Shl Professional Support Services | |
3201 S Water St Burnet TX 78611-4510 | |
(512) 715-3360 | |
(512) 406-6505 |
Full Name | Shl Professional Support Services |
---|---|
Speciality | Family Medicine |
Location | 3201 S Water St, Burnet, Texas |
Authorized Official Name and Position | William Davis (CEO) |
Authorized Official Contact | 5123241981 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shl Professional Support Services 1345 Philomena St. Austin TX 78723-3185 Ph: (512) 324-1000 | Shl Professional Support Services 3201 S Water St Burnet TX 78611-4510 Ph: (512) 715-3360 |
NPI Number | 1073536900 |
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Provider Enumeration Date | 07/25/2006 |
Last Update Date | 12/12/2023 |
Medicare PECOS PAC ID | 5193634293 |
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Medicare Enrollment ID | O20031126000173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073536900 | NPI | - | NPPES |
Provider Name | Brent Porter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588680672 PECOS PAC ID: 8022909738 Enrollment ID: I20040323000592 |
Provider Name | Andrew Harvey Weary |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609861517 PECOS PAC ID: 7911998604 Enrollment ID: I20040520001536 |
Provider Name | James Chudleigh |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1417963448 PECOS PAC ID: 5092704627 Enrollment ID: I20040615001546 |
Provider Name | Diana L Stone |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649265331 PECOS PAC ID: 9133198336 Enrollment ID: I20040924000759 |
Provider Name | Bing G Yee |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770683484 PECOS PAC ID: 3577523174 Enrollment ID: I20041019000061 |
Provider Name | Barry F Oswalt |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1841253556 PECOS PAC ID: 1254393267 Enrollment ID: I20041103000211 |
Provider Name | Renu Mohandas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205949112 PECOS PAC ID: 3971540972 Enrollment ID: I20050412000274 |
Provider Name | Arjun Mohandas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639123573 PECOS PAC ID: 6103863121 Enrollment ID: I20050412000437 |
Provider Name | Alan E Leifeste |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700988714 PECOS PAC ID: 0244260370 Enrollment ID: I20050817000970 |
Provider Name | Hanzy Bustamante |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1508828641 PECOS PAC ID: 5496786691 Enrollment ID: I20050827000065 |
Provider Name | Kristin Lee Sagebiel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487690251 PECOS PAC ID: 7113947318 Enrollment ID: I20051202000353 |
Provider Name | Munira A Khambati |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215958624 PECOS PAC ID: 7113029166 Enrollment ID: I20070222000553 |
Provider Name | Thomas G Bening |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1285710053 PECOS PAC ID: 9436254455 Enrollment ID: I20070420000061 |
Provider Name | Stephen D Scoggin |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1043201247 PECOS PAC ID: 3870482102 Enrollment ID: I20070828001070 |
Provider Name | Lawrence F Buxton |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1871586305 PECOS PAC ID: 0749377349 Enrollment ID: I20071029000747 |
Provider Name | Randall W Kirtley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457374621 PECOS PAC ID: 8325138241 Enrollment ID: I20071217000041 |
Provider Name | Ivan R Nepustil |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407879463 PECOS PAC ID: 4981784055 Enrollment ID: I20071231000546 |
Provider Name | Yue Deng |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821292483 PECOS PAC ID: 4385726348 Enrollment ID: I20080129000752 |
Provider Name | Kristi Burkhart |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215052964 PECOS PAC ID: 5991874265 Enrollment ID: I20080513000701 |
Provider Name | Griffith M Thomas |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1811070790 PECOS PAC ID: 7012070980 Enrollment ID: I20090121000236 |
Provider Name | Robert A Graves |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982624854 PECOS PAC ID: 6901866656 Enrollment ID: I20090501000256 |
Provider Name | Erica Hughes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316080740 PECOS PAC ID: 2668520602 Enrollment ID: I20090501000271 |
Provider Name | Charles Franz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912978206 PECOS PAC ID: 9234197195 Enrollment ID: I20090529000145 |
Provider Name | Akbar A Hussaini |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1740224195 PECOS PAC ID: 7517960669 Enrollment ID: I20090602000723 |
Provider Name | Lee Roy Rice |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164459004 PECOS PAC ID: 6204886351 Enrollment ID: I20090610000523 |
Provider Name | Michael M Albrecht |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1366423246 PECOS PAC ID: 6800781634 Enrollment ID: I20090922000768 |
