Hill Country Lifestyle Medicine Center, Pllc | |
19115 Fm 2252 Ste 7 Garden Ridge TX 78266-2578 | |
(210) 233-9440 | |
(210) 233-9024 |
Full Name | Hill Country Lifestyle Medicine Center, Pllc |
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Speciality | General Practice |
Location | 19115 Fm 2252 Ste 7, Garden Ridge, Texas |
Authorized Official Name and Position | Venkat Srinivasan (OWNER) |
Authorized Official Contact | 2102339440 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hill Country Lifestyle Medicine Center, Pllc 19115 Fm 2252 Ste 7 Garden Ridge TX 78266-2578 Ph: (210) 233-9440 | Hill Country Lifestyle Medicine Center, Pllc 19115 Fm 2252 Ste 7 Garden Ridge TX 78266-2578 Ph: (210) 233-9440 |
NPI Number | 1619527082 |
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Provider Enumeration Date | 09/17/2019 |
Last Update Date | 10/17/2019 |
Medicare PECOS PAC ID | 3678805843 |
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Medicare Enrollment ID | O20191022000825 |
Identifier | Type | State | Issuer |
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1619527082 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Venkatasubramanian Srinivasan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841273729 PECOS PAC ID: 8820078454 Enrollment ID: I20040723000099 |
Provider Name | Leticia Vargas |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1245247519 PECOS PAC ID: 0345216495 Enrollment ID: I20040909000453 |
Provider Name | Sharvari R Parghi |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1487663357 PECOS PAC ID: 3476659954 Enrollment ID: I20070430000213 |
Provider Name | Alberto Vargas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073775813 PECOS PAC ID: 8628248234 Enrollment ID: I20120531000423 |
Provider Name | Pavithra Pattabiraman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619293594 PECOS PAC ID: 4082849146 Enrollment ID: I20131025000083 |
Provider Name | Carlos Andres Nieto Fonseca |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932367646 PECOS PAC ID: 4880881887 Enrollment ID: I20141014000408 |
Provider Name | Kindra J Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558765727 PECOS PAC ID: 1658693809 Enrollment ID: I20141125002132 |
Provider Name | Nathan Bernal |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1558622522 PECOS PAC ID: 8123343241 Enrollment ID: I20151210001533 |
Provider Name | Amy Marie Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558868695 PECOS PAC ID: 6608130703 Enrollment ID: I20180425001570 |
Provider Name | Sheralyn S East |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831862051 PECOS PAC ID: 5294130837 Enrollment ID: I20210820000443 |
Provider Name | Ilyssa Condra |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932865128 PECOS PAC ID: 3274923222 Enrollment ID: I20220608002698 |
Provider Name | Priya Padmanabhan |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1902519309 PECOS PAC ID: 8224403183 Enrollment ID: I20230405002960 |