South Texas Physician Group, Pllc | |
205 W Windcrest St Ste 130 Fredericksburg TX 78624-4478 | |
(615) 373-7600 | |
Not Available |
Full Name | South Texas Physician Group, Pllc |
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Speciality | Internal Medicine |
Location | 205 W Windcrest St Ste 130, Fredericksburg, Texas |
Authorized Official Name and Position | James Palazzo (VICE PRESIDENT) |
Authorized Official Contact | 2105758501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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South Texas Physician Group, Pllc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 372-7600 | South Texas Physician Group, Pllc 205 W Windcrest St Ste 130 Fredericksburg TX 78624-4478 Ph: (615) 373-7600 |
NPI Number | 1952016685 |
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Provider Enumeration Date | 01/17/2023 |
Last Update Date | 01/20/2023 |
Medicare PECOS PAC ID | 5890155592 |
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Medicare Enrollment ID | O20230712004759 |
Identifier | Type | State | Issuer |
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1952016685 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ralph G Menard |
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Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1407876014 PECOS PAC ID: 4284620493 Enrollment ID: I20040422001426 |
Provider Name | Theresa S Weber |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1720048499 PECOS PAC ID: 8628057312 Enrollment ID: I20040716000060 |
Provider Name | Pamela S Meyer |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1659312312 PECOS PAC ID: 2365494358 Enrollment ID: I20050217000885 |
Provider Name | Andrew N Bowser |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1013950567 PECOS PAC ID: 6305893546 Enrollment ID: I20060622000167 |
Provider Name | Christopher A Fincke |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1164492443 PECOS PAC ID: 7113014671 Enrollment ID: I20071030000588 |
Provider Name | Rodrigo D Cantu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659340982 PECOS PAC ID: 2062501638 Enrollment ID: I20071204000759 |
Provider Name | David L Lindzey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730140906 PECOS PAC ID: 0941363964 Enrollment ID: I20090116000162 |
Provider Name | Christopher L Love |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1902860703 PECOS PAC ID: 5193700169 Enrollment ID: I20090224000423 |
Provider Name | Emily J Evans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033366109 PECOS PAC ID: 0840343166 Enrollment ID: I20090804000876 |
Provider Name | Bertha Gaytan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912162033 PECOS PAC ID: 8224292115 Enrollment ID: I20120605000356 |
Provider Name | Kelly N Seals |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063855757 PECOS PAC ID: 5698915023 Enrollment ID: I20130709000241 |
Provider Name | Roland E Wilke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700207560 PECOS PAC ID: 9931322013 Enrollment ID: I20140516001717 |
Provider Name | Jovawna D Ellison-hubbard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720276843 PECOS PAC ID: 7012135452 Enrollment ID: I20160328000068 |
Provider Name | Michell L Scheel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477919694 PECOS PAC ID: 0941599690 Enrollment ID: I20160519000139 |
Provider Name | Traci Doerre |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053859819 PECOS PAC ID: 9739456914 Enrollment ID: I20170518000084 |
Provider Name | Rebecca Turbeville |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639596760 PECOS PAC ID: 1355615402 Enrollment ID: I20170928000264 |
Provider Name | Michael P. Abel |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1841270204 PECOS PAC ID: 5193992667 Enrollment ID: I20181019000443 |
Provider Name | Roger Galindo |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1578684544 PECOS PAC ID: 8628120508 Enrollment ID: I20200724000423 |
Provider Name | Austin Torisk |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720613409 PECOS PAC ID: 3577988609 Enrollment ID: I20200805003305 |
Provider Name | Rose E Cortina |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1982022802 PECOS PAC ID: 7719283415 Enrollment ID: I20200806000104 |
Provider Name | Cindy Dillard Fischer |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1689291353 PECOS PAC ID: 4082039813 Enrollment ID: I20200810003411 |
Provider Name | Alyssa Maestas |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457920977 PECOS PAC ID: 8022406834 Enrollment ID: I20211028000325 |
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