First Physicians, Pllc | |
4222 Wendover Ave Ste 600 Odessa TX 79762-5983 | |
(432) 552-5656 | |
(866) 730-6998 |
Full Name | First Physicians, Pllc |
---|---|
Speciality | Family Medicine |
Location | 4222 Wendover Ave Ste 600, Odessa, Texas |
Authorized Official Name and Position | Michael Vise Shelton (OWNER) |
Authorized Official Contact | 4325525656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
First Physicians, Pllc 4222 Wendover Ave Suite 600 Odessa TX 79762-5945 Ph: (432) 552-5656 | First Physicians, Pllc 4222 Wendover Ave Ste 600 Odessa TX 79762-5983 Ph: (432) 552-5656 |
NPI Number | 1356374854 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 04/25/2024 |
Medicare PECOS PAC ID | 7214963958 |
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Medicare Enrollment ID | O20050713000840 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356374854 | NPI | - | NPPES |
080469201 | Medicaid | TX | |
0008DU | Other | TX | GROUP BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | James W Van Riper |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1467446484 PECOS PAC ID: 8022004910 Enrollment ID: I20040426000871 |
Provider Name | David B Willingham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467441642 PECOS PAC ID: 4385643923 Enrollment ID: I20061209000008 |
Provider Name | John T Garcia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275683484 PECOS PAC ID: 3870672330 Enrollment ID: I20080508000545 |
Provider Name | Darrell S Parsons |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144212440 PECOS PAC ID: 7911066410 Enrollment ID: I20081112000317 |
Provider Name | Steve A Siegler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366439739 PECOS PAC ID: 6800959941 Enrollment ID: I20090115000169 |
Provider Name | Cornelia S De Riese |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841280716 PECOS PAC ID: 3971656109 Enrollment ID: I20090805000163 |
Provider Name | Richard D Stanley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1427167329 PECOS PAC ID: 2466537972 Enrollment ID: I20100212000451 |
Provider Name | Michael Shelton |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003810995 PECOS PAC ID: 3678508090 Enrollment ID: I20100902001167 |
Provider Name | Christine Wyman Wan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609870377 PECOS PAC ID: 5991820722 Enrollment ID: I20100916000266 |
Provider Name | Terry Unruh |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1598741480 PECOS PAC ID: 1658551593 Enrollment ID: I20110209000459 |
Provider Name | Danny Glen Mulkey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811461189 PECOS PAC ID: 1759622426 Enrollment ID: I20190405000931 |
Provider Name | Albany Jayne Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942777271 PECOS PAC ID: 4082947320 Enrollment ID: I20190531001217 |
Provider Name | Brian Ashford |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265622732 PECOS PAC ID: 2769664127 Enrollment ID: I20200428000422 |
Provider Name | Abbie Schuster |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1477999852 PECOS PAC ID: 7911148606 Enrollment ID: I20201027002040 |
Provider Name | Bonita Denise Abraham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457957367 PECOS PAC ID: 2062829948 Enrollment ID: I20210319000764 |
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