| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 3173977477 |
|---|---|
| Medicare Enrollment ID | O20240403002215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386400232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| Provider Name | Cecil R George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467427435 PECOS PAC ID: 4082678974 Enrollment ID: I20080820000032 |
| Provider Name | Auden C Velasquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740430230 PECOS PAC ID: 8123168861 Enrollment ID: I20091210000557 |
| Provider Name | Scott C Emerick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548240427 PECOS PAC ID: 8022092337 Enrollment ID: I20091214000246 |
| Provider Name | Laura Gesick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295164929 PECOS PAC ID: 7719117399 Enrollment ID: I20140226001854 |
| Provider Name | Rachelle Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255399 PECOS PAC ID: 7113245523 Enrollment ID: I20150415001665 |
| Provider Name | Pamela J Gougler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053757104 PECOS PAC ID: 0749570828 Enrollment ID: I20170124001718 |
| Provider Name | Harry Zane Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639533466 PECOS PAC ID: 4385064732 Enrollment ID: I20201023000930 |
| Provider Name | Cristian A Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245867092 PECOS PAC ID: 3476979022 Enrollment ID: I20230725003446 |
| Provider Name | Lexi Velasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184498867 PECOS PAC ID: 8426494907 Enrollment ID: I20240306002948 |
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 | |
Meridian Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 W 21st St, Fort Stockton, TX 79735 Phone: 432-336-0700 Fax: 432-336-0704 | |
Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 W Ih 10, Fort Stockton, TX 79735 Phone: 432-336-2291 Fax: 844-824-3604 | |
Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 Ih 10 W, Ste 1, Fort Stockton, TX 79735 Phone: 432-336-8365 Fax: 432-336-8392 |