Conviva Medical Center Management Of Texas, P.a. | |
12602 Toepperwein Rd Ste 100 Live Oak TX 78233-3204 | |
(210) 654-0030 | |
(855) 278-4550 |
Full Name | Conviva Medical Center Management Of Texas, P.a. |
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Speciality | Internal Medicine |
Location | 12602 Toepperwein Rd Ste 100, Live Oak, Texas |
Authorized Official Name and Position | Jessica Bonetti (ASSOCIATE DIRECTOR) |
Authorized Official Contact | 7865078556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Conviva Medical Center Management Of Texas, P.a. 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Conviva Medical Center Management Of Texas, P.a. 12602 Toepperwein Rd Ste 100 Live Oak TX 78233-3204 Ph: (210) 654-0030 |
NPI Number | 1770988990 |
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Provider Enumeration Date | 10/30/2014 |
Last Update Date | 06/21/2024 |
Medicare PECOS PAC ID | 8729302278 |
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Medicare Enrollment ID | O20150112000488 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770988990 | NPI | - | NPPES |
350315301 | Medicaid | TX |
Provider Name | Vivian M.h. Ayoub |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215971882 PECOS PAC ID: 2264331834 Enrollment ID: I20040102000296 |
Provider Name | Caroline Hernandez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346318052 PECOS PAC ID: 5395732499 Enrollment ID: I20040429001019 |
Provider Name | Susan Camus St Onge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609930023 PECOS PAC ID: 7810974243 Enrollment ID: I20040702001075 |
Provider Name | Martha I Manquero Butler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255398293 PECOS PAC ID: 6103898580 Enrollment ID: I20040806000704 |
Provider Name | Henrique Levcovitz |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1316944093 PECOS PAC ID: 1355304882 Enrollment ID: I20041105000756 |
Provider Name | Stanley X Cal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003846288 PECOS PAC ID: 3971568817 Enrollment ID: I20041119000914 |
Provider Name | Jaime A Midez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972674786 PECOS PAC ID: 5395701908 Enrollment ID: I20041206000723 |
Provider Name | Jerry B Liles |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013934645 PECOS PAC ID: 4981661725 Enrollment ID: I20041214000482 |
Provider Name | Salvador Molina |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760446926 PECOS PAC ID: 9133168867 Enrollment ID: I20050519000960 |
Provider Name | Junius E Dural |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538139522 PECOS PAC ID: 6901836121 Enrollment ID: I20050817000850 |
Provider Name | Shannon R Prevette |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780681510 PECOS PAC ID: 8325948110 Enrollment ID: I20061025000180 |
Provider Name | Son V Nguyen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902981582 PECOS PAC ID: 7315910759 Enrollment ID: I20061215000087 |
Provider Name | Randolph M Gamez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215998885 PECOS PAC ID: 3274533526 Enrollment ID: I20070110000305 |
Provider Name | Susan L Miller |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538262407 PECOS PAC ID: 0648369280 Enrollment ID: I20071204000545 |
Provider Name | Leticia A Poret |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578763462 PECOS PAC ID: 2567555444 Enrollment ID: I20080201000291 |
Provider Name | Blanca L Gray |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811905789 PECOS PAC ID: 6608897509 Enrollment ID: I20080307000169 |
Provider Name | An Thien Tang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1841357589 PECOS PAC ID: 4183703341 Enrollment ID: I20080430000174 |
Provider Name | Clyde C Clybourn |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043391758 PECOS PAC ID: 1557431251 Enrollment ID: I20080607000023 |
Provider Name | Maria I Botez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346349420 PECOS PAC ID: 4385688993 Enrollment ID: I20090303000676 |
Provider Name | Victor G Rosales |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346488905 PECOS PAC ID: 0941367213 Enrollment ID: I20090401000196 |
Provider Name | Guy J Racette |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801876255 PECOS PAC ID: 2466509997 Enrollment ID: I20090420000430 |
