corpus christi - blue cross blue shield association · corpus christi medical center npi:...

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A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association Corpus Christi Welcome to Blue Choice PPO SM Use this directory to find the doctors, health care professionals and hospitals that participate in the Blue Choice PPO network. The Blue Choice PPO participating providers are listed by category. This directory also includes information to help you manage your health care and use your benefits wisely. This directory consists of Aransas, Bee, Brooks, Duval, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, McMullen, Nueces, Refugio, San Patricio counties. For other Blue Choice PPO participating providers not listed in this directory, call Customer Service at 1-800-521- 2227 or you can go online to Provider Finder ® at www.bcbstx.com for the most up-to-date list of Blue Choice PPO participating doctors and hospitals. Using This Directory to Find a Blue Choice PPO SM Participating Provider Each time you or a covered family member needs medical care, use this directory to find Blue Choice PPO participating providers, such as: Doctors for routine and preventive care (check the listings for Primary Care Practitioners) Hospitals Specialists or other health care providers Primary Care Practitioners are available for most routine and preventive care, while specialists generally practice only in the fields where they’re listed in this directory. To provide corrections or updates to the provider information in this directory (such as the provider’s contract status or whether the provider is accepting new patients), please call Customer Service at 1-800-521-2227 (Monday through Friday from 8:00a.m. to 8:00 p.m. Central Time). MORE INFORMATION IS JUST A CLICK AWAY We continue to update the Blue Choice PPO SM provider directory as changes occur. New doctors and providers contract to be in the network, others may change their office addresses and some leave the network. For the most up-to-date information, check Provider Finder ® at www.bcbstx.com where you can find the doctor's, hospital's or other health care provider's address and phone number that you can send directly to your phone. In addition, there are maps for Primary Care Practitioners, specialists and hospitals to help locate them. Also, you can find the practice limitations, languages spoken, gender, professional affiliations and whether or not new patients are accepted. If you’re already a member and you’d rather speak with someone, call Customer Service at 1-800- 521-2227 (Monday through Friday from 8:00 a.m. to 8:00 p.m. Central Time). IF YOU’RE THINKING ABOUT ENROLLING If you’re considering a health plan that uses the Blue Choice PPO SM network, read the following instructions to learn more about getting care from Blue Choice PPO participating doctors and providers. Then review the directory to find Blue Choice PPO participating providers in your area. Chances are the doctors and hospitals you want to use are in the network. 1

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Page 1: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

Corpus Christi

Welcome to Blue Choice PPOSM

Use this directory to find the doctors, health care professionals and hospitals that participate in the Blue Choice PPO network. The Blue Choice PPO participating providers are listed by category. This directory also includes information to help you manage your health care and use your benefits wisely.

This directory consists of Aransas, Bee, Brooks, Duval, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, McMullen, Nueces, Refugio, San Patricio counties.

For other Blue Choice PPO participating providers not listed in this directory, call Customer Service at 1-800-521-2227 or you can go online to Provider Finder® at www.bcbstx.com for the most up-to-date list of Blue Choice PPO participating doctors and hospitals.

Using This Directory to Find a Blue Choice PPOSM Participating Provider

Each time you or a covered family member needs medical care, use this directory to find Blue Choice PPO participating providers, such as: • Doctors for routine and preventive care (check the listings for Primary Care Practitioners)• Hospitals• Specialists or other health care providers

Primary Care Practitioners are available for most routine and preventive care, while specialists generally practice only in the fields where they’re listed in this directory.

To provide corrections or updates to the provider information in this directory (such as the provider’s contract status or whether the provider is accepting new patients), please call Customer Service at 1-800-521-2227 (Monday through Friday from 8:00a.m. to 8:00 p.m. Central Time).

MORE INFORMATION IS JUST A CLICK AWAY We continue to update the Blue Choice PPOSM provider directory as changes occur. New doctors and providers contract to be in the network, others may change their office addresses and some leave the network. For the most up-to-date information, check Provider Finder® at www.bcbstx.com where you can find the doctor's, hospital's or other health care provider's address and phone number that you can send directly to your phone. In addition, there are maps for Primary Care Practitioners, specialists and hospitals to help locate them. Also, you can find the practice limitations, languages spoken, gender, professional affiliations and whether or not new patients are accepted. If you’re already a member and you’d rather speak with someone, call Customer Service at 1-800- 521-2227 (Monday through Friday from 8:00 a.m. to 8:00 p.m. Central Time).

IF YOU’RE THINKING ABOUT ENROLLING If you’re considering a health plan that uses the Blue Choice PPOSM network, read the following instructions to learn more about getting care from Blue Choice PPO participating doctors and providers. Then review the directory to find Blue Choice PPO participating providers in your area. Chances are the doctors and hospitals you want to use are in the network.

1

Page 2: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

Helping You Keep Healthy and Control Costs We offer coverage for preventive care services that can help you keep healthy and identify health problems at an early stage. Preventive care benefits include coverage for services such as physical exams, well-woman exams and immunizations.

When you become a member, we give you information and tools at www.bcbstx.com to help you manage your health and control costs. Get the latest in health information and tools through the Blue Access® for Members link.Improve your overall health, learn how to manage a chronic health condition or prepare for a specific medical procedure with easy-to-use health and wellness information, tips, quizzes and tools.

Behavioral Health Services

Participating behavioral health and chemical dependency professionals and physicians are also listed in this directory. However, before seeing a behavioral health professional or physician, you must preauthorize your care by calling 1-800-528-7264. Blue Cross and Blue Shield preauthorizes services and helps you select a participating behavioral health professional or physician.

Coverage Outside of Texas If you're out of state and need care, you and your covered family members can receive covered care almost anywhere in the country from Blue Cross and Blue Shield participating doctors and hospitals through the BlueCard Program.

To find a list of participating doctors and hospitals in the BlueCard program within the United States and around the world, go to the BlueCard Doctor and Hospital Finder at www.bcbs.com. If you are a member, you also can call our dedicated BlueCard line at 1-800-810-BLUE (2583) and speak with a BlueCard customer service representative.

What to Do in an Emergency In an emergency, call 911 or seek help from any doctor or hospital immediately. You’re covered no matter where you go. You, your doctor, the hospital or a family member must then call Blue Cross and Blue Shield of Texas at the number on your member ID card during the first 48 hours of the emergency visit.

To arrange for emergency behavioral health services and precertify behavioral health inpatient hospital treatment, call 1-800-528-7264. Blue Cross and Blue Shield of Texas is available 24 hours a day, seven days a week.

YOUR COVERAGE DEPENDS ON YOUR SPECIFIC PLAN Coverage for specific services will depend on your health care benefit program. Be sure to read your benefit booklet for detailed information about your health care benefit plan.

CONTROLLING COSTS Blue Cross and Blue Shield of Texas works to keep your doctor and hospital costs as low as possible. Our network representatives continue to build strong relationships with doctors and hospitals across the state, while negotiating the best rates possible for our members.

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Page 3: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

3

Network Selection Criteria for Doctors and Hospitals

Network Selection Criteria for Doctors

Blue Cross and Blue Shield of Texas (BCBSTX) may use quality measures, member experience measures or cost-related measures to select providers for participation in the Blue Choice PPOSM, Blue High PerformanceSM, Blue EssentialsSM and Blue Essentials AccessSM, Blue Advantage HMOSM, Blue Advantage PlusSM HMO, Blue Cross Medicare Advantage (PPO)SM, Blue Cross Medicare Advantage (HMO)SM, Blue PremierSM, Blue Premier AccessSM and MyBlue HealthSM Marketplace plans. BCBSTX evaluates the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier, Blue Premier Access and MyBlue Health networks and takes into consideration the geographic distribution of medical and behavioral health providers to ensure that BCBSTX members have access to participating providers within federal and state availability and accessibility standards.

BCBSTX ensures that our provider network includes primary care providers, behavioral health practitioners and specialists that treat the highest volume conditions to meet our members' needs, including Cardiology, Endocrinology, OB/GYN, Oncology and Orthopedics among others.

The behavioral health specialty types available in these BCBSTX networks include, Psychiatry (including Psychiatry, Child Adolescent Psychiatry and Geriatric Psychiatry), Clinical Psychology, Licensed Clinical Social Worker, Licensed Counselor (including Licensed Professional Clinical Counselor and Licensed Marriage and Family Therapist).

Network Selection Criteria for Hospitals

Blue Cross and Blue Shield of Texas (BCBSTX) may use quality measures, member experience measures or cost-related measures to select hospitals for participation in the Blue Choice PPO, Blue High Performance, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier, Blue Premier Access and MyBlue Health Marketplace plans. BCBSTX evaluates the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier, Blue Premier Access and MyBlue Health networks and takes into consideration the geographic distribution of hospitals to ensure that BCBSTX members have access to participating hospitals within federal and state availability and accessibility standards.

TX Physician Extenders

Primary Care Provider or PCP means the participating Physician, Provider, Physician Assistant or Advanced Practice Registered Nurse who primarily provides your health care. A PCP may be a family practitioner, internist, pediatrician, and/or Obstetrician/Gynecologist. The PA or APN must work under the supervision of a Participating family practitioner, internist, pediatrician and/or Obstetrician/Gynecologist in the same PPO network.

Providers Joining the Network or Location The dates located under the provider’s information indicate that the provider will be joining the network and/or location soon. Services provided may not be covered until the provider is active.

Providers Leaving the Network or Location The dates located under the provider’s information indicate that the provider will be leaving the network and/or location soon. Services provided after departure will be out-of- network.

Page 4: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

Medical/Surgical HospitalsMedical/Surgical hospitals are sorted alphabetically by city and name

Hospital Based ProvidersFacility-based PhysiciansHospital admissions may include services rendered by an anesthesiologist, pathologist, radiologist,emergency medicine physician or neonatologist. Blue Cross and Blue Shield of Texas makes everyeffort to contract with hospital based physicians that routinely provide services at BlueChoice networkfacilities.

The information provided is being made available to assist you in deciding which facility hascontracted hospital based physicians in an effort to minimize any out-of-pocket expenses you mayincur. Your out-of-pocket expenses will be greater if you utilize anesthesiologists, pathologists,radiologists, emergency medicine physicians and/or neonatologists that do not participate in theBlueChoice network.

To confirm the hospital you may choose includes anesthesiologists, pathologists, radiologists,emergency medicine physicians and neonatologists that participate in the BlueChoice network, referto this section.

AncillariesAcquired brain injury, ambulatory surgical centers, cardiac catheter labs, clinical & anatomicallaboratories, diabetes disease management, durable medical equipment, hearing aid suppliers, homehealth, home infusion therapy, hospice, imaging centers, prosthetics, orthotics & pedorthists, radiationtherapy centers, renal dialysis facilities, retail health clinics, skilled nursing facilities, sleep studycenters, subacute facilities, and urgent care centers sorted alphabetically by facility type, city andname

Freestanding Outpatient FacilitiesA Freestanding Outpatient Facility offers services diagnostic or surgical services in a non-hospitalbased setting.

Primary Care PractitionersPrimary care practitioners are sorted alphabetically by city, specialty and name

SpecialistsSpecialists are sorted alphabetically by city, specialty and name

Supervised and Sponsored ProvidersPhysician assistants, advanced practitioner nurses, certified nurse midwives and other supervisedand sponsored providers are sorted alphabetically by city, specialty and name

Behavioral Health FacilitiesBehavioral Health Facilities are sorted alphabetically by city and name

Behavioral Health PractitionersBehavioral Health Practitioners are sorted alphabetically by city, specialty and name

Practice Information AppendixPractice Information is sorted numerically

Index of Participating ProvidersPrimary care practitioners, specialists, behavioral health practitioners and supervised and sponsoredproviders are sorted alphabetically by last name

4

9-28..........................................................................................................................6-8............................................................................................................................

222-229..........................................................................................

69-221...................................................................................................................................................

230.......................................................................................................................

231-257......................................................................................................

35...........................................................................................................

29-34......................................................................................................................................................

36-68......................................................................................................................

5.............................................................................................................................

258-262.........................................................................................................

263-275......................................................................................................

Page 5: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

ALICEChristus Spohn HospitalAliceNPI: 1003885641

♿2500 East Main(361) 661-8000

ER Physicians:Facility uses out-of-networkER physicians

BEEVILLEChristus Spohn HospitalBeevilleNPI: 1447228747

♿1500 East Houston Highway(361) 354-2000

ER Physicians:Facility uses out-of-networkER physicians

CORPUS CHRISTIChristus Spohn HospitalCorpus Christi MemoriNPI: 16896416802606 Hospital Blvd(361) 902-4000

ER Physicians:Facility uses out-of-networkER physiciansChristus Spohn HospitalCorpus Christi ShorelNPI: 1689641680

♿600 Elizabeth Street(361) 881-3000

ER Physicians:Facility uses out-of-networkER physiciansChristus Spohn HospitalCorpus Christi SouthNPI: 16896416805950 Saratoga Blvd(361) 985-5000

ER Physicians:Facility uses out-of-networkER physiciansCorpus Christi MedicalCenterNPI: 150881057313725 Northwest Blvd(361) 767-4400

ER Physicians:Facility uses out-of-networkER physicians

Corpus Christi MedicalCenterNPI: 1508810573

♿3315 South Alameda Street(361) 857-1400

ER Physicians:Facility uses out-of-networkER physiciansCorpus Christi MedicalCenterNPI: 15088105737002 Williams Dr(361) 761-1200

ER Physicians:Facility uses out-of-networkER physiciansCorpus Christi MedicalCenterNPI: 1508810573

♿7101 S Padre Island Dr(361) 761-1400

ER Physicians:Facility uses out-of-networkER physiciansCorpus Christi RehabHospital LLCNPI: 15485428305726 Esplanade Dr(361) 906-3700

Driscoll Childrens HospitalNPI: 1548286172

♿3533 South Alameda Street(361) 694-5000

ER Physicians:Facility uses out-of-networkER physiciansPam RehabilitationHospital of CoNPI: 1003340639345 S Water Street(361) 500-0600

Pam Specialty Hospital ofCorpusNPI: 1467853051345 S Water Street3rd Floor(361) 500-0565

Pam Specialty Hospital ofCorpusNPI: 1467853051600 Elizabeth St3rd Floor(361) 881-3223

South Texas SurgicalHospitalNPI: 10131425536130 Parkway Dr(361) 993-2000

ER Physicians:Facility uses out-of-networkER physicians

KENEDYOtto Kaiser MemorialHospitalNPI: 1699772541

♿3349 S Hwy 181(830) 583-3401

ER Physicians:Facility uses in-network andout-of-network ER physicians

KINGSVILLEChristus Spohn HospitalKlebergNPI: 1093783391

♿1311 E General CavazosBlvd(361) 595-1661

ER Physicians:Facility uses out-of-networkER physicians

REFUGIORefugio County MemorialHospitalNPI: 1942240189

♿107 Swift Street(361) 526-2321

ER Physicians:Facility uses in-network andout-of-network ER physicians

Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ALICE

5

♿This Location is Handicap Accessible.

Page 6: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

ALICECHRISTUS

SPOHN HOSPITAL ALICE

Anesthesiology 0% IN NETWORK EMERGENCHEALTH LLC

Emergency Room 100% OUT OF NETWORK GUADALUPE EMERG MEDICINE ASSOCS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK SIMONSEN, RANDALL L, MD

Radiology 0% IN NETWORK RADIOLOGY & IMAGING OF SOUTH TX

BEEVILLE

CHRISTUS SPOHN

HOSPITAL BEEVILLE

Anesthesiology 0% IN NETWORK EMERGENCHEALTH LLC

Emergency Room 100% OUT OF NETWORK GUADALUPE EMERG MEDICINE ASSOCS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK SIMONSEN, RANDALL L, MD

Radiology 0% IN NETWORK RADIOLOGY & IMAGING OF SOUTH TX

CORPUS CHRISTI

** CHRISTUS SPOHN

HOSPITAL CORPUS CHRISTI

MEMORIAL

Anesthesiology 6% IN NETWORK EMERGENCHEALTH LLC

Emergency Room 100% OUT OF NETWORK CONNER EMERGENCY MEDICINE ASSOCS

Neonatology 0% IN NETWORK GULF COAST NEONATOLOGY PLLC

Pathology 0% IN NETWORK PATHOLOGY ASSOCS CORPUS CHRISTI

Radiology 0% IN NETWORK RADIOLOGY & IMAGING OF SOUTH TX

CHRISTUS SPOHN

HOSPITAL CORPUS CHRISTI

SHORELINE

Anesthesiology 6% IN NETWORK EMERGENCHEALTH LLC

Emergency Room 100% OUT OF NETWORK CONNER EMERGENCY MEDICINE ASSOCS

Neonatology 0% IN NETWORK GULF COAST NEONATOLOGY PLLC

Pathology 0% IN NETWORK PATHOLOGY ASSOCS CORPUS CHRISTI

Radiology 0% IN NETWORK RADIOLOGY & IMAGING OF SOUTH TX

** CHRISTUS SPOHN

HOSPITAL CORPUS

CHRISTI SOUTH

Anesthesiology 6% IN NETWORK EMERGENCHEALTH LLC

Emergency Room 100% OUT OF NETWORK CONNER EMERGENCY MEDICINE ASSOCS

Neonatology 0% IN NETWORK GULF COAST NEONATOLOGY PLLC

Pathology 0% IN NETWORK PATHOLOGY ASSOCS CORPUS CHRISTI

Radiology 0% IN NETWORK RADIOLOGY & IMAGING OF SOUTH TX

** CORPUS CHRISTI

MEDICAL CENTER

Anesthesiology 0% IN NETWORK NORTHSTAR ANESTHESIA II PA

Emergency Room 100% OUT OF NETWORK PINNACLE EMERGENCY GROUP PA

NeonatologySERVICE NOT AVAILABLE

0% IN NETWORK NEONATOLOGY CONSULTANTS

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 9/1/2019 - 8/31/2020

BlueChoice PPO℠ Current as of December 2020

Corpus Christi Texas Hospital Based Physicians

Counties: Aransas, Bee, Brooks, Duval, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, McMullen, Nueces, Refugio, San Patricio

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

6

Page 7: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

CORPUS CHRISTI

** CORPUS CHRISTI

MEDICAL CENTER

Pathology 0% IN NETWORK PATHOLOGY ASSOCS CORPUS CHRISTI

Radiology 1% IN NETWORK RADIOLOGY ASSOCIATES LLP

CORPUS CHRISTI

MEDICAL CENTER

Anesthesiology 0% IN NETWORK NORTHSTAR ANESTHESIA II PA

Emergency Room 100% OUT OF NETWORK PINNACLE EMERGENCY GROUP PA

Neonatology 0% IN NETWORK NEONATOLOGY CONSULTANTS

Pathology 0% IN NETWORK PATHOLOGY ASSOCS CORPUS CHRISTI

Radiology 1% IN NETWORK RADIOLOGY ASSOCIATES LLP

DRISCOLL CHILDRENS HOSPITAL

Anesthesiology 0% IN NETWORK CHILDRENS PHYSICIAN SVCS SOUTH TX

Emergency Room 100% OUT OF NETWORK NUECES EMERGENCY MEDICINE ASSOCS

Neonatology 0% IN NETWORK NEONATOLOGY CONSULTANTS

Pathology 0% IN NETWORK CHILDRENS PHYSICIAN SVCS SOUTH TX

Radiology 0% IN NETWORK CHILDRENS PHYSICIAN SVCS SOUTH TX

SOUTH TEXAS SURGICAL HOSPITAL

Anesthesiology 2% IN NETWORK GULF SHORE ANESTHESIA ASSOCIATES

Emergency Room 0%IN NETWORK HOSPITAL CARE CONSULTANTS INC

OUT OF NETWORK CONNER EMERGENCY MEDICINE ASSOCS

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORK PATHOLOGY ASSOCS CORPUS CHRISTI

Radiology 0% IN NETWORKRADIOLOGY & IMAGING OF SOUTH TX

RADIOLOGY ASSOCIATES LLP

KENEDYOTTO KAISER MEMORIAL HOSPITAL

Anesthesiology 0% IN NETWORK YOUNGS PROFESSIONAL SERVICES LLC

Emergency Room 100% OUT OF NETWORK CONCORD MEDICAL GROUP OF TX PLLC

Neonatology SERVICE NOT AVAILABLE

Pathology 2% IN NETWORKNORTHEAST PATHOLOGY GROUP PA

SOUTH TEXAS PATHOLOGY ASSOC LLPUT HEALTH PHYSICIANS

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

KINGSVILLE

CHRISTUS SPOHN

HOSPITAL KLEBERG

Anesthesiology 0% IN NETWORK EMERGENCHEALTH LLC

Emergency Room 100% OUT OF NETWORK GUADALUPE EMERG MEDICINE ASSOCS

Neonatology SERVICE NOT AVAILABLE

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 9/1/2019 - 8/31/2020

BlueChoice PPO℠ Current as of December 2020

Corpus Christi Texas Hospital Based Physicians

Counties: Aransas, Bee, Brooks, Duval, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, McMullen, Nueces, Refugio, San Patricio

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

7

Page 8: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

City Hospital / Facility Name Specialty

% Dollars Billed Out Of

Network *Network Status Providers

KINGSVILLE

CHRISTUS SPOHN

HOSPITAL KLEBERG

Pathology 0% IN NETWORK SIMONSEN, RANDALL L, MD

Radiology 0% IN NETWORK RADIOLOGY & IMAGING OF SOUTH TX

REFUGIO

REFUGIO COUNTY

MEMORIAL HOSPITAL

Anesthesiology INSUFFICIENT CLAIMS DATA

Emergency Room 9% IN NETWORK REFUGIO COUNTY MEMORIAL HOSP DIST

Neonatology SERVICE NOT AVAILABLE

Pathology 0% IN NETWORKCOMMUNITY PATHOLOGY ASSOCIATES

NORTHEAST PATHOLOGY GROUP PAPATHOLOGY ASSOCS CORPUS CHRISTI

Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA

** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.

Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association

* % of Total Dollar Amount Billed 9/1/2019 - 8/31/2020

BlueChoice PPO℠ Current as of December 2020

Corpus Christi Texas Hospital Based Physicians

Counties: Aransas, Bee, Brooks, Duval, Jim Wells, Karnes, Kenedy, Kleberg, Live Oak, McMullen, Nueces, Refugio, San Patricio

This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups

8

Page 9: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CHRISTUS SPOHNHOS CCTXSHORELINE

ANESTHESIOLOGYu Brady, Kevin M MDGender: MaleNPI: 1528002045

42500 East Main StreetAlice, TX 78332(361) 661-8000Heinrich, Michael S MDGender: MaleNPI: 1710930938

42500 E Main StAlice, TX 78332(361) 661-8000

u Jung, Harry H MDGender: MaleNPI: 1740224674

42500 East Main StreetAlice, TX 78332(361) 661-8000

u Lemons, Mark F MDGender: MaleNPI: 1548225717

42500 East Main StreetAlice, TX 78332(361) 661-8000

u Rubio, Jose A MDGender: MaleNPI: 1225281645

42500 East Main StreetAlice, TX 78332(361) 661-8000

CHRISTUS SPOHNHOSP CCTXMEMORIAL

ANESTHESIOLOGYHeinrich, Michael S MDGender: MaleNPI: 1710930938

42500 E Main StAlice, TX 78332(361) 661-8000

u Lemons, Mark F MDGender: MaleNPI: 1548225717

42500 East Main StreetAlice, TX 78332(361) 661-8000

CHRISTUS SPOHNHOSPITAL ALICE

GENERAL SURGERYSubnani, Raj MDGender: MaleNPI: 1992707848211 East 4th StAlice, TX 78332(361) 668-0055

PATHOLOGYAnsari, Mukhtar A MDGender: MaleNPI: 1861440968

42500 E Main StAlice, TX 78332(361) 661-8807

RADIOLOGYu Brociner, Ronald L MDGender: MaleNPI: 1225001092

42500 E Main StAlice, TX 78332(361) 664-4376Lehman, Craig A MDGender: MaleNPI: 1568459311

42500 E Main StAlice, TX 78332(361) 664-4376

u Salinas, Guillermo MDGender: MaleNPI: 1437114162

42500 E Main StAlice, TX 78332(361) 664-4376Satterlee, Arthur J MDGender: MaleNPI: 1013912278

42500 E Main StAlice, TX 78332(361) 664-4376

CHRISTUS SPOHNHOSPITAL KLEBERG

GENERAL SURGERYSubnani, Raj MDGender: MaleNPI: 1992707848211 East 4th StAlice, TX 78332(361) 668-0055

CORPUS CHRISTIMEDICAL CENTER

ANESTHESIOLOGYu Brady, Kevin M MDGender: MaleNPI: 1528002045

42500 East Main StreetAlice, TX 78332(361) 661-8000

RADIOLOGYGershon, Ruth K MDGender: FemaleNPI: 1033475827

42000 Doctor N.w. AtkinsonBlvdSte 801Alice, TX 78332(361) 887-7000Turner, Jennifer E MDGender: FemaleNPI: 16694662562000 Doctor N.w. AtkinsonBlvdSte 801Alice, TX 78332(361) 887-7000

CHRISTUS SPOHNHOSPITAL BEEVILLE

RADIOLOGYu Menendez, Isabel C MDGender: FemaleNPI: 1376508168

41711 W WheelerAransas Pass, TX 78336(361) 815-0688

41711 W Wheeler AveAransas Pass, TX 78336(361) 815-0688

41711 W Wheeler AveAransas Pass, TX 78336(361) 815-0688

41711 W Wheeler AveAransas Pass, TX 78336(361) 815-0688

CHRISTUS SPOHNHOS CCTXSHORELINE

ANESTHESIOLOGYu Brady, Kevin M MDGender: MaleNPI: 1528002045

41500 E Houston HwyBeeville, TX 78102(361) 354-2000Heinrich, Michael S MDGender: MaleNPI: 1710930938

41500 E Houston HighwayBeeville, TX 78102(361) 354-2000

u Jung, Harry H MDGender: MaleNPI: 1740224674

41500 E Houston HwyBeeville, TX 78102(361) 354-2000

u Lemons, Mark F MDGender: MaleNPI: 1548225717

41500 E Houston HwyBeeville, TX 78102(361) 354-2000

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ALICE

9

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 10: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CHRISTUS SPOHNHOS CCTXSHORELINE(continued)

ANESTHESIOLOGY(continued)

u Rubio, Jose A MDGender: MaleNPI: 1225281645

41500 E Houston HwyBeeville, TX 78102(361) 354-2000

CHRISTUS SPOHNHOSP CCTXMEMORIAL

ANESTHESIOLOGYHeinrich, Michael S MDGender: MaleNPI: 1710930938

41500 E Houston HighwayBeeville, TX 78102(361) 354-2000

u Lemons, Mark F MDGender: MaleNPI: 1548225717

41500 E Houston HwyBeeville, TX 78102(361) 354-2000

CHRISTUS SPOHNHOSPITAL ALICE

ANESTHESIOLOGYWhite, Johnny L MDGender: MaleNPI: 13362524771602 E Houston HwySte ABeeville, TX 78102(877) 750-1027

CORPUS CHRISTIMEDICAL CENTER

ANESTHESIOLOGYu Brady, Kevin M MDGender: MaleNPI: 1528002045

41500 E Houston HwyBeeville, TX 78102(361) 354-2000

OTTO KAISERMEMORIALHOSPITAL

ANESTHESIOLOGYWhite, Johnny L MDGender: MaleNPI: 13362524771602 E Houston HwySte ABeeville, TX 78102(877) 750-1027

