| Hospitalist Medicine Physicians Of Texas - Texarkana, Pllc | |
|
2531 Viking Dr Bossier City LA 71111-2103 | |
| (318) 848-2900 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Texas - Texarkana, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2531 Viking Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Texas - Texarkana, Pllc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: () - | Hospitalist Medicine Physicians Of Texas - Texarkana, Pllc 2531 Viking Dr Bossier City LA 71111-2103 Ph: (318) 848-2900 |
| NPI Number | 1720623440 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Medicare PECOS PAC ID | 9739516881 |
|---|---|
| Medicare Enrollment ID | O20200302000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720623440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gustavo A Fierro-carrion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437114659 PECOS PAC ID: 6507855426 Enrollment ID: I20040506001740 |
| Provider Name | Jacqueline S Taylor Odonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275514929 PECOS PAC ID: 2668442047 Enrollment ID: I20040731000242 |
| Provider Name | Jack Childress |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841245883 PECOS PAC ID: 9739115494 Enrollment ID: I20050713000965 |
| Provider Name | Wajiuddin Khalfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265546840 PECOS PAC ID: 5597789495 Enrollment ID: I20060118000813 |
| Provider Name | Roderick E Echols |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417927369 PECOS PAC ID: 3476576935 Enrollment ID: I20061121000370 |
| Provider Name | Justice U Odu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245330745 PECOS PAC ID: 0345342226 Enrollment ID: I20070223000151 |
| Provider Name | Ikechukwu C Umezurike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144309105 PECOS PAC ID: 6103923743 Enrollment ID: I20070516000423 |
| Provider Name | Stephen B Glenn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336149434 PECOS PAC ID: 2062468671 Enrollment ID: I20070727000415 |
| Provider Name | Michael Hughes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811959885 PECOS PAC ID: 5294801452 Enrollment ID: I20080911000686 |
| Provider Name | Iqtidar Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932193687 PECOS PAC ID: 9032197801 Enrollment ID: I20090120000455 |
| Provider Name | Randy A Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689832768 PECOS PAC ID: 6608932348 Enrollment ID: I20090305000084 |
| Provider Name | Edward T Okelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184630212 PECOS PAC ID: 1759430317 Enrollment ID: I20090601000451 |
| Provider Name | Matthew J Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962418160 PECOS PAC ID: 7810046471 Enrollment ID: I20090601000481 |
| Provider Name | Richard L Hozdic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932115136 PECOS PAC ID: 6800945460 Enrollment ID: I20090601000489 |
| Provider Name | Jared B Petty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720280753 PECOS PAC ID: 8022162759 Enrollment ID: I20090814000519 |
| Provider Name | Crystal D Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538153283 PECOS PAC ID: 8123920501 Enrollment ID: I20091125000301 |
| Provider Name | Kathleen R Martin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568462463 PECOS PAC ID: 9335280544 Enrollment ID: I20100111000372 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20101220000503 |
| Provider Name | Sophana Karnchanasorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710165303 PECOS PAC ID: 6800933276 Enrollment ID: I20110419000094 |
| Provider Name | Ziad A Rouhana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669407995 PECOS PAC ID: 7911904339 Enrollment ID: I20110615000691 |
| Provider Name | Sai Haranath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063446425 PECOS PAC ID: 2062427685 Enrollment ID: I20110804000558 |
| Provider Name | Malik M Ladha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326377243 PECOS PAC ID: 0042481798 Enrollment ID: I20110929000239 |
| Provider Name | Swati F D Souza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902087091 PECOS PAC ID: 0446335566 Enrollment ID: I20111011000085 |
| Provider Name | Robert Disotell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265798805 PECOS PAC ID: 9830353580 Enrollment ID: I20120628000671 |
| Provider Name | Anju Varanasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407070162 PECOS PAC ID: 3971603622 Enrollment ID: I20121023000803 |
| Provider Name | Syed A Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235123316 PECOS PAC ID: 3173424983 Enrollment ID: I20130919000230 |
| Provider Name | Oluwaseun Akinwale Ajibade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316243868 PECOS PAC ID: 0446422364 Enrollment ID: I20131113000618 |
| Provider Name | Stella Ndukwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811286941 PECOS PAC ID: 9133148372 Enrollment ID: I20131214000061 |
| Provider Name | Kemeni E Tenku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962792309 PECOS PAC ID: 9133343346 Enrollment ID: I20140610000099 |
| Provider Name | Ghana Khadka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750544821 PECOS PAC ID: 7618195033 Enrollment ID: I20140827001235 |
| Provider Name | Worakarn Victor Ingkanisorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669670972 PECOS PAC ID: 9032293949 Enrollment ID: I20140908000258 |
| Provider Name | Kenny Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093002313 PECOS PAC ID: 4183844905 Enrollment ID: I20140930000631 |
| Provider Name | Jamil Uddin Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184911448 PECOS PAC ID: 1153564935 Enrollment ID: I20141022000501 |
| Provider Name | Emmanuel E Chukwu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518273242 PECOS PAC ID: 2769704618 Enrollment ID: I20141203001003 |
| Provider Name | Chioma Enyeribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700192275 PECOS PAC ID: 9032398227 Enrollment ID: I20141212000194 |
| Provider Name | Haleema F Harhara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548580236 PECOS PAC ID: 9830332907 Enrollment ID: I20150507002449 |
| Provider Name | Muhammad A Kazim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609134550 PECOS PAC ID: 0446569107 Enrollment ID: I20151020000410 |