Provider Name | Theresa Brown |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972783694 PECOS PAC ID: 0840344453 Enrollment ID: I20090817000566 |
Provider Name | Luis A Gonzalez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629016456 PECOS PAC ID: 9931246576 Enrollment ID: I20091030000096 |
Provider Name | Javier F Rodriguez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780781187 PECOS PAC ID: 7113068560 Enrollment ID: I20100106000837 |
Provider Name | Robert R Ramirez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285606996 PECOS PAC ID: 0749321883 Enrollment ID: I20100111000785 |
Provider Name | Jerome K. Hemmert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073593091 PECOS PAC ID: 0244263697 Enrollment ID: I20100406000174 |
Provider Name | Eusebio M Montejo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861671364 PECOS PAC ID: 0648351601 Enrollment ID: I20100521000311 |
Provider Name | Jerome Aston Lee Sang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164449948 PECOS PAC ID: 0042120347 Enrollment ID: I20100728000812 |
Provider Name | Laura Isela Soler |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619165123 PECOS PAC ID: 1850574351 Enrollment ID: I20110321000982 |
Provider Name | Oscar J Cerda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467567172 PECOS PAC ID: 8123205614 Enrollment ID: I20110609000592 |
Provider Name | Henry Renteria |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528254737 PECOS PAC ID: 0042483869 Enrollment ID: I20111024000066 |
Provider Name | Pavel Valdes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851553473 PECOS PAC ID: 9335309079 Enrollment ID: I20120404000496 |
Provider Name | Holly C Elzey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649532029 PECOS PAC ID: 8527211150 Enrollment ID: I20130110000460 |
Provider Name | Aria Dayani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366672818 PECOS PAC ID: 7416107859 Enrollment ID: I20130401000442 |
Provider Name | Divya Muthappa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689803124 PECOS PAC ID: 6204074016 Enrollment ID: I20130605000628 |
Provider Name | Prashanth R Rao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205006590 PECOS PAC ID: 1355409947 Enrollment ID: I20130808000264 |
Provider Name | Jacquelin Elizabeth Castillo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649547597 PECOS PAC ID: 1355584244 Enrollment ID: I20130824000042 |
Provider Name | Crystal M Carbajal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366878043 PECOS PAC ID: 2668605841 Enrollment ID: I20140424001351 |
Provider Name | Hetta H Atkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881945830 PECOS PAC ID: 2961635743 Enrollment ID: I20140501000754 |
Provider Name | Hong T Vu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336343706 PECOS PAC ID: 7012080096 Enrollment ID: I20140508001544 |
Provider Name | Marie Dana Ruiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598175200 PECOS PAC ID: 2264658426 Enrollment ID: I20140723002118 |
Provider Name | Michael Soler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285901140 PECOS PAC ID: 7113144817 Enrollment ID: I20141126000386 |
Provider Name | Muhaned Alsaedi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417389206 PECOS PAC ID: 6709101009 Enrollment ID: I20150209000683 |
Provider Name | Maegan Mendoza Cheatham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194142406 PECOS PAC ID: 9931410784 Enrollment ID: I20150619000900 |
Provider Name | Crystal Darlene Chatman-brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851309710 PECOS PAC ID: 6103130125 Enrollment ID: I20150805006857 |
Provider Name | Jason Couch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700260924 PECOS PAC ID: 1759696065 Enrollment ID: I20150817000306 |
Provider Name | Yvette Alvarez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528328309 PECOS PAC ID: 6305062019 Enrollment ID: I20150925002234 |
Provider Name | Effiok S Ekpenyong |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225392053 PECOS PAC ID: 4284695065 Enrollment ID: I20151104002652 |
Provider Name | Martin J Nejat |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306102306 PECOS PAC ID: 1850607987 Enrollment ID: I20151113001104 |