GENERAL SURGERYGarcia, Marvin L MDGender: MaleNPI: 11846315171805 N Frontage 181Beeville, TX 78102(361) 358-7998

CHRISTUS SPOHNHOS CCTXSHORELINE

ANESTHESIOLOGYu Arnold, James A MDGender: MaleNPI: 1558354597

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

u Barnett, Gary S MDGender: MaleNPI: 1528142395

42606 Hospital BlvdCorpus Christi, TX 78405(800) 939-7440

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

47101 S Padre Island DrCorpus Christi, TX 78412(706) 650-0705

u Biery, Diane R MDGender: MaleNPI: 1205829306

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

u Bivona, Charles L MDGender: MaleNPI: 1902899909

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Boswell, James L MDGender: MaleNPI: 1891934147

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211Bouchra Hanna, Hani KMDGender: MaleNPI: 1619184777

4600 Elizabeth StCorpus Christi, TX 78404(817) 330-1102

u Brady, Kevin M MDGender: MaleNPI: 1528002045

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

43315 S Alameda StCorpus Christi, TX 78411(800) 394-4445

45950 Saratoga BlvdCorpus Christi, TX 78414(361) 881-3657

Buckley, Michael A DOGender: MaleNPI: 1215040001

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400Busenlehner, Bryce J MDGender: MaleNPI: 1760829709

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211Cancemi, Mario T MDGender: MaleNPI: 1922202522

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

u Carlson, Mark D MDGender: MaleNPI: 1982697926

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Cary, Adam B DOGender: MaleNPI: 1376589101

4600 Elizabeth StCorpus Christi, TX 78404(817) 330-1102

u Chau, Chuong J MDGender: MaleNPI: 1336311968

4600 Elizabeth StCorpus Christi, TX 78404(817) 516-8811

u Cintron, C A MDGender: MaleNPI: 1649295601

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

u Crawford, Jerry A MDGender: MaleNPI: 1477546422

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

BEEVILLE 01/19/2021

10

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 11: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CHRISTUS SPOHNHOS CCTXSHORELINE(continued)

ANESTHESIOLOGY(continued)De Los Santos, Maria DMDGender: FemaleNPI: 1003859166

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525

u Dwyer, Michael J MDGender: MaleNPI: 1457301350

44444 Corona Suite 232Corpus Christi, TX 78411(361) 853-1520Early, Linda L MDGender: FemaleNPI: 1003809054

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

u Engle, Mitchell P MDGender: MaleNPI: 179094605113725 Northwest BlvdCorpus Christi, TX 78410(361) 387-00465637 Corsica RdCorpus Christi, TX 78414(361) 387-0046Fernandez, Christopher LMDGender: MaleNPI: 1760475685

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

Fratila, Antonio B MDGender: MaleNPI: 1467484691

4600 Elizabeth StreetCorpus Christi, TX 78404(817) 516-8811

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

44444 Corona St # 232Corpus Christi, TX 78411(361) 857-8525Greydanus, Wesley K MDGender: MaleNPI: 1366470353

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

u Hagemeister, Brent B MDGender: MaleNPI: 1780677880

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

u Hagler, Anna K MDGender: FemaleNPI: 1356547012

4600 Elizabeth StCorpus Christi, TX 78404(817) 330-1102

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

u Hall, Barrett C MDGender: MaleNPI: 1093792293

4600 Elizabeth StCorpus Christi, TX 78404(817) 516-8811

Harvey, Ryan J MDGender: MaleNPI: 1225384126

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Hatridge, John I MDGender: MaleNPI: 1164482188

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Heinrich, Michael S MDGender: MaleNPI: 1710930938

4600 Elizabeth StCorpus Christi, TX 78404(210) 921-2000

42606 Hospital BlvdCorpus Christi, TX 78405(903) 663-3600

45950 Saratoga BlvdCorpus Christi, TX 78414(361) 881-3657

u Jevric, Nicholas MDGender: MaleNPI: 1396738498

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

u Jimenez, Joseph R MDGender: MaleNPI: 1356334395

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

u Jung, Harry H MDGender: MaleNPI: 1740224674

4600 Elizabeth StCorpus Christi, TX 78404(254) 690-0900

45950 Saratoga BlvdCorpus Christi, TX 78414(361) 881-3657

u Kao, Gary MDGender: MaleNPI: 13465820952222 Morgan Ave Ste 110Corpus Christi, TX 78405(844) 789-72465802 Saratoga BlvdSte 330Corpus Christi, TX 78414(361) 356-6938

u Koska, Adolph J MDGender: MaleNPI: 19028673103533 S Alameda StCorpus Christi, TX 78411(361) 694-5445

u Lemons, Mark F MDGender: MaleNPI: 1548225717

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

42606 Hospital BlvdCorpus Christi, TX 78405(361) 902-4000

45950 Saratoga BlvdCorpus Christi, TX 78414(361) 881-3657Lopez, Gabriel MDGender: MaleNPI: 18018141656005 Holly RdCorpus Christi, TX 78412(361) 452-01363825 Spid DrCorpus Christi, TX 78415(361) 225-0089Maclachlan, Andrew A MDGender: MaleNPI: 1447243449

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Makai, Balazs MDGender: MaleNPI: 1316957616

4600 Elizabeth StreetCorpus Christi, TX 78404(817) 516-8811

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

11

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 12: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CHRISTUS SPOHNHOS CCTXSHORELINE(continued)

ANESTHESIOLOGY(continued)

u Matar Enriquez,Raymundo G MDGender: MaleNPI: 1063595957

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

43315 S Alameda StCorpus Christi, TX 78411(800) 394-4445

u McCutchon, Michael D MDGender: MaleNPI: 1326031329

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211McIntosh, Robert W DOGender: MaleNPI: 1356315782

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

u Meisenheimer, Ben A MDGender: MaleNPI: 1023068939

44444 Corona Suite 232Corpus Christi, TX 78411(361) 853-1520Navar, John J MDGender: MaleNPI: 1942293113

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

Newton, Will B MDGender: MaleNPI: 1679893200

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Nguyen, Nhung H MDGender: FemaleNPI: 1477514123

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

43315 S Alameda StreetCorpus Christi, TX 78411(361) 761-1400Nordmeyer, Debra A MDGender: FemaleNPI: 1669683827

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

u Palmero, Leonel R MDGender: MaleNPI: 1801832639

44444 Corona #232Corpus Christi, TX 78411(361) 857-8525

44444 Corona #232Spohn HospitalCorpus Christi, TX 78411(361) 853-1520

u Peltier, Bradley G MDGender: MaleNPI: 1588657589

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

Pham, Rosaly MDGender: FemaleNPI: 1962662171

4600 Elizabeth StreetCorpus Christi, TX 78404(817) 516-8811

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Potter, Ryan N MDGender: MaleNPI: 17301070955734 Spohn DrCorpus Christi, TX 78414(361) 882-4452Regan, Tyce L MDGender: MaleNPI: 1104853365

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211Reid, Branden M MDGender: MaleNPI: 1033340807

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Rodenhuis, Roger S MDGender: FemaleNPI: 1316030380

4600 Elizabeth StCorpus Christi, TX 78404(817) 330-1102

u Rubio, Jose A MDGender: MaleNPI: 1225281645

45950 Saratoga BlvdCorpus Christi, TX 78414(361) 881-3657Sanchez Jr, Jesus V MDGender: MaleNPI: 1205850351

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

Schiller, Edward D MDGender: MaleNPI: 1225249915

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Shull, James H MDGender: MaleNPI: 1588873913

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

43315 S AlamedaCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Skidmore, Kimberly L MDGender: FemaleNPI: 1144247842

4600 Elizabeth StCorpus Christi, TX 78404(817) 330-1102

u Strain, Bonnie B MDGender: FemaleNPI: 1821048737

4600 Elizabeth StCorpus Christi, TX 78404(817) 516-8811

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

12

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 13: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CHRISTUS SPOHNHOS CCTXSHORELINE(continued)

ANESTHESIOLOGY(continued)

u Taboada, Libardo J MDGender: MaleNPI: 1427008309

4600 Elizabeth StCorpus Christi, TX 78404(817) 516-8811

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525

44444 Corona Suite 232Spohn HospitalCorpus Christi, TX 78411(361) 853-1520

44444 Corona Suite 232Spohn HospitalCorpus Christi, TX 78411(361) 853-1520

u Theriot, Eugene C MDGender: MaleNPI: 1396738308

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211Todd, Bret R DOGender: MaleNPI: 1134376338

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211Tolentino, Hugo R MDGender: MaleNPI: 1487647475

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Travis, Eleanor MDGender: FemaleNPI: 1609835271

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

Trevino, Jose J MDGender: MaleNPI: 1508869603613 Elizabeth StSte 805Corpus Christi, TX 78404(361) 883-1744Tschickardt, Michael EMDGender: MaleNPI: 14775652087101 Williams DrCorpus Christi, TX 78412(361) 854-1910

u Tunink, Bryan P MDGender: MaleNPI: 1407833981

4600 Elizabeth StCorpus Christi, TX 78404(817) 516-8811Vela, Robert C MDGender: MaleNPI: 1083818678

41734 Sante Fe StCorpus Christi, TX 78404(361) 883-6211

4718 Elizabeth StCorpus Christi, TX 78404(361) 886-6314

43636 S Alameda StCorpus Christi, TX 78411(361) 853-2200

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

45950 Saratoga BlvdCorpus Christi, TX 78414(361) 985-5169Venecia, David MDGender: MaleNPI: 1083607907

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

u Williamson, David C MDGender: MaleNPI: 1952394819

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

Willis, Thomas J MDGender: MaleNPI: 1487896866

41734 Santa FeCorpus Christi, TX 78404(361) 883-8211

u Wilson, Mark S MDGender: MaleNPI: 1831287267

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

47101 S Padre Island DrCorpus Christi, TX 78412(706) 650-0705

EMERGENCY MEDICINEAli, Mohammed M DOGender: MaleNPI: 1295113702

43315 S AlamedaCorpus Christi, TX 78411(361) 887-5752Cortes, Edgar L MDGender: MaleNPI: 1801844261

43533 S Alameda StCorpus Christi, TX 78411(361) 855-8201

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

46130 Parkway DrCorpus Christi, TX 78414(361) 826-5785

GENERAL SURGERYBlow, Osbert MDGender: MaleNPI: 1508819871600 Elizabeth StCorpus Christi, TX 78404(361) 902-41352606 Hospital BlvdCorpus Christi, TX 78405(361) 290-68052606 Hospital BlvdCorpus Christi, TX 78405(361) 902-40005950 SaratogaCorpus Christi, TX 78414(361) 985-5000

u Dye, James M MDGender: MaleNPI: 10038879776133 Parkway DrCorpus Christi, TX 78414(361) 881-8333Ewing, Michael J MDGender: MaleNPI: 10537087846133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Farek, Paul E MDGender: MaleNPI: 1245201409613 Elizabeth StSte 811Corpus Christi, TX 78404(361) 882-1245

u Ficenec, Matthew J MDGender: MaleNPI: 15381555931224 3rd StSte 8Corpus Christi, TX 78404(361) 985-9403Gutierrez, Charles K MDGender: MaleNPI: 11048076271521 S Staples Ste 510Corpus Christi, TX 78404(361) 882-4000

u Halpert, Michael MDGender: MaleNPI: 1588777346

4600 Elizabeth StCorpus Christi, TX 78404(361) 884-2904

u Johnson, David L MDGender: MaleNPI: 1033176961

42606 Hospital BlvdCorpus Christi, TX 78405(361) 985-1221Juan, Vicente M MDGender: MaleNPI: 19423487191425 Santa FeCorpus Christi, TX 78404(361) 887-9995Kerek, David E DOGender: MaleNPI: 1003873944

42606 Hospital BlvdCorpus Christi, TX 78405(361) 902-4199

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

13

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

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CHRISTUS SPOHNHOS CCTXSHORELINE(continued)

GENERAL SURGERY(continued)Lesperance, Richard NMDGender: MaleNPI: 1194927228

4600 Elizabeth StCorpus Christi, TX 78404(361) 985-1221

u Maawy, Ali A MDGender: MaleNPI: 12454628526133 Parkway DrCorpus Christi, TX 78414(361) 881-8333Martin, Dan F MDGender: MaleNPI: 19020202256133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Ortiz, Victor B MDGender: MaleNPI: 19129787846133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Owsley, Jimie D MDGender: FemaleNPI: 1730115270810 Morgan AveCorpus Christi, TX 78404(361) 876-2475Peterson, Wylan C MDGender: MaleNPI: 1659395523

4600 Elizabeth StTrauma ServicesCorpus Christi, TX 78404(361) 902-6499Reyes, Michael J MDGender: MaleNPI: 19424448806133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

Rodman, Charles J MDGender: MaleNPI: 13160027853301 S Alameda StSte 402Corpus Christi, TX 78411(361) 371-8100

u Townsend, Thomas M MDGender: MaleNPI: 10533828126133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Vela, Steven A MDGender: MaleNPI: 18311348166133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

NEONATAL-PERINATALMEDICINEDeleon, Miguel A MDGender: MaleNPI: 1407816887

45913 PattonCorpus Christi, TX 78414(361) 653-6361Ojadi, Vallier C MDGender: FemaleNPI: 1255370573

45920 Saratoga BlvdSte 450Corpus Christi, TX 78414(888) 258-3326Reeves, Aaron A MDGender: MaleNPI: 1700085123

45920 Saratoga Blvd Ste 450Corpus Christi, TX 78414(888) 258-3326

PATHOLOGYBailey, Michael E MDGender: MaleNPI: 1649278144

43853 S AlamedaCorpus Christi, TX 78411(361) 980-0077

43853 S Alameda StCorpus Christi, TX 78411(361) 992-4040

Galatzan, Steve J MDGender: MaleNPI: 1093713661

43853 S AlamedaCorpus Christi, TX 78411(361) 980-0077Harvey, Aaron M MDGender: MaleNPI: 1588809339

43853 S AlamedaCorpus Christi, TX 78411(361) 992-4211Lewis, Joe A MDGender: MaleNPI: 1770581399

43853 S AlamedaCorpus Christi, TX 78411(361) 980-0077Mullins, James D MDGender: MaleNPI: 1922006428

43853 S AlamedaCorpus Christi, TX 78411(361) 980-0077Souchick, Ann M MDGender: FemaleNPI: 1962400549

43853 S AlamedaCorpus Christi, TX 78411(361) 980-0077Turner, Thomas M MDGender: MaleNPI: 1629076203

43853 S Alameda StCorpus Christi, TX 78411(361) 992-4040

43853 South AlamedaCorpus Christi, TX 78411(361) 992-4040

RADIOLOGYNwankwo, John I MDGender: MaleNPI: 1831400498

42606 Hospital BlvdCorpus Christi, TX 78405(952) 595-1093

SURG ASSISTSkoruppa, Jacob D LSAGender: MaleNPI: 1215113022

45929 Brightwood DrCorpus Christi, TX 78414(361) 537-3209

CHRISTUS SPOHNHOSP CCTXMEMORIAL

ANESTHESIOLOGYDel Castillo, Gil MDGender: MaleNPI: 1497744809

42606 Hospital BlvdCorpus Christi, TX 78405(361) 902-4000

u Garza, Pedro Y MDGender: MaleNPI: 1437148202

42606 Hospital BlvdCorpus Christi, TX 78405(361) 902-4000Heinrich, Michael S MDGender: MaleNPI: 1710930938

4600 Elizabeth StCorpus Christi, TX 78404(210) 921-2000

42606 Hospital BlvdCorpus Christi, TX 78405(903) 663-3600

45950 Saratoga BlvdCorpus Christi, TX 78414(361) 881-3657

u Lemons, Mark F MDGender: MaleNPI: 1548225717

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

42606 Hospital BlvdCorpus Christi, TX 78405(361) 902-4000

45950 Saratoga BlvdCorpus Christi, TX 78414(361) 881-3657Lopez, Gabriel MDGender: MaleNPI: 18018141656005 Holly RdCorpus Christi, TX 78412(361) 452-01363825 Spid DrCorpus Christi, TX 78415(361) 225-0089

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

14

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 15: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CHRISTUS SPOHNHOSP CCTXMEMORIAL(continued)

ANESTHESIOLOGY(continued)Maurer, Frederick S MDGender: MaleNPI: 1821053117

42606 Hospital BlvdCorpus Christi, TX 78405(361) 902-4000Mehta, Mrudula V MDGender: FemaleNPI: 1770506834

42606 Hospital BlvdCorpus Christi, TX 78405(361) 902-4000Pallekonda, Vijay AnandR MDGender: MaleNPI: 1811089089

42606 Hospital BlvdCorpus Christi, TX 78405(903) 663-3600Stockstill, Randall D MDGender: MaleNPI: 1265421804

42606 Hospital BlvdCorpus Christi, TX 78405(361) 902-4000

GENERAL SURGERYu Dye, James M MDGender: MaleNPI: 10038879776133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Ficenec, Matthew J MDGender: MaleNPI: 15381555931224 3rd StSte 8Corpus Christi, TX 78404(361) 985-9403

u Nelson, Lawrence E DOGender: MaleNPI: 1427035534

42606 Hospital BlvdCorpus Christi, TX 78405(361) 985-1221

u Owsley, Jimie D MDGender: FemaleNPI: 1730115270810 Morgan AveCorpus Christi, TX 78404(361) 876-2475

CHRISTUS SPOHNHOSP CCTX SOUTH

ANESTHESIOLOGYLopez, Gabriel MDGender: MaleNPI: 18018141656005 Holly RdCorpus Christi, TX 78412(361) 452-01363825 Spid DrCorpus Christi, TX 78415(361) 225-0089Potter, Ryan N MDGender: MaleNPI: 17301070955734 Spohn DrCorpus Christi, TX 78414(361) 882-4452

u Vuong, Julie T MDGender: FemaleNPI: 1578792636

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Willis, Thomas J MDGender: MaleNPI: 1487896866

41734 Santa FeCorpus Christi, TX 78404(361) 883-8211

GENERAL SURGERYu Dye, James M MDGender: MaleNPI: 10038879776133 Parkway DrCorpus Christi, TX 78414(361) 881-8333Ewing, Michael J MDGender: MaleNPI: 10537087846133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Ficenec, Matthew J MDGender: MaleNPI: 15381555931224 3rd StSte 8Corpus Christi, TX 78404(361) 985-9403

u Maawy, Ali A MDGender: MaleNPI: 12454628526133 Parkway DrCorpus Christi, TX 78414(361) 881-8333Martin, Dan F MDGender: MaleNPI: 19020202256133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Misick, Lofton N MDGender: MaleNPI: 19422577465802 Saratoga BlvdSte 306Corpus Christi, TX 78414(361) 880-8322

u Ortiz, Victor B MDGender: MaleNPI: 19129787846133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Pearce, David E MDGender: MaleNPI: 17109362815920 Saratoga BlvdSte 350Corpus Christi, TX 78414(361) 991-1290

u Townsend, Thomas M MDGender: MaleNPI: 10533828126133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Vela, Steven A MDGender: MaleNPI: 18311348166133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

NEONATAL-PERINATALMEDICINEChong, Euming MDGender: FemaleNPI: 1730214933

45913 Patton StCorpus Christi, TX 78414(361) 653-6361Deleon, Miguel A MDGender: MaleNPI: 1407816887

45913 PattonCorpus Christi, TX 78414(361) 653-6361Guo, Jie MDGender: FemaleNPI: 1508968280

45913 Patton StCorpus Christi, TX 78414(361) 653-6361

u Prado, Alfonso M MDGender: MaleNPI: 1073573002

45913 PattonCorpus Christi, TX 78414(361) 653-6361

PATHOLOGYMay, Stephen A MDGender: MaleNPI: 1215907928

43853 S AlamedaCorpus Christi, TX 78411(361) 992-4211Mullins, James D MDGender: MaleNPI: 1922006428

43853 S AlamedaCorpus Christi, TX 78411(361) 980-0077Salazar, Katrina MDGender: FemaleNPI: 1922365519

43853 S Alameda StCorpus Christi, TX 78411(361) 992-4211Turner, Thomas M MDGender: MaleNPI: 1629076203

43853 S Alameda StCorpus Christi, TX 78411(361) 992-4040

43853 South AlamedaCorpus Christi, TX 78411(361) 992-4040

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

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CHRISTUS SPOHNHOSPITAL ALICE

RADIOLOGYu Truong, Vi Q DOGender: MaleNPI: 1295799088

45656 S Staples StSte 210Corpus Christi, TX 78411(361) 358-7166

CHRISTUS SPOHNHOSPITAL BEEVILLE

EMERGENCY MEDICINEHassanin, Salsabeal S DOGender: FemaleNPI: 1790162295

45262 S Staples StSte 210Corpus Christi, TX 78411(361) 500-4351

RADIOLOGYu Menendez, Isabel C MDGender: FemaleNPI: 1376508168

45656 S Staples StSte 210Corpus Christi, TX 78411(361) 906-0969

CHRISTUS SPOHNHOSPITAL KLEBERG

ANESTHESIOLOGYAquino, Alfonso MDGender: MaleNPI: 1063479681

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

u Cohn, Aaron I MDGender: MaleNPI: 1942230867

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

u Torres, Carlos R MDGender: MaleNPI: 1407820707

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

GENERAL SURGERYJuan, Vicente M MDGender: MaleNPI: 19423487191425 Santa FeCorpus Christi, TX 78404(361) 887-9995

RADIOLOGYu Menendez, Isabel C MDGender: FemaleNPI: 1376508168

45656 S Staples StSte 210Corpus Christi, TX 78411(361) 906-0969

CHRISTUS-SPOHNSURGICARE OFCORPU

ANESTHESIOLOGYu Carlson, Mark D MDGender: MaleNPI: 1982697926

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

u Crawford, Jerry A MDGender: MaleNPI: 1477546422

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

u Jimenez, Joseph R MDGender: MaleNPI: 1356334395

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

Lopez, Gabriel MDGender: MaleNPI: 18018141656005 Holly RdCorpus Christi, TX 78412(361) 452-01363825 Spid DrCorpus Christi, TX 78415(361) 225-0089

u McCutchon, Michael D MDGender: MaleNPI: 1326031329

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

u Meisenheimer, Ben A MDGender: MaleNPI: 1023068939

44444 Corona Suite 232Corpus Christi, TX 78411(361) 853-1520Navar, John J MDGender: MaleNPI: 1942293113

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

u Palmero, Leonel R MDGender: MaleNPI: 1801832639

44444 Corona #232Corpus Christi, TX 78411(361) 857-8525

44444 Corona #232Spohn HospitalCorpus Christi, TX 78411(361) 853-1520

u Taboada, Libardo J MDGender: MaleNPI: 1427008309

4600 Elizabeth StCorpus Christi, TX 78404(817) 516-8811

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525

44444 Corona Suite 232Spohn HospitalCorpus Christi, TX 78411(361) 853-1520

u Williamson, David C MDGender: MaleNPI: 1952394819

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

RADIOLOGYu Cook, Kenneth R MDGender: MaleNPI: 1881699601

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Strong, David B MDGender: MaleNPI: 1083612576

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

CORPUS CHRISTIMEDICAL CENTER

ANESTHESIOLOGYAounallah, Nabil MDGender: MaleNPI: 1508202029

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

u Argyelan, Gyorgy MDGender: MaleNPI: 1396755609

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

u Barnett, Gary S MDGender: MaleNPI: 1528142395

42606 Hospital BlvdCorpus Christi, TX 78405(800) 939-7440

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

47101 S Padre Island DrCorpus Christi, TX 78412(706) 650-0705

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

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CORPUS CHRISTIMEDICAL CENTER(continued)

ANESTHESIOLOGY(continued)Benson, Clayne MDGender: MaleNPI: 1538218714

43315 S Almeda StCorpus Christi, TX 78411(706) 650-0705

u Bijak, Gregory J MDGender: MaleNPI: 1750301198

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

u Brady, Kevin M MDGender: MaleNPI: 1528002045

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

43315 S Alameda StCorpus Christi, TX 78411(800) 394-4445

45950 Saratoga BlvdCorpus Christi, TX 78414(361) 881-3657Buckley, Michael A DOGender: MaleNPI: 1215040001

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

u Campos, Napoleon A MDGender: MaleNPI: 1396914933

43315 S Alameda StCorpus Christi, TX 78411(800) 394-4445

u Carlson, Mark D MDGender: MaleNPI: 1982697926

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Cervantes, Miguel MDGender: MaleNPI: 1922101914

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

u Chan, Lisa MDGender: FemaleNPI: 1871806240

43315 S. Alameda StCorpus Christi, TX 78411(800) 394-4445

u Chap, Kevin S MDGender: MaleNPI: 1770856288

43315 S Alameda StCorpus Christi, TX 78411(800) 394-4445

u Cintron, C A MDGender: MaleNPI: 1649295601

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Claflin, Yvonne MDGender: FemaleNPI: 1043531353

43315 Alameda StCorpus Christi, TX 78411(800) 394-4445Clendeninn, Dallis J MDGender: MaleNPI: 1295078822

43315 S Alameda StCorpus Christi, TX 78411(800) 394-4445

u Crawford, Jerry A MDGender: MaleNPI: 1477546422

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

u Dallas, Torijaun MDGender: MaleNPI: 1669614079

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

De Los Santos, Maria DMDGender: FemaleNPI: 1003859166

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525

u Dwyer, Michael J MDGender: MaleNPI: 1457301350

44444 Corona Suite 232Corpus Christi, TX 78411(361) 853-1520Early, Linda L MDGender: FemaleNPI: 1003809054

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

u Elkadi, Tarek S MDGender: MaleNPI: 1245302736

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

47101 S Padre IslandDrCorpus Christi, TX 78412(706) 650-0705

47101 S Padre Island DrCorpus Christi, TX 78412(706) 650-0705

u Engle, Mitchell P MDGender: MaleNPI: 179094605113725 Northwest BlvdCorpus Christi, TX 78410(361) 387-00465637 Corsica RdCorpus Christi, TX 78414(361) 387-0046

Fernandez, Christopher LMDGender: MaleNPI: 1760475685

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Frankland, John T MDGender: MaleNPI: 1962408377

43315 S Alameda SCorpus Christi, TX 78411(800) 394-4445

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400Fratila, Antonio B MDGender: MaleNPI: 1467484691

4600 Elizabeth StreetCorpus Christi, TX 78404(817) 516-8811

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

44444 Corona St # 232Corpus Christi, TX 78411(361) 857-8525

u Gallacher, Bernard P MDGender: MaleNPI: 1447205885

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

u Ghabrial, Nabil W MDGender: MaleNPI: 1649235177

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400Gonzales, John R MDGender: MaleNPI: 1821363102

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

17

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 18: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTIMEDICAL CENTER(continued)

ANESTHESIOLOGY(continued)Greydanus, Wesley K MDGender: MaleNPI: 1366470353

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

u Hagemeister, Brent B MDGender: MaleNPI: 1780677880

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

u Hagler, Anna K MDGender: FemaleNPI: 1356547012

4600 Elizabeth StCorpus Christi, TX 78404(817) 330-1102

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

u Hicks, Russell J MDGender: MaleNPI: 1548417413

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

u Hoover, Lance R MDGender: MaleNPI: 1730155466

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

u Jimenez, Joseph R MDGender: MaleNPI: 1356334395

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

Johnson, Steven C MDGender: MaleNPI: 1053330159

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S. Alameda StCorpus Christi, TX 78411(800) 394-4445

u Kashyap, Kapil K MDGender: MaleNPI: 1013945740

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Lopez, Gabriel MDGender: MaleNPI: 18018141656005 Holly RdCorpus Christi, TX 78412(361) 452-01363825 Spid DrCorpus Christi, TX 78415(361) 225-00893825 Spid DrCorpus Christi, TX 78415(361) 225-0089Maclachlan, Andrew A MDGender: MaleNPI: 1447243449

