| North Texas Physician Services, Pllc | |
|
700 E Marshall Ave Longview TX 75601-5580 | |
| (903) 315-2000 | |
| Not Available |
| Full Name | North Texas Physician Services, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 E Marshall Ave, Longview, Texas |
| Authorized Official Name and Position | Michael Pawlowski (OWNER/PRESIDENT) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Texas Physician Services, Pllc 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | North Texas Physician Services, Pllc 700 E Marshall Ave Longview TX 75601-5580 Ph: (903) 315-2000 |
| NPI Number | 1992586150 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 6305295429 |
|---|---|
| Medicare Enrollment ID | O20231213004113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992586150 | NPI | - | NPPES |
| Provider Name | Ryan Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376523951 PECOS PAC ID: 1951381243 Enrollment ID: I20040726000968 |
| Provider Name | Oladimeji Akiode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922078120 PECOS PAC ID: 8921079476 Enrollment ID: I20040805001372 |
| Provider Name | James B Knutson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033183041 PECOS PAC ID: 6709819592 Enrollment ID: I20050913000451 |
| Provider Name | Gerald J Akpassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447296975 PECOS PAC ID: 9739113952 Enrollment ID: I20050926001244 |
| Provider Name | Roderick E Echols |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417927369 PECOS PAC ID: 3476576935 Enrollment ID: I20061121000370 |
| Provider Name | Rama Krishna V Docca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124125000 PECOS PAC ID: 6608970991 Enrollment ID: I20070326000482 |
| Provider Name | Ikechukwu C Umezurike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144309105 PECOS PAC ID: 6103923743 Enrollment ID: I20070516000423 |
| Provider Name | Stephen B Glenn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336149434 PECOS PAC ID: 2062468671 Enrollment ID: I20070727000415 |
| Provider Name | Sawroop Sandhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871633636 PECOS PAC ID: 8426143066 Enrollment ID: I20080428000281 |
| Provider Name | Tiffany Eliese Egbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205914231 PECOS PAC ID: 6305944646 Enrollment ID: I20080607000103 |
| Provider Name | Randy A Jackson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689832768 PECOS PAC ID: 6608932348 Enrollment ID: I20090305000084 |
| Provider Name | Monica K Loverdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023215332 PECOS PAC ID: 3476646530 Enrollment ID: I20090319000198 |
| Provider Name | William Mccrady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225002173 PECOS PAC ID: 0446217194 Enrollment ID: I20090331000463 |
| Provider Name | Edward T Okelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184630212 PECOS PAC ID: 1759430317 Enrollment ID: I20090601000451 |
| Provider Name | Matthew J Hogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962418160 PECOS PAC ID: 7810046471 Enrollment ID: I20090601000481 |
| Provider Name | Richard L Hozdic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932115136 PECOS PAC ID: 6800945460 Enrollment ID: I20090601000489 |
| Provider Name | Roger Kiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154398840 PECOS PAC ID: 5890605513 Enrollment ID: I20091202000742 |
| Provider Name | Andrew E Bentley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326151523 PECOS PAC ID: 2365578770 Enrollment ID: I20100324000982 |
| Provider Name | Mark Malone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487744827 PECOS PAC ID: 1456322205 Enrollment ID: I20100728000603 |
| Provider Name | Sreenath R Meegada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689877391 PECOS PAC ID: 0840323283 Enrollment ID: I20100805000177 |
| Provider Name | Clayton A Mccuan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235321126 PECOS PAC ID: 3274727573 Enrollment ID: I20101101000481 |
| Provider Name | Olayiwola Abdullateef Salmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457585739 PECOS PAC ID: 7012062029 Enrollment ID: I20101124000352 |
| Provider Name | Ekene Ifeanyi Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528372729 PECOS PAC ID: 5395933212 Enrollment ID: I20101220000503 |
| Provider Name | John W Scroggins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588843585 PECOS PAC ID: 7517144926 Enrollment ID: I20110613000571 |
| Provider Name | Kalpana J Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366511545 PECOS PAC ID: 0648167221 Enrollment ID: I20110628000195 |
| Provider Name | Kashif Alauddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659506509 PECOS PAC ID: 0749336956 Enrollment ID: I20120420000215 |
