| Lone Star Family Health Center | |
|
605 S Conroe Medical Dr Conroe TX 77304-4722 | |
| (936) 539-4004 | |
| (936) 521-3964 |
| Full Name | Lone Star Family Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 605 S Conroe Medical Dr, Conroe, Texas |
| Authorized Official Name and Position | Karen Harwell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9365394004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Family Health Center 605 S Conroe Medical Dr Conroe TX 77304-4722 Ph: (936) 539-4004 | Lone Star Family Health Center 605 S Conroe Medical Dr Conroe TX 77304-4722 Ph: (936) 539-4004 |
| NPI Number | 1568590610 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 7416841994 |
|---|---|
| Medicare Enrollment ID | O20040318000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568590610 | NPI | - | NPPES |
| 163038601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Thomas Patton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205813854 PECOS PAC ID: 9830157429 Enrollment ID: I20041229000524 |
| Provider Name | Stephen B Tucker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245279892 PECOS PAC ID: 0446295265 Enrollment ID: I20050727000903 |
| Provider Name | Kim S Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477767226 PECOS PAC ID: 0143392746 Enrollment ID: I20080626000153 |
| Provider Name | Adel A Ibrahim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942466826 PECOS PAC ID: 2365505732 Enrollment ID: I20090112000109 |
| Provider Name | Daniel Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356555866 PECOS PAC ID: 6204980550 Enrollment ID: I20090820000529 |
| Provider Name | Martin Vestal Caperton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154416824 PECOS PAC ID: 4183751993 Enrollment ID: I20100428000316 |
| Provider Name | Lata Joshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629077045 PECOS PAC ID: 6709915556 Enrollment ID: I20100603000735 |
| Provider Name | Kenneth Gayle Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639265010 PECOS PAC ID: 3678463015 Enrollment ID: I20101222000546 |
| Provider Name | Alyssa B Molina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598958258 PECOS PAC ID: 5092998997 Enrollment ID: I20110331000140 |
| Provider Name | Branch T Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881902674 PECOS PAC ID: 3476725698 Enrollment ID: I20111012000786 |
| Provider Name | Marwan M Al-khudhair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245466762 PECOS PAC ID: 1850549015 Enrollment ID: I20120912000573 |
| Provider Name | Jonathan Ingusan Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306158803 PECOS PAC ID: 4082852041 Enrollment ID: I20130603000402 |
| Provider Name | Christina Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508136227 PECOS PAC ID: 0244484368 Enrollment ID: I20140326000793 |
| Provider Name | Pamela Ferry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881912772 PECOS PAC ID: 5698939510 Enrollment ID: I20140805001306 |
| Provider Name | Ranae Stanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386621746 PECOS PAC ID: 1557554268 Enrollment ID: I20140930003080 |
| Provider Name | Penelope Mcclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760884282 PECOS PAC ID: 2567683170 Enrollment ID: I20141024000305 |
| Provider Name | Australia D Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528329562 PECOS PAC ID: 1850600644 Enrollment ID: I20151019000181 |
| Provider Name | Vy Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932511045 PECOS PAC ID: 3476857376 Enrollment ID: I20170727002279 |
| Provider Name | Cristina Hamme |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366821092 PECOS PAC ID: 9234434572 Enrollment ID: I20180815001800 |
| Provider Name | Kristen Alonso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427404623 PECOS PAC ID: 0345532412 Enrollment ID: I20190619002160 |
| Provider Name | Heather M Lowrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669985909 PECOS PAC ID: 2365797362 Enrollment ID: I20200312000821 |
| Provider Name | Lawrence Ede |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275063521 PECOS PAC ID: 6800043217 Enrollment ID: I20200519000197 |
| Provider Name | Mary Jo Novak Reeser |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295495430 PECOS PAC ID: 2769874114 Enrollment ID: I20220118000394 |
| Provider Name | Juliana Garr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598105546 PECOS PAC ID: 1355617663 Enrollment ID: I20220310000214 |
| Provider Name | Lynette Victoria Wynn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245737972 PECOS PAC ID: 4486032273 Enrollment ID: I20220607002288 |
| Provider Name | Sarah Danielle Moseley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467913327 PECOS PAC ID: 9739549338 Enrollment ID: I20230713003941 |
| Provider Name | Gustavo Adolfo Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710574058 PECOS PAC ID: 9931556602 Enrollment ID: I20231117000910 |
| Provider Name | Jorge Cea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073904652 PECOS PAC ID: 8628426301 Enrollment ID: I20231120001857 |
| Provider Name | Sharon Kay Leasure |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750511093 PECOS PAC ID: 5991153967 Enrollment ID: I20231201000105 |
| Provider Name | Sheila Ann Vaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154051456 PECOS PAC ID: 5193178762 Enrollment ID: I20240130003577 |
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