| Henderson Hospital, Llc | |
|
300 Wilson St Henderson TX 75652-5956 | |
| (903) 655-6536 | |
| (903) 657-6072 |
| Full Name | Henderson Hospital, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Wilson St, Henderson, Texas |
| Authorized Official Name and Position | Stephen C. Petrovich (EVP) |
| Authorized Official Contact | 6152963000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henderson Hospital, Llc 1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 Ph: (615) 296-3000 | Henderson Hospital, Llc 300 Wilson St Henderson TX 75652-5956 Ph: (903) 655-6536 |
| NPI Number | 1043710437 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 02/13/2018 |
| Medicare PECOS PAC ID | 4789946054 |
|---|---|
| Medicare Enrollment ID | O20180326002460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043710437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gordon G Uretsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477512820 PECOS PAC ID: 1951384080 Enrollment ID: I20040610000460 |
| Provider Name | Jerry C Wheeler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376672006 PECOS PAC ID: 5597737528 Enrollment ID: I20040810001327 |
| Provider Name | James A Wheeler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427263466 PECOS PAC ID: 2961467840 Enrollment ID: I20041120000143 |
| Provider Name | Dwight Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770582736 PECOS PAC ID: 1951209659 Enrollment ID: I20050110000290 |
| Provider Name | Gerald J Akpassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447296975 PECOS PAC ID: 9739113952 Enrollment ID: I20050926001244 |
| Provider Name | Joseph B Coopwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881619203 PECOS PAC ID: 6305863945 Enrollment ID: I20071112000525 |
| Provider Name | Lajuan J Chambers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033156757 PECOS PAC ID: 1850324443 Enrollment ID: I20080411000490 |
| Provider Name | Mary J Starling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053464610 PECOS PAC ID: 8527137751 Enrollment ID: I20080514000522 |
| Provider Name | Upali S Walgama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265577175 PECOS PAC ID: 9436322187 Enrollment ID: I20111026000041 |
| Provider Name | Deepti A Govathoti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316190754 PECOS PAC ID: 3779757265 Enrollment ID: I20111118000321 |
| Provider Name | Linda Bassam Mughrabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235316449 PECOS PAC ID: 0840466611 Enrollment ID: I20111228000329 |
| Provider Name | Bruno A Romeo Miramon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366564148 PECOS PAC ID: 8729241567 Enrollment ID: I20120515000535 |
Henderson Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-657-7541 | |
East Texas Medical Center Henderson Fhc Epsdt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-657-7541 | |
Etmc Henderson Fhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-657-7541 Fax: 903-657-4009 | |
Henderson Memorial Hospital Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-657-7541 | |
Mt Enterprise Community Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N High St, Henderson, TX 75652 Phone: 903-392-8203 Fax: 866-835-6516 | |
U.s.walgama Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 Wilson St, Henderson, TX 75652 Phone: 903-658-4349 |