| Red River Family Clinic Llc | |
|
115 Medical Dr Ste 101 Victoria TX 77904-3105 | |
| (361) 355-8202 | |
| (361) 355-8204 |
| Full Name | Red River Family Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Medical Dr Ste 101, Victoria, Texas |
| Authorized Official Name and Position | Matthew Read (OWNER) |
| Authorized Official Contact | 3613558202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red River Family Clinic Llc 2129 Fm 2920 Rd # 190-279 Spring TX 77388-3671 Ph: (361) 355-8202 | Red River Family Clinic Llc 115 Medical Dr Ste 101 Victoria TX 77904-3105 Ph: (361) 355-8202 |
| NPI Number | 1578330452 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 10/03/2024 |
| Medicare PECOS PAC ID | 1759724669 |
|---|---|
| Medicare Enrollment ID | O20240207004050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578330452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | John E Sheffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760475735 PECOS PAC ID: 8729136916 Enrollment ID: I20090427000557 |
| Provider Name | Nikki L Reger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518337690 PECOS PAC ID: 3375839061 Enrollment ID: I20160906002345 |
| Provider Name | Vanessa Vanover Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598492985 PECOS PAC ID: 7012380082 Enrollment ID: I20230222003232 |
Gulshan K, Minocha. Md.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, 406, Victoria, TX 77901 Phone: 361-572-0000 Fax: 361-574-1787 | |
Javier Vazquez Ortiz M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 Hospital Dr Ste 202, Victoria, TX 77901 Phone: 361-220-7016 Fax: 361-894-6373 | |
Frederick B Niegos Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 Phone: 361-574-1870 Fax: 361-574-1871 | |
Victoria Pediatrics & Adolescents Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Retama Cir, Victoria, TX 77901 Phone: 361-576-2134 Fax: 361-578-0221 | |
Victoria Physicians Solutions,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Divyatish Primary Care Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E San Antonio St Ste 304w, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Crossroads Virology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Victoria Station Dr, Victoria, TX 77901 Phone: 361-571-7956 Fax: 361-214-1460 |