| Provider Name | Deepthi Bollineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730337320 PECOS PAC ID: 8022185925 Enrollment ID: I20120530000657 |
| Provider Name | Maanasa Jetty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770817629 PECOS PAC ID: 0840454906 Enrollment ID: I20120621000256 |
| Provider Name | Santosh N Hakkapakki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568641371 PECOS PAC ID: 8022199082 Enrollment ID: I20120714000076 |
| Provider Name | Saima Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194952085 PECOS PAC ID: 3577711019 Enrollment ID: I20120907000222 |
| Provider Name | Alejandro R De Los Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558527846 PECOS PAC ID: 4385893247 Enrollment ID: I20121009000550 |
| Provider Name | Anju Varanasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407070162 PECOS PAC ID: 3971603622 Enrollment ID: I20121023000803 |
| Provider Name | Latania Y Booker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790916245 PECOS PAC ID: 1557511771 Enrollment ID: I20121025000045 |
| Provider Name | Moinuddin A Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437404480 PECOS PAC ID: 5991959744 Enrollment ID: I20130502000123 |
| Provider Name | Sarat Chandra Jampana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831402882 PECOS PAC ID: 8628218120 Enrollment ID: I20130705000103 |
| Provider Name | Tejo Ramam Challa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396082970 PECOS PAC ID: 3870735350 Enrollment ID: I20130813000389 |
| Provider Name | Madhu Chiluveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154633774 PECOS PAC ID: 5294977310 Enrollment ID: I20130820000136 |
| Provider Name | Enyinnaya Ugochukwu Abarikwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788178 PECOS PAC ID: 4385817386 Enrollment ID: I20130903000476 |
| Provider Name | Krishnakumar R Muthu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407056906 PECOS PAC ID: 7719071182 Enrollment ID: I20131204001742 |
| Provider Name | Stella Ndukwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811286941 PECOS PAC ID: 9133148372 Enrollment ID: I20131214000061 |
| Provider Name | Aaron Patrick Best |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013954320 PECOS PAC ID: 2668440918 Enrollment ID: I20140125000112 |
| Provider Name | Wish Mema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194141861 PECOS PAC ID: 0648400275 Enrollment ID: I20140227001501 |
| Provider Name | Lynn Ann Crocker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558357947 PECOS PAC ID: 3577548791 Enrollment ID: I20140306000430 |
| Provider Name | Robert L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407285513 PECOS PAC ID: 0840421061 Enrollment ID: I20140401000175 |
| Provider Name | Katherine L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205246311 PECOS PAC ID: 8921221102 Enrollment ID: I20140515000152 |
| Provider Name | Kemeni E Tenku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962792309 PECOS PAC ID: 9133343346 Enrollment ID: I20140610000099 |
| Provider Name | Babar Zuberi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275532640 PECOS PAC ID: 9335165893 Enrollment ID: I20140626002564 |
| Provider Name | Lisa Leffler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295980274 PECOS PAC ID: 0143448563 Enrollment ID: I20140827000965 |
| Provider Name | Angela M Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801161591 PECOS PAC ID: 0042470114 Enrollment ID: I20141009001292 |
| Provider Name | Naga Maruthi Kumar Perisetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922238922 PECOS PAC ID: 8729254883 Enrollment ID: I20141112000116 |
| Provider Name | Chioma Enyeribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700192275 PECOS PAC ID: 9032398227 Enrollment ID: I20141212000194 |
| Provider Name | Olukayode A Bamgbelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164677845 PECOS PAC ID: 1557496965 Enrollment ID: I20141231001889 |
| Provider Name | Siva K Mandadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538396858 PECOS PAC ID: 4880866300 Enrollment ID: I20150106001655 |
| Provider Name | Md Saifur Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497002778 PECOS PAC ID: 5597081638 Enrollment ID: I20150306001784 |
| Provider Name | Haleema F Harhara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548580236 PECOS PAC ID: 9830332907 Enrollment ID: I20150507002449 |
| Provider Name | Hailegiorgis Woldegiorgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841559309 PECOS PAC ID: 7214176817 Enrollment ID: I20150521001772 |
