| Pinc | |
|
21710 Eden Rose Hl San Antonio TX 78256-1670 | |
| (210) 262-2990 | |
| Not Available |
| Full Name | Pinc |
|---|---|
| Speciality | Hospitalist |
| Location | 21710 Eden Rose Hl, San Antonio, Texas |
| Authorized Official Name and Position | Randy Lee Panther (PRESIDENT) |
| Authorized Official Contact | 2102622990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinc 21710 Eden Rose Hl San Antonio TX 78256-1670 Ph: (210) 262-2990 | Pinc 21710 Eden Rose Hl San Antonio TX 78256-1670 Ph: (210) 262-2990 |
| NPI Number | 1699078568 |
|---|---|
| Provider Enumeration Date | 12/14/2010 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 6901080183 |
|---|---|
| Medicare Enrollment ID | O20110413000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699078568 | NPI | - | NPPES |
| M8899 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Jeff Dwayne Ethridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154318095 PECOS PAC ID: 2961486485 Enrollment ID: I20040614001156 |
| Provider Name | Waqar Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427052034 PECOS PAC ID: 2163493230 Enrollment ID: I20040803000538 |
| Provider Name | Lisa M Dix-emperador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568410975 PECOS PAC ID: 8426080862 Enrollment ID: I20060706000294 |
| Provider Name | Robert Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467498501 PECOS PAC ID: 2466468764 Enrollment ID: I20080512000393 |
| Provider Name | Randy L Panther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285694455 PECOS PAC ID: 3577463876 Enrollment ID: I20080623000229 |
| Provider Name | Manuel A Estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740451517 PECOS PAC ID: 2961578109 Enrollment ID: I20080911000531 |
| Provider Name | Jorge A Betanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558417147 PECOS PAC ID: 7113073495 Enrollment ID: I20090929000355 |
| Provider Name | Jahnavi Bheemreddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265668982 PECOS PAC ID: 1153468913 Enrollment ID: I20091027000638 |
| Provider Name | Nagalakshmi K Nallapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457510869 PECOS PAC ID: 1557493244 Enrollment ID: I20100715000485 |
| Provider Name | Shiv Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841591229 PECOS PAC ID: 1254524853 Enrollment ID: I20101014001153 |
| Provider Name | Vasudeva Ranjit Mudipalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093756439 PECOS PAC ID: 6103846183 Enrollment ID: I20110621000190 |
| Provider Name | Carlos Palacio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871785535 PECOS PAC ID: 8426125576 Enrollment ID: I20120324000106 |
| Provider Name | Govardhan R Bobbala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659574911 PECOS PAC ID: 8325188048 Enrollment ID: I20120427000298 |
| Provider Name | Joanne M Minnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508145152 PECOS PAC ID: 3476718099 Enrollment ID: I20120705000650 |
| Provider Name | Ravikanth Reddy R Yalamuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568791010 PECOS PAC ID: 4486802956 Enrollment ID: I20120907000585 |
| Provider Name | David Bruce Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366679680 PECOS PAC ID: 8022262179 Enrollment ID: I20130125000380 |
| Provider Name | Bhagyalakshmi Arvapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225226491 PECOS PAC ID: 7315034303 Enrollment ID: I20140523000693 |
| Provider Name | Katia Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487079968 PECOS PAC ID: 1951527183 Enrollment ID: I20140724001648 |
| Provider Name | Mary E Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265882757 PECOS PAC ID: 8426341553 Enrollment ID: I20160726002766 |
| Provider Name | Suzanne R Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407209133 PECOS PAC ID: 7911287404 Enrollment ID: I20161129000290 |
| Provider Name | Natasha L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023554722 PECOS PAC ID: 0345511978 Enrollment ID: I20170801000629 |
| Provider Name | Jasper R Mcmeans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417460684 PECOS PAC ID: 8426316464 Enrollment ID: I20171220000487 |
| Provider Name | Charlisse Newbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790247963 PECOS PAC ID: 6103169412 Enrollment ID: I20190529002369 |
| Provider Name | Nidal Badran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831662568 PECOS PAC ID: 5597098640 Enrollment ID: I20190605001587 |
| Provider Name | Brenda F Amador Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962050369 PECOS PAC ID: 9638504335 Enrollment ID: I20200127000042 |
| Provider Name | Jon Frederick Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649977133 PECOS PAC ID: 6103291695 Enrollment ID: I20230414001926 |
Texas Bariatric Specialist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8038 Wurzbach Rd # 650b, San Antonio, TX 78229 Phone: 713-464-7555 Fax: 713-464-0219 | |
Doctor At Your Service Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr, Suite 6250, San Antonio, TX 78229 Phone: 210-479-3297 Fax: 210-479-3295 | |
Alexis Wiesenthal Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8038 Wurzbach Rd Ste 320, San Antonio, TX 78229 Phone: 210-614-3365 | |
R Family Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Nogalitos, Suite 105, San Antonio, TX 78225 Phone: 210-533-0257 Fax: 210-531-9488 | |
Communicare Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooklyn Ave Ste 300, San Antonio, TX 78212 Phone: 210-225-5930 Fax: 210-476-0246 | |
Insulin Rounds P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12951 Huebner Rd, #780355, San Antonio, TX 78278 Phone: 210-862-5506 | |
Omni Vision Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9218 Potranco Rd, Suite 105, San Antonio, TX 78251 Phone: 832-331-9831 Fax: 210-855-8365 |