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

u Martinez, Edgar I MDGender: MaleNPI: 1093885113

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

u Matar Enriquez,Raymundo G MDGender: MaleNPI: 1063595957

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

43315 S Alameda StCorpus Christi, TX 78411(800) 394-4445

u McCutchon, Michael D MDGender: MaleNPI: 1326031329

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

u Meisenheimer, Ben A MDGender: MaleNPI: 1023068939

44444 Corona Suite 232Corpus Christi, TX 78411(361) 853-1520Navar, John J MDGender: MaleNPI: 1942293113

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Nguyen, Nhung H MDGender: FemaleNPI: 1477514123

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

43315 S Alameda StreetCorpus Christi, TX 78411(361) 761-1400

u Palmero, Leonel R MDGender: MaleNPI: 1801832639

44444 Corona #232Corpus Christi, TX 78411(361) 857-8525

44444 Corona #232Spohn HospitalCorpus Christi, TX 78411(361) 853-1520

44444 Corona #232Spohn HospitalCorpus Christi, TX 78411(361) 853-1520

u Peltier, Bradley G MDGender: MaleNPI: 1588657589

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Pham, Rosaly MDGender: FemaleNPI: 1962662171

4600 Elizabeth StreetCorpus Christi, TX 78404(817) 516-8811

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Pina, Daniel N MDGender: MaleNPI: 1871518647

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525Potter, Ryan N MDGender: MaleNPI: 17301070955734 Spohn DrCorpus Christi, TX 78414(361) 882-4452Qaisar, Adeel MDGender: MaleNPI: 1124083845

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400Ratcliff, Stephen L MDGender: MaleNPI: 1154479269

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 19: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTIMEDICAL CENTER(continued)

ANESTHESIOLOGY(continued)Regan, Tyce L MDGender: MaleNPI: 1104853365

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211Roper, M L MDGender: FemaleNPI: 1518021732

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400Sarkar, Deepak R MDGender: MaleNPI: 1790794246

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Schiller, Edward D MDGender: MaleNPI: 1225249915

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099Shull, James H MDGender: MaleNPI: 1588873913

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211

43315 S AlamedaCorpus Christi, TX 78411(361) 761-1400

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

u Springmann, Kurt E MDGender: MaleNPI: 1235138934

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

Stotts, Corey J MDGender: MaleNPI: 1619110426

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

u Strain, Bonnie B MDGender: FemaleNPI: 1821048737

4600 Elizabeth StCorpus Christi, TX 78404(817) 516-8811

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

44444 Corona #232Corpus Christi, TX 78411(361) 853-1520

u Sussman, Marian B MDGender: FemaleNPI: 1003852740

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

47101 S Padre Island DrCorpus Christi, TX 78412(706) 650-0705

u Taboada, Libardo J MDGender: MaleNPI: 1427008309

4600 Elizabeth StCorpus Christi, TX 78404(817) 516-8811

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525

44444 Corona Suite 232Corpus Christi, TX 78411(361) 857-8525

44444 Corona Suite 232Spohn HospitalCorpus Christi, TX 78411(361) 853-1520

44444 Corona Suite 232Spohn HospitalCorpus Christi, TX 78411(361) 853-1520

u Theriot, Eugene C MDGender: MaleNPI: 1396738308

41734 Santa Fe StCorpus Christi, TX 78404(361) 883-6211Thong, Weng Y MDGender: MaleNPI: 1255329322

43315 S AlamedaCorpus Christi, TX 78411(361) 761-1400

43315 S Almeda StCorpus Christi, TX 78411(800) 394-4445Tolentino, Hugo R MDGender: MaleNPI: 1487647475

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211Tou, Kevin M MDGender: MaleNPI: 1528261930

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400Tran Nguyen, Jacklyn BMDGender: FemaleNPI: 1225051360

43315 S Alameda StCorpus Christi, TX 78411(361) 761-1400Trevino, Jose J MDGender: MaleNPI: 1508869603613 Elizabeth StSte 805Corpus Christi, TX 78404(361) 883-1744Tschickardt, Michael EMDGender: MaleNPI: 14775652087101 Williams DrCorpus Christi, TX 78412(361) 854-1910Velazquez, Wilson L MDGender: MaleNPI: 1144385121

44918 Holly RdSte BCorpus Christi, TX 78411(361) 991-9300

Venecia, David MDGender: MaleNPI: 1083607907

41734 Santa FeCorpus Christi, TX 78404(361) 883-6211

u Williamson, David C MDGender: MaleNPI: 1952394819

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

u Wilson, Mark S MDGender: MaleNPI: 1831287267

4600 Elizabeth StCorpus Christi, TX 78404(361) 881-3657

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

43315 S Alameda StCorpus Christi, TX 78411(877) 882-9099

47101 S Padre Island DrCorpus Christi, TX 78412(706) 650-0705

47101 S Padre Island DrCorpus Christi, TX 78412(706) 650-0705

u Yelderman, Mark L MDGender: MaleNPI: 1386933109

44444 Corona Ste 232Corpus Christi, TX 78411(361) 857-8525Zablocki, Alan D MDGender: MaleNPI: 1265579668

43315 S Alameda StCorpus Christi, TX 78411(706) 650-0705

u Zanchi, Michael A MDGender: MaleNPI: 1568435063

47101 S Padre Island DrCorpus Christi, TX 78412(877) 882-9099

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

19

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 20: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTIMEDICAL CENTER(continued)

EMERGENCY MEDICINECortes, Edgar L MDGender: MaleNPI: 1801844261

43533 S Alameda StCorpus Christi, TX 78411(361) 855-8201Hassanin, Salsabeal S DOGender: FemaleNPI: 1790162295

45262 S Staples StSte 210Corpus Christi, TX 78411(361) 500-4351

GENERAL SURGERYu Dye, James M MDGender: MaleNPI: 10038879776133 Parkway DrCorpus Christi, TX 78414(361) 881-8333Ewing, Michael J MDGender: MaleNPI: 10537087846133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Farek, Paul E MDGender: MaleNPI: 1245201409613 Elizabeth StSte 811Corpus Christi, TX 78404(361) 882-1245Gopal, Jegan MDGender: MaleNPI: 12757476445826 Esplanade Dr Ste 102Corpus Christi, TX 78414(361) 500-2898Juan, Vicente M MDGender: MaleNPI: 19423487191425 Santa FeCorpus Christi, TX 78404(361) 887-9995

u Maawy, Ali A MDGender: MaleNPI: 12454628526133 Parkway DrCorpus Christi, TX 78414(361) 881-8333Martin, Dan F MDGender: MaleNPI: 19020202256133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Misick, Lofton N MDGender: MaleNPI: 19422577465802 Saratoga BlvdSte 306Corpus Christi, TX 78414(361) 880-8322

u Ortiz, Victor B MDGender: MaleNPI: 19129787846133 Parkway DrCorpus Christi, TX 78414(361) 881-8333Reyes, Michael J MDGender: MaleNPI: 19424448806133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Stegemann, Lloyd H MDGender: MaleNPI: 11341174505826 EsplanadeSte 102Corpus Christi, TX 78414(361) 500-2898

u Townsend, Thomas M MDGender: MaleNPI: 10533828126133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Vela, Steven A MDGender: MaleNPI: 18311348166133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

NEONATAL-PERINATALMEDICINEChong, Euming MDGender: FemaleNPI: 1730214933

45913 Patton StCorpus Christi, TX 78414(361) 653-6361Deleon, Miguel A MDGender: MaleNPI: 1407816887

45913 PattonCorpus Christi, TX 78414(361) 653-6361Guo, Jie MDGender: FemaleNPI: 1508968280

45913 Patton StCorpus Christi, TX 78414(361) 653-6361

u Prado, Alfonso M MDGender: MaleNPI: 1073573002

45913 PattonCorpus Christi, TX 78414(361) 653-6361

PATHOLOGYBailey, Michael E MDGender: MaleNPI: 1649278144

43853 S AlamedaCorpus Christi, TX 78411(361) 980-0077

43853 S Alameda StCorpus Christi, TX 78411(361) 992-4040Turner, Thomas M MDGender: MaleNPI: 1629076203

43853 S Alameda StCorpus Christi, TX 78411(361) 992-4040

43853 South AlamedaCorpus Christi, TX 78411(361) 992-4040

RADIOLOGYu Cao, Mailan M MDGender: FemaleNPI: 1588816136

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

4325 Cape Aron DrCorpus Christi, TX 78412(952) 595-1100

u Chepey, Richard P MDGender: MaleNPI: 1629073887

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Cook, Kenneth R MDGender: MaleNPI: 1881699601

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Craft, Alexander J DOGender: MaleNPI: 1194022236

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Elvin, Patrick K MDGender: MaleNPI: 1154327336

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Fan, Karl T MDGender: MaleNPI: 1962408989

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Gayle, Everett L MDGender: MaleNPI: 1518963313

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 21: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTIMEDICAL CENTER(continued)

RADIOLOGY (continued)Gershon, Ruth K MDGender: FemaleNPI: 1033475827

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

43929 River East DrCorpus Christi, TX 78410(361) 887-7000

45742 Spohn DrCorpus Christi, TX 78414(361) 887-7000

u Gover Mendez, Charles BMDGender: MaleNPI: 1295733822

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000Hanus, Bryan D MDGender: MaleNPI: 1568805828

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Huang, Ning MDGender: MaleNPI: 1093706483

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Kozlowski, Mark A MDGender: MaleNPI: 1134127723

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Matejka, Kenneth D MDGender: MaleNPI: 1043218639

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000Michell, Michael W MDGender: MaleNPI: 1427249614

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

Moon, Aaron MDGender: MaleNPI: 1922264571

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Strong, David B MDGender: MaleNPI: 1083612576

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000Turner, Jennifer E MDGender: FemaleNPI: 16694662561812 S Alameda StCorpus Christi, TX 78404(361) 887-70003929 River East DrCorpus Christi, TX 78410(361) 887-70005742 Spohn DrCorpus Christi, TX 78414(361) 887-7000

u Williams, David K MDGender: MaleNPI: 1669440228

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000

u Wilson, David D MDGender: MaleNPI: 1164420923

41812 S Alameda StCorpus Christi, TX 78404(361) 887-7000Yang, Robert MDGender: MaleNPI: 1437416195

41812 S Alameda StCorpus Christi, TX 78404(361) 561-3100

CORPUS CHRISTIOUTPATIENTSURGERY

ANESTHESIOLOGYLopez, Gabriel MDGender: MaleNPI: 18018141656005 Holly RdCorpus Christi, TX 78412(361) 452-01363825 Spid DrCorpus Christi, TX 78415(361) 225-0089

GENERAL SURGERYJuan, Vicente M MDGender: MaleNPI: 19423487191425 Santa FeCorpus Christi, TX 78404(361) 887-9995

DRISCOLLCHILDRENSHOSPITAL

ANESTHESIOLOGYAlanmanou, Euleche AMDGender: MaleNPI: 1356302749

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445Bhandari, Angelina D MDGender: FemaleNPI: 1679501324

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445Buser, Raquel T MDGender: FemaleNPI: 1255314548

43533 S Alameda StCorpus Christi, TX 78411(800) 627-4726Elkon, Deborah MDGender: FemaleNPI: 1124188123

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445

Graham, Camille S MDGender: FemaleNPI: 1417918236

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445

u Grimes, William J MDGender: MaleNPI: 10331704363533 S Alameda StCorpus Christi, TX 78411(361) 694-5445Joglar, Javier E MDGender: MaleNPI: 1831342831

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445

u Koska, Adolph J MDGender: MaleNPI: 19028673103533 S Alameda StCorpus Christi, TX 78411(361) 694-5445

u Limon, David T MDGender: MaleNPI: 1457386401

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445Loyal, Sabine MDGender: FemaleNPI: 1316908734

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445Nguyen, Bao Phuong NMDGender: FemaleNPI: 1407817125

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445Patel, Ayan DOGender: MaleNPI: 1902283153

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445Rhodes, Cristina M DOGender: FemaleNPI: 1669672580

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 22: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

DRISCOLLCHILDRENSHOSPITAL(continued)

ANESTHESIOLOGY(continued)Serrao, Karl L MDGender: MaleNPI: 19523621053533 S Alameda StCorpus Christi, TX 78411(361) 694-5445Somaiya, Anie V DOGender: MaleNPI: 1093010738

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445Velleman, Kenneth R MDGender: MaleNPI: 1528178498

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5445

EMERGENCY MEDICINECortes, Edgar L MDGender: MaleNPI: 1801844261

43533 S Alameda StCorpus Christi, TX 78411(361) 855-8201Enriquez, Jose L MDGender: MaleNPI: 1194733485

43533 S Alameda StCorpus Christi, TX 78411(361) 855-8201Hart, Alicia D MDGender: FemaleNPI: 1174588438

43533 S Alameda StCorpus Christi, TX 78411(361) 855-8201

u Hensley, Justin P MDGender: MaleNPI: 1275731945

43435 S Alameda StCorpus Christi, TX 78411(361) 855-8201

Herrick, John S DOGender: MaleNPI: 1003913880

43435 S Alameda StCorpus Christi, TX 78411(361) 855-8201Jiang, Hongmei MDGender: FemaleNPI: 1932400462

43533 S Alameda StCorpus Christi, TX 78411(361) 855-8201Leeson, Ben A MDGender: MaleNPI: 1013014570

43533 S AlamedaCorpus Christi, TX 78411(361) 855-8201Leeson, Kimberly MDGender: FemaleNPI: 1013188259

43533 S AlamedaCorpus Christi, TX 78411(361) 855-8261O'Daniell, Estela M MDGender: FemaleNPI: 1386714897

43533 S Alameda StCorpus Christi, TX 78411(361) 855-8201Rafael, Marita L MDGender: FemaleNPI: 1033209705

43533 S Alameda StCorpus Christi, TX 78411(361) 855-8201Yancy, Kerry J MDGender: FemaleNPI: 1952490260

43533 S AlamedaCorpus Christi, TX 78411(361) 855-8201Ye, Qilin MDGender: FemaleNPI: 1952475220

43533 S Alameda StCorpus Christi, TX 78411(361) 855-8201

GENERAL SURGERYu Emran, Mohammad A MDGender: MaleNPI: 12150259113533 S Alameda St FurmanBldg Ste 302Corpus Christi, TX 78411(361) 694-4700

Hanfland, Robert A MDGender: MaleNPI: 19828131013533 S Alameda StFurman Bldg Ste 202Corpus Christi, TX 78411(361) 694-6691

NEONATAL-PERINATALMEDICINEChong, Euming MDGender: FemaleNPI: 1730214933

45913 Patton StCorpus Christi, TX 78414(361) 653-6361Deleon, Miguel A MDGender: MaleNPI: 1407816887

45913 PattonCorpus Christi, TX 78414(361) 653-6361Guo, Jie MDGender: FemaleNPI: 1508968280

45913 Patton StCorpus Christi, TX 78414(361) 653-6361

u Prado, Alfonso M MDGender: MaleNPI: 1073573002

45913 PattonCorpus Christi, TX 78414(361) 653-6361

PATHOLOGYMilligan, Thomas W MDGender: MaleNPI: 1467412155

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5427

u Savell, Van H MDGender: MaleNPI: 1952361248

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5427Sutton, Lisa M MDGender: FemaleNPI: 1578763512

43533 S Alameda StCorpus Christi, TX 78411(361) 694-4113

RADIOLOGYArnold, Allister D MDGender: MaleNPI: 1114993169

43533 S Alameda StCorpus Christi, TX 78411(361) 694-5240

45945 Saratoga BlvdCorpus Christi, TX 78414(361) 694-1530Chinnery, Martha S MDGender: FemaleNPI: 1285607788

43533 S Alameda StCorpus Christi, TX 78411(361) 851-1932

45945 Saratoga BlvdCorpus Christi, TX 78414(361) 694-1530

45945 Saratoga BlvdCorpus Christi, TX 78414(361) 694-1530

u Gorsage, Daniel M MDGender: MaleNPI: 19425593493533 S Alameda St2nd FloorCorpus Christi, TX 78411(361) 694-52405945 Saratoga BlvdCorpus Christi, TX 78414(361) 694-1530

u Panapitiya, Narendra CMDGender: MaleNPI: 17203997853533 S Alameda StCorpus Christi, TX 78411(361) 694-5240

u Ramos, Alvaro J MDGender: MaleNPI: 1952384091

43554 S Alameda StCorpus Christi, TX 78411(361) 855-5382

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 23: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

DRISCOLLCHILDRENSHOSPITAL(continued)

RADIOLOGY (continued)u Romero, Elena MDGender: FemaleNPI: 1124090790

43533 S Alameda StCorpus Christi, TX 78411(361) 694-4520

45945 Saratoga BlvdCorpus Christi, TX 78414(361) 694-1530

45945 Saratoga BlvdCorpus Christi, TX 78414(361) 694-1530Surnedi, Murali K MDGender: MaleNPI: 1407003015

43533 S AlamedaCorpus Christi, TX 78411(361) 694-5240

45945 Saratoga BlvdCorpus Christi, TX 78414(361) 694-1530

REFUGIO COUNTYMEMORIALHOSPITAL

EMERGENCY MEDICINEHassanin, Salsabeal S DOGender: FemaleNPI: 1790162295

45262 S Staples StSte 210Corpus Christi, TX 78411(361) 500-4351

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

46130 Parkway DrCorpus Christi, TX 78414(361) 826-5785

SOUTH TEXASSURGICALHOSPITAL

ANESTHESIOLOGYTravis, Eleanor MDGender: FemaleNPI: 1609835271

44455 S Padre Island DrSte 11Corpus Christi, TX 78411(361) 883-6211

GENERAL SURGERYu Dye, James M MDGender: MaleNPI: 10038879776133 Parkway DrCorpus Christi, TX 78414(361) 881-8333Ewing, Michael J MDGender: MaleNPI: 10537087846133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Ficenec, Matthew J MDGender: MaleNPI: 15381555931224 3rd StSte 8Corpus Christi, TX 78404(361) 985-9403

u Maawy, Ali A MDGender: MaleNPI: 12454628526133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Ortiz, Victor B MDGender: MaleNPI: 19129787846133 Parkway DrCorpus Christi, TX 78414(361) 881-8333Reyes, Michael J MDGender: MaleNPI: 19424448806133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

u Vela, Steven A MDGender: MaleNPI: 18311348166133 Parkway DrCorpus Christi, TX 78414(361) 881-8333

CHRISTUS SPOHNHOS CCTXSHORELINE

EMERGENCY MEDICINEAddison, Bruce DOGender: MaleNPI: 1629094552

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303

OTTO KAISERMEMORIALHOSPITAL

EMERGENCY MEDICINEAlprin, Clifford N MDGender: MaleNPI: 1568504835

43349 S Highway 181Kenedy, TX 78119(281) 363-3156

u Arkangel, Carmelito MDGender: MaleNPI: 1689684060

43349 S Highway 181Kenedy, TX 78119(800) 962-3303Bailey, Tennessee MDGender: FemaleNPI: 1790218246

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Beckum, Orlando K MDGender: MaleNPI: 1134149016

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Berney, Joseph P MDGender: MaleNPI: 1578591434

43349 S Highway 181Kenedy, TX 78119(830) 583-3401

Brancker, Christopher SMDGender: MaleNPI: 1679928576

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Brocker, Jason A MDGender: MaleNPI: 1952564395

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Brown, Justin R DOGender: MaleNPI: 1740504695

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Cabrera, Ernest E MDGender: MaleNPI: 1568443323

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Chechani, Ryan R MDGender: MaleNPI: 1285169524

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Cisneroz, Arnulfo MDGender: MaleNPI: 1417930595

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Coats, Rebecca A MDGender: FemaleNPI: 1528048030

43349 S Hwy 181Kenedy, TX 78119(281) 363-3156Demchur, Nora J MDGender: FemaleNPI: 1194222331

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Diamond, Michael J MDGender: MaleNPI: 1679735625

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 24: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

OTTO KAISERMEMORIALHOSPITAL(continued)

EMERGENCY MEDICINE(continued)Dunlap, Donald C MDGender: MaleNPI: 1518995752

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Escobedo, John A MDGender: MaleNPI: 1134583628

43349 S Highway 181Kenedy, TX 78119(830) 583-3401

u Fajardo, Arthur B MDGender: MaleNPI: 1841324902

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Familua, Oluwamayowa FMDGender: MaleNPI: 1063714970

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Fannell, Matthew W MDGender: MaleNPI: 1790044683

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303

u Fehr, Gregory B MDGender: MaleNPI: 1306812250

43349 S Highway 181Kenedy, TX 78119(830) 583-3401

u Flanagan, John R MDGender: MaleNPI: 1730159823

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303

Garfield, Herbert I MDGender: MaleNPI: 1215938626

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Garrett, William E MDGender: MaleNPI: 1669441606

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Garza, Rene DOGender: MaleNPI: 1982698395

43349 S Hwy 181Kenedy, TX 78119(281) 363-3156Hammeke, Margarita GDOGender: FemaleNPI: 1164479523

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Hathaway, Katharina MDGender: FemaleNPI: 1346224094

43349 S Highway 181Kenedy, TX 78119(281) 363-3156

u Hilliard, Rudyard L MDGender: MaleNPI: 1407830979

43349 S Highway 181Kenedy, TX 78119(281) 363-3156

u Hood, Howard H MDGender: MaleNPI: 1881630218

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Jackson, Phillip F MDGender: MaleNPI: 1023088895

43349 S Hwy 181Kenedy, TX 78119(940) 325-7891Jones, William W DOGender: MaleNPI: 1861476335

43349 S Hwy 181Kenedy, TX 78119(281) 363-3156

u Kizzart, Jerome D MDGender: MaleNPI: 1750329140

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Lee, Rebekka A DOGender: FemaleNPI: 1528594199

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Lorenz, Richard F DOGender: MaleNPI: 1457392284

4320 N Main StKenedy, TX 78119(806) 652-3373

43349 S Highway 181Kenedy, TX 78119(800) 962-3303Loyola, David A MDGender: MaleNPI: 1174978142

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Luong, Ben MDGender: MaleNPI: 1770551103

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Marin, James A MDGender: MaleNPI: 1992239966

43349 S Highway 181Kenedy, TX 78119(830) 583-3401McNeil, Kristin MDGender: FemaleNPI: 1356532741

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Moza, Joseph MDGender: MaleNPI: 1356336127

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Munion, William M MDGender: MaleNPI: 1255829784

43349 S Highway 181Kenedy, TX 78119(830) 583-3401

Neugebauer, Amber L DOGender: FemaleNPI: 1477040061

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Ohara, Sean M MDGender: MaleNPI: 1023429370

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Okea, Remigius N MDGender: MaleNPI: 1235334624

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Onishi, Tomifumi MDGender: MaleNPI: 1861680399

43349 S Hwy 181Kenedy, TX 78119(281) 363-3156

u Padron, Sebastian T MDGender: MaleNPI: 1396883575

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Ponder, Melissa MDGender: FemaleNPI: 1053832170

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Ramirez, Ramiro MDGender: MaleNPI: 1174562474

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Requa, Spencer DOGender: MaleNPI: 1538692819

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Ricks, Alfred MDGender: MaleNPI: 1750352563

43349 S Highway 181Kenedy, TX 78119(281) 363-3156

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KENEDY 01/19/2021

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

Page 25: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

OTTO KAISERMEMORIALHOSPITAL(continued)

EMERGENCY MEDICINE(continued)Ripsin, Cynthia M MDGender: FemaleNPI: 1457328296

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Rojas Walsson, RomeoMDGender: MaleNPI: 1881694008

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Rollo, Robert O MDGender: MaleNPI: 1194766311

43349 S Highway 181Kenedy, TX 78119(281) 363-3156

u Salyer, Rena DOGender: FemaleNPI: 1285676775

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Sasin, Edwin J MDGender: MaleNPI: 1790704997

43349 S Highway 181Kenedy, TX 78119(800) 962-3303Schaner, Patrick J MDGender: MaleNPI: 1710913496

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Seaton, Cole MDGender: MaleNPI: 1205331170

43349 S Highway 181Kenedy, TX 78119(830) 583-3401

Sheide, Marshall DOGender: MaleNPI: 1952898108

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Shenouda, Rouchdy S MDGender: MaleNPI: 1992781306

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Solis, Steven P MDGender: MaleNPI: 1982831665

43349 S Hwy 181Kenedy, TX 78119(281) 363-3156Soza, Noe MDGender: MaleNPI: 1952399172

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Stoneking, Carrie M DOGender: FemaleNPI: 1568432375

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Trevino, Jaime MDGender: MaleNPI: 1811926306

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Ukegbu, Ibidunni O MDGender: FemaleNPI: 1447213194

43349 S Hwy 181Kenedy, TX 78119(281) 363-3156

u Van Burkleo, William BDOGender: MaleNPI: 1992781140

43349 S Highway 181Kenedy, TX 78119(281) 363-3156Vu, Hang T MDGender: FemaleNPI: 1730140476

43349 S Hwy 181Kenedy, TX 78119(281) 363-3156

White, Toni I MDGender: FemaleNPI: 1841418910

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303

u Yoganandan, PrameelaMDGender: FemaleNPI: 1811949290

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Yousuf, Almas MDGender: FemaleNPI: 1396757647

43349 S Hwy 181Kenedy, TX 78119(800) 962-3303Zawislak, Walter J MDGender: MaleNPI: 1992787568

43349 S Hwy 181Kenedy, TX 78119(281) 363-3156

REFUGIO COUNTYMEMORIALHOSPITAL

EMERGENCY MEDICINEMunion, William M MDGender: MaleNPI: 1255829784

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Neugebauer, Amber L DOGender: FemaleNPI: 1477040061

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Ponder, Melissa MDGender: FemaleNPI: 1053832170

43349 S Highway 181Kenedy, TX 78119(830) 583-3401Requa, Spencer DOGender: MaleNPI: 1538692819

43349 S Highway 181Kenedy, TX 78119(830) 583-3401

Seaton, Cole MDGender: MaleNPI: 1205331170

43349 S Highway 181Kenedy, TX 78119(830) 583-3401

CHRISTUS SPOHNHOS CCTXSHORELINE

ANESTHESIOLOGYu Brady, Kevin M MDGender: MaleNPI: 1528002045

41311 E General CavazosBlvdKingsville, TX 78363(361) 595-1661Heinrich, Michael S MDGender: MaleNPI: 1710930938

41311 E General CavazosBlvdKingsville, TX 78363(361) 595-1661

u Jung, Harry H MDGender: MaleNPI: 1740224674

41311 E General CavazosBlvdKingsville, TX 78363(361) 595-1661

u Lemons, Mark F MDGender: MaleNPI: 1548225717

41311 E General CavazosBlvdKingsville, TX 78363(361) 595-1661

u Rubio, Jose A MDGender: MaleNPI: 1225281645

41311 E General CavazosBlvdKingsville, TX 78363(361) 595-1661

u Tom, Timothy D MDGender: MaleNPI: 1801882444

41311 General Cavazos BlvdKingsville, TX 78363(800) 277-8151

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KENEDY

25

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Page 26: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CHRISTUS SPOHNHOSP CCTXMEMORIAL