Provider Name | Candace Burgoyne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922231455 PECOS PAC ID: 3971649625 Enrollment ID: I20091009000227 |
Provider Name | Jose Oviedo |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1700876448 PECOS PAC ID: 0840331591 Enrollment ID: I20100104000398 |
Provider Name | Tammy Sartor |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1023083839 PECOS PAC ID: 0446388359 Enrollment ID: I20100514000071 |
Provider Name | Rebecca Kim |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1467656033 PECOS PAC ID: 0446382329 Enrollment ID: I20100712000309 |
Provider Name | Michael C Cricchio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073786448 PECOS PAC ID: 3678697927 Enrollment ID: I20100824000570 |
Provider Name | John Hall |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568451201 PECOS PAC ID: 5991986432 Enrollment ID: I20110216001087 |
Provider Name | Anita Sharan Jesudass |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538239843 PECOS PAC ID: 0446437446 Enrollment ID: I20110531000205 |
Provider Name | Mitra Jafari |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1528232014 PECOS PAC ID: 4688841869 Enrollment ID: I20120112000118 |
Provider Name | Anne L Hagen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568749042 PECOS PAC ID: 1355506015 Enrollment ID: I20120702000025 |
Provider Name | Georgia Catherine Hay |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801024054 PECOS PAC ID: 6103081393 Enrollment ID: I20120714000059 |
Provider Name | Veronica Cardenas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689957599 PECOS PAC ID: 8426214792 Enrollment ID: I20120801000225 |
Provider Name | Diana Ann Yens |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1255394375 PECOS PAC ID: 9436050978 Enrollment ID: I20120926000663 |
Provider Name | Brittney A Misercola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104178037 PECOS PAC ID: 8022268911 Enrollment ID: I20121031000276 |
Provider Name | Charlene Carmen Chapman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801149646 PECOS PAC ID: 7911150537 Enrollment ID: I20130110000317 |
Provider Name | Dora Lilia Gonzalez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831176635 PECOS PAC ID: 5597919886 Enrollment ID: I20130214000457 |
Provider Name | Ghizlane Benchekroune |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1497922132 PECOS PAC ID: 8527236108 Enrollment ID: I20130808000389 |
Provider Name | Jorah Murray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326487497 PECOS PAC ID: 4880838671 Enrollment ID: I20130917000731 |
Provider Name | Brenda D Hinman Mcilroy |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881851889 PECOS PAC ID: 2365692415 Enrollment ID: I20141121001313 |
Provider Name | Lindsey Hansen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043617061 PECOS PAC ID: 0446574511 Enrollment ID: I20150120001122 |
Provider Name | Sofia T Malik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932447406 PECOS PAC ID: 7416271150 Enrollment ID: I20150128001641 |
Provider Name | Natalya Stadler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962818419 PECOS PAC ID: 9739405465 Enrollment ID: I20150224000537 |
Provider Name | Juan Davila |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215297155 PECOS PAC ID: 0749406494 Enrollment ID: I20151005001263 |
Provider Name | Sherrel E Downes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053788828 PECOS PAC ID: 5193034973 Enrollment ID: I20151016001961 |
Provider Name | Lisa M Higgs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508234105 PECOS PAC ID: 6507176732 Enrollment ID: I20151030000838 |
Provider Name | Savannah E Harebottle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730543158 PECOS PAC ID: 2961700653 Enrollment ID: I20160413001162 |
Provider Name | Karina Gutierrez Lopez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992148605 PECOS PAC ID: 0749573251 Enrollment ID: I20160721000310 |
Provider Name | Michellee N Simon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194278028 PECOS PAC ID: 4284929399 Enrollment ID: I20160827000307 |
Provider Name | Jennifer Severance |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639520596 PECOS PAC ID: 9537448949 Enrollment ID: I20161107002331 |
Provider Name | Veronica S Parker |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1316380512 PECOS PAC ID: 3476856154 Enrollment ID: I20170619002272 |
Provider Name | Kristy A Batey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659484434 PECOS PAC ID: 0648218214 Enrollment ID: I20170920001266 |
Provider Name | Nona Mason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083063168 PECOS PAC ID: 4981979960 Enrollment ID: I20170929002661 |
Provider Name | Dorothy A Dean |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326416801 PECOS PAC ID: 2264734177 Enrollment ID: I20180110002840 |
Provider Name | Karyn Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891107108 PECOS PAC ID: 6507127214 Enrollment ID: I20180220002851 |
