| South Coast Health Care Of Texas, Pa | |
|
2700 Citizens Plz Ste 100 Victoria TX 77901-5756 | |
| (361) 579-1371 | |
| (361) 579-1373 |
| Full Name | South Coast Health Care Of Texas, Pa |
|---|---|
| Speciality | General Practice |
| Location | 2700 Citizens Plz Ste 100, Victoria, Texas |
| Authorized Official Name and Position | Don Mckay (CEO) |
| Authorized Official Contact | 3615720333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Coast Health Care Of Texas, Pa 1908 N Laurent St Ste 410 Victoria TX 77901-5469 Ph: (361) 572-0333 | South Coast Health Care Of Texas, Pa 2700 Citizens Plz Ste 100 Victoria TX 77901-5756 Ph: (361) 579-1371 |
| NPI Number | 1508882036 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 3274589742 |
|---|---|
| Medicare Enrollment ID | O20050328000820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508882036 | NPI | - | NPPES |
| 0081AX | Other | TX | BLUE CROSS |
| 081198601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jesse V Deleon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275553596 PECOS PAC ID: 2163479825 Enrollment ID: I20050405000479 |
| Provider Name | Richard H Leggett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336162064 PECOS PAC ID: 7315845765 Enrollment ID: I20061113000504 |
| Provider Name | Lindsey C Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861808636 PECOS PAC ID: 5294953725 Enrollment ID: I20140826000656 |
| Provider Name | Ngoc Duran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487021762 PECOS PAC ID: 5890005102 Enrollment ID: I20151116002269 |
| Provider Name | Sheila Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558721886 PECOS PAC ID: 4880991868 Enrollment ID: I20160318001940 |
| Provider Name | Melinda Osburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366882201 PECOS PAC ID: 7113161803 Enrollment ID: I20161104000312 |
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 |