| Texas Ess Hospitalist Llc | |
|
200 S Geneva St Breckenridge TX 76424-4702 | |
| (254) 559-2241 | |
| Not Available |
| Full Name | Texas Ess Hospitalist Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 S Geneva St, Breckenridge, Texas |
| Authorized Official Name and Position | Ron Weiss (CEO) |
| Authorized Official Contact | 9729343200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Ess Hospitalist Llc 17304 Preston Rd Suite 1400 Dallas TX 75252-5618 Ph: (972) 934-3200 | Texas Ess Hospitalist Llc 200 S Geneva St Breckenridge TX 76424-4702 Ph: (254) 559-2241 |
| NPI Number | 1235472556 |
|---|---|
| Provider Enumeration Date | 04/04/2013 |
| Last Update Date | 01/11/2022 |
| Medicare PECOS PAC ID | 8921248162 |
|---|---|
| Medicare Enrollment ID | O20140115001155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235472556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcus Alan Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518930304 PECOS PAC ID: 6800709577 Enrollment ID: I20031110000002 |
| Provider Name | James Donovitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912932104 PECOS PAC ID: 9436062643 Enrollment ID: I20031112000342 |
| Provider Name | David M Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457390163 PECOS PAC ID: 1456257377 Enrollment ID: I20031211000155 |
| Provider Name | Perry E Bassett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245233857 PECOS PAC ID: 2163325002 Enrollment ID: I20040129000143 |
| Provider Name | Hector J Castro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932107141 PECOS PAC ID: 4486540952 Enrollment ID: I20040223001271 |
| Provider Name | Peter Way |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689603714 PECOS PAC ID: 3678462363 Enrollment ID: I20040311000868 |
| Provider Name | J Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760443360 PECOS PAC ID: 6002708245 Enrollment ID: I20040325000194 |
| Provider Name | David R Ficklen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356347603 PECOS PAC ID: 2264429679 Enrollment ID: I20040428000646 |
| Provider Name | Agbolade Olusoga Odutayo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316992779 PECOS PAC ID: 6709873680 Enrollment ID: I20040430000923 |
| Provider Name | Eric S Madore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982678884 PECOS PAC ID: 0941298053 Enrollment ID: I20040505001178 |
| Provider Name | Vijay K Koduri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659421279 PECOS PAC ID: 7517957848 Enrollment ID: I20040517001389 |
| Provider Name | Jim J Guerra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639175458 PECOS PAC ID: 7810987344 Enrollment ID: I20040526000659 |
| Provider Name | Timothy R Heath |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053315598 PECOS PAC ID: 4385626456 Enrollment ID: I20040602001388 |
| Provider Name | Mitchell R Moriber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831167204 PECOS PAC ID: 5496738197 Enrollment ID: I20040612000052 |
| Provider Name | Terry W Springer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063485431 PECOS PAC ID: 4082698246 Enrollment ID: I20040615001309 |
| Provider Name | Fred Michael Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568402618 PECOS PAC ID: 9032193792 Enrollment ID: I20040617001761 |
| Provider Name | William C Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619945060 PECOS PAC ID: 6406831759 Enrollment ID: I20040621001412 |
| Provider Name | Jimmy Wayne Spruill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255481883 PECOS PAC ID: 3870578164 Enrollment ID: I20040621001756 |
| Provider Name | James W Morton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417985912 PECOS PAC ID: 1850376013 Enrollment ID: I20040622000420 |
| Provider Name | Michael D Neal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972528974 PECOS PAC ID: 7416933627 Enrollment ID: I20040628001325 |
| Provider Name | Ryan Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376523951 PECOS PAC ID: 1951381243 Enrollment ID: I20040726000968 |
| Provider Name | June S Mabry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174574933 PECOS PAC ID: 5799757209 Enrollment ID: I20040806000179 |
| Provider Name | Kalyani Koduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982634200 PECOS PAC ID: 4082681523 Enrollment ID: I20040914000406 |
| Provider Name | Mark Bruce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669416871 PECOS PAC ID: 2567423932 Enrollment ID: I20041020000497 |
| Provider Name | Jeffrey W Fidone |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316945694 PECOS PAC ID: 0446164859 Enrollment ID: I20041023000239 |