ANESTHESIOLOGYHeinrich, Michael S MDGender: MaleNPI: 1710930938

41311 E General CavazosBlvdKingsville, TX 78363(361) 595-1661

u Lemons, Mark F MDGender: MaleNPI: 1548225717

41311 E General CavazosBlvdKingsville, TX 78363(361) 595-1661

CHRISTUS SPOHNHOSPITAL ALICE

GENERAL SURGERYSubnani, Raj MDGender: MaleNPI: 19927078481300 General CavazosBlvdKingsville, TX 78363(361) 668-0055

CHRISTUS SPOHNHOSPITAL KLEBERG

GENERAL SURGERYFlores, Luis F MDGender: MaleNPI: 13069227941311 General CavazosBlvdKingsville, TX 78363(361) 720-30031311 General CavazosBlvd Ste OKingsville, TX 78363(361) 595-1843Subnani, Raj MDGender: MaleNPI: 19927078481300 General CavazosBlvdKingsville, TX 78363(361) 668-0055

PATHOLOGYu Simonsen, Randall L MDGender: MaleNPI: 1235261082

41311 General Cavazos BlvdKingsville, TX 78363(361) 595-1661

CORPUS CHRISTIMEDICAL CENTER

ANESTHESIOLOGYu Brady, Kevin M MDGender: MaleNPI: 1528002045

41311 E General CavazosBlvdKingsville, TX 78363(361) 595-1661

PATHOLOGYu Simonsen, Randall L MDGender: MaleNPI: 1235261082

41311 General Cavazos BlvdKingsville, TX 78363(361) 595-1661

CHRISTUS SPOHNHOSPITAL ALICE

RADIOLOGYu Truong, Vi Q DOGender: MaleNPI: 1295799088

4115 Northshore BlvdPortland, TX 78374(361) 358-7166

CHRISTUS SPOHNHOSPITAL BEEVILLE

RADIOLOGYu Menendez, Isabel C MDGender: FemaleNPI: 1376508168

4115 Northshore BlvdPortland, TX 78374(361) 906-0969

u O Connor, Brendon D MDGender: MaleNPI: 1861457582

4115 Northshore BlvdPortland, TX 78374(361) 906-0969

CHRISTUS SPOHNHOSPITAL KLEBERG

RADIOLOGYu Menendez, Isabel C MDGender: FemaleNPI: 1376508168

4115 Northshore BlvdPortland, TX 78374(361) 906-0969

u Schapman, Steven J DOGender: MaleNPI: 1144285875

4115 Northshore BlvdPortland, TX 78374(361) 906-0969

CORPUS CHRISTIMEDICAL CENTER

RADIOLOGYGershon, Ruth K MDGender: FemaleNPI: 1033475827

41776 Billy G WebbPortland, TX 78374(361) 887-7000Turner, Jennifer E MDGender: FemaleNPI: 16694662561776 Billy G WebbPortland, TX 78374(361) 887-7000

CHRISTUS SPOHNHOS CCTXSHORELINE

EMERGENCY MEDICINECarroll, John R MDGender: MaleNPI: 1992792881

4107 Swift StRefugio, TX 78377(361) 526-2321

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

4107 Swift StRefugio, TX 78377(361) 526-2321Madarang, Eric L DOGender: MaleNPI: 1336438878

4107 Swift StRefugio, TX 78377(361) 526-2321

CHRISTUS SPOHNHOSP CCTXMEMORIAL

EMERGENCY MEDICINECarroll, John R MDGender: MaleNPI: 1992792881

4107 Swift StRefugio, TX 78377(361) 526-2321Nguyen, Vinh Quang DDOGender: MaleNPI: 1639530173

4107 Swift StRefugio, TX 78377(361) 526-2321

CHRISTUS SPOHNHOSPITAL BEEVILLE

EMERGENCY MEDICINEHassanin, Salsabeal S DOGender: FemaleNPI: 1790162295

4107 Swift StRefugio, TX 78377(361) 526-2321

OTTO KAISERMEMORIALHOSPITAL

EMERGENCY MEDICINEMunion, William M MDGender: MaleNPI: 1255829784

4107 Swift StRefugio, TX 78377(361) 526-2321

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KINGSVILLE 01/19/2021

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OTTO KAISERMEMORIALHOSPITAL(continued)

EMERGENCY MEDICINE(continued)Neugebauer, Amber L DOGender: FemaleNPI: 1477040061

4107 Swift StRefugio, TX 78377(361) 526-2321Ponder, Melissa MDGender: FemaleNPI: 1053832170

4107 Swift StRefugio, TX 78377(361) 526-2321Requa, Spencer DOGender: MaleNPI: 1538692819

4107 Swift StRefugio, TX 78377(361) 526-2321Seaton, Cole MDGender: MaleNPI: 1205331170

4107 Swift StRefugio, TX 78377(361) 526-2321

REFUGIO COUNTYMEMORIALHOSPITAL

EMERGENCY MEDICINEBarker, Samuel F MDGender: MaleNPI: 1972941375

4107 Swift StRefugio, TX 78377(361) 526-2321Bennington, Michael J MDGender: MaleNPI: 1053375139

4107 Swift StRefugio, TX 78377(361) 526-2321Borucki, Simon MDGender: MaleNPI: 1942350079

4107 Swift StRefugio, TX 78377(361) 526-2321

Cambron, John D DOGender: MaleNPI: 1376077321

4107 Swift StRefugio, TX 78377(361) 526-2321Carroll, John R MDGender: MaleNPI: 1992792881

4107 Swift StRefugio, TX 78377(361) 526-2321Colvin, James MDGender: MaleNPI: 1891114948

4107 Swift StRefugio, TX 78377(361) 526-2321Crawford, Cadyn A MDGender: FemaleNPI: 1487159372

4107 Swift StRefugio, TX 78377(361) 526-2321Ewbank, Jordyn DOGender: FemaleNPI: 1437656410

4107 Swift StRefugio, TX 78377(361) 526-2321Fleischer, Richard D MDGender: MaleNPI: 1801282728

4107 Swift StRefugio, TX 78377(361) 526-2321Gilmore, Scott M MDGender: MaleNPI: 1457705642

4107 Swift StRefugio, TX 78377(361) 526-2321Gonzales, Albert MDGender: MaleNPI: 1902223217

4107 Swift StRefugio, TX 78377(361) 526-2321Guillermo, Patrick G MDGender: MaleNPI: 1174934301

4107 Swift StRefugio, TX 78377(361) 526-2321

Hassanin, Salsabeal S DOGender: FemaleNPI: 1790162295

4107 Swift StRefugio, TX 78377(361) 526-2321Hill, Monica R MDGender: FemaleNPI: 1891782330

4107 Swift StRefugio, TX 78377(361) 526-2321

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

4107 Swift StRefugio, TX 78377(361) 526-2321Joseph, Ryan DOGender: MaleNPI: 1619354776

4107 Swift StRefugio, TX 78377(361) 526-2321Kingsley, Benjamin K MDGender: MaleNPI: 1760879845

4107 Swift StRefugio, TX 78377(361) 526-2321Lockwood, Nicholas G DOGender: MaleNPI: 1275066854

4107 Swift StRefugio, TX 78377(361) 526-2321Madarang, Eric L DOGender: MaleNPI: 1336438878

4107 Swift StRefugio, TX 78377(361) 526-2321McGrath, Laura MDGender: FemaleNPI: 1699209874

4107 Swift StRefugio, TX 78377(361) 526-2321Munion, William M MDGender: MaleNPI: 1255829784

4107 Swift StRefugio, TX 78377(361) 526-2321

Needleman, Louis J MDGender: MaleNPI: 1043299225

4107 Swift StRefugio, TX 78377(512) 526-2321Neugebauer, Amber L DOGender: FemaleNPI: 1477040061

4107 Swift StRefugio, TX 78377(361) 526-2321Nguyen, Vinh Quang DDOGender: MaleNPI: 1639530173

4107 Swift StRefugio, TX 78377(361) 526-2321Palafox, Maria D MDGender: FemaleNPI: 1699740951

4107 Swift StRefugio, TX 78377(361) 526-2321Parsoneault, Amber N MDGender: FemaleNPI: 1710410774

4107 Swift StRefugio, TX 78377(361) 526-2321Peterson, Michael W MDGender: MaleNPI: 1124110127

4107 Swift StRefugio, TX 78377(361) 526-2321Philip, James DOGender: MaleNPI: 1144617358

4107 Swift StRefugio, TX 78377(361) 526-2321Ponder, Melissa MDGender: FemaleNPI: 1053832170

4107 Swift StRefugio, TX 78377(361) 526-2321Remme, Lindsey C DOGender: FemaleNPI: 1588906838

4107 Swift StRefugio, TX 78377(361) 526-2321

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 REFUGIO

27

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REFUGIO COUNTYMEMORIALHOSPITAL(continued)

EMERGENCY MEDICINE(continued)Requa, Spencer DOGender: MaleNPI: 1538692819

4107 Swift StRefugio, TX 78377(361) 526-2321Seaton, Cole MDGender: MaleNPI: 1205331170

4107 Swift StRefugio, TX 78377(361) 526-2321Strawn, Matthew MDGender: MaleNPI: 1386030393

4107 Swift StRefugio, TX 78377(361) 526-2321Welsh, John V MDGender: MaleNPI: 1518225424

4107 Swift StRefugio, TX 78377(361) 526-2321

GENERAL SURGERYStafford, Michael T MDGender: MaleNPI: 1285784298

4107 Swift StRefugio, TX 78377(361) 526-2321

CHRISTUS SPOHNHOS CCTXSHORELINE

GENERAL SURGERYu Owsley, Jimie D MDGender: FemaleNPI: 1730115270403 East MainRobstown, TX 78380(361) 767-1200

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

REFUGIO 01/19/2021

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CORPUS CHRISTIChristus-Spohn Surgicareof CorpuNPI: 1609831296

♿718 Elizabeth Street(361) 882-3204

Coastal Bend AmbulatorySurgical Center IncNPI: 1689695959

♿900 Morgan(361) 888-4288

Corpus Christi EndoscopyCtr LLPNPI: 18312387736421 Saratoga BlvdBldg 105(361) 985-9300

Corpus Christi OutpatientSurgeryNPI: 1215091087

♿3636 S Alameda StSte A(361) 853-2200

Saratoga Surgical CenterNPI: 15880394656214 Saratoga BlvdBldg 6(361) 452-5460

Spinecare LLPNPI: 15786105645734 Spohn Dr #B(361) 882-4452

Texas Precision SurgeryCenterNPI: 10537147585721 Esplanade Dr(361) 334-1300

CARDIAC CATHETERLAB

Cardiac Cath Lab CorpusChristiNPI: 1487929907

♿1521 S Staples StSte 102(361) 888-7779

CLINICALLABORATORIES

Quest Diagnostics(Quest)(PREFERREDSTATEWIDEPROVIDER) For moreinformation oncurrent listings ofQuest facilities anddrawing stations,you may call Quest’stoll-free number at 1-888-277-8772 oraccess Quest’swebsite atwww.QuestDiagnostics.com/patientLaboratoryCorporation ofAmericaClinical PathologyLaboratories, Inc.

CLINICAL ANDANATOMICALLABORATORIES

ALICECPL IncNPI: 1194769497

♿2510 E Main #104(361) 668-0611

Quest Diagnostics2000 Dr NW Atkinson BlvdSte 1201(361) 664-4617

CORPUS CHRISTICPL IncNPI: 1194769497

♿1101 Santa Fe(361) 884-6113

CPL IncNPI: 1194769497

♿5837 Spohn Dr(361) 986-9259

CPL Patient Service CenterBonilla PlazaNPI: 1194769497

♿2727 Morgan Avenue #500(361) 904-0041

Histopath IncNPI: 1881674182

♿7101 S Padre Island Dr(361) 992-4040

Labcorp of America-Meadow Oaks ShoppingCenteNPI: 1003891821

♿2222 Airline Road #B4(361) 985-0075

Laboratory Corporation ofAmericaNPI: 1003891821

♿1521 S Staples St #103(361) 888-8480

Laboratory Corporation ofAmericaNPI: 1003891821

♿13725 Northwest Blvd #250(361) 387-8121

Quest Diagnostics14101 Northwest Blvd #113(361) 387-5030

Quest Diagnostics6113 Saratoga Blvd Ste E(361) 906-2657

Quest Diagnostics ClinicalLaboratories Inc♿3133 South Alameda #500(361) 884-5375

KINGSVILLEClinical PathologyLaboratoriesNPI: 1194769497211 E Caesar Ave #D(361) 592-6616

Quest DiagnosticsNPI: 17907215381126 S 14th StSte 1(361) 516-1670

South Texas ClinicalLaboratoryNPI: 1649459744418 S 6th St(361) 516-1601

DURABLE MEDICALEQUIPMENT

ALICEHomcare MedicalEquipmentNPI: 1093823296

♿717 Flournoy Road(361) 664-0991

BEEVILLEByram HealthcareNPI: 1912952375Mail Order Supplier(866) 321-0900

Edgepark Surgical SupplyNPI: 1609858729

♿Mail Order Supplier(800) 321-0591

J and R MedicalNPI: 1972516144Mail Order Supplier(877) 505-4207

McKesson Patient CareSolutionsNPI: 1386986297Mail Order Supplier(888) 202-5700

CORPUS CHRISTIAccess MobilityNPI: 13968091584531 Ayers StSte 220(361) 857-8002

American HomepatientIncorporatedNPI: 1356316145

♿226 Enterprise PkwySte 101(361) 289-7177

Apria Healthcare IncNPI: 1912916305

♿2449 Bear Ln(361) 299-2535

Bay Area Sleep EvaluationCenterNPI: 18210335986000 S Staples StSte 403(361) 852-9200

Byram HealthcareNPI: 1912952375Mail Order Supplier(866) 321-0900

Calallen DME IncNPI: 133628028813310 Leopard Ste 9(361) 242-2333

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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DURABLE MEDICALEQUIPMENT (continued)

CORPUS CHRISTI(continued)

Christian Care MedicalEquipmentNPI: 13968857784455 S Padre Island DrSte 46(361) 334-9944

Coastal Bend DMENPI: 1689855751

♿6202 Dunbarton Oak StSte 100(361) 288-1858

Edgepark Surgical SupplyNPI: 1609858729

♿Mail Order Supplier(800) 321-0591

Hope Medical Supply IncNPI: 1497744361

♿1010 Ayers(361) 883-5701

Inmon RespiratoryServices IncNPI: 1336144922

♿4639 Corona Ste 43(361) 225-0052

J and R MedicalNPI: 1972516144Mail Order Supplier(877) 505-4207

Lincare IncNPI: 1295810380

♿4410 Dillon Ln Ste 47(800) 494-1666

Maximum Mobility IncNPI: 1134225709

♿3237a S Padre Island Dr(361) 241-1800

McKesson Patient CareSolutionsNPI: 1386986297Mail Order Supplier(888) 202-5700

Nurses On WheelsNPI: 17302713882909 S Staples(361) 882-3900

Russell Medical IncNPI: 1578517488

♿4410 Dillon Lane #17(361) 808-7382

Travis Medical SalesCorporationNPI: 13767706442910 S Padre Island Dr(361) 806-2772

Ultima Medical SupplyNPI: 15788732871231 Agnes St Ste A-2(361) 883-1005

KINGSVILLEPremier Medical SupplyNPI: 1225083298203 E King Ave(361) 592-9200

Steele Home MedicalEquipmentNPI: 1205885019

♿928 S 6th St(361) 592-9566

SINTONEconomy Medical RentalIncNPI: 1467429266

♿101 West Sinton Street(361) 364-3534

HEARING AID SUPPLIER

CORPUS CHRISTIHear Again Hearing AidsLLCNPI: 14070288973314 S Alameda(361) 854-2500

Hoffman Hearing SolutionsLLCNPI: 14578304327602 S Staples StSte 103(361) 288-3000

Miracle EarNPI: 19427118663841 S Alameda St(361) 723-0201

Newsound Hearing AidCentersNPI: 1649507880653 Everhart Rd(361) 855-6055

The Hearing Aid Companyof TexasNPI: 1225155468

♿6468 Holly Rd(361) 814-3487

ROCKPORTNewsound Hearing AidCentersNPI: 12758604391723 E Cherry StSte 1(361) 790-7878

HOME HEALTH

ALICEFirst Home Healthcare LLCNPI: 1730361643308 E 2nd St Ste D(361) 396-0902

Healthy HorizonsHomecare HospiceNPI: 14575454511006 E 6th St(361) 668-4511

MI Familia Home HealthNPI: 18212423481881 S Reynolds StSte B(361) 396-4803

R E A L Home Health CareNPI: 1669577359

♿301 Lucero Street(361) 668-3158

United Home CareNPI: 1902851801405 Highland Ave(361) 664-8908

BEEVILLEAmerican Medical HMEHlth SvcsNPI: 1093768996

♿301 S Hillside DrSte 11(361) 547-5655

Exclusive Home HealthHospice IncNPI: 1326153891

♿325 North Washington St(361) 358-2468

Legacy Home HealthAgency IncNPI: 1689652166104 W Huntington(361) 358-4448

CORPUS CHRISTIA Med Home HealthNPI: 11242164036262 Weber RdSte 325(361) 933-0101

Aadi Home HealthNPI: 1336242841

♿3546 S Alameda(361) 452-3384

American Medical HomeHealth SvcsNPI: 1104879634

♿2820 S Padre Island DrSte 296(361) 887-9760

Apc Home Health ServiceIncNPI: 1710199617

♿4444 Corona DrSte 120(361) 814-3033

AqtsNPI: 14775060384646 Corona DrSte 260(361) 334-1609

Aveanna HealthcareNPI: 10434645714444 Corona DriveSte 234(361) 854-1110

Del Cielo Hm Care ServsNPI: 12755269235350 S Staples StSte 125(361) 814-4500

Girling Health Care IncNPI: 11644302864646 Corona DrSte 216(361) 853-9901

Guardian HealthcareNPI: 1043304850

♿4444 Corona AveSte 211(361) 371-3636

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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HOME HEALTH(continued)

CORPUS CHRISTI(continued)

Legacy Home HealthAgencyNPI: 1689652166

♿5277 Old Brownsville RdSte 205(361) 855-0848

National Nursing andRehab Corpus ChristiNPI: 17205691144444 Corona DrSte 100(361) 225-3492

Nurses On Wheels IncNPI: 1992757074

♿1101 Third Street(361) 814-1669

Port Homecare ServicesIncNPI: 12856379005525 S Staples StSte A7(361) 854-2273

Prime Care Home HealthIncNPI: 13563585433833 S Staples St Ste N215(361) 334-9112

Save Home Health Care IncNPI: 1962550723

♿719 N Upper Broadway StSte 100(361) 855-9393

KENEDYOtto Kaiser MemorialHospitalNPI: 11443499523349 S Hwy 181(830) 583-3401

ROBSTOWNDor Ans Home HealthService IncNPI: 1689668006

♿518 E Main Ave(361) 387-4575

Saenz Home HealthServices IncNPI: 1225059322

♿518 East Main AveSte C(361) 387-1650

HOME INFUSIONTHERAPY

CORPUS CHRISTIParagon Infusion ServicesNPI: 1669654349

♿6523 Teamwork Trl(361) 814-8983

HOSPICE

BEEVILLEExclusive Hm Hlth andHospice IncNPI: 1326153891325 N Washington St(361) 358-2468

CORPUS CHRISTIAltus Hospice of CorpusChristiNPI: 16393593914300 S Padre Island DrSte 1 1(361) 723-1049

Angel Bright Hospice IncNPI: 14171566703213 Holly Rd(361) 853-4300

Cima Hospice A Part of TheElara Caring NetwoNPI: 15385517594444 Corona DrSte 234(361) 248-4776

Harbor Hospice CorpusChristi LPNPI: 15485571014449 S Alameda RdSte 2(361) 452-3592

Kindred HospiceNPI: 1649321928210 South CarancahuaSte 200(361) 992-2700

Legacy Home HealthAgency IncNPI: 11242283175277 Old Brownsville RdSte 205(361) 855-0848

New Century HospiceSouth TexasNPI: 10333978154550 Corona Dr(361) 814-3600

Nurses On Wheels IncNPI: 1417901034

♿1101 Third Street(361) 814-1669

River City HospiceNPI: 12152527884646 Corona DrSte 160(361) 882-5900

ROCKPORTHarbor Hospice Gulf CoastLPNPI: 1003993585400 Enterprise BlvdSte 1 3(361) 727-1232

IMAGING CENTER

ALICERadiology Associates LLPNPI: 1558311340

♿2000 Dr N W Atkinson BlvdSte 801(361) 887-7000

CORPUS CHRISTIAlliance MRI Corpus ChristiNPI: 18811053283702 Alameda St(361) 561-0635

Coastal ImagingNPI: 10030872145945 McArdle RdSte 125(361) 991-1007

Memorial MRI & DiagnosticPLLCNPI: 19129891203502 S Padre Island Dr(713) 461-3399

Open MRI of Corpus ChristiNPI: 10336208852701 Morgan AveSte 450(361) 256-2101

Radiology and Imaging ofSouth TeNPI: 11846698972825 Spohn South Dr(361) 991-9595

Radiology and Imaging ofSouth Texas LLPNPI: 1184669897

♿3226 South Alameda(361) 888-6684

Radiology Associates LLPNPI: 1558311340

♿1812 S Alameda(361) 887-7000

Radiology Associates LLPNPI: 1558311340

♿3929 River East Dr(361) 887-7000

Radiology Associates LLPNPI: 1558311340

♿5742 Spohn Dr(361) 887-7000

True Medical Imaging LLCNPI: 15282304223502 S Padre Island Dr(361) 854-4400

KINGSVILLEGulf Coast Imaging &Associates LLCNPI: 1750871414

♿914 E Fordyce AveSte B(361) 595-3050

PORTLANDRadiology Associates LLPNPI: 15583113401776 Billy G Webb Dr(361) 887-7000

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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PROSTHESES,ORTHOTICS &PEDORTHISTS

CORPUS CHRISTIAselage Orthotic ServicesNPI: 1154430429

♿1001 Louisiana AveSte 304(361) 854-2355

Corpus Christi ProstheticsNPI: 1235149824

♿1326 Santa Fe(361) 888-7752

HealthtiqueNPI: 19920729203833 S Staples StSte S 211(361) 334-2517

Matisons OrthoticsProsthetics LLCNPI: 1275562126

♿3560 S Alameda StSte 2(361) 854-5200

RADIATION THERAPYCENTER

Christus Spohn HospitalShorelineNPI: 1689641680

♿1415 Santa Fe Street(361) 887-4521

RENAL DIALYSISFACILITY

ALICEAlice DialysisNPI: 1528160702

♿901 Medical Center Blvd(361) 668-8055

Alice Renal CenterNPI: 16098223032345 Alice Regional Blvd(615) 234-0930

ARANSAS PASSBay Area Dialysis AransasPassNPI: 1700998689

♿709 S Commercial StSte C1(361) 758-0029

BEEVILLEBeeville Renal CenterNPI: 15684180361905 NW Frontage Rd(615) 234-0930

US Renal Care BeevilleDialysisNPI: 1225056005

♿100 West Huntington St(361) 358-8200

CORPUS CHRISTIBay Area Dialysis CorpusChristiNPI: 1609966100

♿1647 S Alameda St(361) 888-7547

Bay Area Dialysis ServicesNPI: 1255443131

♿4112 S Staples StSte A(361) 814-0168

Coastal DialysisNPI: 16391251724300 S Padre Island DrSte 2-2(615) 234-0930

Dsi Oso Bay DialysisCenterNPI: 1932595030

♿7502 S Padre Island Dr(361) 994-1028

Fresenius Kidney CareCorpus Christi BaysideNPI: 10033839021121 3rd St(361) 529-6263

Fresenius Kidney CareCorpus Christi HomeNPI: 19629644525842 Yorktown Blvd(361) 906-0812

Fresenius Kidney CareKings CrossingNPI: 18710553685834 Yorktown Blvd(361) 993-0480

Fresenius Medical CareCalallenNPI: 1174635056

♿4147g Five Points Road(361) 242-3300

Fresenius Medical CareSaratogaNPI: 1770782393

♿6017 Parkway Dr(361) 986-1567

Greenwood Holly RenalCenterNPI: 1093998940

♿1533 Holly Road(361) 850-7300

Morgan Avenue DialysisNPI: 18614482762222 Morgan AveSte 104(615) 234-0930

Nri Corpus ChristiNPI: 14775094872733 Swatner Dr(615) 234-0930

Riverside Renal CenterNPI: 179073178413434 Up River RdSte A 17(615) 234-0930

Southside DialysisNPI: 10033467926018 Parkway Dr(361) 994-5262

FALFURRIASFresenius Medical CareFalfurriasNPI: 1982803748

♿720 N St Marys St(361) 325-3528

KINGSVILLEBay Area Dialysis ServicesNPI: 1265544142

♿2213 S Brahma Blvd(361) 595-4178

ROBSTOWNRcg Robstown LLPNPI: 1659483535

♿902 Linclon Avenue(361) 767-0408

ROCKPORTFresenius Medical CareRockportNPI: 1760647580

♿1102 FM 3036(361) 790-5675

SINTONBay Area Dialysis ServicesNPI: 1891807772

♿222 East Sinton Avenue(361) 364-1968

SKILLED NURSINGFACILITY

ALICERetama Manor Nurs CtrAliceNPI: 1437270865

♿606 Coyote Trail(361) 664-5479

CORPUS CHRISTIAlameda Oaks NursingCenterNPI: 1518359785

♿1101 South Alameda(361) 882-2711

Brookdale Trinity TowersNPI: 1396794269317 North Carancahua(361) 887-2000

Christus Spohn Hos C CSNFNPI: 1811966195

♿600 Elizabeth Street(361) 881-3000

Cimarron Place Hlth RehabCtrNPI: 10735878123801 Cimarron Blvd(361) 993-8500

Corpus Christi NursingRehab CtrNPI: 18614424692735 Airline Rd(361) 894-0128

Retama Manor Nursing CtrNPI: 1518036987

♿2322 Morgan Avenue(225) 773-7031

River Ridge Nursing andRehabilitationNPI: 10230531213922 W River Dr(361) 767-2000

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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SKILLED NURSINGFACILITY (continued)

CORPUS CHRISTI(continued)

San Rafael Nursing RehabCenterNPI: 1639312903

♿3050 Sunnybrook Rd(361) 853-9981

The Palms Nursing andRehabilitationNPI: 1134115918

♿5607 Everhart Road(361) 854-4601

Windsor CalallenNPI: 19325963434162 Wildcat Dr(361) 241-2954

Windsor Nursing &Rehabilitation Center of CoNPI: 14071273843030 Fig St(361) 888-5619

Wooldridge Place NursingCenterNPI: 1326071358

♿7352 Wooldridge Road(361) 991-9633

FALFURRIASFalfurrias Nursing andRehab LPNPI: 19129944011301 S Terrell St(361) 325-3658

GEORGE WESTLive Oak Nursing CenterNPI: 1407864333

♿2951 Highway 281(361) 449-2532

KARNES CITYBluebonnet Nursing andRehab LPNPI: 1003803503

♿696 FM 99(830) 780-3944

KINGSVILLEKingsville Nursing & RehabCenterNPI: 1841254174

♿3130 S Brahma Blvd(361) 592-8700

Kleberg Cnty Nursing andRehab LPNPI: 1669468450316 General Cavazos(361) 592-9366

MATHISPalma RealNPI: 1083002893

♿1220 Loop 459(361) 547-3318

PORTLANDCoastal Palms Nursing &RehabilitationNPI: 1578509584221 Cedar Drive(361) 643-1888

