| San Benito Medical Associates, Pllc | |
|
351 N Sam Houston Blvd San Benito TX 78586-4656 | |
| (956) 247-7000 | |
| (956) 626-1161 |
| Full Name | San Benito Medical Associates, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 351 N Sam Houston Blvd, San Benito, Texas |
| Authorized Official Name and Position | Norma Schacherl (PRESIDENT) |
| Authorized Official Contact | 9562477000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Benito Medical Associates, Pllc 351 N Sam Houston Blvd San Benito TX 78586-4656 Ph: (956) 247-7000 | San Benito Medical Associates, Pllc 351 N Sam Houston Blvd San Benito TX 78586-4656 Ph: (956) 247-7000 |
| NPI Number | 1093792624 |
|---|---|
| Provider Enumeration Date | 12/23/2005 |
| Last Update Date | 05/17/2022 |
| Medicare PECOS PAC ID | 9234025578 |
|---|---|
| Medicare Enrollment ID | O20040812000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093792624 | NPI | - | NPPES |
| 121454601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carolyn R Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225234289 PECOS PAC ID: 1557452364 Enrollment ID: I20070808000733 |
| Provider Name | Ann C Kanaan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972500510 PECOS PAC ID: 0446399083 Enrollment ID: I20091120000289 |
| Provider Name | Timothy C Bothwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780680850 PECOS PAC ID: 5698814416 Enrollment ID: I20091207000706 |
| Provider Name | Frank Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972500551 PECOS PAC ID: 0143369967 Enrollment ID: I20091207000708 |
| Provider Name | Rafael Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609873058 PECOS PAC ID: 7517008188 Enrollment ID: I20100104000617 |
| Provider Name | Norma L Schacherl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649277203 PECOS PAC ID: 4082650502 Enrollment ID: I20100114000283 |
| Provider Name | Ferdinand Lyndon Q Magno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871545715 PECOS PAC ID: 7012952492 Enrollment ID: I20100226000094 |
| Provider Name | Joy A Kroes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346568136 PECOS PAC ID: 9234309766 Enrollment ID: I20110819000094 |
| Provider Name | Michelle Leal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093185894 PECOS PAC ID: 1153620810 Enrollment ID: I20160502000263 |
| Provider Name | Vicente Granado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356992655 PECOS PAC ID: 2365879954 Enrollment ID: I20200220000396 |
| Provider Name | Rosa Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588107817 PECOS PAC ID: 9830473198 Enrollment ID: I20201116002404 |
| Provider Name | Rita Villarreal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376091736 PECOS PAC ID: 6406131945 Enrollment ID: I20201116003220 |
| Provider Name | Cristina Almanza Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295272029 PECOS PAC ID: 0749565109 Enrollment ID: I20201117001784 |
| Provider Name | Garett Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407363914 PECOS PAC ID: 2668735614 Enrollment ID: I20201120001544 |
| Provider Name | Nathali Isadora Lozano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487250114 PECOS PAC ID: 2961811187 Enrollment ID: I20210429000737 |
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