| Southwest Psychiatric Physicians | |
|
8535 Tom Slick San Antonio TX 78229-3367 | |
| (210) 582-6440 | |
| (210) 692-9021 |
| Full Name | Southwest Psychiatric Physicians |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8535 Tom Slick, San Antonio, Texas |
| Authorized Official Name and Position | Corey M Hough (PRESIDENT) |
| Authorized Official Contact | 2105826440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Psychiatric Physicians 8535 Tom Slick San Antonio TX 78229-3367 Ph: (210) 582-6440 | Southwest Psychiatric Physicians 8535 Tom Slick San Antonio TX 78229-3367 Ph: (210) 582-6440 |
| NPI Number | 1639286370 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/18/2022 |
| Medicare PECOS PAC ID | 7416852066 |
|---|---|
| Medicare Enrollment ID | O20031208001068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639286370 | NPI | - | NPPES |
| 084178501 | Medicaid | TX |
| Provider Name | Anne C Machinena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962577114 PECOS PAC ID: 3870685274 Enrollment ID: I20080307000447 |
| Provider Name | Margaret Ruth Farrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265549257 PECOS PAC ID: 3870641095 Enrollment ID: I20090428000254 |
| Provider Name | Corey Michael Hough |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083896286 PECOS PAC ID: 9032397815 Enrollment ID: I20110627000208 |
| Provider Name | Kacy Dewayne Reeves |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043495930 PECOS PAC ID: 7517135163 Enrollment ID: I20110726000350 |
| Provider Name | Lizmarie Gonzalez-vega |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770764904 PECOS PAC ID: 2062676216 Enrollment ID: I20120619000619 |
| Provider Name | Candace Romo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689859563 PECOS PAC ID: 7012172109 Enrollment ID: I20120621000714 |
| Provider Name | Mary E Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265882757 PECOS PAC ID: 8426341553 Enrollment ID: I20160726002766 |
| Provider Name | Olanike Katibi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063712081 PECOS PAC ID: 1153677794 Enrollment ID: I20180711003553 |
| Provider Name | Henry Alexander Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023521762 PECOS PAC ID: 9436484029 Enrollment ID: I20190718002879 |
| Provider Name | Michael Richard Hogue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740833821 PECOS PAC ID: 8123445889 Enrollment ID: I20200827000163 |
| Provider Name | Jesse Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699114793 PECOS PAC ID: 2961652227 Enrollment ID: I20210111000568 |
| Provider Name | Hannah Elizabeth Keeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619644390 PECOS PAC ID: 8123426533 Enrollment ID: I20211014001617 |
| Provider Name | Kathleen Elizabeth Ruman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235780834 PECOS PAC ID: 5193110393 Enrollment ID: I20220325001711 |
| Provider Name | James Anthony Cazares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871012336 PECOS PAC ID: 2769740083 Enrollment ID: I20221216000154 |
| Provider Name | Dueward Shane Wimberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235839135 PECOS PAC ID: 4183099930 Enrollment ID: I20230407001530 |
| Provider Name | Jaime Guzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730685892 PECOS PAC ID: 2860732245 Enrollment ID: I20230712001020 |
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