| Provider Name | Tyler W Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134481914 PECOS PAC ID: 5698086478 Enrollment ID: I20150619001736 |
| Provider Name | Hani A Yousif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386999761 PECOS PAC ID: 7416268974 Enrollment ID: I20150624002511 |
| Provider Name | Faustina N Donkor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104184753 PECOS PAC ID: 6103130521 Enrollment ID: I20150729009451 |
| Provider Name | Navin Dhingra |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518212984 PECOS PAC ID: 0042525644 Enrollment ID: I20150811005296 |
| Provider Name | Rama M Atla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598928863 PECOS PAC ID: 5092986471 Enrollment ID: I20151117000819 |
| Provider Name | Jennifer Marie Borrego |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013380203 PECOS PAC ID: 0143520932 Enrollment ID: I20151201000703 |
| Provider Name | Odia Russette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205292968 PECOS PAC ID: 3870896566 Enrollment ID: I20160130000021 |
| Provider Name | Rita J Loud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891155925 PECOS PAC ID: 0648578690 Enrollment ID: I20160407001889 |
| Provider Name | Courtney Chavonne Alford-portley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255793451 PECOS PAC ID: 9234438854 Enrollment ID: I20160504000372 |
| Provider Name | Harikrishna Kotra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881988020 PECOS PAC ID: 8628297181 Enrollment ID: I20160823000384 |
| Provider Name | Henry Ssentongo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639418353 PECOS PAC ID: 5294974887 Enrollment ID: I20161004002279 |
| Provider Name | Nithin Reddy Nayini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780022681 PECOS PAC ID: 3678872116 Enrollment ID: I20161108000918 |
| Provider Name | Rama Krishna Kancharla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093145245 PECOS PAC ID: 5698054062 Enrollment ID: I20161108001748 |
| Provider Name | Anil Farook Jahoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497194427 PECOS PAC ID: 8628370137 Enrollment ID: I20161108002185 |
| Provider Name | Olatunji Sarafadeen Olaoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668970 PECOS PAC ID: 2961690839 Enrollment ID: I20170201000371 |
| Provider Name | Juan Carlo S Pascual |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326481664 PECOS PAC ID: 5597069070 Enrollment ID: I20170207001953 |
| Provider Name | Joseph Arnold Baidoo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164798534 PECOS PAC ID: 3072777838 Enrollment ID: I20170209002101 |
| Provider Name | Ashley Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639619943 PECOS PAC ID: 1355626615 Enrollment ID: I20170329000203 |
| Provider Name | Tanya L Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629420310 PECOS PAC ID: 3678859683 Enrollment ID: I20170405001984 |
| Provider Name | Khabeer Abdul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992252266 PECOS PAC ID: 5597042507 Enrollment ID: I20170501000308 |
| Provider Name | Nadyn Michele Giralt Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417361148 PECOS PAC ID: 4284902974 Enrollment ID: I20170621002705 |
| Provider Name | Imam H Shaik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609294586 PECOS PAC ID: 0648587808 Enrollment ID: I20170719002404 |
| Provider Name | Narpinder Singh Dhanoa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801202783 PECOS PAC ID: 5496064271 Enrollment ID: I20170803002811 |
| Provider Name | Sailaja Sakam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023399144 PECOS PAC ID: 5890009096 Enrollment ID: I20170922003212 |
| Provider Name | Ruchita Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083034771 PECOS PAC ID: 1557683174 Enrollment ID: I20171010000972 |
| Provider Name | Roberta L Vickery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619297348 PECOS PAC ID: 0446376552 Enrollment ID: I20171017001295 |
| Provider Name | Malasha Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730591959 PECOS PAC ID: 9234438904 Enrollment ID: I20171019002653 |
| Provider Name | Rajender Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659687788 PECOS PAC ID: 8224270939 Enrollment ID: I20171019002975 |
| Provider Name | Teshome K Gebrmichael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215344791 PECOS PAC ID: 3971722513 Enrollment ID: I20171218000469 |
| Provider Name | Herman Laroy Toliver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841481041 PECOS PAC ID: 3971756271 Enrollment ID: I20180208002735 |
| Provider Name | Tameka T Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740784594 PECOS PAC ID: 5991068579 Enrollment ID: I20180412001292 |