| Provider Name | Shrirang S Neurgaonkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679503932 PECOS PAC ID: 6406810142 Enrollment ID: I20041112000946 |
| Provider Name | Roussel Clement |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710977913 PECOS PAC ID: 8628027026 Enrollment ID: I20050112000741 |
| Provider Name | Medda Michelle Rauhut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538111810 PECOS PAC ID: 4880591866 Enrollment ID: I20050407000232 |
| Provider Name | Karlene Reid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578643995 PECOS PAC ID: 3577502301 Enrollment ID: I20050429000885 |
| Provider Name | Rollin L Thrift |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730100736 PECOS PAC ID: 2668415704 Enrollment ID: I20050609000081 |
| Provider Name | Mark R Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003877077 PECOS PAC ID: 5991740599 Enrollment ID: I20050623000912 |
| Provider Name | Chad Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871552869 PECOS PAC ID: 5496791238 Enrollment ID: I20050701000747 |
| Provider Name | Timothy R Mcfarland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790789253 PECOS PAC ID: 7517990112 Enrollment ID: I20050914000833 |
| Provider Name | Michael Dickey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154383669 PECOS PAC ID: 4789586231 Enrollment ID: I20051101000666 |
| Provider Name | Aries P Bajoyo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770519878 PECOS PAC ID: 6204893613 Enrollment ID: I20060303000186 |
| Provider Name | Lisa M Dix-emperador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568410975 PECOS PAC ID: 8426080862 Enrollment ID: I20060706000294 |
| Provider Name | Frederick A Onger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770517609 PECOS PAC ID: 9931104387 Enrollment ID: I20060919000250 |
| Provider Name | Armando Beltran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649267295 PECOS PAC ID: 3870405640 Enrollment ID: I20061207000475 |
| Provider Name | Joseph P Helak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457410490 PECOS PAC ID: 3577666213 Enrollment ID: I20070316000393 |
| Provider Name | Laurence W Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326047952 PECOS PAC ID: 0941300891 Enrollment ID: I20070709000076 |
| Provider Name | Hayan A Orfaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396771259 PECOS PAC ID: 1658368345 Enrollment ID: I20080114000510 |
| Provider Name | Joseph Moza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356336127 PECOS PAC ID: 8729081542 Enrollment ID: I20080201000321 |
| Provider Name | Robert Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295920957 PECOS PAC ID: 8224112537 Enrollment ID: I20080226000279 |
| Provider Name | Kirk Wg Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447440276 PECOS PAC ID: 8729162862 Enrollment ID: I20080227000492 |
| Provider Name | Zahir N Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184685422 PECOS PAC ID: 5890749279 Enrollment ID: I20080522000136 |
| Provider Name | Nemat M Dadfar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851565360 PECOS PAC ID: 5092885707 Enrollment ID: I20080607000151 |
| Provider Name | Rajesh P Subramania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588694525 PECOS PAC ID: 2668426081 Enrollment ID: I20080709000699 |
| Provider Name | Edwin Emborgo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427096080 PECOS PAC ID: 4587672662 Enrollment ID: I20081006000122 |
| Provider Name | Muzakeer Shaik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114969300 PECOS PAC ID: 6305842550 Enrollment ID: I20081201000367 |
| Provider Name | Giang Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457349839 PECOS PAC ID: 7517014087 Enrollment ID: I20090421000185 |
| Provider Name | Cyprien L Vertil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124028816 PECOS PAC ID: 6507916558 Enrollment ID: I20090612000103 |
| Provider Name | Syed Mahdi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134203458 PECOS PAC ID: 1850393083 Enrollment ID: I20090618000183 |
| Provider Name | John S Yatsu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922158799 PECOS PAC ID: 7214070028 Enrollment ID: I20100202000591 |
| Provider Name | Andrew E Bentley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326151523 PECOS PAC ID: 2365578770 Enrollment ID: I20100324000982 |
| Provider Name | Keira N Scanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356540223 PECOS PAC ID: 3173657541 Enrollment ID: I20100820000434 |