Provider Name | Gregory Brown |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922147933 PECOS PAC ID: 9739337395 Enrollment ID: I20160323002289 |
Provider Name | Ivonne Velazquez De Rosales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629521968 PECOS PAC ID: 3971899022 Enrollment ID: I20160915002079 |
Provider Name | Jessica Elaine Gagnon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184064214 PECOS PAC ID: 6800164732 Enrollment ID: I20170619002307 |
Provider Name | Jerry Lee Burris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336326214 PECOS PAC ID: 1153552401 Enrollment ID: I20170712000568 |
Provider Name | Jennifer A Ayars |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912345752 PECOS PAC ID: 3072884006 Enrollment ID: I20170809000737 |
Provider Name | Dalailah Reyna De La Rosa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962947242 PECOS PAC ID: 9335413517 Enrollment ID: I20170927001447 |
Provider Name | Rodolfo Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922517788 PECOS PAC ID: 8224396528 Enrollment ID: I20171219003004 |
Provider Name | Valerie Joyce Armstrong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790284701 PECOS PAC ID: 6901169747 Enrollment ID: I20180410000605 |
Provider Name | Valerie Valencia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780181255 PECOS PAC ID: 0941556377 Enrollment ID: I20180627002340 |
Provider Name | Ashley Nicole Laskowski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871005751 PECOS PAC ID: 9234485566 Enrollment ID: I20180628003070 |
Provider Name | Maria Angelica Cantu-cooper |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528300332 PECOS PAC ID: 5698039352 Enrollment ID: I20180821002051 |
Provider Name | Mayralis De Jesus |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568857423 PECOS PAC ID: 8527353804 Enrollment ID: I20180830000672 |
Provider Name | Lynn A Van Epps |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073942660 PECOS PAC ID: 1052548740 Enrollment ID: I20181025000557 |
Provider Name | Dimitra Denise Dunlap |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730685108 PECOS PAC ID: 0143574681 Enrollment ID: I20181119002827 |
Provider Name | Frank David Marcano Obregon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750744470 PECOS PAC ID: 4789918814 Enrollment ID: I20190624003087 |
Provider Name | Flavia Olivia Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063072700 PECOS PAC ID: 2365779261 Enrollment ID: I20190815002023 |
Provider Name | Danielle R Cavignac |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023515574 PECOS PAC ID: 2264760800 Enrollment ID: I20190821001418 |
Provider Name | Monica Cruz-guel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164070652 PECOS PAC ID: 0345570016 Enrollment ID: I20190923001754 |
Provider Name | Victor Labrado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629629803 PECOS PAC ID: 1557693330 Enrollment ID: I20191028002410 |
Provider Name | Patricia A Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447621099 PECOS PAC ID: 2961834437 Enrollment ID: I20191121002280 |
Provider Name | Yazmin Valencia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427680636 PECOS PAC ID: 1951731439 Enrollment ID: I20200423003635 |
Provider Name | Shehnaz Narula |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538795877 PECOS PAC ID: 9133550221 Enrollment ID: I20200505000739 |
Provider Name | William Glen Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396223970 PECOS PAC ID: 9234560913 Enrollment ID: I20200513001115 |
Provider Name | Ethan Lopez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649703513 PECOS PAC ID: 8527481415 Enrollment ID: I20200710001710 |
Provider Name | Sarah Marie Lopez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962935635 PECOS PAC ID: 3577987072 Enrollment ID: I20200716002509 |
Provider Name | Andrea Hayden Estrada Siller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386208924 PECOS PAC ID: 9638595549 Enrollment ID: I20200821000911 |
Provider Name | Norma M Vega |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609480540 PECOS PAC ID: 3971922766 Enrollment ID: I20200928002908 |
Provider Name | Angel Antonio Cervantes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740892819 PECOS PAC ID: 8921428772 Enrollment ID: I20201015002030 |