Provider Name | Tammy A Whitehead |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780193524 PECOS PAC ID: 6800157819 Enrollment ID: I20180307000852 |
Provider Name | Elaine Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841492600 PECOS PAC ID: 6709191638 Enrollment ID: I20180426000447 |
Provider Name | Kelly Lynn Marcello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699270462 PECOS PAC ID: 1850647397 Enrollment ID: I20180713000208 |
Provider Name | Ricardo Garcia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154765691 PECOS PAC ID: 8426348822 Enrollment ID: I20180925001422 |
Provider Name | Jessica M Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104312644 PECOS PAC ID: 5193062636 Enrollment ID: I20190123000116 |
Provider Name | Matthew A Bartow |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225482466 PECOS PAC ID: 1759621337 Enrollment ID: I20190318002021 |
Provider Name | Natalia Cristina Colorado |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1124332721 PECOS PAC ID: 6406095009 Enrollment ID: I20190502002380 |
Provider Name | Elizabeth Pollock |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033665344 PECOS PAC ID: 7214202571 Enrollment ID: I20190820000427 |
Provider Name | Katherine Marie Adams |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1972954782 PECOS PAC ID: 5698003655 Enrollment ID: I20190829000085 |
Provider Name | Brian E Jameson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1376805069 PECOS PAC ID: 5890915987 Enrollment ID: I20200305000829 |
Provider Name | Carie Danielle Fansler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952931040 PECOS PAC ID: 6901234657 Enrollment ID: I20200312000922 |
Provider Name | Laura Louise Leblanc |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356803183 PECOS PAC ID: 0648608224 Enrollment ID: I20200313000093 |
Provider Name | Tabbatha Zamora |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417589623 PECOS PAC ID: 4789012279 Enrollment ID: I20200316002357 |
Provider Name | Amanda Rachael Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760027254 PECOS PAC ID: 8921437732 Enrollment ID: I20200330003303 |
Provider Name | Hazel Rose King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558905356 PECOS PAC ID: 1850720673 Enrollment ID: I20200330003648 |
Provider Name | Rachel M Meler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346884178 PECOS PAC ID: 6406285774 Enrollment ID: I20200408000463 |
Provider Name | Suong Thi Van |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134770860 PECOS PAC ID: 4880023969 Enrollment ID: I20200413000413 |
Provider Name | Nawalage Ravi Nayanadul Cooray |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275071136 PECOS PAC ID: 3971907312 Enrollment ID: I20210809000249 |
Provider Name | Nadia Bening |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043471360 PECOS PAC ID: 3476959412 Enrollment ID: I20210831001186 |
Provider Name | Susan Guthrie Wright |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669925111 PECOS PAC ID: 1355730235 Enrollment ID: I20211115002194 |
Provider Name | Tuyen B Thiem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508520537 PECOS PAC ID: 0042605917 Enrollment ID: I20220312000292 |
Provider Name | John Michael Mcintyre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134876485 PECOS PAC ID: 2769877901 Enrollment ID: I20220324002177 |
Provider Name | Cory Ann O Connell |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1679234926 PECOS PAC ID: 6002294386 Enrollment ID: I20220526002352 |
Provider Name | Catherine Lynn Schryer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518602663 PECOS PAC ID: 3072996065 Enrollment ID: I20220824002349 |
Provider Name | Michael Evan Enriquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679184642 PECOS PAC ID: 9335517796 Enrollment ID: I20221116002257 |
Provider Name | Glikeria Gaddis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497446751 PECOS PAC ID: 3375996556 Enrollment ID: I20240124003940 |
Provider Name | Nicole Marie Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750161725 PECOS PAC ID: 6507201399 Enrollment ID: I20240304000087 |
Provider Name | Macie Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750064606 PECOS PAC ID: 2860839354 Enrollment ID: I20240320000056 |
Children's Care-a-van Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3201 S Water St, Burnet, TX 78611 Phone: 830-596-3081 Fax: 512-406-6505 | |
Seton Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3201 S Water St, Burnet, TX 78611 Phone: 512-715-3000 Fax: 512-756-6405 | |
Texas Cardiac Arrhythmia Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 County Road 340a, Bldg 4 Ste A, Burnet, TX 78611 Phone: 512-756-0900 | |
Ray Spaw Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Jackson St, Burnet, TX 78611 Phone: 512-756-7510 Fax: 512-756-0233 | |
Ascension Seton Burnet Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 County Road 340a, Burnet, TX 78611 Phone: 512-715-3110 Fax: 512-715-0678 |