Jerome Lee Sang Md, Pa | |
107 Cedar Dr Portland TX 78374 | |
(361) 643-6623 | |
Not Available |
Full Name | Jerome Lee Sang Md, Pa |
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Speciality | Internal Medicine |
Location | 107 Cedar Dr, Portland, Texas |
Authorized Official Name and Position | Jerome Lee Sang (PRESIDENT) |
Authorized Official Contact | 3616436623 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jerome Lee Sang Md, Pa 107 Cedar Dr Portland TX 78374 Ph: () - | Jerome Lee Sang Md, Pa 107 Cedar Dr Portland TX 78374 Ph: (361) 643-6623 |
NPI Number | 1194889105 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 06/30/2010 |
Medicare PECOS PAC ID | 8123005543 |
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Medicare Enrollment ID | O20040702000962 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194889105 | NPI | - | NPPES |
147440501 | Medicaid | TX | |
00924R | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Susan Camus St Onge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609930023 PECOS PAC ID: 7810974243 Enrollment ID: I20040702001075 |
Provider Name | Junius E Dural |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538139522 PECOS PAC ID: 6901836121 Enrollment ID: I20050817000850 |
Provider Name | Jerome Aston Lee Sang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164449948 PECOS PAC ID: 0042120347 Enrollment ID: I20100728000812 |
Provider Name | Laura Isela Soler |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619165123 PECOS PAC ID: 1850574351 Enrollment ID: I20110321000982 |
Provider Name | Michael Soler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285901140 PECOS PAC ID: 7113144817 Enrollment ID: I20141126000386 |
Darryl Dewitt Collins, M.d.,p.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 Cedar Dr, Suite A, Portland, TX 78374 Phone: 361-777-2886 Fax: 361-777-3667 | |
Bridge Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 Elm St, Portland, TX 78374 Phone: 361-977-2059 | |
David Heredia Md. Pa. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Wildcat Dr, Suite H, Portland, TX 78374 Phone: 361-777-3330 Fax: 361-777-2811 | |
Coastal Plains Community Mhmr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Marriott Dr, Portland, TX 78374 Phone: 361-777-3991 | |
Charles C. Gregory, Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Wildcat Dr Ste C, Portland, TX 78374 Phone: 361-643-9800 Fax: 361-643-5112 | |
Mcjv Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 Elm St, Portland, TX 78374 Phone: 361-563-2966 |