| Provider Name | Tri Te |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447632971 PECOS PAC ID: 5496064883 Enrollment ID: I20151026002645 |
| Provider Name | Amy L Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780046664 PECOS PAC ID: 1355649930 Enrollment ID: I20160414001650 |
| Provider Name | Kaneza W Bgoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922398940 PECOS PAC ID: 1153612783 Enrollment ID: I20160629000071 |
| Provider Name | Anil Farook Jahoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497194427 PECOS PAC ID: 8628370137 Enrollment ID: I20161108002185 |
| Provider Name | Juan Carlo S Pascual |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326481664 PECOS PAC ID: 5597069070 Enrollment ID: I20170207001953 |
| Provider Name | Tanya L Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420310 PECOS PAC ID: 3678859683 Enrollment ID: I20170405001984 |
| Provider Name | Moez M Alnazeer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730508615 PECOS PAC ID: 5092085753 Enrollment ID: I20170728000346 |
| Provider Name | Solomon S Sallfors |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093127284 PECOS PAC ID: 4385943430 Enrollment ID: I20170728001471 |
| Provider Name | Sarwat Fatima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710394093 PECOS PAC ID: 1951676097 Enrollment ID: I20170929000719 |
| Provider Name | Abdelrazig B Suliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396163408 PECOS PAC ID: 0042519142 Enrollment ID: I20171211000944 |
| Provider Name | Danilo Manere Judit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760523609 PECOS PAC ID: 1759372089 Enrollment ID: I20171227001743 |
| Provider Name | Aimel Azizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144480997 PECOS PAC ID: 0345423158 Enrollment ID: I20181004000719 |
| Provider Name | Adetomiwa I Ogundere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003227745 PECOS PAC ID: 1254628647 Enrollment ID: I20181005000952 |
| Provider Name | John Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467939975 PECOS PAC ID: 9537411277 Enrollment ID: I20181009000794 |
| Provider Name | Raman Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629464680 PECOS PAC ID: 0648524546 Enrollment ID: I20181113000374 |
| Provider Name | Freweini Lemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356737944 PECOS PAC ID: 5597003350 Enrollment ID: I20190220003284 |
| Provider Name | Angeli A Niravel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053678805 PECOS PAC ID: 6507165396 Enrollment ID: I20190523000996 |
| Provider Name | Ian J Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871052050 PECOS PAC ID: 3971831124 Enrollment ID: I20190826002123 |
| Provider Name | Samuel Eleanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730575200 PECOS PAC ID: 7517213606 Enrollment ID: I20191010003136 |
| Provider Name | Yves-mary Nazaire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750744660 PECOS PAC ID: 4082913330 Enrollment ID: I20191030002717 |
| Provider Name | Shiv Mohini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174977177 PECOS PAC ID: 8224375712 Enrollment ID: I20191118001127 |
| Provider Name | Ritu H Goradia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073967493 PECOS PAC ID: 2264728203 Enrollment ID: I20200714000036 |
| Provider Name | Christian Ferrer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376077164 PECOS PAC ID: 2961771019 Enrollment ID: I20200827003284 |
| Provider Name | David Do |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184156796 PECOS PAC ID: 0840568374 Enrollment ID: I20201007002595 |
| Provider Name | Eden Tsefaye Wudneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851822902 PECOS PAC ID: 1557772449 Enrollment ID: I20201125000975 |
| Provider Name | Juliet Lwanga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346587243 PECOS PAC ID: 6204063944 Enrollment ID: I20210108001650 |
| Provider Name | Jawairia Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417488164 PECOS PAC ID: 7416361233 Enrollment ID: I20210205001057 |
| Provider Name | Chad Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619357209 PECOS PAC ID: 7810295193 Enrollment ID: I20210223000959 |
| Provider Name | Venkata P Kota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538362249 PECOS PAC ID: 1456404144 Enrollment ID: I20210601000823 |
| Provider Name | Ketan K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699721050 PECOS PAC ID: 1850361882 Enrollment ID: I20210630004227 |
| Provider Name | Clinton Aguiar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619331659 PECOS PAC ID: 8729378922 Enrollment ID: I20210803001506 |
| Provider Name | Josh Kelfer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306340393 PECOS PAC ID: 4486059888 Enrollment ID: I20210824000579 |
| Provider Name | Brandie Marie Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942871215 PECOS PAC ID: 5496151755 Enrollment ID: I20210913000283 |
| Provider Name | Daphnee Annabelle Noel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588160915 PECOS PAC ID: 9830453760 Enrollment ID: I20210914000981 |
| Provider Name | Tigist D Gemechu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518469782 PECOS PAC ID: 9234496498 Enrollment ID: I20211013001525 |
| Provider Name | Pegan R Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487316626 PECOS PAC ID: 3375931876 Enrollment ID: I20211103001163 |
Bossier Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2539 Viking Dr Ste 101, Bossier City, LA 71111 Phone: 318-747-8100 Fax: 318-747-8151 | |
Rapid Care Of Bossier Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd, Suite 400, Bossier City, LA 71111 Phone: 318-584-7301 Fax: 318-741-4496 | |
Charles A Powers Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Hospital Dr, Suite 420, Bossier City, LA 71111 Phone: 318-212-7910 Fax: 318-212-7915 | |
Willow Chute Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4910 Airline Dr, Bossier City, LA 71111 Phone: 318-349-3921 | |
Abaka Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4438 Viking Dr, Bossier City, LA 71111 Phone: 318-918-0015 Fax: 318-963-0015 | |
Allen Cox Md And Willis-knighton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-212-7830 Fax: 318-212-7835 | |
Injurymd Of Bossier, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5015 Shed Rd Ste 500, Bossier City, LA 71111 Phone: 318-741-5858 Fax: 318-741-4496 |