| Texas Diabetes And Endocrinology, P.a. | |
|
6500 North Mo Pac Expressway Building 3, Suite 200 Austin TX 78731 | |
| (512) 458-8400 | |
| (512) 458-8593 |
| Full Name | Texas Diabetes And Endocrinology, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6500 North Mo Pac Expressway, Austin, Texas |
| Authorized Official Name and Position | Tiffany Reichle (OFFICE MANAGER) |
| Authorized Official Contact | 5124588400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Diabetes And Endocrinology, P.a. 6500 North Mo Pac Expressway Building 3, Suite 200 Austin TX 78731 Ph: (512) 458-8400 | Texas Diabetes And Endocrinology, P.a. 6500 North Mo Pac Expressway Building 3, Suite 200 Austin TX 78731 Ph: (512) 458-8400 |
| NPI Number | 1467427419 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 05/22/2008 |
| Medicare PECOS PAC ID | 3577459031 |
|---|---|
| Medicare Enrollment ID | O20040223001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467427419 | NPI | - | NPPES |
| 710R | Other | TX | BCBS GROUP # |
| Provider Name | Luis Casaubon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447225495 PECOS PAC ID: 3375581358 Enrollment ID: I20050420000670 |
| Provider Name | Valerie Diane Espinosa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649245697 PECOS PAC ID: 5799725404 Enrollment ID: I20050511000791 |
| Provider Name | Ashley Davila |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1326054016 PECOS PAC ID: 3577564012 Enrollment ID: I20070125000245 |
| Provider Name | Amanda M Bonazzi |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1205009362 PECOS PAC ID: 4688744162 Enrollment ID: I20080610000653 |
| Provider Name | Ellen C Peterson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649468406 PECOS PAC ID: 2769540426 Enrollment ID: I20081023000863 |
| Provider Name | Jeffrey Shirley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1689811200 PECOS PAC ID: 2961569017 Enrollment ID: I20090317000625 |
| Provider Name | Hien T Tran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821208786 PECOS PAC ID: 3476607391 Enrollment ID: I20090812000162 |
| Provider Name | Thomas C Blevins |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114992088 PECOS PAC ID: 9830085398 Enrollment ID: I20091215000153 |
| Provider Name | Benjamin Thomas Pagano |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1669722732 PECOS PAC ID: 8820247604 Enrollment ID: I20121011000594 |
| Provider Name | Lindsay Bundrick Harrison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598964702 PECOS PAC ID: 8921247263 Enrollment ID: I20130618000704 |
| Provider Name | Tira Chaicha-brom |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548434756 PECOS PAC ID: 0749422731 Enrollment ID: I20130802000858 |
| Provider Name | Keta J Pandit |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336436534 PECOS PAC ID: 2264652189 Enrollment ID: I20140927000122 |
| Provider Name | Emily Danielle Simon |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699159715 PECOS PAC ID: 3577878826 Enrollment ID: I20150814013537 |
| Provider Name | Rachel Jeanette Kohls |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275907024 PECOS PAC ID: 1951601681 Enrollment ID: I20151201002375 |
| Provider Name | Jean Chen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467741132 PECOS PAC ID: 9638485303 Enrollment ID: I20160603000617 |
| Provider Name | Carmen Elizabeth Addington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639625965 PECOS PAC ID: 6002104023 Enrollment ID: I20161006002056 |
| Provider Name | Kendra Ann Gottlieb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801342175 PECOS PAC ID: 0345538955 Enrollment ID: I20161014001212 |
| Provider Name | Jessica V Ribeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447704200 PECOS PAC ID: 3274816616 Enrollment ID: I20170210000238 |
| Provider Name | Sarah A King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386140150 PECOS PAC ID: 9830452549 Enrollment ID: I20180411000944 |
| Provider Name | Sonie S. Sunny |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538540463 PECOS PAC ID: 8921354549 Enrollment ID: I20180711002843 |
| Provider Name | Kimberly Michelle Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811483589 PECOS PAC ID: 4880942218 Enrollment ID: I20180801002733 |
| Provider Name | Tracy Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962989210 PECOS PAC ID: 4284982596 Enrollment ID: I20180802002296 |
| Provider Name | Jennifer Lynn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558833129 PECOS PAC ID: 5496091381 Enrollment ID: I20190114003217 |
| Provider Name | Azaret Villeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538824412 PECOS PAC ID: 2961892393 Enrollment ID: I20211129002215 |
| Provider Name | Ishita Prakash Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295052462 PECOS PAC ID: 8426368499 Enrollment ID: I20220422001518 |
| Provider Name | Kajal Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619418985 PECOS PAC ID: 8921342221 Enrollment ID: I20220723000078 |
| Provider Name | Srujana Kamala Yada |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730617648 PECOS PAC ID: 3971985748 Enrollment ID: I20220727001092 |
| Provider Name | Mauli N Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083050058 PECOS PAC ID: 4880998087 Enrollment ID: I20230505002528 |
| Provider Name | Emily Kristine Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558049395 PECOS PAC ID: 8628432812 Enrollment ID: I20230906002043 |
Harold D Lewis Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 West William Cannon Drive, Suite 123, Austin, TX 78745 Phone: 512-444-2661 Fax: 512-444-2720 | |
Julie Graves Moy Md Mph Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8127 Mesa Dr, B206-54, Austin, TX 78759 Phone: 512-689-8001 | |
Edie E. Shulman M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11673 Jollyville Rd., Suite B-101, Austin, TX 78759 Phone: 512-339-1535 Fax: 512-339-1526 | |
El Buen Samaritano Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7000 Woodhue Dr, Austin, TX 78745 Phone: 512-439-0701 | |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10001 S Ih 35 Ste 300, Austin, TX 78747 Phone: 512-440-0555 Fax: 214-775-4502 | |
Texas Medclinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9900 S Ih 35, Austin, TX 78748 Phone: 512-291-5577 Fax: 512-291-5576 | |
Doctx3 Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 401 W Slaughter Ln, Suite 300, Austin, TX 78748 Phone: 469-277-8253 |