ROBSTOWNRobstown Nursing andRehabilitation CenterNPI: 1407372642603 E Avenue J(361) 387-1568

ROCKPORTGulf Pointe PlazaNPI: 19220927901008 Enterprise Blvd(361) 727-1800

Rockport Nursing andRehabilitation CenterNPI: 1518915099

♿1902 FM 3036(361) 729-9971

SAN DIEGOLa Paloma Nursing CenterNPI: 1912028598138 South FM 1329(361) 279-8291

SLEEP STUDIESCENTER

CORPUS CHRISTIBay Area Sleep EvaluationCenterNPI: 18210335986000 S StaplesSte 408(361) 852-9200

Five Star Sleep Center LPNPI: 14273742894613 S StaplesSte A(361) 334-1481

Torr Respiratory ServicesIncNPI: 1770538183

♿4639 Corona DrSte 45(361) 852-8298

TX Christian Care Sleep CtrLLCNPI: 16595285524455 S Padre Island DrSte 6(361) 723-2130

URGENT CARE CENTER

ALICENextcare Urgent CareNPI: 11544729673308 E Main St(361) 998-9970

BEEVILLENextcare Urgent CareNPI: 11544729671402 E Houston St(361) 362-9711

CORPUS CHRISTIBay Area Quick Care PLLCNPI: 14374814219929 S Padre Island Dr Ste109(361) 937-2121

Concentra Urgent CareNPI: 17101765242209 North Padre Island Dr.(361) 289-5811

Concentra Urgent CareNPI: 17101765244025 S Padre Island Dr(361) 852-8255

Driscoll Childrens UrgentCareNPI: 18018567865945 Saratoga Blvd(361) 694-1500

Family Health Spa andMinor EmergNPI: 117483718110102 S Padre Island Dr(361) 937-3303

Pedicare Childrens UrgentCare PANPI: 12851653326326 Yorktown BlvdSte 1b(361) 334-0613

Promptu Immediate CareNPI: 18719858614938 S Staples StSte E8(210) 598-1517

Promptu Immediate CareNPI: 18719858615638 Saratoga BlvdSte 114(361) 444-5280

TLC Medical Center LLCNPI: 150817493914317 Northwest BlvdSte D(361) 993-5105

KINGSVILLEAccess Urgent CareKingsville LLCNPI: 1679052666401 E King Ave(361) 884-2904

ROCKPORTCode 3 Urgent Care atRockportNPI: 1780119263400 Enterprise BlvdSte A120(361) 371-3444

Nextcare Urgent CareNPI: 11544729672621 Hwy 35 N(361) 729-3939

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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URGENT CARE CENTER(continued)

ROCKPORT(continued)

Rockport Urgent CareCenterNPI: 18516067502621 Hwy 35 N(361) 729-3939

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ROCKPORT 01/19/2021

34

Page 35: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

AMBULATORYSURGICAL CENTER(ASC)

CORPUS CHRISTIChristus-Spohn Surgicareof CorpuNPI: 1609831296

♿718 Elizabeth Street(361) 882-3204

Coastal Bend AmbulatorySurgical Center IncNPI: 1689695959

♿900 Morgan(361) 888-4288

Corpus Christi EndoscopyCtr LLPNPI: 18312387736421 Saratoga BlvdBldg 105(361) 985-9300

Corpus Christi OutpatientSurgeryNPI: 1215091087

♿3636 S Alameda StSte A(361) 853-2200

Saratoga Surgical CenterNPI: 15880394656214 Saratoga BlvdBldg 6(361) 452-5460

Spinecare LLPNPI: 15786105645734 Spohn Dr #B(361) 882-4452

Texas Precision SurgeryCenterNPI: 10537147585721 Esplanade Dr(361) 334-1300

Freestanding Outpatient FacilitiesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Freestanding Outpatient FacilitiesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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ALICE

FAMILY PRACTICECantu, Sergio S MDGender: MaleNPI: 1770862047

♿779 N Texas Blvd(361) 668-0919Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: BrushCountry Medical PLLCBoard Certifications:NoneLanguage: Spanish

u Chase, C C MDGender: MaleNPI: 12250666162510 E MainSte 102(361) 664-4445Hospital Affiliations:Santa Rosa Medical CenterClinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:Family PracticeLanguage: SpanishElizondo, Carlos MDGender: MaleNPI: 1417391764

♿4317 E 1st St(361) 664-0202Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: PrimaryCare and WellnessBoard Certifications:NoneLanguage: Spanish

u Hartquist, Cara M DOGender: FemaleNPI: 1619317997

4317 E 1st St(361) 664-0202Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx ShorelineClinic Affiliation: PrimaryCare and WellnessBoard Certifications:Family PracticeLanguage: Spanish

u Kamat, Vandana S MDGender: FemaleNPI: 1619994258

♿700 Flournoy Rd Ste 2a(361) 664-1417Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp Cctx SouthClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Family PracticeLanguage: Hindi; Spanish

u Liles, Jerry B DOGender: MaleNPI: 1013934645

♿1009 East Sixth St(361) 668-8888Hospital Affiliations:Christus Spohn HospitalAliceBoard Certifications:Family PracticeLanguage: SpanishLopez, Alejandro MDGender: MaleNPI: 1962498121

♿201 Mariposa(361) 664-8811Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: SouthTexas Family MedicineBoard Certifications:NoneLanguage: Serbian;SpanishRacette, Guy J MDGender: MaleNPI: 18018762552510 E Main St Ste 104(361) 661-8390Hospital Affiliations:Christus Hospital StElizabethClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: French;Spanish

INTERNAL MEDICINEu Diaz, Roberto F MDGender: MaleNPI: 1851300891

♿2510 E Main StSte 102(361) 664-4445Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:Internal Medicine; SleepMedicineLanguage: SpanishGray, David C MDGender: MaleNPI: 19028148742510 E Main StSte 104(361) 661-8390Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: SpanishThompson, Anthony J DOGender: MaleNPI: 16391782052510 E Main St Ste 102(361) 664-4445Clinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:None

OBSTETRICS-GYNECOLOGY

u Diclemente, Michael J MDGender: MaleNPI: 16391600882520 E Main StSte 206(361) 661-8390Hospital Affiliations:Matagorda RegionalMedical Center; AscensionSeton Williamson; UTMBHealth Galveston; SetonMedical Ctr Harker Heights;Ascension Seton MedCenter Austin; Dell SetonMedical Center at UT;Matagorda RegionalMedical Center; MemorialMedical Center; St DavidsN Austin Medical Ctr;Memorial Medical Center;St Marks Medical Center;St Davids N Austin MedicalCtr; Seton Medical CtrHarker Heights; AscensionSeton Williamson;Ascension Seton MedCenter Austin; UTMBHealth Galveston; St MarksMedical Center; Dell SetonMedical Center at UTClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:Obstetrics-GynecologyLanguage: Spanish

PEDIATRICSu Almouie, Muhamad N MDGender: MaleNPI: 1558369710

♿603 E 1st StSte 1(361) 664-3955Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: AlmouiePediatrics PABoard Certifications:PediatricsLanguage: Arabic;Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ALICE 01/19/2021

36

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

Page 37: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

ALICE (continued)

PEDIATRICS (continued)u Nisimblat, Erik MDGender: MaleNPI: 1083707012

♿U305 East Third Street(361) 664-9353Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn HospitalAliceClinic Affiliation: AlicePediatric ClinicBoard Certifications:PediatricsLanguage: SpanishNisimblat, William MDGender: MaleNPI: 1700979739

♿U305 East Third Street(361) 664-9353Hospital Affiliations:Christus Spohn HospitalAlice; Driscoll ChildrensHospitalClinic Affiliation: AlicePediatric ClinicBoard Certifications:NoneLanguage: SpanishPatel, Nirupama P MDGender: FemaleNPI: 1831156975

♿U415 East 4th St(361) 664-8945Hospital Affiliations:Christus Spohn HospitalAliceBoard Certifications:NoneLanguage: Hindi; Spanish

u Puyol, Franz I MDGender: MaleNPI: 1639262678

♿U305 E Third St(361) 664-5291Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: AlicePediatric ClinicBoard Certifications:PediatricsLanguage: Spanish

u Ryan Philpott, Karen AMDGender: FemaleNPI: 1427042183603 E 1st StSte 1(361) 664-3955Hospital Affiliations:Childrens Hospital SanAntonio; Santa RosaMedical CenterClinic Affiliation: AlmouiePediatrics PABoard Certifications:Pediatrics

ARANSAS PASS

FAMILY PRACTICEBailey, Lawrence R MDGender: MaleNPI: 19020331521401 W Wheeler Ave(361) 226-3434Clinic Affiliation:Lawrence Ray Bailey MDPLLCBoard Certifications:NoneLanguage: SpanishStehn, Lorraine S DOGender: FemaleNPI: 1841260759

4201 W Wilson Ave(361) 758-2799♿4201 W Wilson St(361) 758-2799Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: LorraineStehn Dopa; Trinity ClinicBoard Certifications:NoneLanguage: Spanish

INTERNAL MEDICINELow, Robert R DOGender: MaleNPI: 1881761989

♿1711 W Wheeler AveSte 3(361) 758-1599Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: InternalMedicine AssociatesBoard Certifications:NoneLanguage: Spanish

PEDIATRICSu Ramakrishna, Mulukutla

MDGender: MaleNPI: 1972615888

♿160 S 13th StSte E(361) 758-1984Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalKleberg; Driscoll ChildrensHospitalClinic Affiliation: SpidPediatric Clinic PABoard Certifications:PediatricsLanguage: Hindi; SpanishRodriguez, Jorge S MDGender: MaleNPI: 1912065954

♿U160 S 13th St Ste E(361) 758-1984Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: SpidPediatric Clinic PABoard Certifications:NoneLanguage: Indian; Spanish

BEEVILLE

FAMILY PRACTICEBeasley, Karole L MDGender: FemaleNPI: 1609890367301 S Hillside Dr Ste 10(361) 358-9200301 S Hilldise DrSte 5 6 15(361) 362-0307Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth Clinic; TwinFountains Primary CareCliniBoard Certifications:NoneLanguage: SpanishCalica, Francisco J MDGender: MaleNPI: 1104813310

♿711 E Houston St(361) 358-1000Hospital Affiliations:Christus Spohn HospitalBeeville; South TexasHealth SystemClinic Affiliation:Francisco J Calica MD PABoard Certifications:NoneLanguage: SpanishChin, Arthur K MDGender: MaleNPI: 1568476109

♿1602 E Houston St Ste C(361) 358-9200Hospital Affiliations:Christus Spohn HospitalBeeville; Hca HoustonHealthcare SoutheastClinic Affiliation: TwinFountains Primary CareCliniBoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ALICE

37

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 38: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BEEVILLE(continued)

FAMILY PRACTICE(continued)Dehnisch, Frank R MDGender: MaleNPI: 19523763451406 E Houston St Ste B(361) 542-81861602 E Houston St Ste C(361) 358-9200301 S Hillside Dr Ste 4(361) 226-1126Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation: BeevilleMedical Clinic; MenagerFamily Clinic LLC; TwinFountains Primary CareCliniBoard Certifications:NoneLanguage: Spanish

u Dunn, Avegiyel E DOGender: FemaleNPI: 1417224338134 Fairway Ridge(361) 358-9912302 S Hillside Dr(361) 358-9912302 S Hillside Dr(361) 358-9912♿302 S Hillside Dr(361) 358-9912Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation: DunnMedical Associates PA; JjpFamily Practice LLCBoard Certifications:Family Practice

u Dunn, Michael A DOGender: MaleNPI: 1821374695302 S Hillside Dr(361) 358-7640Clinic Affiliation: DunnMedical Associates PABoard Certifications:Family Practice

u Kamat, Vandana S MDGender: FemaleNPI: 1619994258

♿301 S Hillside Dr Ste 56 15(361) 362-0307Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp Cctx SouthClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Family PracticeLanguage: Hindi; SpanishLarakers, Joseph A MDGender: MaleNPI: 1023057270

♿1602 E Houston HwySte A(361) 354-2875♿302 S Hillside Dr(361) 358-6249♿302 S Hillside Dr(361) 358-9912Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation: JjpFamily Practice LLC;Spohn Health SystemBoard Certifications:NoneLanguage: Spanish

u Puente, Joseph P MDGender: MaleNPI: 13563127301602 E Houston HwySte A(361) 852-2875Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: SpohnHealth SystemBoard Certifications:Family PracticeLanguage: Spanish

INTERNAL MEDICINEu Khan, Faisal N MDGender: MaleNPI: 1811136039

♿302 S Hillside Dr(361) 358-9912Hospital Affiliations:Detar Hospital Navarro;Christus Spohn HospitalBeeville; Citizens MedicalCenterClinic Affiliation: JjpFamily Practice LLCBoard Certifications:Internal Medicine;NephrologyLanguage: SpanishOkpalo, Christian N MDGender: MaleNPI: 1649354515

♿1211 E Houston St(361) 358-8982Hospital Affiliations:Legent Hospital; ChristusSpohn Hospital Beeville;Palo Pinto General HospitalClinic Affiliation: FirstFruits Medical Clinic PLLCBoard Certifications:PediatricsLanguage: Spanish

PEDIATRICSu Hassan, Mohamad C MDGender: MaleNPI: 1699961102500 E Houston St(361) 542-4355Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Cuero RegionalHospital; Uvalde MemorialHospitalClinic Affiliation: KidsCare PLLCBoard Certifications:PediatricsLanguage: Arabic

u Mbadugha, Ifeanyi M MDGender: MaleNPI: 13364082931003 N St Marys St(361) 492-5252Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHosp Cctx SouthClinic Affiliation: CarevillePediatrics PABoard Certifications:PediatricsMiranda, Francisco J MDGender: MaleNPI: 1417097288

♿301 S Hillside DrSte 15(361) 362-0307Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

u Okpalo, Christian N MDGender: MaleNPI: 1649354515

♿1211 E Houston St(361) 358-8982Hospital Affiliations:Legent Hospital; ChristusSpohn Hospital Beeville;Palo Pinto General HospitalClinic Affiliation: FirstFruits Medical Clinic PLLCBoard Certifications:PediatricsLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

BEEVILLE 01/19/2021

38

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

Page 39: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BEEVILLE(continued)

PEDIATRICS (continued)u Oryan, Julio C MDGender: MaleNPI: 1952493140301 S Hillside DrSte 5 & Ste 6(361) 362-0307Hospital Affiliations:Christus Spohn HospitalAlice; Christus SpohnHospital Kleberg; DriscollChildrens Hospital;Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:PediatricsLanguage: American Sign;Spanish

BENAVIDES

FAMILY PRACTICEu Kamat, Vandana S MDGender: FemaleNPI: 1619994258

♿115 W Main St(361) 256-3663Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp Cctx SouthClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Family PracticeLanguage: Hindi; Spanish

PEDIATRICSMiranda, Francisco J MDGender: MaleNPI: 1417097288

♿115 W Main St(361) 256-3663Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

u Oryan, Julio C MDGender: MaleNPI: 1952493140115 W Main St(361) 256-3663Hospital Affiliations:Christus Spohn HospitalAlice; Christus SpohnHospital Kleberg; ChristusSpohn Hospital Beeville;Driscoll Childrens HospitalClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:PediatricsLanguage: American Sign;Spanish

BROWNSVILLE

PEDIATRICSu Rurangirwa, Hellen MDGender: FemaleNPI: 19223422112648 W Alton Gloor Blvd(956) 832-4924Hospital Affiliations: VlyBaptist Med Ctr BrownsvilleClinic Affiliation: HellenRurangirwa MD PAPediatricBoard Certifications:PediatricsLanguage: Spanish

CORPRUS CHRISTI

PEDIATRICSu Odumusi, Kolawole MDGender: MaleNPI: 15183849736326 York Town BlvdSte 1a(361) 334-0613Hospital Affiliations:Medical Center HospitalClinic Affiliation: PedicareChildrens Clinic PABoard Certifications:Pediatrics

CORPUS CHRISTI

FAMILY PRACTICEAcebo, Francisco A MDGender: MaleNPI: 1912980962515 Clifford St(361) 888-5467Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Francisco A Acebo MD PABoard Certifications:NoneLanguage: SpanishAlbarado, Billy J DOGender: MaleNPI: 1306966031

♿U2222 Morgan Suite 113(361) 882-5417Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterBoard Certifications:NoneLanguage: Spanish

u Almanza, Ruben J MDGender: MaleNPI: 1003815499

♿U5446 Lipes BlvdSte 101(361) 992-6100Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx SouthClinic Affiliation: Ruben JAlmanza MD PABoard Certifications:Family PracticeLanguage: SpanishAsatrian, Asmik MDGender: FemaleNPI: 1912384793

47121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:None

u Barth, Stephen H MDGender: MaleNPI: 1700885225

♿43301 S Alameda StSte 204(361) 853-4191Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterBoard Certifications:Family PracticeBenavidez, George MDGender: MaleNPI: 1598749129

♿7121 S Padre Island DrSte 300(361) 696-6200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneLanguage: American Sign;Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 BEEVILLE

39

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

FAMILY PRACTICE(continued)Blair, Lisa J MDGender: FemaleNPI: 14775558785633 S Staples Ste 700(361) 814-2001Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: CoastalBend Aids Foundation IncBoard Certifications:NoneLanguage: SpanishBolster, Robert J MDGender: MaleNPI: 1033227723

♿5833 Spohn DrSte 101b(361) 993-2020Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthBoard Certifications:NoneLanguage: SpanishBoriack, Leroy A MDGender: MaleNPI: 1356306583

♿5866 S Staples StSte 202(361) 991-0700Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthBoard Certifications:NoneLanguage: Spanish

u Bowen, Ronald W DOGender: MaleNPI: 1184698912

♿U5525 S Staples Bldg B1(361) 985-9503Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthBoard Certifications:Family PracticeLanguage: SpanishBoynton, Gerard W MDGender: MaleNPI: 1902914179

♿3301 S Alameda StSte 212(361) 452-2480Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: GerardW Boynton MD PABoard Certifications:NoneLanguage: SpanishBreeling, Charles L MDGender: MaleNPI: 1346358413

♿3301 S Alameda Ste 201(361) 857-2900Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Primary Care AssocBoard Certifications:NoneLanguage: Spanish

u Bussieres, Catherine MDGender: FemaleNPI: 1619984457

♿46200 Saratoga BlvdUnit 5(361) 225-2255Clinic Affiliation: CorpusChristi Medical AssociatesBoard Certifications:Family PracticeLanguage: French;Spanish

u Campos-Valls, Crystal MDGender: FemaleNPI: 1679508360

♿45802 Saratoga Blvd(361) 986-46005802 Saratoga BlvdSte 150(361) 986-4600♿5802 Saratoga BlvdSte 150(361) 986-4600Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp Cctx South;Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxMemorialClinic Affiliation: ChristusPhysician Group; SpohnHealth System; TrinityClinicBoard Certifications:Family PracticeLanguage: American Sign;Spanish; American Sign;SpanishCantu, Patricia A MDGender: FemaleNPI: 1003928979

♿7101 S Staples StSte 105(361) 986-9300Hospital Affiliations:Christus Spohn Hosp CctxSouthClinic Affiliation: OsoUrgent Care & FamilyMedicineBoard Certifications:NoneLanguage: Spanish

Caro, Amanda R DOGender: FemaleNPI: 15485898156182 Dunbarton Oak StStreet Ste B(361) 452-9320Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: SouthCoast Family MedicinePLLCBoard Certifications:NoneCaro, Robert E MDGender: MaleNPI: 13169449036182 Dunbarton Oak StSte B(361) 452-9320Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; ChristusSpohn Hosp Cctx MemorialClinic Affiliation: SouthCoast Family MedicinePLLCBoard Certifications:NoneLanguage: American Sign;SpanishCarreno, Fernando MDGender: MaleNPI: 1326065244

♿3301 S AlamedaSte 401(361) 884-11333301 S Alameda StSte 401(361) 884-1133Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Fernando Carreno MD PABoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

40

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 41: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

FAMILY PRACTICE(continued)

u Carr, Jean J MDGender: MaleNPI: 1336240621

♿U4030 River Hill Dr(361) 767-0303Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: Jj CarrMD PABoard Certifications:Family PracticeLanguage: Spanish

u Carroll, John R MDGender: MaleNPI: 1992792881

♿2601 Hospital Blvd(361) 902-47892606 Hospital BlvdSte B(361) 902-4789♿2606 Hospital Blvd Ste B(361) 902-4589Hospital Affiliations:Refugio County MemorialHospital; Palo PintoGeneral Hospital; ChristusSpohn Hos Cctx Shoreline;Refugio County MemorialHospital; Christus SpohnHosp Cctx Memorial;Refugio County MemorialHospital; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial; PaloPinto General HospitalClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:Family Practice

Chen, Helo DOGender: MaleNPI: 1760491047

♿1521 S StaplesSte 803(361) 882-9675Clinic Affiliation: UtcHealth and Rehab CorpusChrisBoard Certifications:NoneChen, Jackson C MDGender: MaleNPI: 106349479714725 Compass St(361) 949-6290Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx SouthClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Chinese;SpanishChin, Arthur K MDGender: MaleNPI: 15684761092202 Morgan Ave(361) 884-3966Hospital Affiliations:Christus Spohn HospitalBeeville; Hca HoustonHealthcare Southeast;Christus Spohn HospitalBeevilleClinic Affiliation: CorpusFamily Practice PLLC; NagClinicBoard Certifications:NoneLanguage: SpanishCone, John R MDGender: MaleNPI: 1891804647

♿3560 S Alameda Suite 3(361) 854-4828Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineBoard Certifications:NoneLanguage: Spanish

u Covarrubias, BaldemarMDGender: MaleNPI: 1033191135

♿U5718 Spohn Dr Ste 100(361) 980-0808Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical CenterClinic Affiliation:Baldemar Covarrubias MDPABoard Certifications:Family PracticeLanguage: Spanish

u Curtis, William G MDGender: MaleNPI: 1578541702

♿U3945 Interstate Highway69 Access Rd(361) 767-8332Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: WilliamG Curtis MD PABoard Certifications:Family PracticeLanguage: SpanishCuya, Francisco O MDGender: MaleNPI: 1629163944

42922 Morgan Ave(361) 887-6601Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxMemorialClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish

Dennis, Bill M MDGender: MaleNPI: 14271665033301 S Alameda Ste 201(361) 857-2900Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi Primary Care AssocBoard Certifications:NoneLanguage: SpanishEasley, Scott M MDGender: MaleNPI: 1194088658601 Texan TrailSte 300(361) 854-0811Clinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneElizondo, Carlos MDGender: MaleNPI: 1417391764

♿42701 Morgan Ave(361) 452-1194♿45710 Esplanade Dr(361) 991-8000Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: PrimaryCare and WellnessBoard Certifications:NoneLanguage: SpanishEspina, Eisen J MDGender: MaleNPI: 1649223322

♿5525 S Staples StSte E2(361) 993-9500Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: Eisen JEspina MD PABoard Certifications:NoneLanguage: Spanish;Tagalog

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

41

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 42: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

FAMILY PRACTICE(continued)

u Everett, Orel M MDGender: MaleNPI: 1164509659

♿7121 Spid Ste 300(361) 696-6200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalAliceClinic Affiliation: ThomasSpann Clinic PABoard Certifications:Family PracticeLanguage: American Sign;SpanishFlores, William C MDGender: MaleNPI: 1508838137

♿42634 Gollihar Rd Ste C(361) 853-3995Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: WellmedMedical Group PA; WilliamC Flores MD PABoard Certifications:NoneLanguage: Spanish

u Franklin, George L DOGender: MaleNPI: 14179679512882 Holly Rd(361) 814-2001Clinic Affiliation: CoastalBend Aids Foundation IncBoard Certifications:Family Practice

Franklin, William G MDGender: MaleNPI: 16099483144833 S StaplesUnit B(512) 462-3627Hospital Affiliations: StDavids S Austin MedicalCenter; Ascension SetonMed Center AustinClinic Affiliation: SalangHealth Solutions LLCBoard Certifications:NoneLanguage: SpanishFuentes, Luis DOGender: MaleNPI: 14870304171533 S Brownlee BlvdSte 100(361) 884-22424818 Holly Rd Ste A(361) 993-1747Clinic Affiliation: AmistadCommunity Health CenterI; Coastal Bend FamilyMedicine PABoard Certifications:NoneGarcia Blow, Nelly I DOGender: FemaleNPI: 1477812501

U600 Elizabeth St(361) 884-2904Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShorelineBoard Certifications:None

u Garza, Erik MDGender: MaleNPI: 16091192547121 S Padre Island DrSte 300(361) 696-6200Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx ShorelineClinic Affiliation: ThomasSpann Clinic PABoard Certifications:Family PracticeLanguage: Spanish

u Gonzales, Adrian K MDGender: MaleNPI: 16495326151660 S StaplesSte 150(361) 800-8155Clinic Affiliation: WellmedNetworks IncBoard Certifications:Family Practice

u Gonzalez, Belinda MDGender: FemaleNPI: 1730389610

♿5525 S Staples StSte E1(361) 992-5253Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: FamilyHealth PhysiciansBoard Certifications:Family PracticeLanguage: English;Spanish

u Guerrero, Isaac M MDGender: MaleNPI: 14274430437121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:Family PracticeGuevara, Ron J DOGender: MaleNPI: 1811967300

♿U3945 Interstate Highway69 Access Rd(361) 767-8332Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: WilliamG Curtis MD PABoard Certifications:NoneLanguage: Spanish

Hamisch, Brandon T DOGender: MaleNPI: 18412455525802 Saratoga BlvdSte 150(361) 986-4600Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

u Hartman, John A DOGender: MaleNPI: 1104238666

♿U7121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:Family PracticeLanguage: Spanish

u Hartman, Samuel C MDGender: MaleNPI: 1134107782

♿13725 Northwest BlvdSte 230(361) 387-3616Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterBoard Certifications:Family PracticeLanguage: SpanishHart, Maurene E DOGender: FemaleNPI: 1891228649

U7121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:None

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

42

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 43: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

FAMILY PRACTICE(continued)

u Hartquist, Cara M DOGender: FemaleNPI: 1619317997

42606 Hospital BlvdSte F(361) 902-6100

42701 Morgan Ave(361) 452-1194Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Alice; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalAliceClinic Affiliation: ChristusPhysician Group; PrimaryCare and WellnessBoard Certifications:Family PracticeLanguage: SpanishHarvey, Thomas D MDGender: MaleNPI: 1285873273

♿2601 Hospital BlvdSte 112(361) 902-4789♿5920 Saratoga BlvdSte 110(361) 985-5510Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

Heckrodt, Stanly B MDGender: MaleNPI: 1619935962

U4646 Corona DrSte 280(361) 853-3559

U4646 Corona Dr Ste 280(361) 853-35594646 Corona St Ste 280(361) 853-3559Hospital Affiliations:Christus Spohn Hos CctxShoreline; Citizens MedicalCenter; Christus SpohnHos Cctx Shoreline; DetarHospital Navarro; LavacaMedical Center; DetarHospital North; CitizensMedical Center; DetarHospital Navarro; DetarHospital North; DetarHospital Navarro; CitizensMedical Center; LavacaMedical CenterClinic Affiliation: ClinicService Providers PA;Zmediclinic Providers PABoard Certifications:NoneLanguage: Hindi; Spanish;Hindi; Spanish; Hindi;Spanish

u Hendricks, Marian K DOGender: FemaleNPI: 11149154515802 Saratoga BlvdSuite 150(361) 985-1888Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:Family PracticeLanguage: Spanish