Provider Name | Nicholas F Bastian |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134652936 PECOS PAC ID: 8224441720 Enrollment ID: I20201230000191 |
Provider Name | Eileen Jill Ramos Muzzillo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003343310 PECOS PAC ID: 3870906712 Enrollment ID: I20210113002035 |
Provider Name | Rachel Elizabeth Whitten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104424795 PECOS PAC ID: 4587078878 Enrollment ID: I20210127003532 |
Provider Name | Jennifer Andrea Solis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679173652 PECOS PAC ID: 5294143962 Enrollment ID: I20210419000279 |
Provider Name | Monica Isabel Olague |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013539287 PECOS PAC ID: 4789093089 Enrollment ID: I20210517000568 |
Provider Name | Thanh Thiloan Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881272698 PECOS PAC ID: 5193124931 Enrollment ID: I20210527000028 |
Provider Name | Raquel Garza Vela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023641818 PECOS PAC ID: 2567863095 Enrollment ID: I20210622001555 |
Provider Name | Maricela Selene Pacheco |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144755778 PECOS PAC ID: 5092085589 Enrollment ID: I20210629003815 |
Provider Name | Francisco Javier Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952975351 PECOS PAC ID: 9234470691 Enrollment ID: I20210630000221 |
Provider Name | Kimberly Marie Tench |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639778798 PECOS PAC ID: 9032512074 Enrollment ID: I20210728001248 |
Provider Name | Fahd Alnori Almohid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346669587 PECOS PAC ID: 7719104454 Enrollment ID: I20210823000043 |
Provider Name | Iris Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205436839 PECOS PAC ID: 8527465590 Enrollment ID: I20210920000534 |
Provider Name | Donald Detmering |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770530016 PECOS PAC ID: 6800057829 Enrollment ID: I20211222002219 |
Provider Name | Erica Evangelina Sanchez |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760049084 PECOS PAC ID: 2062803166 Enrollment ID: I20211228002011 |
Provider Name | Ryan N Fountain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902571094 PECOS PAC ID: 2264823129 Enrollment ID: I20220103001882 |
Provider Name | Corletta Aririguzo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275299158 PECOS PAC ID: 9234520990 Enrollment ID: I20220107000087 |
Provider Name | Brianna Snow |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063023067 PECOS PAC ID: 3678965316 Enrollment ID: I20220110000905 |
Provider Name | Glenna Hall Steinke |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538157821 PECOS PAC ID: 8426036336 Enrollment ID: I20220207000774 |
Provider Name | Desiree Maria Kallies |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649925405 PECOS PAC ID: 1052706371 Enrollment ID: I20220322003118 |
Provider Name | Sweety Dmello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174117667 PECOS PAC ID: 6901293448 Enrollment ID: I20220502000009 |
Provider Name | Lilah Luz Pepito Jimenez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629601018 PECOS PAC ID: 1355738725 Enrollment ID: I20220504000423 |
Provider Name | Alex Mccolloster |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619472040 PECOS PAC ID: 9638428766 Enrollment ID: I20220720001523 |
Provider Name | Jennifer Hanh La |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770044182 PECOS PAC ID: 4385979350 Enrollment ID: I20220720002889 |
Provider Name | Victoria A Rojas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487113718 PECOS PAC ID: 1456733849 Enrollment ID: I20220802000670 |
Provider Name | Jessica Emily Najarian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346885712 PECOS PAC ID: 4587046917 Enrollment ID: I20220802002478 |
Provider Name | Micaela L Sekula |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518564509 PECOS PAC ID: 4880076132 Enrollment ID: I20220802003817 |
Provider Name | Scott Alexander Mezei |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730723388 PECOS PAC ID: 2668854910 Enrollment ID: I20220802003978 |
Provider Name | Eric Davied |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902303696 PECOS PAC ID: 5991054165 Enrollment ID: I20220815001005 |
