| La Esperanza Clinic Inc | |
|
1610 S Chadbourne St San Angelo TX 76903-8510 | |
| (325) 658-5339 | |
| (325) 659-8534 |
| Full Name | La Esperanza Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1610 S Chadbourne St, San Angelo, Texas |
| Authorized Official Name and Position | Rosie Castaneda (CFO) |
| Authorized Official Contact | 3259475623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Esperanza Clinic Inc 1610 S Chadbourne St San Angelo TX 76903-8510 Ph: (325) 658-5339 | La Esperanza Clinic Inc 1610 S Chadbourne St San Angelo TX 76903-8510 Ph: (325) 658-5339 |
| NPI Number | 1770584187 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 7416942933 |
|---|---|
| Medicare Enrollment ID | O20040415000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770584187 | NPI | - | NPPES |
| 111604802 | Medicaid | TX | |
| 00433T | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Texas) | Primary |
| Provider Name | Rosalinda Carrizales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033171152 PECOS PAC ID: 6608867486 Enrollment ID: I20060227000373 |
| Provider Name | Marc W Wimpee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508894627 PECOS PAC ID: 0648273177 Enrollment ID: I20060822000512 |
| Provider Name | Charles D Harzke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538274766 PECOS PAC ID: 9739185471 Enrollment ID: I20061019000578 |
| Provider Name | Debra L Sosolik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962690693 PECOS PAC ID: 7911087697 Enrollment ID: I20080108000161 |
| Provider Name | Scott W Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609030592 PECOS PAC ID: 9830265396 Enrollment ID: I20080906000121 |
| Provider Name | Ashley E Snook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255589719 PECOS PAC ID: 0749343630 Enrollment ID: I20090121000153 |
| Provider Name | Jacob D Ornelas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972766715 PECOS PAC ID: 1557517877 Enrollment ID: I20120801000825 |
| Provider Name | Laura L Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528436243 PECOS PAC ID: 1759687965 Enrollment ID: I20160315001582 |
| Provider Name | Jovawna D Ellison-hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720276843 PECOS PAC ID: 7012135452 Enrollment ID: I20160328000068 |
| Provider Name | Tonya R Boyett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265883540 PECOS PAC ID: 3577845452 Enrollment ID: I20170130001476 |
| Provider Name | Kasia Nelene Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689186413 PECOS PAC ID: 0345509550 Enrollment ID: I20180116002133 |
| Provider Name | Vidal Hernandez Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942781703 PECOS PAC ID: 3779828397 Enrollment ID: I20181228001941 |
| Provider Name | Silas Po Kwong Lai |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1629458641 PECOS PAC ID: 5698046514 Enrollment ID: I20190110003036 |
| Provider Name | Ralph Michael Wurster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962535617 PECOS PAC ID: 3375711328 Enrollment ID: I20190201001293 |
| Provider Name | Taylor Weiershausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548823792 PECOS PAC ID: 8729319975 Enrollment ID: I20191018002446 |
| Provider Name | Ashley Nicole Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174165153 PECOS PAC ID: 9638501596 Enrollment ID: I20191114000288 |
| Provider Name | Josiah Benjamin Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952641664 PECOS PAC ID: 2769814300 Enrollment ID: I20191119003220 |
| Provider Name | Monica Losano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891951943 PECOS PAC ID: 4183059785 Enrollment ID: I20200108001007 |
| Provider Name | William R Izzard |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841367596 PECOS PAC ID: 1951607100 Enrollment ID: I20210520000380 |
| Provider Name | Chiji Ndu Jon-ubabuco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043804487 PECOS PAC ID: 9739589029 Enrollment ID: I20210622002244 |
| Provider Name | Brooke Nichole Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215602412 PECOS PAC ID: 1951708692 Enrollment ID: I20210923001394 |
| Provider Name | Savannah Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689320434 PECOS PAC ID: 0345635165 Enrollment ID: I20220315000151 |
| Provider Name | Andrew S Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831621234 PECOS PAC ID: 8022381656 Enrollment ID: I20220317002177 |
| Provider Name | Donald Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992435358 PECOS PAC ID: 6800270075 Enrollment ID: I20220907002824 |
| Provider Name | Patrick Clarence Makins |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942423561 PECOS PAC ID: 7214313568 Enrollment ID: I20221022000231 |
| Provider Name | Jaqlynn Ann Puente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669187464 PECOS PAC ID: 7315305901 Enrollment ID: I20230613003533 |
| Provider Name | Danna Laraine Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467233668 PECOS PAC ID: 5991148595 Enrollment ID: I20240212000899 |
| Provider Name | Sandra Elizabeth Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992577142 PECOS PAC ID: 8123465218 Enrollment ID: I20240325003373 |
| Provider Name | Laurel Ann Pittillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275399297 PECOS PAC ID: 7113367962 Enrollment ID: I20240426003468 |
Bluebonnet Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Pulliam St, San Angelo, TX 76905 Phone: 325-653-0800 | |
La Esperanza Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35 E 31st St, San Angelo, TX 76903 Phone: 325-944-8900 | |
Pedro Castro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 S Abe St, San Angelo, TX 76903 Phone: 325-659-6957 | |
Concho Medical Associates, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 S Abe St, San Angelo, TX 76903 Phone: 325-655-7969 Fax: 325-655-7976 | |
West Loop Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2531 Loop 306, San Angelo, TX 76904 Phone: 325-224-4980 | |
West Texas Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-949-9555 | |
Shannon Senior Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3016 Vista Del Arroyo Dr, San Angelo, TX 76904 Phone: 325-949-9408 |