| Provider Name | Robel Fikre Desta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992187694 PECOS PAC ID: 3678878659 Enrollment ID: I20180723000235 |
| Provider Name | Tiffany Renae Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225520505 PECOS PAC ID: 6406103316 Enrollment ID: I20180724002359 |
| Provider Name | Danial A Soleja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770970451 PECOS PAC ID: 6002163631 Enrollment ID: I20180727000341 |
| Provider Name | Rhonda Kay Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518450600 PECOS PAC ID: 2961750922 Enrollment ID: I20180807003610 |
| Provider Name | Minale A Desta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477948701 PECOS PAC ID: 7719235522 Enrollment ID: I20180809004406 |
| Provider Name | Krishan B Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710398615 PECOS PAC ID: 3274854518 Enrollment ID: I20180821000854 |
| Provider Name | Nandakishore Akula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568714541 PECOS PAC ID: 4587976386 Enrollment ID: I20180911002576 |
| Provider Name | John Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467939975 PECOS PAC ID: 9537411277 Enrollment ID: I20181009000794 |
| Provider Name | Raman Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629464680 PECOS PAC ID: 0648524546 Enrollment ID: I20181113000374 |
| Provider Name | Josef Atta Chemtob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376562132 PECOS PAC ID: 6002813938 Enrollment ID: I20181206000642 |
| Provider Name | Sheriffdeen Olalekan Ilo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184910382 PECOS PAC ID: 6305088766 Enrollment ID: I20190206002702 |
| Provider Name | Ranadhir R Beereddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508164096 PECOS PAC ID: 0840426300 Enrollment ID: I20190213000359 |
| Provider Name | Brandi Michele Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891276481 PECOS PAC ID: 7315289568 Enrollment ID: I20190508002556 |
| Provider Name | Nishit K Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235394487 PECOS PAC ID: 3173791571 Enrollment ID: I20190627002687 |
| Provider Name | Sathiraju Undavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144412099 PECOS PAC ID: 3577623677 Enrollment ID: I20190711000712 |
| Provider Name | Joyce Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558716142 PECOS PAC ID: 7315239258 Enrollment ID: I20190924003100 |
| Provider Name | Samuel Eleanya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730575200 PECOS PAC ID: 7517213606 Enrollment ID: I20191010003136 |
| Provider Name | La'mesa Yvonne Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457855637 PECOS PAC ID: 1355775370 Enrollment ID: I20191230001229 |
| Provider Name | Courtney Whitehurst |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588192009 PECOS PAC ID: 4789957291 Enrollment ID: I20200415001328 |
| Provider Name | Angelita Ancheta Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659907160 PECOS PAC ID: 4082045596 Enrollment ID: I20200518002499 |
| Provider Name | Ritu H Goradia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073967493 PECOS PAC ID: 2264728203 Enrollment ID: I20200714000036 |
| Provider Name | Bessie Burchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366051526 PECOS PAC ID: 2163847435 Enrollment ID: I20200803003234 |
| Provider Name | Dominique S Harnage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477103414 PECOS PAC ID: 2163848623 Enrollment ID: I20200813002918 |
| Provider Name | Indeevar Peram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154619492 PECOS PAC ID: 0446472542 Enrollment ID: I20200820001709 |
| Provider Name | Nancy A Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689147134 PECOS PAC ID: 3870833809 Enrollment ID: I20200930002775 |
| Provider Name | Eden Tsefaye Wudneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851822902 PECOS PAC ID: 1557772449 Enrollment ID: I20201125000975 |
| Provider Name | Michael Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043659956 PECOS PAC ID: 3274828173 Enrollment ID: I20201207000134 |
| Provider Name | Priyanka Buchupalle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144743477 PECOS PAC ID: 6709157381 Enrollment ID: I20201211001755 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20210112000942 |
| Provider Name | Joshua D Sifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629425913 PECOS PAC ID: 7517251861 Enrollment ID: I20210217002681 |
| Provider Name | Chad Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619357209 PECOS PAC ID: 7810295193 Enrollment ID: I20210223000959 |
| Provider Name | Uday Kiran Togaru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093199697 PECOS PAC ID: 8123324282 Enrollment ID: I20210505000334 |
