| Lone Star Extensivists Pllc | |
|
29924 Fm 3009 New Braunfels TX 78132-2637 | |
| (830) 620-0330 | |
| (830) 620-5405 |
| Full Name | Lone Star Extensivists Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 29924 Fm 3009, New Braunfels, Texas |
| Authorized Official Name and Position | Deborah Sue Farrar (OFFICE MANAGER) |
| Authorized Official Contact | 2107104265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Extensivists Pllc Po Box 310605 New Braunfels TX 78131-0605 Ph: (830) 620-0330 | Lone Star Extensivists Pllc 29924 Fm 3009 New Braunfels TX 78132-2637 Ph: (830) 620-0330 |
| NPI Number | 1568296952 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 08/28/2024 |
| Medicare PECOS PAC ID | 3971036427 |
|---|---|
| Medicare Enrollment ID | O20241023001494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568296952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Andy C Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689660805 PECOS PAC ID: 1951380922 Enrollment ID: I20040714001458 |
| Provider Name | Primo Abel Mayhua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376587568 PECOS PAC ID: 2567487028 Enrollment ID: I20051013000395 |
| Provider Name | Fransisco Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972569895 PECOS PAC ID: 5092705202 Enrollment ID: I20060120000777 |
| Provider Name | Guido Jose Calderon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720053739 PECOS PAC ID: 2769484096 Enrollment ID: I20070215000250 |
| Provider Name | Jaime A Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962538439 PECOS PAC ID: 4880758788 Enrollment ID: I20090121000292 |
| Provider Name | Nancy K Lough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538318969 PECOS PAC ID: 2668520834 Enrollment ID: I20090427000420 |
| Provider Name | Christina Elsa Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700199429 PECOS PAC ID: 3375669369 Enrollment ID: I20100928000233 |
| Provider Name | Shanna Lynn Kalage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114360740 PECOS PAC ID: 3274767330 Enrollment ID: I20131004000219 |
| Provider Name | Jennifer M Freytag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669887329 PECOS PAC ID: 9537387477 Enrollment ID: I20140905001688 |
| Provider Name | Pramod Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548551427 PECOS PAC ID: 5799907762 Enrollment ID: I20141106000357 |
| Provider Name | Diana Joye Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053859462 PECOS PAC ID: 7810271301 Enrollment ID: I20170301000155 |
| Provider Name | Vladimir Paez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710202353 PECOS PAC ID: 7719118827 Enrollment ID: I20190607001679 |
| Provider Name | Mara Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235763434 PECOS PAC ID: 4385075712 Enrollment ID: I20200519000562 |
| Provider Name | Lovin Pappy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457705832 PECOS PAC ID: 3173851128 Enrollment ID: I20210825001661 |
| Provider Name | Brian Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205553815 PECOS PAC ID: 0143699041 Enrollment ID: I20221215003217 |
| Provider Name | Lucinda Radmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508582453 PECOS PAC ID: 3870968910 Enrollment ID: I20230404000416 |
| Provider Name | Jessica Ragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316487655 PECOS PAC ID: 9830476720 Enrollment ID: I20230417000705 |
| Provider Name | Angel Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083198402 PECOS PAC ID: 8426405184 Enrollment ID: I20231117000742 |
Haoran Yu, Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 43 Yu Dr, New Braunfels, TX 78130 Phone: 830-608-9300 Fax: 830-626-1727 | |
Seacole Labs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 S Business Ih 35 Ste C17, New Braunfels, TX 78130 Phone: 210-245-6088 | |
Blue Agave Functional Medicine Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3221 Commercial Cir, New Braunfels, TX 78132 Phone: 830-491-4040 Fax: 830-402-2171 | |
Deborah L Melendez, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2660 E Common St, Ste. 201, New Braunfels, TX 78130 Phone: 830-625-5557 | |
Volente Physicians Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2010 Hoffmann Ln, New Braunfels, TX 78132 Phone: 214-903-0776 | |
Lori Hickson, Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1619 E. Common St., Bldg. L, Suite 1201, New Braunfels, TX 78130 Phone: 830-203-6695 Fax: 830-214-6292 |