Herrera, Maximiliano J MDGender: MaleNPI: 1285865238

4500 N Water StSte 515(361) 549-43512606 Hospital Blvd Ste F(361) 902-6100Hospital Affiliations:Christus Spohn Hos CctxShoreline; Baptist HealthSystem; Christus SpohnHos Cctx Shoreline; BaptistHealth SystemClinic Affiliation: ChristusPhysician Group; DoctorsOn Call of Coastal BendBoard Certifications:None

u Heusner Banks, Kyla MDGender: FemaleNPI: 15384386355920 Saratoga BlvdSte 470(361) 500-4485Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: HealthyPromise Family PracticeBoard Certifications:Family PracticeHinojosa, Yvonne H MDGender: FemaleNPI: 1851400139

♿2601 Hospital Blvd(361) 902-4789♿2606 Hosptial Blvd Ste B(361) 902-4589♿5920 Saratoga BlvdSte 110(361) 902-4789Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxMemorialClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

♿42601 Hospital Blvd(361) 902-4789♿42606 Hospital Blvd Ste B(361) 902-4589♿45920 Saratoga BlvdSte 110(361) 985-5533Hospital Affiliations:Rankin County HospitalDistrict; JacksonHealthcare Center;Christus Spohn Hos CctxShoreline; JacksonHealthcare Center; ElCampo Memorial Hospital;Refugio County MemorialHospital; El CampoMemorial Hospital; BaptistHealth System; ChristusSpohn Hos Cctx Shoreline;Rankin County HospitalDistrict; Refugio CountyMemorial Hospital; BaptistHealth System; RefugioCounty Memorial Hospital;Christus Spohn Hos CctxShoreline; El CampoMemorial HospitalClinic Affiliation: ChristusPhysician GroupBoard Certifications:Family Practice; GeriatricMedicineLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

43

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 44: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

FAMILY PRACTICE(continued)Jimenez, Alejandro MDGender: MaleNPI: 1538185251

♿2601 Hospital Blvd(361) 902-4789♿2606 Hospital Blvd Ste B(361) 902-4589♿5920 Saratoga BlvdSte 110(361) 902-4789Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouthClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

u Jones, Brianna K DOGender: FemaleNPI: 10638075432606 Hospital BlvdSte B(361) 902-4789Clinic Affiliation: ChristusPhysician GroupBoard Certifications:Family PracticeKhatibi, Esther MDGender: FemaleNPI: 13566012072606 Hospital Blvd Ste B(361) 902-4589Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:None

u Larkin, Allyson C MDGender: FemaleNPI: 1184697708805 Morgan Ave(361) 445-3008Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: WellmedNetworks IncBoard Certifications:Family PracticeLanguage: SpanishLiras, George N DOGender: MaleNPI: 18911598022606 Hospital BlvdSte B(361) 902-4789Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

u Main, Ellis G DOGender: MaleNPI: 1366440919

♿3022 McKinzie Rd(361) 241-6700Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: MainEllis G DOBoard Certifications:Family PracticeLanguage: Spanish

u Martinez, Frank E MDGender: MaleNPI: 1235237553

♿5920 Saratoga BlvdSte 320d(361) 992-1600Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx SouthBoard Certifications:Family PracticeLanguage: French;Spanish

Martin, Jonathan E MDGender: MaleNPI: 1831179191

♿4601 Texan TrlSte 200(361) 808-7200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi Family MedicineCenter PABoard Certifications:NoneLanguage: Spanish

u McDaniel, Alma D MDGender: FemaleNPI: 13061898082606 Hospital BlvdSte B(361) 902-4588Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:Family Practice; GeriatricMedicine

u McLemore, Kerrie R MDGender: FemaleNPI: 17304061252606 Hospital BlvdSte B(361) 902-4789Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: ChristusPhysician GroupBoard Certifications:Family PracticeLanguage: SpanishMertz, Bruce L MDGender: MaleNPI: 15482689983301 S Alameda Ste 201(361) 857-2900Hospital Affiliations:Corpus Christi MedicalCenter; TX Hlth HarrisMethodist CleburneClinic Affiliation: CorpusChristi Primary Care AssocBoard Certifications:NoneLanguage: Spanish

Mittal, Bharat DOGender: MaleNPI: 1144343096

U2033 Airline Rd Ste H1(361) 442-2073Hospital Affiliations:Stone Oak Surgery CenterLLC; Sagecrest HospitalCarrollton; Hca HoustonHealthcare Kingwood; FirstTexas HospitalClinic Affiliation: CorpusChristi Rejuvenation and ABoard Certifications:NoneMukkara Siva, RamaKrishna R MDGender: MaleNPI: 16899932971660 S Staples StSte 150(361) 800-8155Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: WellmedNetworks IncBoard Certifications:NoneMwansa, Pearl D MDGender: FemaleNPI: 14870336501660 S Staples Ste 150(361) 800-81552606 Hospital Blvd Ste B(361) 902-4789Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician Group; WellmedNetworks IncBoard Certifications:None

u Nisimblat, Andres MDGender: MaleNPI: 14674692056200 Saratoga BlvdUnit 5(361) 225-2255Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Medical AssociatesBoard Certifications:Family PracticeLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

44

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 45: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

FAMILY PRACTICE(continued)

u Ortiz Garcia, Roberto MDGender: MaleNPI: 1659434223

♿43434 Saratoga Blvd(361) 985-9355Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Christus Spohn Hosp CctxSouthClinic Affiliation: WellmedMedical Group PABoard Certifications:Family PracticeLanguage: French;SpanishOverstreet, Haley C MDGender: FemaleNPI: 17001073235826 Esplanade DrSte 304(855) 845-7777Hospital Affiliations:Cedar Park RegionalMedical CtrClinic Affiliation: AspireAllergy & SinusBoard Certifications:None

u Patel, Ruchita MDGender: FemaleNPI: 10830347712606 Hospital Blvd Ste B(361) 902-4789Hospital Affiliations:Baptist Health System;Houston Methodist SugarLand Hosp; Hca HoustonHealthcre Medical Ctr;Memorial HermannMemorial City; HcaHouston HealthcareSoutheast; MatagordaRegional Medical Center;Hca Houston HealthcarePearland; John Peter SmithHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:Family Practice

Pedraza, Ruben MDGender: MaleNPI: 16899667801660 S Staples StSte 150(361) 800-8155Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx ShorelineClinic Affiliation: WellmedNetworks IncBoard Certifications:NonePerez, Abimael MDGender: MaleNPI: 1235112285

42922 Morgan Ave(361) 887-6601Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx SouthClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishPerez, Karla A MDGender: FemaleNPI: 1952678880

413725 Northwest BlvdSte A(361) 387-9413Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx MemorialClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish

u Ponce De Leon, Anne MMDGender: FemaleNPI: 1083649743

♿U4646 Corona DrSte 280(361) 853-3559Hospital Affiliations:Houston Methodist SugarLand HospClinic Affiliation:Zmediclinic Providers PABoard Certifications:Family PracticeLanguage: Arabic;Spanish

Puentes, Jairo A MDGender: MaleNPI: 1508849944

♿U5920 Saratoga BlvdSte 395(361) 852-0852Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouthClinic Affiliation: MedicalSpecialists Group PABoard Certifications:NoneLanguage: American Sign;SpanishRacette, Guy J MDGender: MaleNPI: 180187625514202 S Padre Island DrSte B(361) 949-6290Hospital Affiliations:Christus Hospital StElizabethClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: French;SpanishRose, James K MDGender: MaleNPI: 1225192248

♿U4637 Spid Dr(361) 852-6824Hospital Affiliations:South Texas SurgicalHospital; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: TheDoctors CenterBoard Certifications:NoneLanguage: Spanish

Rose, J K MDGender: MaleNPI: 1225192248

♿U11559 Leopard St(361) 241-1116Hospital Affiliations:South Texas SurgicalHospital; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CalallenMinor Emergency CenterPABoard Certifications:NoneLanguage: SpanishRose, Keith J MDGender: MaleNPI: 1225192248

♿U5536 Saratoga Blvd(361) 992-0227Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; SouthTexas Surgical HospitalClinic Affiliation: CcDoctors Ctr S PABoard Certifications:NoneLanguage: SpanishSanders, Charles C MDGender: MaleNPI: 1932184967

♿7121 S Padre Island DrSte 300(361) 696-6200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

45

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 46: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

FAMILY PRACTICE(continued)

u Schebler Poulos, AllisonK DOGender: FemaleNPI: 12657508484617 Greenwood Dr(361) 857-2872Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:Family PracticeSchulze, John E MDGender: MaleNPI: 1770550378

♿43234 S Alameda St(361) 882-1751Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos C C SNF; ChristusSpohn Hos Cctx ShorelineBoard Certifications:NoneLanguage: SpanishShahan, Jared T MDGender: MaleNPI: 1518144773

U14254 Spid DrSte 207(361) 589-4068Hospital Affiliations: ChiSt Joseph Hlth BurlesonHospClinic Affiliation: AccessTotal Care LLCBoard Certifications:None

u Sherron, Frederick R DOGender: MaleNPI: 1427038363

♿4

U

601 Texan TrailSte 200(361) 808-7200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi Family MedicineCenter PABoard Certifications:Family PracticeLanguage: Spanish

u Sifuentes, Roger M MDGender: MaleNPI: 1720209901

♿10838 Leopard St(361) 387-9496Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation:Sifuentes Roger M MDBoard Certifications:Family PracticeLanguage: SpanishSoch, Kathleen R MDGender: FemaleNPI: 1134126717

♿2601 Hospital Blvd(361) 902-4789♿2606 Hospital Blvd Ste B(361) 902-4589♿5920 Saratoga BlvdSte 110(361) 985-5533Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:Geriatric MedicineLanguage: Spanish

u Sutter, David F MDGender: MaleNPI: 1659351500

♿4

U

601 Texan TrailSte 200(361) 808-7200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi Family MedicineCenter PABoard Certifications:Family PracticeLanguage: Spanish

u Tompkins, Kent E MDGender: MaleNPI: 1942207436

♿13725 Northwest BlvdSte 15(361) 767-6100Board Certifications:Family PracticeLanguage: SpanishTschauner, Rob M MDGender: MaleNPI: 1427033067

♿45934 S Staples StSte 224(361) 985-1420Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Southside Family CareAssociates PABoard Certifications:NoneLanguage: Spanish

u Vanderheiden, David LDOGender: MaleNPI: 1790779247

♿4818 Holly Rd Ste A(361) 993-1747Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CoastalBend Family Medicine PABoard Certifications:Family PracticeLanguage: Spanish

Velamasetti, Sarojini KMDGender: FemaleNPI: 12850411291660 S Staples St(361) 694-1498Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneVidal, Aileen M MDGender: FemaleNPI: 1871899732

41215 Santa Fe(361) 884-9900Hospital Affiliations:Christus Spohn Hosp CctxSouthClinic Affiliation: WellmedMedical Group PABoard Certifications:None

u Walker, James S MDGender: MaleNPI: 1932218971

♿6200 Saratoga BlvdUnit 5(361) 225-2255Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: CorpusChristi Medical AssociatesBoard Certifications:Family PracticeLanguage: German;Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 47: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

FAMILY PRACTICE(continued)

u Ware, Stephen H MDGender: MaleNPI: 1720198955

44444 Corona DrSte 130(361) 992-4500♿4626 Weber Rd Ste 5(361) 225-1600Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouth; St Joseph RegionalHealth Center; CorpusChristi Medical Center;Christus Spohn Hos CctxShorelineClinic Affiliation: CoastalBend House CallsBoard Certifications:Family PracticeLanguage: SpanishWarrick, Sarita A MDGender: FemaleNPI: 1467686584

♿45846 Wooldridge(361) 994-8979Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish

Webster, Robert A MDGender: MaleNPI: 1336129691

43560 S Alameda Ste 4(361) 900-9969♿4601 Texan Trail Ste 200(361) 808-7200Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CorpusChristi Family MedicineCenter PA; Third CoastHealthBoard Certifications:NoneLanguage: SpanishWillborn, Myriah G DOGender: FemaleNPI: 17405575525802 Saratoga BlvdSte 150(361) 986-4600Hospital Affiliations:Christus Santa Rosa SanMarcosClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: SpanishWilson, James D MDGender: MaleNPI: 1184920035

♿2601 Hospital Blvd(361) 902-4789♿2606 Hospital Blvd Ste B(361) 902-4589♿5920 Saratoga BlvdSte 110(361) 985-5533Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx ShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

Winnie, Michael G MDGender: MaleNPI: 1821196932

♿5920 SaratogaSte 500(361) 985-9850Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx MemorialClinic Affiliation: MichaelG Winnie MD PABoard Certifications:None

GENERAL PRACTICEChin, Arthur K MDGender: MaleNPI: 15684761092202 Morgan Ave(361) 884-3966Hospital Affiliations:Christus Spohn HospitalBeeville; Hca HoustonHealthcare SoutheastClinic Affiliation: MorganPrimary Care PLLCBoard Certifications:NoneLanguage: SpanishDriggs, Shane C MDGender: MaleNPI: 13069223561011 Santa Fe St(361) 993-10831015 Santa Fe St(361) 450-0721Hospital Affiliations:Valley Regional MedicalCenterClinic Affiliation: Here OrThere Healthcare PLLC;Physicians Express PLLCBoard Certifications:NoneLanguage: Spanish

Rose, James K MDGender: MaleNPI: 12251922484833 S Staples(361) 356-03004833 S StaplesUnit B(361) 356-3032Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;South Texas SurgicalHospitalClinic Affiliation: SalangHealth Solutions LLC; TheDoctors Center UrgentCareBoard Certifications:NoneLanguage: SpanishSchwirtlich, Lonnie R MDGender: MaleNPI: 1679561880

♿U14254 Spid DrSte 207(361) 589-4068Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: AccessTotal Care LLCBoard Certifications:None

GERIATRIC MEDICINEBonelli, Andres MDGender: MaleNPI: 1245225663

♿1521 S Staples StSte 403(361) 882-1917Hospital Affiliations:Christus Spohn Hos CctxShorelineBoard Certifications:Internal MedicineLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

47

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 48: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

GERIATRIC MEDICINE(continued)

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

♿42601 Hospital Blvd(361) 902-4789♿42606 Hospital Blvd Ste B(361) 902-4589♿45920 Saratoga BlvdSte 110(361) 985-5533Hospital Affiliations:Rankin County HospitalDistrict; JacksonHealthcare Center;Christus Spohn Hos CctxShoreline; JacksonHealthcare Center; ElCampo Memorial Hospital;Refugio County MemorialHospital; El CampoMemorial Hospital; BaptistHealth System; ChristusSpohn Hos Cctx Shoreline;Rankin County HospitalDistrict; Refugio CountyMemorial Hospital; BaptistHealth System; RefugioCounty Memorial Hospital;Christus Spohn Hos CctxShoreline; El CampoMemorial HospitalClinic Affiliation: ChristusPhysician GroupBoard Certifications:Family Practice; GeriatricMedicineLanguage: Spanish

u McDaniel, Alma D MDGender: FemaleNPI: 13061898082606 Hospital BlvdSte B(361) 902-4588Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:Family Practice; GeriatricMedicine

Neff, James M MDGender: MaleNPI: 1013992015

♿U7121 S Padre IslandDr Ste 300(361) 696-6200Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; CorpusChristi Medical CenterClinic Affiliation: ThomasSpann Clinic PABoard Certifications:Internal MedicineLanguage: American Sign;Spanish

u Soch, Kathleen R MDGender: FemaleNPI: 1134126717

♿2601 Hospital Blvd(361) 902-4789♿2606 Hospital Blvd Ste B(361) 902-4589♿5920 Saratoga BlvdSte 110(361) 985-5533Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:Geriatric MedicineLanguage: Spanish

INTERNAL MEDICINEAcebo, Raymond B MDGender: MaleNPI: 1457321218

♿41660 S StaplesSte 160(361) 694-1498Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxMemorial; Christus SpohnHosp Cctx SouthClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish

u Aleman Weinmann, AnnM MDGender: FemaleNPI: 1982660338

♿1101 Sante Fe(361) 882-7300Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx ShorelineClinic Affiliation: Ann MAleman Weinmann MDBoard Certifications:Internal MedicineLanguage: SpanishAllen, David E MDGender: MaleNPI: 14575868851660 S Staples Ste 150(361) 800-8155Hospital Affiliations: JohnPeter Smith HospitalClinic Affiliation: WellmedNetworks IncBoard Certifications:NoneAririguzo, Jude M MDGender: MaleNPI: 1376732677

♿2601 Hospital BlvdSte 201(361) 888-8893Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx ShorelineClinic Affiliation: JudeAririguzo MD PABoard Certifications:NoneLanguage: SpanishBenamu, Jose E MDGender: MaleNPI: 1760481873

413725 Northwest BlvdSte A(361) 387-9413Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish

u Bonelli, Andres MDGender: MaleNPI: 1245225663

♿1521 S Staples StSte 403(361) 882-1917Hospital Affiliations:Christus Spohn Hos CctxShorelineBoard Certifications:Internal MedicineLanguage: Spanish

u Bugay, Glenn L MDGender: MaleNPI: 11947329746200 Saratoga BlvdUnit 5(361) 225-2255Clinic Affiliation: CorpusChristi Medical AssociatesBoard Certifications:Internal MedicineLanguage: SpanishCaine, Sean P MDGender: MaleNPI: 16890525813434 Saratoga Blvd(361) 985-9355Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

u Carr, Lana B MDGender: FemaleNPI: 1851493076

U4030 River Hill Dr(361) 767-0303Clinic Affiliation: Jj CarrMD PABoard Certifications:Internal MedicineLanguage: SpanishChitrit, Isaac MDGender: MaleNPI: 11442004034101 S Staples St(316) 883-8001Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

48

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 49: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

INTERNAL MEDICINE(continued)Dhar, Renu MDGender: FemaleNPI: 1265547129

♿41215 Santa Fe St(361) 834-9900♿5714 Spohn Dr(361) 906-0900Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Hindi; Punjabi;Spanish; Urdu; Hindi;Punjabi; Spanish; Urdu

u Diaz, Roberto F MDGender: MaleNPI: 1851300891

♿5920 Saratoga BlvdSte 420(361) 239-4712Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:Internal Medicine; SleepMedicineLanguage: Spanish

u Fuqua, Burcham C MDGender: MaleNPI: 1396727392

43434 Saratoga Blvd(361) 985-9355Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: WellmedMedical Group PABoard Certifications:Internal MedicineLanguage: Spanish

u Garcia, Fernando MDGender: MaleNPI: 1164539508

U1521 S Staples StSte 605(361) 883-5419Hospital Affiliations: PaloPinto General Hospital;Valley Baptist MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: GarciasFamily Health GroupBoard Certifications:Internal MedicineLanguage: Spanish

u Grossman, Maurice S MDGender: MaleNPI: 1750381075

41001 Louisana AveSte 307(361) 853-7301Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: MauriceS Grossman MD Facp PABoard Certifications:Internal MedicineLanguage: SpanishGuzman, Antonio MDGender: MaleNPI: 1992763452

♿3240 Fort Worth StSte 120(361) 985-1115Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: AntonioGuzman MD PABoard Certifications:NoneLanguage: SpanishHlaing, Kyin MDGender: MaleNPI: 16496817761660 S Staples Ste 150(361) 800-8155Clinic Affiliation: WellmedNetworks IncBoard Certifications:None

u Howell, Scott W MDGender: MaleNPI: 1215912753

♿7121 S Padre Island DrSte 300(361) 696-6200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: ThomasSpann Clinic PABoard Certifications:Internal MedicineLanguage: SpanishJifi Bahlool, Haitham MDGender: MaleNPI: 10634475147326 S Staples St(361) 991-0112Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: HaithamJifi MD PABoard Certifications:NoneLanguage: Arabic; French;Spanish

u Krall, Scott P MDGender: MaleNPI: 11543891611533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center IBoard Certifications:Internal MedicineLovoi, Michael S MDGender: MaleNPI: 1235131335

♿13725 Northwest BlvdSte 260(361) 387-5161♿5826 Esplanade DrSte 202(361) 387-5161Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: MichaelS Lovoi MD PABoard Certifications:NoneLanguage: Spanish

Martinez, Mario A MDGender: MaleNPI: 1861401739

♿3829 Saratoga Blvd(361) 906-2121♿4919 Greenwood Dr(361) 561-6201Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: Mario AMartinez MD and MedicalBoard Certifications:NoneLanguage: SpanishModak, Arvind G MDGender: MaleNPI: 12159752553240 Fort Worth StSte 120(361) 985-1115Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital KlebergClinic Affiliation:Innovative Care PartnersPLLCBoard Certifications:None

u Neff, James M MDGender: MaleNPI: 1013992015

♿U7121 S Padre IslandDr Ste 300(361) 696-6200Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; CorpusChristi Medical CenterClinic Affiliation: ThomasSpann Clinic PABoard Certifications:Internal MedicineLanguage: American Sign;Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

49

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 50: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

INTERNAL MEDICINE(continued)Nguyen, Minh V MDGender: MaleNPI: 1538144530

♿7121 Spid Dr Ste 300(361) 696-6200Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneLanguage: American Sign;Spanish; VietnameseOloyo, Samuel D MDGender: MaleNPI: 1891732715

♿6809 Everhart Rd(361) 854-7001Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: SouthTexas Medical AssociatesBoard Certifications:NoneLanguage: Spanish

u Philbrick, Natalie W DOGender: FemaleNPI: 10030042013234 S Alameda St(361) 882-17513301 S Alameda Ste 201(361) 857-2900Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Primary Care Assoc;Natalie Philbrickdo PABoard Certifications:Internal Medicine

u Phillips, Jacqueline M DOGender: FemaleNPI: 1811204928

4

U1533 S BrownleeBlvd Ste 100(361) 884-2242Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: AmistadCommunity Health Center IBoard Certifications:Internal MedicineLanguage: SpanishRaglin, Michele B MDGender: FemaleNPI: 132608421113725 NorthwestblvdSte A(361) 387-9413♿5920 Saratoga BlvdSte 475(361) 654-20645920 Saratoga BlvdSte 475(361) 654-2064Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;South Texas SurgicalHospital; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation: IbanezInternal Medicine; IdealInternal Medicine PLLC;Wellmed Medical Group PABoard Certifications:NoneLanguage: SpanishRamos, Enrique C DOGender: MaleNPI: 1043541303

42727 Morgan Ave Ste 400(361) 883-8888Hospital Affiliations:Refugio County MemorialHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: RamosMedical Group PABoard Certifications:None

Rasmusson, Mark D MDGender: MaleNPI: 1598881948

♿U13725 Northwest BlvdSte 12(361) 387-6587Clinic Affiliation: Mark DRasmusson MD PABoard Certifications:NoneLanguage: SpanishSanchez, Darlene M DOGender: FemaleNPI: 14173165711660 S Staples Ste 150(361) 800-8155Clinic Affiliation: WellmedNetworks IncBoard Certifications:None

u Smith, Pamela K MDGender: FemaleNPI: 1083621866

♿6200 Saratoga BlvdUnit 5(361) 225-2255Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Medical AssociatesBoard Certifications:Internal MedicineLanguage: Spanish

u Strauss, Mark G MDGender: MaleNPI: 1629053186

♿7121 Spid Dr Ste 300(361) 696-6200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: ThomasSpann Clinic PABoard Certifications:Internal MedicineLanguage: SpanishThompson, Anthony J DOGender: MaleNPI: 163917820514725 Compass St(361) 929-1122Clinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:None

Ugwuibe, Maurice N MDGender: MaleNPI: 1427016393

♿1531 S Alameda St(361) 888-4745Board Certifications:NoneLanguage: Spanish

u Vela, Robert MDGender: MaleNPI: 1710965975

♿2201 Cleo StSte A(361) 888-4960Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: RobertVela MD PABoard Certifications:Internal MedicineLanguage: SpanishWang, William DOGender: MaleNPI: 15082136464101 S Staples St(361) 883-8001Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

OBSTETRICS-GYNECOLOGYAlagoz, Aysun MDGender: FemaleNPI: 1750492690

♿1533 Brownlee BlvdSte 100(361) 884-2242Hospital Affiliations:Christus Spohn Hos CctxShoreline; GuadalupeRegional Medical CenterClinic Affiliation: AmistadCommunity Health Center IBoard Certifications:NoneLanguage: Spanish;Turkish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

50

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PEDIATRICSAcevedo-Gracia, Jessica IMDGender: FemaleNPI: 1821080136

♿U13310 Leopard StSte 27(361) 242-3355♿U5817 Patton St Ste 101(361) 992-9383Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Christus SpohnHosp Cctx Memorial;Christus Spohn Hosp CctxSouth; Christus SpohnHosp Cctx MemorialClinic Affiliation:Sunnyside Pediatrics PLLCBoard Certifications:NoneLanguage: SpanishAdjetey, Adikuor O MDGender: FemaleNPI: 1144519810

♿U3435 S Alameda St(361) 855-7346

U5945 Saratoga Blvd(361) 694-1500Hospital Affiliations:Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospitalClinic Affiliation:Childrens PhysiciansServices of South Texas;Coastal Childrens Clinic PABoard Certifications:None

u Agu, Ngozi C MDGender: FemaleNPI: 17303738613533 S Alameda St(361) 694-5086Hospital Affiliations:Doctors Hospital atRenaissance; Rio GrandeRegional Hospital; SouthTexas Health System;Mission Regional MedicalCenterClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:PediatricsLanguage: Spanish

u Almouie, Muhamad N MDGender: MaleNPI: 1558369710

♿14041 Northwest BlvdSte 1(361) 767-9963♿5802 Saratoga BlvdSte 120(361) 991-5437Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; DriscollChildrens HospitalClinic Affiliation: AlmouiePediatrics PABoard Certifications:PediatricsLanguage: Arabic;Spanish; Arabic; SpanishAntwi Boasiako, Sharon SMDGender: FemaleNPI: 12356840931533 S Brownlee BlvdSte 100(361) 884-22423533 S Alameda St(361) 694-4520Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: AmistadCommunity Health CenterI; Childrens PhysiciansServices of South TexasBoard Certifications:None

Baber, Elena D MDGender: FemaleNPI: 1447219829

♿U13725 Northwest BlvdSte 150(361) 241-9541♿U3435 S Alameda St(361) 855-7346♿7121 S Padre IslandDr(361) 985-1418♿5945 Saratoga Blvd(361) 992-6458Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical CenterClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

u Baggerman, Eric W MDGender: MaleNPI: 1679820229

♿U1533 BrownleeSte 100(361) 884-22423533 S Alameda St(361) 694-5863Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; DriscollChildrens Hospital;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical CenterClinic Affiliation: AmistadCommunity Health CenterI; Childrens PhysiciansServices of South TexasBoard Certifications:PediatricsLanguage: Spanish

u Borchard, Edward L MDGender: MaleNPI: 1326005893

♿U6434 Saratoga Blvd(361) 991-1885Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; DriscollChildrens Hospital; CorpusChristi Medical CenterClinic Affiliation: CorpusChristi Tots and Teens PABoard Certifications:PediatricsLanguage: SpanishCabrera Goncalves,Agustin J MDGender: MaleNPI: 1831612993

U5945 Saratoga Blvd(361) 694-6339Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneCallegari Pue, Bruna F MDGender: FemaleNPI: 1407804529

♿U3435 S Alameda St(361) 855-7346♿U7121 S Padre Island DrSte 100(361) 985-1418Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical CenterClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

51

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PEDIATRICS (continued)u Canales, Lynae S MDGender: FemaleNPI: 1851383202

