ID: I20240529000548 |
Provider Name | Jennifer Fowler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932392735 PECOS PAC ID: 1951483650 Enrollment ID: I20240530000325 |
Provider Name | Maria Mogollon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629676614 PECOS PAC ID: 6709299225 Enrollment ID: I20240531000778 |
Provider Name | Alexandrine Pinault |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174071971 PECOS PAC ID: 7315226511 Enrollment ID: I20240531002877 |
Provider Name | Carolyn Mcelhinney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326358425 PECOS PAC ID: 3870772908 Enrollment ID: I20240610001050 |
Provider Name | Jocelyn Butler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215288360 PECOS PAC ID: 6507167392 Enrollment ID: I20240613004609 |
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