| Provider Name | Salima Vasani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295148245 PECOS PAC ID: 7113292236 Enrollment ID: I20210505002062 |
| Provider Name | Laticia Chemeare Beaudoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245837251 PECOS PAC ID: 8426467333 Enrollment ID: I20210505002517 |
| Provider Name | Haley Lynn Eager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164004024 PECOS PAC ID: 8628487436 Enrollment ID: I20210507000836 |
| Provider Name | James Lyons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992297642 PECOS PAC ID: 4183970940 Enrollment ID: I20210528000558 |
| Provider Name | Satish Boddhula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376927558 PECOS PAC ID: 0648570457 Enrollment ID: I20210604001272 |
| Provider Name | Ketan K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699721050 PECOS PAC ID: 1850361882 Enrollment ID: I20210630004227 |
| Provider Name | Sheikh Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407301898 PECOS PAC ID: 0840529301 Enrollment ID: I20210715003137 |
| Provider Name | Ankur Pradhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043708407 PECOS PAC ID: 8426303827 Enrollment ID: I20210721003370 |
| Provider Name | Clinton Aguiar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619331659 PECOS PAC ID: 8729378922 Enrollment ID: I20210803001506 |
| Provider Name | Savyata Hamal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689178683 PECOS PAC ID: 8123372430 Enrollment ID: I20210805001963 |
| Provider Name | Esmael Yimer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013413186 PECOS PAC ID: 5496092447 Enrollment ID: I20210824000242 |
| Provider Name | Michael Z Gebeyehu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053728188 PECOS PAC ID: 1557633484 Enrollment ID: I20210907001713 |
| Provider Name | Daphnee Annabelle Noel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588160915 PECOS PAC ID: 9830453760 Enrollment ID: I20210914000981 |
| Provider Name | Samreen Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083119754 PECOS PAC ID: 7416354477 Enrollment ID: I20210920000198 |
| Provider Name | Ogechi A Ohia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063013605 PECOS PAC ID: 6002213758 Enrollment ID: I20210922001651 |
| Provider Name | Elizabeth Mancuso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730729070 PECOS PAC ID: 9133526346 Enrollment ID: I20210930000034 |
| Provider Name | Tigist D Gemechu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518469782 PECOS PAC ID: 9234496498 Enrollment ID: I20211013001525 |
| Provider Name | Pegan R Doss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487316626 PECOS PAC ID: 3375931876 Enrollment ID: I20211103001163 |
| Provider Name | Prema Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356092894 PECOS PAC ID: 3678966785 Enrollment ID: I20220214002329 |
| Provider Name | Akachi Azubuike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467867762 PECOS PAC ID: 0941511471 Enrollment ID: I20220520001524 |
| Provider Name | Merlin Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700231586 PECOS PAC ID: 8022424746 Enrollment ID: I20220923001087 |
| Provider Name | Kristen Edney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740915610 PECOS PAC ID: 1355719485 Enrollment ID: I20221122001117 |
| Provider Name | Holly Rebecca Etheredge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538878053 PECOS PAC ID: 4183095151 Enrollment ID: I20230131000095 |
| Provider Name | Brittany Rae Flemister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811600927 PECOS PAC ID: 8325419211 Enrollment ID: I20230201001992 |
| Provider Name | Prithvi Muddana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275199689 PECOS PAC ID: 9335512870 Enrollment ID: I20230302001572 |
| Provider Name | Kashif A Janjua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558522730 PECOS PAC ID: 5597938282 Enrollment ID: I20230324001016 |
| Provider Name | Gregory Duhon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487034039 PECOS PAC ID: 8527319243 Enrollment ID: I20230427002374 |
| Provider Name | Chidinma Joy Anyiwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700349693 PECOS PAC ID: 9436576303 Enrollment ID: I20230607000346 |
| Provider Name | Omokorede Apampa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376065268 PECOS PAC ID: 6406273846 Enrollment ID: I20230619000562 |
| Provider Name | Muhammad Junaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629428826 PECOS PAC ID: 6305197674 Enrollment ID: I20230718003693 |
| Provider Name | Rama Dilip Gajulapalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235360223 PECOS PAC ID: 9739345364 Enrollment ID: I20230731000992 |
