| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 6720 Horizon, Heath, Texas |
| Authorized Official Name and Position | V John Gonino (OWNER) |
| Authorized Official Contact | 4694022800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6720 Horizon Heath TX 75032-6273 Ph: (469) 402-2800 | 6720 Horizon Heath TX 75032-6273 Ph: (469) 402-2800 |
| NPI Number | 1346493285 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 02/26/2010 |
| Medicare PECOS PAC ID | 7315006491 |
|---|---|
| Medicare Enrollment ID | O20081104000437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346493285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J2032 (Texas) | Primary |
| Provider Name | Eddy A Buhr |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194884700 PECOS PAC ID: 3476449828 Enrollment ID: I20040224000517 |
| Provider Name | Lesa C Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093765463 PECOS PAC ID: 4284658089 Enrollment ID: I20060119000587 |
| Provider Name | Vincent J Gonino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932117652 PECOS PAC ID: 9739248931 Enrollment ID: I20081103000404 |
| Provider Name | Andrea M Mcdonald |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134371099 PECOS PAC ID: 5890852370 Enrollment ID: I20090327000320 |
| Provider Name | Crystal S Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538618293 PECOS PAC ID: 3173806494 Enrollment ID: I20170213001027 |
Mednow Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2344 Serenity Ln, Heath, TX 75032 Phone: 214-986-5239 Fax: 972-771-6563 | |
Freeney Rehabilitative Career Service, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 457 Laurence Dr Ste 407, Heath, TX 75032 Phone: 214-683-7230 Fax: 972-357-7910 | |
Waller Family Health Systems Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4210 Ridge Rd, Ste 102, Heath, TX 75032 Phone: 972-722-0054 Fax: 972-722-0096 |