| Phynet, Inc. | |
|
4002 Technology Ctr Longview TX 75605-2697 | |
| (903) 247-0484 | |
| (903) 247-0485 |
| Full Name | Phynet, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4002 Technology Ctr, Longview, Texas |
| Authorized Official Name and Position | John D Ford (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9032470484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phynet, Inc. 4002 Technology Ctr Longview TX 75605-2697 Ph: (903) 247-0484 | Phynet, Inc. 4002 Technology Ctr Longview TX 75605-2697 Ph: (903) 247-0484 |
| NPI Number | 1144245176 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 8527038298 |
|---|---|
| Medicare Enrollment ID | O20040729000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144245176 | NPI | - | NPPES |
| 159694203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Raymond F Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104851096 PECOS PAC ID: 9032192604 Enrollment ID: I20040612000645 |
| Provider Name | George R Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669491015 PECOS PAC ID: 6204806599 Enrollment ID: I20040726001065 |
| Provider Name | Robin L Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700870185 PECOS PAC ID: 4880654458 Enrollment ID: I20041018000863 |
| Provider Name | Tracy C Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013991694 PECOS PAC ID: 5597774471 Enrollment ID: I20060421000413 |
| Provider Name | Juan Raul Zapata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518986959 PECOS PAC ID: 5193729002 Enrollment ID: I20060907000517 |
| Provider Name | Robert T. Tompkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922165661 PECOS PAC ID: 4880721315 Enrollment ID: I20100414000943 |
| Provider Name | Trent Eugene Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972596096 PECOS PAC ID: 7810020104 Enrollment ID: I20100806000822 |
| Provider Name | Darrell Allan Bunch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710974811 PECOS PAC ID: 4688708167 Enrollment ID: I20110422000274 |
| Provider Name | Mary A Corley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326062316 PECOS PAC ID: 1850554874 Enrollment ID: I20120531000216 |
| Provider Name | Heather R Grindle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023425469 PECOS PAC ID: 2668545070 Enrollment ID: I20150318000430 |
| Provider Name | Lena Brittany Martin Ingraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861884835 PECOS PAC ID: 6901123967 Enrollment ID: I20150401000047 |
| Provider Name | Frances Ridenour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528518339 PECOS PAC ID: 0749562841 Enrollment ID: I20170125002398 |
| Provider Name | Laura Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134786114 PECOS PAC ID: 1052647617 Enrollment ID: I20190719002467 |
| Provider Name | Lori Ann Fried |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346804630 PECOS PAC ID: 2062744345 Enrollment ID: I20191106001662 |
| Provider Name | Chrystal Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205428604 PECOS PAC ID: 2860809720 Enrollment ID: I20210322001644 |
| Provider Name | Lakimberely Shajuan Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538881503 PECOS PAC ID: 6608252119 Enrollment ID: I20221006003438 |
| Provider Name | Shaunna S Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457440034 PECOS PAC ID: 5597759761 Enrollment ID: I20221031000685 |
| Provider Name | Adam Scott Strawbridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346928843 PECOS PAC ID: 0749630382 Enrollment ID: I20231222002053 |
| Provider Name | Chelsey Winningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083481139 PECOS PAC ID: 0749630010 Enrollment ID: I20231228002314 |
| Provider Name | Kimberly Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023706793 PECOS PAC ID: 3476904277 Enrollment ID: I20240105001565 |
| Provider Name | Macy Santee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306615315 PECOS PAC ID: 5698128601 Enrollment ID: I20240125004139 |
| Provider Name | Riki Jo Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407611478 PECOS PAC ID: 1355786203 Enrollment ID: I20240229004480 |
| Provider Name | Tiara Chante Mcgowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578286266 PECOS PAC ID: 1153767660 Enrollment ID: I20240306004056 |
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 |