♿U3533 S Alameda StSte 303(361) 853-3222Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation: A B CPediatrics PABoard Certifications:PediatricsLanguage: Spanish

u A B C Pediatrics PAGender: FemaleNPI: 1851383202

♿U5945 Saratoga BlvdSte C(361) 853-3222Hospital Affiliations:Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospital; Corpus ChristiMedical CenterClinic Affiliation: A B CPediatrics PABoard Certifications:PediatricsLanguage: Spanish

u Candas, Ali F MDGender: MaleNPI: 1962450189

♿U13725 Northwest BlvdSte 150(361) 241-9541♿U3435 S Alameda St(361) 855-7346♿U7121 S Padre Island DrSte 100(361) 985-14185945 Saratoga(361) 694-1500♿5945 Saratoga Blvd(361) 992-6458Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South Texas;Coastal Childrens Clinic PABoard Certifications:PediatricsLanguage: Spanish

u Cano Rivera, Manuel RMDGender: MaleNPI: 1386028553

U3435 S Alameda St(361) 855-7346Clinic Affiliation: CoastalChildrens Clinic PABoard Certifications:Pediatrics

u Chua, Eireen H MDGender: FemaleNPI: 1902170004

♿U3533 S Alameda StSte 303(361) 853-3222♿5945 Saratoga BlvdSte C(361) 853-3222Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens Hospital;Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospital; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouthClinic Affiliation: A B CPediatrics PABoard Certifications:PediatricsLanguage: Spanish

u Cortes, Edgar L MDGender: MaleNPI: 1801844261

♿U3435 S Alameda St(361) 855-7346Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:PediatricsLanguage: Spanish

u Cortes, Edgar R MDGender: MaleNPI: 1487602728

♿U3435 S Alameda St(361) 855-7346Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:PediatricsLanguage: Spanish

u Dirksen, William H MDGender: MaleNPI: 1144278581

♿U3435 S Alameda St(361) 855-7346♿U7121 S Padre Island DrSte 100(361) 985-1418Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:PediatricsLanguage: SpanishDohi, David F DOGender: MaleNPI: 1457578247

♿U3435 S Alameda St(361) 855-7346Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: SpanishEspiritu, Teofilo S MDGender: MaleNPI: 1366490799

♿U3435 S Alameda St(361) 855-7346Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PEDIATRICS (continued)u Etuknwa, Uduak T MDGender: FemaleNPI: 1366401770

♿U13725 Northwest BlvdSte 150(361) 241-9541♿3435 S Alameda St(361) 694-1603♿U3435 S Alameda StSte 200(361) 855-7346♿3533 S Alameda St(361) 694-1500♿5945 Saratoga Blvd(361) 992-6458Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation:Childrens PhysiciansServices of South Texas;Coastal Childrens Clinic PABoard Certifications:PediatricsLanguage: SpanishFader, William A MDGender: MaleNPI: 1134104318

♿U7017 S Staples StSte 101(361) 994-7255Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation: KidsClinic PABoard Certifications:NoneLanguage: Spanish

u Fuentes, Dorothy E MDGender: FemaleNPI: 1265431472

♿U3533 S Alameda StSte 303(361) 853-3222♿5945 Saratoga BlvdSte C(361) 853-3222Hospital Affiliations:Christus Spohn Hos CctxShoreline; Rio GrandeRegional Hospital; CorpusChristi Medical Center; RioGrande Regional Hospital;Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical CenterClinic Affiliation: A B CPediatrics PABoard Certifications:PediatricsLanguage: Spanish;Tagalog; Spanish; TagalogGarcia, Fernando MDGender: MaleNPI: 1164539508

U1521 S Staples StSte 605(361) 883-5419Hospital Affiliations: PaloPinto General Hospital;Valley Baptist MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: GarciasFamily Health GroupBoard Certifications:Internal MedicineLanguage: Spanish

Garcia, Toribio R MDGender: MaleNPI: 1518095066

♿4707 Everhart RdSte 104b(361) 851-0333Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation:Childrens HealthAssociates of CorpusChristiBoard Certifications:NoneLanguage: Spanish

u Go, Celia A MDGender: FemaleNPI: 16694582385920 Saratoga BlvdSte 280(361) 563-24705945 Saratoga(361) 694-1500Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation: All StarPediatrics; ChildrensPhysicians Services ofSouth TexasBoard Certifications:PediatricsLanguage: Spanish;Tagalog; Spanish; Tagalog

Gonzalez Bere, AlejandroA MDGender: MaleNPI: 1932157468

♿U13725 Northwest BlvdSte 150(361) 241-9541♿U3435 S Alameda St(361) 855-7346♿5945 Saratoga Blvd(361) 992-6458Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Driscoll Childrens HospitalClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: SpanishGonzalez, Vanessa C MDGender: FemaleNPI: 1003172198

U13310 Leopard StSte 27(361) 242-3355

U5817 Patton StSte 101(361) 992-9383

U5945 Saratoga(361) 694-1500Clinic Affiliation:Childrens PhysiciansServices of South Texas;Sunnyside Pediatrics PLLCBoard Certifications:NoneHartman, Emily A DOGender: FemaleNPI: 1457765794

U3533 S Alameda St(361) 853-3222

U5945 Saratoga Blvd(361) 694-1530Clinic Affiliation: A B CPediatrics PA; ChildrensPhysicians Services ofSouth TexasBoard Certifications:None

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

53

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PEDIATRICS (continued)u Hassan, Mohamad C MDGender: MaleNPI: 16999611022120 Baldwin Blvd(361) 500-00961504 Waldron Rd(361) 937-5576Hospital Affiliations:Christus Spohn Hos CctxShoreline; UvaldeMemorial Hospital; DriscollChildrens Hospital; CueroRegional Hospital; UvaldeMemorial Hospital; DriscollChildrens Hospital; CueroRegional Hospital; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: AntradosPABoard Certifications:PediatricsLanguage: Arabic;Spanish; Arabic; SpanishHensley, Katherine H MDGender: FemaleNPI: 1811191646

♿U3435 S Alameda St(361) 855-7346Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens HospitalClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

Jakubowski, Wieslaw JMDGender: MaleNPI: 1164512075

♿U5920 Saratoga BlvdSte 340(361) 985-21115945 Saratoga Blvd(361) 694-1500Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Polish;Spanish; Polish; SpanishKim, Bo R MDGender: FemaleNPI: 16992977961533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center IBoard Certifications:None

u Landry, Anayda G MDGender: FemaleNPI: 1194059477

♿4613 S Staples StSte C&d(361) 851-0000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; DriscollChildrens HospitalClinic Affiliation: LiraLuisa MDBoard Certifications:PediatricsLanguage: Spanish

Leshin, Harold L MDGender: MaleNPI: 1033101480

♿U3533 S Alameda St Ste 325Joseph M Bldg(361) 853-32225945 Saratoga Blvd(361) 694-4577♿5945 Saratoga Blvd Ste C(361) 853-3222Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Corpus ChristiMedical CenterClinic Affiliation: A B CPediatrics PA; ChildrensPhysicians Services ofSouth TexasBoard Certifications:NoneLanguage: SpanishLira, Ernesto L MDGender: MaleNPI: 1063494003

♿4613 S Staples StSte C and D(361) 851-0000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens Hospital;Christus Spohn Hosp CctxSouthClinic Affiliation: LiraLuisa MDBoard Certifications:NoneLanguage: American Sign;SpanishLira, Maria L MDGender: FemaleNPI: 1144202961

♿4613 S Staples StSte C and D(361) 851-0000Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Driscoll Childrens HospitalClinic Affiliation: LiraLuisa MDBoard Certifications:NoneLanguage: American Sign;Spanish

u Martin, Kimberly B MDGender: FemaleNPI: 1053513408

♿U3533 S Alameda StSte 303(361) 853-3222♿5945 Saratoga BlvdSte C(361) 853-3222Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: A B CPediatrics PABoard Certifications:PediatricsLanguage: Spanish

u Mathew, Sonia MDGender: FemaleNPI: 13768096993533 S Alameda(361) 694-5863Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHosp Cctx SouthClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatrics

u Mbadugha, Ifeanyi M MDGender: MaleNPI: 13364082935945 Saratoga(361) 694-1500Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatrics

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PEDIATRICS (continued)u Medina, Ma Lucia C MDGender: FemaleNPI: 1124010582

♿U3533 S Alameda StSte 303(361) 853-32225945 Saratoga Blvd(361) 694-1500♿U5945 Saratoga BlvdSte C(361) 853-3222Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: A B CPediatrics PA; ChildrensPhysicians Services ofSouth TexasBoard Certifications:PediatricsLanguage: SpanishMunguia Jovel, Valeria EMDGender: FemaleNPI: 1881140572

U5945 Saratoga Blvd(361) 694-4520Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

Narcise, Maria V MDGender: FemaleNPI: 1912274986

U13725 Northwest BlvdSte 150(361) 241-9541

U3435 South Alameda St(361) 855-73463533 S Alameda St(361) 694-15005945 Saratoga(361) 694-15005945 Saratoga Blvd(361) 992-6458Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Childrens PhysiciansServices of South Texas;Coastal Childrens Clinic PABoard Certifications:NoneLanguage: SpanishOkonkwo, Kingsley C MDGender: MaleNPI: 19827321783533 S Alameda St(361) 694-5863♿6326 York TownSte 1a(361) 334-0613Hospital Affiliations:Driscoll Childrens Hospital;Memorial Hermann SWHospital; Driscoll ChildrensHospitalClinic Affiliation:Childrens PhysiciansServices of South Texas;Pedicare Childrens ClinicPABoard Certifications:None

Oshman, Stephen I MDGender: MaleNPI: 1124076989

♿U13725 Northwest BlvdSte 150(361) 241-9541♿U3435 S Alameda St(361) 855-7346Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

u Parmar, Audrey L MDGender: FemaleNPI: 15789534443533 S Alameda St Ste 303(361) 853-3222Hospital Affiliations:Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospital; Corpus ChristiMedical CenterClinic Affiliation: A B CPediatrics PABoard Certifications:PediatricsPatel, Ashvinkumar A MDGender: MaleNPI: 1306936018

♿U3435 S Alameda(361) 852-69963435 S Alameda St(361) 852-6996Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; CorpusChristi Medical CenterClinic Affiliation:Ashvinkumar A Patel MDPLLCBoard Certifications:NoneLanguage: Hindi; Indian;Spanish; Indian; Spanish

u Patel, Girish A MDGender: MaleNPI: 1053401760

♿3435 South AlamedaSte D(361) 855-9494Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens HospitalBoard Certifications:PediatricsLanguage: SpanishPerez, Tessa V MDGender: FemaleNPI: 1285690768

♿U3533 S Alameda StSte 303(361) 853-3222♿U5945 Saratoga BlvdSte C(361) 853-3222Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: A B CPediatrics PABoard Certifications:NoneLanguage: Spanish

u Purcell, Debra L MDGender: FemaleNPI: 1568410488

♿U13725 Northwest BlvdSte 150(361) 241-9541♿U3435 S Alameda St(361) 855-7346Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:PediatricsLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

55

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PEDIATRICS (continued)u Rani, Sabeen MDGender: FemaleNPI: 1407111255

U3130 S Alameda St(361) 334-2200Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; DriscollChildrens Hospital; CorpusChristi Medical Center;Christus Spohn Hosp CctxMemorialClinic Affiliation: SabeenRani MDBoard Certifications:PediatricsLanguage: Hindi; Punjabi;Spanish

u Reyes-Acuna, Celia D MDGender: FemaleNPI: 15987121434444 S Staples St(361) 991-4040Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical CenterClinic Affiliation: CeliaReyes Acuna MD PLLCBoard Certifications:PediatricsLanguage: Spanish;Tagalog

u Rigonan, Alma S MDGender: FemaleNPI: 1083690390

♿2418 Morgan Ave(361) 883-3683♿2502 Morgan Ave(361) 883-36835945 Saratoga(361) 694-1500Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouthClinic Affiliation: Alma SRigonan MD PA; ChildrensPhysicians Services ofSouth TexasBoard Certifications:PediatricsLanguage: Chinese;Spanish; Tagalog;Chinese; Spanish;Tagalog; Chinese;Spanish; TagalogRivera, Christine N MDGender: FemaleNPI: 1962474817

U6434 Saratoga Blvd(361) 991-1885Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn HospitalBeeville; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Tots and Teens PABoard Certifications:NoneLanguage: Spanish;Tagalog

u Ryan Philpott, Karen AMDGender: FemaleNPI: 142704218314041 Northwest BlvdSte 1(361) 767-99635802 Saratoga BlvdSte 120(361) 991-5437Hospital Affiliations:Childrens Hospital SanAntonio; Santa RosaMedical Center; ChildrensHospital San Antonio;Santa Rosa Medical CenterClinic Affiliation: AlmouiePediatrics PABoard Certifications:PediatricsSantiago, Walter J MDGender: MaleNPI: 1053360321

♿U3435 S Alameda St(361) 855-7346♿U7121 Spid Dr Ste 100(361) 985-1418Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Corpus ChristiMedical Center; DriscollChildrens Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

u Schulze, Susan A MDGender: FemaleNPI: 1568454957

♿U3533 S Alameda StSte 303(361) 853-3222♿5945 Saratoga BlvdSte C(361) 853-3222Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation: A B CPediatrics PABoard Certifications:PediatricsLanguage: Spanish

u Sherron, Serena R DOGender: FemaleNPI: 1760474126

♿U3533 S Alameda StSte 303(361) 853-3222♿U5945 Saratoga Blvd Ste C(361) 853-3222Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation: A B CPediatrics PABoard Certifications:PediatricsLanguage: SpanishSolano, Iliana MDGender: FemaleNPI: 11647547194613 S StaplesSte C and D(361) 851-0000Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation: LiraLuisa MDBoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PEDIATRICS (continued)u Syal, Ashu S MDGender: FemaleNPI: 1124064779

♿2202 Morgan Ave(361) 884-3966Hospital Affiliations:UTMB Health Galveston;Hca Houston HealthcareClear Lake; Hca HoustonHealthcare Mainland;Texas Childrens Hospital;Hca Houston HealthcareSoutheast; MemorialHermann SE HospitalClinic Affiliation: NagClinicBoard Certifications:PediatricsLanguage: Hindi; Punjabi;Spanish; Urdu

u Syed, Yunus MDGender: MaleNPI: 1457589178

U3435 S Alameda StSte E(361) 814-8453

U5945 Saratoga Blvd(361) 694-1500Clinic Affiliation:Childrens PhysiciansServices of South Texas;Kids Doc CcBoard Certifications:Pediatrics

u Tagari, Fiona H MDGender: FemaleNPI: 1871849687

U1533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center IBoard Certifications:Pediatrics

u Tomsa, Anca MDGender: FemaleNPI: 19921950283533 S Alameda St(361) 694-4864Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:PediatricsTorres, Josefina G MDGender: FemaleNPI: 1285633859

♿6110 Parkway(361) 985-1330Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos C CSNF; Corpus ChristiMedical CenterClinic Affiliation: JosefinaTorres MDBoard Certifications:NoneLanguage: SpanishVijjeswarapu, Daniel V MDGender: MaleNPI: 1407926629

♿3435 S Alameda St(361) 814-8453Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical CenterClinic Affiliation: DanielVijjeswarapu MD PABoard Certifications:NoneLanguage: Spanish

u Walston, Shaye DOGender: FemaleNPI: 1780939504

♿4613 S Staples StSte C D(361) 851-0000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; DriscollChildrens HospitalClinic Affiliation: LiraLuisa MDBoard Certifications:PediatricsLanguage: English;Spanish

Whitehall, Robin MDGender: FemaleNPI: 17103978723533 S Alameda St(361) 694-4520Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Wiraszka, Adam MDGender: MaleNPI: 1053311829

♿5920 Saratoga BlvdSte 460(361) 980-03535945 Saratoga(361) 694-1500Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:PediatricsLanguage: German;Polish; Spanish; German;Polish; Spanish

u Withycombe, Sarah E MDGender: FemaleNPI: 1730474446

U3435 S Alameda(361) 855-7346Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical CenterClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:PediatricsLanguage: Spanish

Zafra, Mildred P MDGender: FemaleNPI: 1467496810

♿1225 Agnes St(361) 881-8228Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: MildredP Zafra MD PABoard Certifications:NoneLanguage: Spanish;Tagalog

DRISCOLL

PEDIATRICSu Patel, Anil C MDGender: MaleNPI: 1902880859

♿400 W Ave D(361) 387-7349Hospital Affiliations:Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospital; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CoastalBend Kids ClinicBoard Certifications:PediatricsLanguage: Hindi; Spanish

FALFURRIAS

FAMILY PRACTICEBeasley, Karole L MDGender: FemaleNPI: 16098903671302 S St Marys St(361) 325-9404Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

57

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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FALFURRIAS(continued)

FAMILY PRACTICE(continued)

u Kamat, Vandana S MDGender: FemaleNPI: 1619994258

♿1302 S St Marys St(361) 325-6404Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHospital Alice; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Family PracticeLanguage: Hindi; SpanishLozano, Jose M MDGender: MaleNPI: 1609823657

♿U107 E Adams St(361) 325-9291Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: LozanoJose M MDBoard Certifications:NoneLanguage: Spanish

u Vasquez Aguilar, Mario LMDGender: MaleNPI: 12758461561004 S Saint Marys St(361) 323-2110Hospital Affiliations: StarrCounty Memorial Hospital;Doctors Hospital atRenaissanceClinic Affiliation:Falfurrias Family ClinicPLLCBoard Certifications:Family PracticeLanguage: English;Spanish

GERIATRIC MEDICINELozano, Jose M MDGender: MaleNPI: 1609823657

♿U107 E Adams St(361) 325-9291Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: LozanoJose M MDBoard Certifications:NoneLanguage: Spanish

PEDIATRICSMiranda, Francisco J MDGender: MaleNPI: 1417097288

♿1302 S St Marys St(361) 325-6404Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

u Oryan, Julio C MDGender: MaleNPI: 1952493140

U1302 S St Marys StStes A B D(361) 325-9404Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn HospitalAlice; Christus SpohnHospital Beeville; ChristusSpohn Hospital KlebergClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:PediatricsLanguage: American Sign;Spanish

FREER

FAMILY PRACTICEu Liles, Jerry B DOGender: MaleNPI: 1013934645111 E Riley St(361) 394-7311Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: SpohnHealth SystemBoard Certifications:Family PracticeLanguage: Spanish

INGLESIDE

FAMILY PRACTICECrabb, Norman T DOGender: MaleNPI: 1982683454

♿42713 Main St(361) 776-5101Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish

u Edge, Duwayne P DOGender: MaleNPI: 1730152612

♿2605 Amarillo St(361) 775-0961Hospital Affiliations:Cuero Regional Hospital;Citizens Medical Center;Christus Spohn Hos CctxShorelineClinic Affiliation:Duwayne P Edge PABoard Certifications:Family PracticeLanguage: Spanish

PEDIATRICSApostol, Melecio F MDGender: MaleNPI: 1063420404

♿2334 State Highway 361Ste 114(361) 776-9374Hospital Affiliations:Memorial Medical Center;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; DriscollChildrens Hospital;Christus Spohn Hos CctxShorelineBoard Certifications:NoneLanguage: Spanish

KARNES CITY

FAMILY PRACTICEu Atascosa Health Center

IncGender: MaleNPI: 1356721955

U757 S Panna Maria Ave(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:Family Practice

u Ghans, Wayne O MDGender: MaleNPI: 1124099007302 N Butler(830) 780-3100Hospital Affiliations:Santa Rosa MedicalCenter; Baptist HealthSystemClinic Affiliation:Atascosa Health Center IncBoard Certifications:Family PracticeLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

FALFURRIAS 01/19/2021

58

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 59: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

KARNES CITY(continued)

FAMILY PRACTICE(continued)Guido, Hugo E MDGender: MaleNPI: 1366634420

U302 N Butler(830) 780-3100Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; BaptistHealth System; Santa RosaMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: SpanishHirschfield, Gail T MDGender: FemaleNPI: 1740243484302 N Butler St(830) 780-3100Hospital Affiliations:Stephens MemorialHospitalClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: Spanish

u Mitchell, Rayford B MDGender: MaleNPI: 1811012198302 N Butler(830) 780-3100757 S Panna Maria Ave(830) 780-3100Hospital Affiliations:Bellville Medical Center;Otto Kaiser MemorialHospital; Bellville MedicalCenter; Connally MemorialMedical Center; RefugioCounty Memorial Hospital;Connally Memorial MedicalCenterClinic Affiliation:Atascosa Health Center IncBoard Certifications:Family PracticeLanguage: Spanish

Salazar, Carlos E MDGender: MaleNPI: 1306955653

♿U302 N Butler St(830) 780-3100Hospital Affiliations: OttoKaiser Memorial Hospital;Dimmit Regional HospitalClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: SpanishUrby, Rodolfo M MDGender: MaleNPI: 1174592596302 N Butler(830) 780-3100Hospital Affiliations:Santa Rosa MedicalCenter; University HealthSystemClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: SpanishWest, Kc J MDGender: FemaleNPI: 1316476377

U757 S Panna Maria Ave(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

GENERAL PRACTICESalazar, Carlos E MDGender: MaleNPI: 1306955653

♿U302 N Butler St(830) 780-3100Hospital Affiliations: OttoKaiser Memorial Hospital;Dimmit Regional HospitalClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: Spanish

PEDIATRICSThompson, Shanel M MDGender: FemaleNPI: 1780027508302 N Butler(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

KENEDY

FAMILY PRACTICEBarth, Gordon H DOGender: MaleNPI: 1710913785

♿113 W Main St(830) 583-0627Hospital Affiliations:Cuero Regional HospitalClinic Affiliation: KenedyFamily PracticeBoard Certifications:NoneLanguage: Spanish

u Borgfeld, Nathan W MDGender: MaleNPI: 14678017793349 S Hwy 181Ste 3(830) 583-3401Hospital Affiliations:Uthealth Tyler; Otto KaiserMemorial HospitalClinic Affiliation: KaiserFamily PracticeBoard Certifications:Family Practice

Dugi, Daniel D MDGender: MaleNPI: 1598701344113 W Main St(830) 583-0612113w W Main St(830) 583-0612Hospital Affiliations:Detar Hospital Navarro;Cuero Regional Hospital;Detar Hospital Navarro;Cuero Regional Hospital;Detar Hospital Navarro;Cuero Regional HospitalClinic Affiliation: CueroMedical Clinic; GoliadFamily Practice; ParksideFamily Clinic; YorktownMedical ClinicBoard Certifications:NoneLanguage: Spanish

u Harvey, Sheryl M MDGender: FemaleNPI: 1033372032

♿113 W Main St(830) 583-0612Hospital Affiliations:Cuero Regional HospitalClinic Affiliation: GoliadFamily Practice; KenedyFamily Practice; YorktownMedical ClinicBoard Certifications:Family PracticeLanguage: Spanish

u Hill, David P DOGender: MaleNPI: 1447228135

♿113 W Main St(830) 583-0612Hospital Affiliations:Cuero Regional HospitalClinic Affiliation: CueroMedical Clinic; GoliadFamily Practice; KenedyFamily PracticeBoard Certifications:Family PracticeLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KARNES CITY

59

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 60: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

KENEDY (continued)

FAMILY PRACTICE(continued)Lemley, Nicholas J DOGender: MaleNPI: 1457885592

♿113 W Main St(830) 583-0627Hospital Affiliations:Cuero Regional HospitalClinic Affiliation: KenedyFamily PracticeBoard Certifications:None

u Mitchell, Rayford B MDGender: MaleNPI: 18110121983349 S Highway 181Ste 3(830) 583-3900Hospital Affiliations: OttoKaiser Memorial Hospital;Connally Memorial MedicalCenter; Refugio CountyMemorial Hospital; BellvilleMedical CenterClinic Affiliation: RayfordB Mitchell MD PABoard Certifications:Family PracticeLanguage: Spanish

u Ramirez, Roberto MDGender: MaleNPI: 1033191762

♿3349 S Hwy 181 Ste 4(830) 583-2579Hospital Affiliations: OttoKaiser Memorial HospitalBoard Certifications:Family PracticeLanguage: Spanish

u Saldana, Joel MDGender: MaleNPI: 1427021997

♿3349 S Hwy 181 Ste 2(830) 583-2569Hospital Affiliations: OttoKaiser Memorial HospitalBoard Certifications:Family PracticeLanguage: Spanish

Walthall, Cody MDGender: MaleNPI: 1487009734113 W Main St(830) 583-0627Clinic Affiliation: KenedyFamily PracticeBoard Certifications:None

u Willers, Gary P DOGender: MaleNPI: 1255625422

♿113 W Main St(830) 583-0627Hospital Affiliations:Cuero Regional HospitalClinic Affiliation: KenedyFamily PracticeBoard Certifications:Family PracticeLanguage: Spanish

GENERAL PRACTICEReese, Raymond R MDGender: MaleNPI: 1902842313

♿113 W Main St(830) 583-0627Hospital Affiliations:Cuero Regional HospitalClinic Affiliation: KenedyFamily PracticeBoard Certifications:NoneLanguage: Spanish

KINGSVILLE

FAMILY PRACTICEBeasley, Karole L MDGender: FemaleNPI: 16098903671311 E General CavazosBlvd Ste 303(361) 592-3237Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

Franklin, Carolyn R MDGender: FemaleNPI: 1164407888

41601 S US Highway 77 BypBypass Unit 7(361) 592-8531Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneHemmert, Jerome K MDGender: MaleNPI: 1073593091

♿U227 W Kleberg Ave(361) 592-6451Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation:Kingsville ClinicBoard Certifications:NoneLanguage: Spanish

u Kamat, Vandana S MDGender: FemaleNPI: 1619994258

♿1311 E General CavazosBlvd Ste 303 C(361) 592-3237Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hospital AliceClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Family PracticeLanguage: Hindi; SpanishMorales, Robert MDGender: MaleNPI: 15382926931305 South 14th St(361) 595-1986Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: RobertMorales MD PABoard Certifications:NoneLanguage: Spanish

u Rodriguez, Octavio J MDGender: MaleNPI: 1619074929

♿1021 Senator Carlos TruanBlvd(361) 595-5556Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: OctavioJ Rodriguez MD PABoard Certifications:Family PracticeLanguage: SpanishShahan, Jared T MDGender: MaleNPI: 1518144773401 E King Ave(361) 884-2904Hospital Affiliations: ChiSt Joseph Hlth BurlesonHospClinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneUgarte, Jose M MDGender: MaleNPI: 1457333882

♿1311 E General CavazosBlvd Ste L(361) 592-5101Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: UgarteFamily Medical ClinicBoard Certifications:NoneLanguage: French;Spanish

OBSTETRICS-GYNECOLOGYBoyd, Martin A MDGender: MaleNPI: 16695177691311 General Cavazos BlvdSte 305(361) 592-2223Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: TrinityClinicBoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KENEDY 01/19/2021

60

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 61: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

KINGSVILLE(continued)

OBSTETRICS-GYNECOLOGY(continued)Flores Rodriguez, Laura CMDGender: FemaleNPI: 11041212501311 E General CavazosBlvdSte 305(361) 592-2223Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