| Provider Name | Christian Moya |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417260845 PECOS PAC ID: 1153516059 Enrollment ID: I20101117000107 |
| Provider Name | Todd Akins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326027863 PECOS PAC ID: 4587840038 Enrollment ID: I20110517000654 |
| Provider Name | Rahul D Puri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306928098 PECOS PAC ID: 9830191238 Enrollment ID: I20110527000515 |
| Provider Name | Richard Urbina |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306057732 PECOS PAC ID: 1759414386 Enrollment ID: I20110815000915 |
| Provider Name | Chimkama Ibe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366606337 PECOS PAC ID: 1456525914 Enrollment ID: I20111117000670 |
| Provider Name | Kevin J Schwechten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326124124 PECOS PAC ID: 4587719067 Enrollment ID: I20120607000207 |
| Provider Name | Rubin Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386619765 PECOS PAC ID: 7719911866 Enrollment ID: I20120626000349 |
| Provider Name | Anthony R Gipson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275768897 PECOS PAC ID: 3072765106 Enrollment ID: I20121218000183 |
| Provider Name | Karla S Vitale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659334779 PECOS PAC ID: 3577509819 Enrollment ID: I20130809000593 |
| Provider Name | Lynda G Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194042069 PECOS PAC ID: 6406080498 Enrollment ID: I20131007000192 |
| Provider Name | Nicholas O Atudonyang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063738474 PECOS PAC ID: 8729214622 Enrollment ID: I20131125001054 |
| Provider Name | Luis M Esparza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033360995 PECOS PAC ID: 4284814831 Enrollment ID: I20140228001160 |
| Provider Name | Raymond A Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710315106 PECOS PAC ID: 6608009220 Enrollment ID: I20140604000780 |
| Provider Name | Suhaireirene Suady Barake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407127160 PECOS PAC ID: 2668698994 Enrollment ID: I20140723000828 |
| Provider Name | Omer M Jamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508157785 PECOS PAC ID: 9931328135 Enrollment ID: I20140922000768 |
| Provider Name | Alaaedin Alhomosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063709913 PECOS PAC ID: 5799905337 Enrollment ID: I20141003000157 |
| Provider Name | Josiah Wrensford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710249867 PECOS PAC ID: 7113147463 Enrollment ID: I20141008001697 |
| Provider Name | Monty Lybbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407084296 PECOS PAC ID: 4486818515 Enrollment ID: I20141023000701 |
| Provider Name | Kenechukwu O Enekebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831322957 PECOS PAC ID: 2163673351 Enrollment ID: I20141029000982 |
| Provider Name | Charles J O'hearn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942321898 PECOS PAC ID: 9830411156 Enrollment ID: I20141122000132 |
| Provider Name | Emad Shoukry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053318857 PECOS PAC ID: 1759353337 Enrollment ID: I20141231001191 |
| Provider Name | Hung Quoc Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558655126 PECOS PAC ID: 5597982256 Enrollment ID: I20150129000350 |
| Provider Name | Rama S Narla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518254929 PECOS PAC ID: 5698091627 Enrollment ID: I20150310000315 |
| Provider Name | Sayyed Farhan Ali Jaffri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548494016 PECOS PAC ID: 0345496295 Enrollment ID: I20150310000829 |
| Provider Name | Lashonda Evetta Traylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306245345 PECOS PAC ID: 8426034331 Enrollment ID: I20150313001797 |
| Provider Name | Hassan Kaleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538315676 PECOS PAC ID: 9739367038 Enrollment ID: I20150317000505 |
| Provider Name | Mary E Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124419015 PECOS PAC ID: 7113245259 Enrollment ID: I20150421001723 |
| Provider Name | Phillip Trent Fivecoat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578768933 PECOS PAC ID: 3577784214 Enrollment ID: I20150618002080 |
| Provider Name | Tyler W Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134481914 PECOS PAC ID: 5698086478 Enrollment ID: I20150619001736 |
| Provider Name | Faustina N Donkor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104184753 PECOS PAC ID: 6103130521 Enrollment ID: I20150729009451 |