| Provider Name | Amir Habibollah Ausef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528046315 PECOS PAC ID: 3870517758 Enrollment ID: I20230814002096 |
| Provider Name | Luis M Reyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962023564 PECOS PAC ID: 7416378583 Enrollment ID: I20230824003725 |
| Provider Name | Abebu Y Tesfa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477142875 PECOS PAC ID: 0042673394 Enrollment ID: I20230905000339 |
| Provider Name | Mohammad Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649641226 PECOS PAC ID: 7719233238 Enrollment ID: I20230906004240 |
| Provider Name | Byron Kendall Herpich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164629515 PECOS PAC ID: 6002931839 Enrollment ID: I20230907002146 |
| Provider Name | Justine Elodia Henao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808645 PECOS PAC ID: 2769458561 Enrollment ID: I20230915000386 |
| Provider Name | Xiang Gao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447631205 PECOS PAC ID: 9032454376 Enrollment ID: I20230920001831 |
| Provider Name | Prateek Patibandla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326493958 PECOS PAC ID: 6002148210 Enrollment ID: I20231012002363 |
| Provider Name | Nway Nway |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457960460 PECOS PAC ID: 8527413368 Enrollment ID: I20231013000621 |
| Provider Name | Thach Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043614860 PECOS PAC ID: 6507181534 Enrollment ID: I20231013002103 |
| Provider Name | Usha Bangalore Krishnappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821300278 PECOS PAC ID: 8325282213 Enrollment ID: I20231026000810 |
| Provider Name | Es-haq Saddeldin Hassanin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013538693 PECOS PAC ID: 4789015074 Enrollment ID: I20231026000940 |
| Provider Name | Kenneth S Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457098873 PECOS PAC ID: 5294181947 Enrollment ID: I20231101000308 |
| Provider Name | Vidhi B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710515820 PECOS PAC ID: 0446672182 Enrollment ID: I20231109002937 |
| Provider Name | Mohammed A Sayeed Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881184323 PECOS PAC ID: 5698027639 Enrollment ID: I20231127003068 |
| Provider Name | Catalin Perju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578994984 PECOS PAC ID: 1658598552 Enrollment ID: I20240119002698 |
| Provider Name | Talat Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649408220 PECOS PAC ID: 1052568359 Enrollment ID: I20240226001979 |
| Provider Name | Fadi Albahra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598392573 PECOS PAC ID: 0244655108 Enrollment ID: I20240227002399 |
| Provider Name | Neelam Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427021435 PECOS PAC ID: 0547274433 Enrollment ID: I20240301003738 |
| Provider Name | Ambesi Ngwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639582174 PECOS PAC ID: 7719108224 Enrollment ID: I20240304000932 |
| Provider Name | Christopher Dion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912457029 PECOS PAC ID: 0840572905 Enrollment ID: I20240326001924 |
| Provider Name | Patrick W Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164879649 PECOS PAC ID: 7113218058 Enrollment ID: I20240405000243 |
| Provider Name | Jamil Meloelain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538262076 PECOS PAC ID: 0749206977 Enrollment ID: I20240418004044 |
| Provider Name | Adrian R Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477086239 PECOS PAC ID: 4880004977 Enrollment ID: I20240530004367 |
| Provider Name | Momin Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528695665 PECOS PAC ID: 7315489051 Enrollment ID: I20240610000532 |
Wellness Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-758-2610 Fax: 903-758-3124 | |
Longview Care Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 409 N 6th St, Longview, TX 75601 Phone: 903-501-1747 Fax: 903-758-2283 | |
Family Focus Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101b Woodbine Pl, Longview, TX 75601 Phone: 903-236-6222 Fax: 903-236-0808 | |
Whole Counseling, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 N Fredonia St Ste 114, Longview, TX 75601 Phone: 720-404-5682 | |
Wellness Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 W Fairmont St, Longview, TX 75604 Phone: 903-758-2610 Fax: 903-758-7081 | |
Wellness Pointe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 N Fredonia St, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 | |
Gail D Stockman Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 N 4th St, Suite A, Longview, TX 75601 Phone: 406-253-3430 |