| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 230 S Gulf St, Alice, Texas |
| Authorized Official Name and Position | Carlos Rafael Elizondo (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3616640303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 850 Alice TX 78333-0850 Ph: (361) 664-0303 | 230 S Gulf St Alice TX 78332-4310 Ph: (361) 664-0303 |
| NPI Number | 1104278860 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 0749576874 |
|---|---|
| Medicare Enrollment ID | O20160915001121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104278860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | Q6183 (Texas) | Primary |
| Provider Name | Heather A Kostoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568615318 PECOS PAC ID: 0345410536 Enrollment ID: I20110825000437 |
| Provider Name | Kelli M Hubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124383245 PECOS PAC ID: 0143479683 Enrollment ID: I20120927000427 |
| Provider Name | Nancy Rose Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710234398 PECOS PAC ID: 0446569354 Enrollment ID: I20151015001580 |
| Provider Name | Carlos R Elizondo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417391764 PECOS PAC ID: 2860618634 Enrollment ID: I20160915001349 |
| Provider Name | Jeremiah Jeff Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750845343 PECOS PAC ID: 6709125909 Enrollment ID: I20190306001460 |
| Provider Name | Krystle Nicole Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275203838 PECOS PAC ID: 0446649669 Enrollment ID: I20211109003417 |
| Provider Name | Brianna Lynn Plank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730884644 PECOS PAC ID: 9335504869 Enrollment ID: I20230504002909 |
| Provider Name | Miguel Andres Elizondo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326667965 PECOS PAC ID: 1052733540 Enrollment ID: I20230607000028 |
| Provider Name | Ricardo Elias Mendiondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124763875 PECOS PAC ID: 1456794874 Enrollment ID: I20240213000754 |
| Provider Name | Steven Juaquin Anzaldua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629815477 PECOS PAC ID: 2163963059 Enrollment ID: I20240918004315 |
Eusebio M Montejo Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 E 5th St, Alice, TX 78332 Phone: 361-668-9600 | |
South Padre Island Pediatric Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 E 4th St, Alice, TX 78332 Phone: 361-664-8945 | |
Ambiance Family Medical Clinic,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2041 E Main St, Suite 500, Alice, TX 78332 Phone: 361-661-0400 Fax: 361-661-0522 | |
Donald L. Mulder, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Flournoy Rd Ste 2, Alice, TX 78332 Phone: 361-668-0618 Fax: 361-668-9677 | |
Alice Cost Containment Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 East Main Street, Alice, TX 78332 Phone: 361-756-0446 Fax: 361-271-1415 |