Provider Name | Shaina Momin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699248286 PECOS PAC ID: 7618351321 Enrollment ID: I20220830001952 |
Provider Name | Alma Angelica Lozano Mercado |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417573239 PECOS PAC ID: 9436533999 Enrollment ID: I20220831004013 |
Provider Name | Esther G Castro |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518471051 PECOS PAC ID: 8527444314 Enrollment ID: I20220930003056 |
Provider Name | Yvonne Agunsoye |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518584382 PECOS PAC ID: 0547637902 Enrollment ID: I20221028000199 |
Provider Name | Berenice Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568063832 PECOS PAC ID: 4688044753 Enrollment ID: I20230105002971 |
Provider Name | Edward Hernandez Villarreal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215438072 PECOS PAC ID: 4981074093 Enrollment ID: I20230106001319 |
Provider Name | Teresa W Kimotho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780300319 PECOS PAC ID: 0547630667 Enrollment ID: I20230106001795 |
Provider Name | Valerie Danielle Vasquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003528498 PECOS PAC ID: 6305218710 Enrollment ID: I20230213001809 |
Provider Name | Kimberly Lynne Mcdougall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548978661 PECOS PAC ID: 3072987072 Enrollment ID: I20230314001915 |
Provider Name | Sheela Dwivedi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306089628 PECOS PAC ID: 5193965242 Enrollment ID: I20230331002709 |
Provider Name | Teri Renee Grubbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629794300 PECOS PAC ID: 7416322888 Enrollment ID: I20230417003053 |
Provider Name | Carmen Sarabia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649688573 PECOS PAC ID: 8729388509 Enrollment ID: I20230613003474 |
Provider Name | Angie Macias |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1255953345 PECOS PAC ID: 7618336348 Enrollment ID: I20230628004186 |
Provider Name | Laura S. Allen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386762714 PECOS PAC ID: 4789572884 Enrollment ID: I20230801000770 |
Provider Name | Emilio Antonio Doring |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881214591 PECOS PAC ID: 6204280563 Enrollment ID: I20230921000025 |
Provider Name | Etny Raul Candelario |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568084150 PECOS PAC ID: 4981086162 Enrollment ID: I20231006001052 |
Provider Name | Nicola Jasmin Sarohia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952660904 PECOS PAC ID: 9133438534 Enrollment ID: I20231013000739 |
Provider Name | Mario Angeles |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659990513 PECOS PAC ID: 4688096100 Enrollment ID: I20231116002527 |
Provider Name | Manish Mishra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881121770 PECOS PAC ID: 6103174685 Enrollment ID: I20240207003667 |
Provider Name | Kathryn Marie Silva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134985484 PECOS PAC ID: 9931540671 Enrollment ID: I20240513003614 |
Provider Name | Akinremi A Akinwale |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215022694 PECOS PAC ID: 1052204658 Enrollment ID: I20240606002500 |
Tin Aung Hla,m.d.,p.a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12501 Judson Rd, 202, Live Oak, TX 78233 Phone: 210-599-4086 | |
Robert M Narvaez Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12602 Toepperwein Rd, Suite 208, Live Oak, TX 78233 Phone: 210-650-9119 Fax: 210-650-9681 | |
Digestive And Liver Disease Center Of San Antonio Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12602 Toepperwein Rd Ste 205, Live Oak, TX 78233 Phone: 210-650-9119 Fax: 210-650-9681 | |
Northeast Internal Medicine Associates,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12602 Toepperwein Rd, Suite 100, Live Oak, TX 78233 Phone: 210-650-9669 Fax: 210-650-0750 | |
Hillside Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12410 Toepperwein Rd, Live Oak, TX 78233 Phone: 210-742-6555 Fax: 224-623-0079 | |
Caritas Family Medicine Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11901 Toepperwein Rd, Suite 1201, Live Oak, TX 78233 Phone: 210-650-9066 Fax: 210-650-9067 | |
Robert A. Horvath M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12315 Judson Rd, Suite 210, Live Oak, TX 78233 Phone: 210-224-9995 Fax: 210-224-5075 |