| Tejas Health Care | |
|
890 E Travis St La Grange TX 78945-2364 | |
| (979) 968-2000 | |
| (979) 968-2001 |
| Full Name | Tejas Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 890 E Travis St, La Grange, Texas |
| Authorized Official Name and Position | Pamela Wyant (BILLING SUPERVISOR) |
| Authorized Official Contact | 9799682000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tejas Health Care 753 E Travis St La Grange TX 78945-2353 Ph: (979) 968-2000 | Tejas Health Care 890 E Travis St La Grange TX 78945-2364 Ph: (979) 968-2000 |
| NPI Number | 1073779500 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 05/07/2019 |
| Medicare PECOS PAC ID | 1153470067 |
|---|---|
| Medicare Enrollment ID | O20090526000409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073779500 | NPI | - | NPPES |
| 202580110 | Medicaid | TX | |
| 202580107 | Medicaid | TX | |
| 202580104 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Kristi J Salinas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437115862 PECOS PAC ID: 8628066149 Enrollment ID: I20040504000623 |
| Provider Name | Leslie A Lindholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821014630 PECOS PAC ID: 6507819687 Enrollment ID: I20050301000584 |
| Provider Name | Patrick Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225068752 PECOS PAC ID: 2264336882 Enrollment ID: I20050914001398 |
| Provider Name | Eslam Elhammady |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336269174 PECOS PAC ID: 5597820068 Enrollment ID: I20090217000299 |
| Provider Name | Kimberly F Locke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275859464 PECOS PAC ID: 3476683459 Enrollment ID: I20100618000046 |
| Provider Name | Christopher Chee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447480173 PECOS PAC ID: 9537325329 Enrollment ID: I20120723000914 |
| Provider Name | Lisa Gail Maynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285979922 PECOS PAC ID: 5890096259 Enrollment ID: I20151209002013 |
| Provider Name | Saima Ghazal |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1184802613 PECOS PAC ID: 9638356272 Enrollment ID: I20170808001776 |
| Provider Name | Sarah Ann Kellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447709779 PECOS PAC ID: 6103186283 Enrollment ID: I20180209001677 |
| Provider Name | Kristen Kay Kinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033675038 PECOS PAC ID: 1759621832 Enrollment ID: I20190328000078 |
| Provider Name | Lisa M Storey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720434459 PECOS PAC ID: 8921334723 Enrollment ID: I20190801000556 |
| Provider Name | Frank P De Paula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821443581 PECOS PAC ID: 7911285432 Enrollment ID: I20210922000689 |
| Provider Name | Heather Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780035956 PECOS PAC ID: 9739462276 Enrollment ID: I20220324000257 |
| Provider Name | Tess Pham Bruette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811458797 PECOS PAC ID: 5799161923 Enrollment ID: I20220926002260 |
| Provider Name | Roger E Cagle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134282999 PECOS PAC ID: 3375443294 Enrollment ID: I20220928003444 |
| Provider Name | Kyle B Hudson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871588236 PECOS PAC ID: 2163820432 Enrollment ID: I20230721002867 |
| Provider Name | Gina Lawrence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235545443 PECOS PAC ID: 3678916566 Enrollment ID: I20240207003588 |
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