| Provider Name | Edward A Seidel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477582021 PECOS PAC ID: 0547238131 Enrollment ID: I20150825003222 |
| Provider Name | Trisha D Cubb |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124394317 PECOS PAC ID: 7113151911 Enrollment ID: I20150916001538 |
| Provider Name | Alyssa Tochterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972942209 PECOS PAC ID: 5991014805 Enrollment ID: I20151015001613 |
| Provider Name | David Andrew Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710233846 PECOS PAC ID: 7719202126 Enrollment ID: I20151023000382 |
| Provider Name | Nana Ama A Quartey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740570084 PECOS PAC ID: 8224355177 Enrollment ID: I20151201003267 |
| Provider Name | Trent C Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336506187 PECOS PAC ID: 4587960745 Enrollment ID: I20160315000278 |
| Provider Name | Elizabeth Biermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306392162 PECOS PAC ID: 3173811437 Enrollment ID: I20161019002244 |
| Provider Name | Lang M Chhour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538575667 PECOS PAC ID: 2668692237 Enrollment ID: I20161216001754 |
| Provider Name | Patricia G Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053684 PECOS PAC ID: 8921389958 Enrollment ID: I20170105000071 |
| Provider Name | Celsio Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144668070 PECOS PAC ID: 2961631536 Enrollment ID: I20170526001023 |
| Provider Name | Christian Orji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700172145 PECOS PAC ID: 0143459909 Enrollment ID: I20170830000958 |
| Provider Name | Chukwuka Godwin Okolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588072540 PECOS PAC ID: 5193022481 Enrollment ID: I20171102000761 |
| Provider Name | Harrison Wilson Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013924612 PECOS PAC ID: 2860595980 Enrollment ID: I20180802000102 |
| Provider Name | Howard H. Hood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881630218 PECOS PAC ID: 0143113050 Enrollment ID: I20181112001384 |
| Provider Name | Romulo Manuel Banaag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879280 PECOS PAC ID: 4789928557 Enrollment ID: I20181205000989 |
| Provider Name | Jim L Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548713258 PECOS PAC ID: 9032407424 Enrollment ID: I20181214002814 |
| Provider Name | Chikezie J Ochieze |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548616170 PECOS PAC ID: 7517290778 Enrollment ID: I20190604000842 |
| Provider Name | Faith Ogechukwu Nwawuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720642747 PECOS PAC ID: 3173854106 Enrollment ID: I20191007000362 |
| Provider Name | Dusty Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083266183 PECOS PAC ID: 6002249463 Enrollment ID: I20191126001227 |
| Provider Name | Muhammad Umar Azeem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285037994 PECOS PAC ID: 6103126834 Enrollment ID: I20200731001119 |
| Provider Name | Latrice Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861009540 PECOS PAC ID: 1355756065 Enrollment ID: I20210210001476 |
| Provider Name | Sabrina Shiyu Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548751241 PECOS PAC ID: 0244635993 Enrollment ID: I20210819000054 |
| Provider Name | Mohammed Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932691672 PECOS PAC ID: 1052718574 Enrollment ID: I20210927002162 |
| Provider Name | Roger S Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366734253 PECOS PAC ID: 0547480402 Enrollment ID: I20211115002368 |
| Provider Name | Tammy T Stewart-dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205947215 PECOS PAC ID: 5890769681 Enrollment ID: I20211208002119 |
Matthew Proctor Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Hartford St, Suite B, Breckenridge, TX 76424 Phone: 254-559-1595 | |
Breckenridge Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 S Hartford St, Breckenridge, TX 76424 Phone: 254-559-3363 Fax: 254-559-2572 | |
Berkley Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 E 6th St, Breckenridge, TX 76424 Phone: 254-212-8014 Fax: 254-212-8006 | |
Resourcecare Breckenridge Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2802 W Walker St, Breckenridge, TX 76424 Phone: 254-559-7215 Fax: 254-559-7213 | |
Stephens County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Hartford St, Breckenridge, TX 76424 Phone: 254-559-2241 Fax: 254-559-6536 | |
Rachael Kendra Dabelic, M.d. P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Hartford St, Suite A, Breckenridge, TX 76424 Phone: 254-559-5441 |