Pecos County Memorial Hospital District | |
387 W Ih 10 Fort Stockton TX 79735-2708 | |
(432) 336-2058 | |
Not Available |
Full Name | Pecos County Memorial Hospital District |
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Speciality | Family Medicine |
Location | 387 W Ih 10, Fort Stockton, Texas |
Authorized Official Name and Position | Betsy L Briscoe (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4323364201 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pecos County Memorial Hospital District 387 W Ih 10 Fort Stockton TX 79735-2708 Ph: (432) 336-2058 | Pecos County Memorial Hospital District 387 W Ih 10 Fort Stockton TX 79735-2708 Ph: (432) 336-2058 |
NPI Number | 1386400232 |
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Provider Enumeration Date | 02/27/2024 |
Last Update Date | 03/08/2024 |
Medicare PECOS PAC ID | 3173977477 |
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Medicare Enrollment ID | O20240403002215 |
Identifier | Type | State | Issuer |
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1386400232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208600000X | Surgery | (* (Not Available)) | Secondary |
Provider Name | Linda N White |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1033298666 PECOS PAC ID: 5799673786 Enrollment ID: I20040310000544 |
Provider Name | Antonio R Acosta |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1508848839 PECOS PAC ID: 0941251664 Enrollment ID: I20050209000947 |
Provider Name | Cecil R George |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467427435 PECOS PAC ID: 4082678974 Enrollment ID: I20080820000032 |
Provider Name | Auden C Velasquez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740430230 PECOS PAC ID: 8123168861 Enrollment ID: I20091210000557 |
Provider Name | Scott C Emerick |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1548240427 PECOS PAC ID: 8022092337 Enrollment ID: I20091214000246 |
Provider Name | Genaro Hinojos Marquez |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1689952582 PECOS PAC ID: 5092987636 Enrollment ID: I20111004000518 |
Provider Name | Daniel B Howell |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1881934180 PECOS PAC ID: 1658519210 Enrollment ID: I20130521000677 |
Provider Name | Laura Gesick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295164929 PECOS PAC ID: 7719117399 Enrollment ID: I20140226001854 |
Provider Name | Rachelle Young |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003255399 PECOS PAC ID: 7113245523 Enrollment ID: I20150415001665 |
Provider Name | George G Gauamis |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1558634154 PECOS PAC ID: 7517126204 Enrollment ID: I20161104000227 |
Provider Name | Pamela J Gougler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053757104 PECOS PAC ID: 0749570828 Enrollment ID: I20170124001718 |
Provider Name | Harry Zane Shen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639533466 PECOS PAC ID: 4385064732 Enrollment ID: I20201023000930 |
Provider Name | Cristian A Medina |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245867092 PECOS PAC ID: 3476979022 Enrollment ID: I20230725003446 |
Provider Name | Lee L Webber |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1518228600 PECOS PAC ID: 1850536145 Enrollment ID: I20240214000576 |
Provider Name | Lexi Velasquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184498867 PECOS PAC ID: 8426494907 Enrollment ID: I20240306002948 |
Provider Name | Kathleen W Sarabia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801631437 PECOS PAC ID: 9537456066 Enrollment ID: I20240816003221 |
Pecos County Memorial Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 511 N Main St, Fort Stockton, TX 79735 Phone: 432-336-2291 | |
Pecos County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 387 West Ih 10, Fort Stockton, TX 79735 Phone: 432-336-2058 Fax: 844-824-3604 | |
Subodh K Mallik Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2071 N Main St, Fort Stockton, TX 79735 Phone: 432-336-0700 | |