PEDIATRICSAndaya, Alfredo R MDGender: MaleNPI: 1578583001

♿U1311 E General CavazosBlvdSte 303 and C(361) 592-3237♿U1311 General Cavazos BlvdSte 301(361) 595-5528Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation:Community Action SouthTexashealth Clinic; ThePediatric Clinic Assoc.Board Certifications:NoneLanguage: American Sign;Filipino; Spanish; Tagalog;American Sign; Spanish;Tagalog

u Cho, Unam MDGender: MaleNPI: 1548273204

U1311 General CavazosBlvd Ste A(361) 595-44411311 General Cavazos BlvdSte A(361) 595-4441Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation:Community Action SouthTexashealth Clinic;Silverbell Pediatrics PABoard Certifications:PediatricsLanguage: Korean;Spanish; Korean; Spanish;Hindi; Korean; SpanishMiranda, Francisco J MDGender: MaleNPI: 1417097288

♿1311 E General CavazosBlvd Ste 303 C(361) 592-3237Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

u Oryan, Julio C MDGender: MaleNPI: 1952493140

U1311 E General CavazosBlvd Stes 303 C(361) 664-1417♿U1311 E General CavazosSte 303(361) 592-3237♿U415 S 6th St(361) 592-3237Hospital Affiliations:Christus Spohn HospitalBeeville; Driscoll ChildrensHospital; Christus SpohnHospital Kleberg; ChristusSpohn Hospital Beeville;Christus Spohn HospitalAlice; Driscoll ChildrensHospital; Christus SpohnHospital Kleberg; ChristusSpohn Hospital Alice;Christus Spohn HospitalBeeville; Christus SpohnHospital AliceClinic Affiliation:Community Action SouthTexashealth Clinic; SpohnHealth SystemBoard Certifications:PediatricsLanguage: Spanish;American Sign; Spanish

u Patel, Anil C MDGender: MaleNPI: 1902880859

♿U1018 S 14th St(361) 592-0223Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical CenterClinic Affiliation: CoastalBend Kids ClinicBoard Certifications:PediatricsLanguage: Hindi; Spanish

Whitlock Morales,Autumn B MDGender: FemaleNPI: 19725393021311 E General CavazosBlvdBlvd Ste 201(361) 595-2223Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

KOSSE

FAMILY PRACTICEBoyd, Frank DOGender: MaleNPI: 1841480613206 N Narcissus(254) 375-7001Hospital Affiliations:Limestone Medical CenterClinic Affiliation: KosseCommunity Health Clinic ALimestone MedicalBoard Certifications:NoneLanguage: Spanish

MATHIS

FAMILY PRACTICEAcuna, Rene R DOGender: MaleNPI: 1649272188

♿1205 E San Patricio Ave(361) 678-4461Hospital Affiliations:Christus Spohn Hos CctxShorelineBoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KINGSVILLE

61

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 62: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

MATHIS (continued)

FAMILY PRACTICE(continued)

u Kamat, Vandana S MDGender: FemaleNPI: 1619994258

♿502 E San Patricio Ave(361) 547-4121Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHospital Alice; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Family PracticeLanguage: Hindi; Spanish

PEDIATRICSHaas, Michael E MDGender: MaleNPI: 1225279409213 S Duval St(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneMiranda, Francisco J MDGender: MaleNPI: 1417097288

♿502 E San Patricio(361) 547-4121Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

u Oryan, Julio C MDGender: MaleNPI: 1952493140213 S Duval St(361) 547-4121Hospital Affiliations:Christus Spohn HospitalBeeville; Driscoll ChildrensHospital; Christus SpohnHospital Kleberg; ChristusSpohn Hospital AliceClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:PediatricsLanguage: American Sign;Spanish

u Ramakrishna, MulukutlaMDGender: MaleNPI: 1972615888

♿U220 E Saint Marys St(361) 547-5700Hospital Affiliations:Christus Spohn HospitalKleberg; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;Driscoll Childrens Hospital;Corpus Christi MedicalCenterClinic Affiliation: SpidPediatric Clinic PABoard Certifications:PediatricsLanguage: Hindi; SpanishRodriguez, Jorge S MDGender: MaleNPI: 1912065954

♿U220 E Saint Marys St(361) 547-5700Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: SpidPediatric Clinic PABoard Certifications:NoneLanguage: Indian; Spanish

ORANGE GROVE

FAMILY PRACTICEBest, Max E MDGender: MaleNPI: 1497786347101 S Eugenia St(361) 382-2024Hospital Affiliations:Kimble Hospital; Heart ofTexas Memorial Hospital;El Campo MemorialHospitalClinic Affiliation:Hometown Healthcare LLCBoard Certifications:NoneLanguage: SpanishTarango, Gabriel DOGender: MaleNPI: 1891921599

♿101 S Eugenia St(361) 382-2024Hospital Affiliations: FrioRegional HospitalClinic Affiliation:Hometown Healthcare LLCBoard Certifications:NoneLanguage: Spanish

PEARLAND

FAMILY PRACTICESmith, Matthew K MDGender: MaleNPI: 1770719049

U15718 S Hwy 288Ste 110(281) 870-4101Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Hca HoustonHealthcare NorthwestClinic Affiliation: PearlandTotal Wellness Clinic PlBoard Certifications:None

PORT ARANSAS

FAMILY PRACTICEu Russell, Bruce L MDGender: MaleNPI: 1336134188

♿600 Cut Off RdSte 14(361) 749-1930Clinic Affiliation: Bruce LRussell MD PLLCBoard Certifications:Family Practice

PORTER

PEDIATRICSWright, Kathryn S MDGender: FemaleNPI: 1740545946

U25553 US Hwy 59(713) 442-0427Clinic Affiliation: KelseySeybold Medical GroupPLLCBoard Certifications:None

PORTLAND

FAMILY PRACTICEu Collins, Darryl D MDGender: MaleNPI: 1720107493

♿213 Cedar Dr Ste A(361) 777-2886Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: DarrylDewitt Collins MD PABoard Certifications:Family PracticeLanguage: Spanish

u Dunn, Avegiyel E DOGender: FemaleNPI: 1417224338

♿2413 Memorial Pkwy(361) 758-5326Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation: WellmedMedical Group PABoard Certifications:Family Practice

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

MATHIS 01/19/2021

62

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 63: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

PORTLAND(continued)

FAMILY PRACTICE(continued)Edwardson, Delbert L MDGender: MaleNPI: 18412001512413 Memorial Pkwy(361) 643-4546Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: WellmedMedical Group PABoard Certifications:None

u Gregory, Charles C DOGender: MaleNPI: 1477581221

♿311 Buddy Ganem(361) 643-9800Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: CharlesC Gregory DopaBoard Certifications:Family PracticeLanguage: Spanish

u Mobley, James A MDGender: MaleNPI: 15482708532413 Memorial Pkwy(361) 643-4546Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: WellmedMedical Group PABoard Certifications:Family PracticeLanguage: Czech;German; Spanish

Propst, Mayra B MDGender: FemaleNPI: 1053541110107 Cedar Dr(361) 643-6623Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Christus Spohn Hosp CctxSouthClinic Affiliation: LeeSang Jerome A MDBoard Certifications:NoneLanguage: SpanishRacette, Guy J MDGender: MaleNPI: 1801876255311 Buddy Ganem(361) 777-0500Hospital Affiliations:Christus Hospital StElizabethClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: French;Spanish

u Ramirez, Jorge A DOGender: MaleNPI: 1235407214311 Buddy Ganem DrSte A(361) 777-0500Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:Family Practice

Rose, James K MDGender: MaleNPI: 1225192248125 North Shore Blvd(361) 651-1200Hospital Affiliations:South Texas SurgicalHospital; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CcDoctors Center PortlandPLLCBoard Certifications:NoneLanguage: SpanishShahan, Jared T MDGender: MaleNPI: 15181447731700 WildcatSte B(361) 704-6368Hospital Affiliations: ChiSt Joseph Hlth BurlesonHospClinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneSoler, Michael J MDGender: MaleNPI: 1285901140

♿U107 Cedar Dr(361) 643-6623Clinic Affiliation: LeeSang Jerome A MDBoard Certifications:NoneLanguage: Spanish

GENERAL PRACTICESchwirtlich, Lonnie R MDGender: MaleNPI: 1679561880

♿1700 Wildcat DrSte B(361) 704-6368Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: AccessTotal Care LLCBoard Certifications:None

INTERNAL MEDICINEHeredia, David L MDGender: MaleNPI: 1104980408

♿41500 Wildcat Dr Ste H(361) 777-3330Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: DavidHeredia MD PABoard Certifications:NoneLanguage: SpanishLee Sang, Jerome A MDGender: MaleNPI: 1164449948

♿U107 Cedar Dr(361) 643-6623Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: LeeSang Jerome A MDBoard Certifications:NoneLanguage: Spanish

u Soler, Laura I MDGender: FemaleNPI: 1619165123

U107 Cedar Dr(361) 643-6623Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: LeeSang Jerome A MDBoard Certifications:Internal MedicineLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 PORTLAND

63

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 64: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

PORTLAND(continued)

PEDIATRICSu Almouie, Muhamad N MDGender: MaleNPI: 1558369710

♿277 Buddy GanemSte A(361) 777-3900Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: AlmouiePediatrics PABoard Certifications:PediatricsLanguage: Arabic;SpanishBaber, Elena D MDGender: FemaleNPI: 1447219829

♿1029 US Hwy 181(361) 643-2518Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

u Candas, Ali F MDGender: MaleNPI: 1962450189

♿1029 W US Hwy 181(361) 643-2518Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical CenterClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:PediatricsLanguage: Spanish

u Cortes, Edgar R MDGender: MaleNPI: 1487602728

♿U1830 Billy G Webb(361) 643-2518Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:PediatricsLanguage: Spanish

u Dirksen, William H MDGender: MaleNPI: 1144278581

♿U1029 US Hwy 181(361) 643-2518Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:PediatricsLanguage: SpanishDohi, David F DOGender: MaleNPI: 1457578247

♿1029 US Hwy 181(361) 643-2518Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

Espiritu, Teofilo S MDGender: MaleNPI: 1366490799

♿U1029 US Highway 181(361) 643-2518Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical CenterClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

u Etuknwa, Uduak T MDGender: FemaleNPI: 1366401770

♿U1029 US Hwy 181(361) 643-2618Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:PediatricsLanguage: SpanishGonzalez Bere, AlejandroA MDGender: MaleNPI: 1932157468

♿1029 W US Hwy 181(361) 643-2518Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

Narcise, Maria V MDGender: FemaleNPI: 19122749861029 W US Hwy 181(361) 643-2518Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalChildrens Clinic PABoard Certifications:NoneLanguage: Spanish

u Ryan Philpott, Karen AMDGender: FemaleNPI: 1427042183277 Buddy Ganem DrSte A(361) 777-3900Hospital Affiliations:Childrens Hospital SanAntonio; Santa RosaMedical CenterClinic Affiliation: AlmouiePediatrics PABoard Certifications:Pediatrics

PREMONT

FAMILY PRACTICESalinas, Fulgencio P MDGender: MaleNPI: 1033387238

♿U302 S Agnes St(361) 346-2575Hospital Affiliations:South Texas HealthSystem; CornerstoneRegional Hospital LPClinic Affiliation: F PSalinas MD PABoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

PORTLAND 01/19/2021

64

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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REFUGIO

FAMILY PRACTICEu Jenkins, Joseph D DOGender: MaleNPI: 1962655803

♿U107 1/2 Swift St(361) 526-5328Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:Family PracticeLanguage: Spanish

u Scherrer, Philip E MDGender: MaleNPI: 1619103124

U107 Swift St(361) 526-5328Hospital Affiliations:Midland Memorial Hospital;Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:Family Practice

INTERNAL MEDICINEu Dimtri, Francis N DOGender: MaleNPI: 1316394935

U107 Swift St(361) 526-2321Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx ShorelineClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:Internal Medicine

Mascarenhas, Russell AMDGender: MaleNPI: 1497863906

♿U107 1/2 Swift Street(361) 526-5328Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneLanguage: Spanish

ROBSTOWN

FAMILY PRACTICEGuevara, Ron J DOGender: MaleNPI: 1811967300

U15406 Northwest BlvdSte B(361) 933-1188Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: TexasFamily Wellness Clinic IncBoard Certifications:NoneLanguage: Spanish

u Main, Ellis G DOGender: MaleNPI: 1366440919

♿327 W Avenue J(361) 387-9233Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: RuralHealth Solutions PABoard Certifications:Family PracticeLanguage: Spanish

INTERNAL MEDICINEu Elizondo, Marco A MDGender: MaleNPI: 1386679058

♿1038 Texas Yes Blvd(361) 767-1200Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouthClinic Affiliation: ChristusPhysician Group; SpohnHealth SystemBoard Certifications:Internal MedicineLanguage: Afrikaans;American Sign; Oromo;Spanish

PEDIATRICSu Almouie, Muhamad N MDGender: MaleNPI: 1558369710

♿819 E Main Ave(361) 387-1200Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: AlmouiePediatrics PABoard Certifications:PediatricsLanguage: Arabic;Spanish

u Borchard, Edward L MDGender: MaleNPI: 1326005893

♿500 East Ave J(361) 767-9955Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation: CorpusChristi Tots and Teens PABoard Certifications:PediatricsLanguage: Spanish

u Ryan Philpott, Karen AMDGender: FemaleNPI: 1427042183819 E Main Ave(361) 387-1200Hospital Affiliations:Childrens Hospital SanAntonio; Santa RosaMedical CenterClinic Affiliation: AlmouiePediatrics PABoard Certifications:Pediatrics

ROCKPORT

FAMILY PRACTICEAlsop, Ernest C MDGender: MaleNPI: 1194010504400 EnterpriseBlvd D4 Suite1(361) 729-2800Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: Ernest CAlsop MD PABoard Certifications:NoneLanguage: SpanishDehnisch, Frank R MDGender: MaleNPI: 1952376345

U2621 Hwy 35n(361) 729-3939Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation: RockportUrgent Care CenterBoard Certifications:NoneLanguage: SpanishHaun, Edwin S DOGender: MaleNPI: 1568571446

♿400 Enterprise BlvdBldg D4 Ste 1(361) 729-2800Board Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 REFUGIO

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ROCKPORT(continued)

FAMILY PRACTICE(continued)Lucci, Christopher P MDGender: MaleNPI: 1447241955

♿2600 Lakeview DrSte D(361) 790-5155Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: Diabetesand Cardiovascular of RoBoard Certifications:None

u McNamara, Katharine EDOGender: FemaleNPI: 15586213341121 Hwy 35 N(361) 221-19452011 Highway 35 N(361) 235-4694Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation:Katharine E McNamara DOPLLC; Rockport PhysicalMedicine PABoard Certifications:Family PracticeLanguage: SpanishPerez, Mario DOGender: MaleNPI: 1841222890

♿2600 Lakeview DrSte D(361) 790-5155Clinic Affiliation: Diabetesand Cardiovascular of RoBoard Certifications:NoneLanguage: Spanish

GENERAL PRACTICEDriggs, Shane C MDGender: MaleNPI: 13069223561004 Ibis Dr(361) 450-0721Hospital Affiliations:Valley Regional MedicalCenterClinic Affiliation: Here OrThere Healthcare PLLCBoard Certifications:NoneLanguage: Spanish

INTERNAL MEDICINEu Bruce, Ronald W DOGender: MaleNPI: 1922145168

♿1121 Highway 35 N(361) 729-5388Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: InternalMedicine AssociatesBoard Certifications:Internal MedicineLanguage: SpanishLow, Robert R DOGender: MaleNPI: 1881761989

♿1121 Hwy 35 North(361) 729-5388Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: InternalMedicine AssociatesBoard Certifications:NoneLanguage: Spanish

PEDIATRICSApostol, Melecio F MDGender: MaleNPI: 1063420404

♿2106 W Market St(361) 729-8686Hospital Affiliations:Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Memorial MedicalCenterBoard Certifications:NoneLanguage: Spanish

SANDIA

GENERAL PRACTICESchwirtlich, Lonnie R MDGender: MaleNPI: 1679561880

♿401 E King Ave(361) 884-2904Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: AccessTotal Care LLCBoard Certifications:None

SINTON

FAMILY PRACTICEAcuna, Rene R DOGender: MaleNPI: 1649272188

♿1133 E Sinton(361) 587-9040Hospital Affiliations:Christus Spohn Hos CctxShorelineBoard Certifications:NoneLanguage: Spanish

Beasley, Karole L MDGender: FemaleNPI: 1609890367621 E Sinton St(361) 364-4486Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

u Dunn, Michael A DOGender: MaleNPI: 18213746951143 E Sinton St(361) 364-2804Clinic Affiliation: WellmedMedical Group PABoard Certifications:Family Practice

u Kamat, Vandana S MDGender: FemaleNPI: 1619994258

♿621 E Sinton St(361) 364-4486Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHospital Alice; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Family PracticeLanguage: Hindi; Spanish

u Puente, Joseph P MDGender: MaleNPI: 1356312730

♿209 E Market St(361) 364-0650Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: SpohnHealth SystemBoard Certifications:Family PracticeLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ROCKPORT 01/19/2021

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SINTON (continued)

PEDIATRICSMiranda, Francisco J MDGender: MaleNPI: 1417097288

♿621 E Sinton St(361) 364-4486Hospital Affiliations:Christus Spohn HospitalBeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

u Oryan, Julio C MDGender: MaleNPI: 1952493140621 E Sinton St(361) 364-4486Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn HospitalAlice; Christus SpohnHospital Kleberg; ChristusSpohn Hospital BeevilleClinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:PediatricsLanguage: American Sign;Spanish

u Ramakrishna, MulukutlaMDGender: MaleNPI: 1972615888

♿U301 S San Patricio St(361) 364-3355Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hospital Kleberg;Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation: SpidPediatric Clinic PABoard Certifications:PediatricsLanguage: Hindi; Spanish

Rodriguez, Jorge S MDGender: MaleNPI: 1912065954

♿U301 S San Patricio Ave(361) 364-3355Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: SpidPediatric Clinic PABoard Certifications:NoneLanguage: Indian; Spanish

TAFT

FAMILY PRACTICEu Main, Ellis G DOGender: MaleNPI: 1366440919

♿1210 Gregory St Ste 2(361) 528-2595Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: RuralHealth Solutions PABoard Certifications:Family PracticeLanguage: Spanish

THREE RIVERS

FAMILY PRACTICEu Atascosa Health Center

IncGender: MaleNPI: 1356721955

U105 E Thornton(361) 786-3618Clinic Affiliation:Atascosa Health Center IncBoard Certifications:Family Practice

u Ghans, Wayne O MDGender: MaleNPI: 1124099007105 E Thornton(361) 786-3618Hospital Affiliations:Santa Rosa MedicalCenter; Baptist HealthSystemClinic Affiliation:Atascosa Health Center IncBoard Certifications:Family PracticeLanguage: SpanishGuido, Hugo E MDGender: MaleNPI: 1366634420

U105 E Thornton(361) 786-3618Hospital Affiliations:Christus Spohn Hos CctxShoreline; Santa RosaMedical Center; BaptistHealth System; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouthClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: SpanishHirschfield, Gail T MDGender: FemaleNPI: 1740243484105 E Thornton(361) 786-3618Hospital Affiliations:Stephens MemorialHospitalClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: Spanish

u Mitchell, Rayford B MDGender: MaleNPI: 1811012198105 E Thornton(361) 786-3618Hospital Affiliations: OttoKaiser Memorial Hospital;Bellville Medical Center;Refugio County MemorialHospital; ConnallyMemorial Medical CenterClinic Affiliation:Atascosa Health Center IncBoard Certifications:Family PracticeLanguage: SpanishUrby, Rodolfo M MDGender: MaleNPI: 1174592596105 E Thornton St(361) 786-3618Hospital Affiliations:Santa Rosa MedicalCenter; University HealthSystemClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: SpanishWest, Kc J MDGender: FemaleNPI: 1316476377

U105 E Thornton(361) 786-3618Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

PEDIATRICSThompson, Shanel M MDGender: FemaleNPI: 1780027508105 E Thornton(361) 786-3616Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 SINTON

67

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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TILDEN

FAMILY PRACTICEu Atascosa Health Center

IncGender: MaleNPI: 1356721955203 Hackberry St(361) 274-3690Clinic Affiliation:Atascosa Health Center IncBoard Certifications:Family Practice

u Ghans, Wayne O MDGender: MaleNPI: 1124099007203 Hackberry St(361) 274-3690Hospital Affiliations:Baptist Health System;Santa Rosa Medical CenterClinic Affiliation:Atascosa Health Center IncBoard Certifications:Family PracticeLanguage: SpanishGuido, Hugo E MDGender: MaleNPI: 1366634420203 Hackberry St(361) 274-3690Hospital Affiliations:Baptist Health System;Santa Rosa MedicalCenter; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Christus Spohn Hos CctxShorelineClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: SpanishHirschfield, Gail T MDGender: FemaleNPI: 1740243484203 Hackberry St(830) 772-9865Hospital Affiliations:Stephens MemorialHospitalClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: Spanish

u Mitchell, Rayford B MDGender: MaleNPI: 1811012198203 Hackberry St(361) 274-3690Hospital Affiliations: OttoKaiser Memorial Hospital;Bellville Medical Center;Refugio County MemorialHospital; ConnallyMemorial Medical CenterClinic Affiliation:Atascosa Health Center IncBoard Certifications:Family PracticeLanguage: SpanishUrby, Rodolfo M MDGender: MaleNPI: 1174592596203 Hackberry St(361) 274-3690Hospital Affiliations:Santa Rosa MedicalCenter; University HealthSystemClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: SpanishWest, Kc J MDGender: FemaleNPI: 1316476377203 Hackberry St(361) 274-3690Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

PEDIATRICSThompson, Shanel M MDGender: FemaleNPI: 1780027508203 Hackberry St(361) 274-3690Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

TIVOLI

INTERNAL MEDICINEMascarenhas, Russell AMDGender: MaleNPI: 1497863906

♿106 W Wilson(361) 286-0115Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneLanguage: Spanish

UTOPIA

INTERNAL MEDICINEJaafar, Saleh N MDGender: MaleNPI: 1679564587

♿100 Brandon St(830) 966-6140Hospital Affiliations:Medina Regional Hospital;Baptist Health System; StLukes Baptist Hospital;Methodist HospitalClinic Affiliation: MedcareAssociates PABoard Certifications:NoneLanguage: Arabic;Spanish

WOODSBORO

INTERNAL MEDICINEMascarenhas, Russell AMDGender: MaleNPI: 1497863906

♿120 Wood Ave(361) 543-5414Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneLanguage: Spanish

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

TILDEN 01/19/2021

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ALICE

ANESTHESIOLOGYu Brady, Kevin M MDGender: MaleNPI: 1528002045

42500 East Main Street(361) 661-8000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; PaloPinto General HospitalClinic Affiliation:Emergenchealth LLCBoard Certifications:AnesthesiologyHeinrich, Michael S MDGender: MaleNPI: 1710930938

42500 E Main St(361) 661-8000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Fort DuncanMedical Center LP;Christus Spohn Hosp CctxMemorial; Chi St LukesHlth Mem Livingston;Nacogdoches MedicalCenterClinic Affiliation:Emergenchealth LLCBoard Certifications:None

u Jung, Harry H MDGender: MaleNPI: 1740224674

42500 East Main Street(361) 661-8000Hospital Affiliations:Bs&w Medical CenterTaylor; Dell Seton MedicalCenter at UT; St DavidsMedical Center; HospsProvidence MemorialCampus; UTMB HealthGalveston; AscensionSeton Med Center Austin;Christus Spohn Hos CctxShoreline; WoodlandHeights Medical Center;Chi St Lukes Hlth MemLivingston; St DavidsGeorgetown HospitalClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

u Lemons, Mark F MDGender: MaleNPI: 1548225717

42500 East Main Street(361) 661-8000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Knapp Medical CenterClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

u Rubio, Jose A MDGender: MaleNPI: 1225281645

42500 East Main Street(361) 661-8000Hospital Affiliations:South Texas HealthSystem; Medical CityDallas; Christus Spohn HosCctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

ANP/CERT/CLNPAbrego, Hope APNGender: FemaleNPI: 16891790872500 E Main St3rd Flr(361) 737-0600Clinic Affiliation: TrinityClinicBoard Certifications:NoneDiaz, Annie M APNGender: FemaleNPI: 12457265461008 Medical Center Blvd(361) 668-4728Clinic Affiliation: AliceHeart CenterBoard Certifications:NoneLanguage: SpanishDillon, Kristin L APNGender: FemaleNPI: 10133216862510 E Main Ste 102(361) 664-4445Clinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:NoneGuerra, Maricela APNGender: FemaleNPI: 14274992921008 Medical Center Blvd(361) 668-4278Clinic Affiliation: AliceHeart CenterBoard Certifications:NoneLanguage: SpanishPattillo, Tammy J APNGender: FemaleNPI: 19728409082510 E MainSte 102(361) 664-4445Clinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:None

Perdue, Judy APNGender: FemaleNPI: 1598753535

♿2510 E Main St Ste 106(361) 661-8370Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: SpanishRequenez, Ricardo J APNGender: MaleNPI: 12154595652510 E Main Ste102(361) 664-4445Clinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:NoneSosa, Kristen A APNGender: FemaleNPI: 11446223332510 E Main StSte 106(361) 661-8370Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneStewart, Dovie J APNGender: FemaleNPI: 1023524089779 N Texas Blvd(361) 688-0919Clinic Affiliation: BrushCountry Medical PLLCBoard Certifications:NoneWhite, Kendell R APNGender: FemaleNPI: 1043711211

U700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ALICE

69

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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ALICE (continued)

ANP/CERT/CLNP(continued)Williams, Jeremiah J APNGender: MaleNPI: 1750845343

4317 E 1st St(361) 664-0202Clinic Affiliation: PrimaryCare and WellnessBoard Certifications:None

CARDIACELECTROPHYSIOLOGY

u Shuraih, Mossaab MDGender: MaleNPI: 11443182702520 E Main StSte 200(361) 888-8271Hospital Affiliations:Memorial Hermann SWHospital; MemorialHermann SE Hospital; ChiSt Lukes Hlth Baylor CollMedClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Cardiac Electrophysiology

CARDIOVASCULARDISEASE

u Coutin, Rafael F MDGender: MaleNPI: 16795742302520 E Main StSte 200(361) 888-8271Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHospital Kleberg; ChristusSpohn Hospital Beeville;Christus Spohn Hosp CctxMemorial; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hos CctxShorelineClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Kamat, Suraj A MDGender: MaleNPI: 1457324089

♿1008 Medical Center Blvd(361) 668-4278Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Alice; CorpusChristi Medical CenterClinic Affiliation: AliceHeart CenterBoard Certifications:Cardiovascular DiseaseLanguage: French;German; Spanish

Martinez Quinonez,Carlos E MDGender: MaleNPI: 15684639412520 E Main StSte 200(361) 888-8271Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHospital Beeville; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; SouthTexas Surgical HospitalClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLanguage: SpanishMcKinstry, Scott W MDGender: MaleNPI: 17402813022520 E Main StSte 200(361) 888-8271Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hospital Kleberg;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; SouthTexas Surgical HospitalClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLanguage: Spanish

Pappas, John D MDGender: MaleNPI: 10331102342520 E Main StSte 200(361) 888-8271Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalBeeville; Christus SpohnHospital Kleberg; CorpusChristi Medical CenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLanguage: Spanish

u Qureshi, Usman Q MDGender: MaleNPI: 1851365381

♿1008 Medical Center Blvd(361) 668-4278Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: AliceHeart CenterBoard Certifications:Cardiovascular DiseaseLanguage: French;German; Hindi; Pakistani;Spanish

u Rodriguez, Mike E MDGender: MaleNPI: 13068475042520 E Main StSte 200(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHos Cctx Shoreline; SouthTexas Surgical Hospital;Christus Spohn HospitalKleberg; Corpus ChristiMedical CenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Cardiovascular Disease

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ALICE 01/19/2021

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ALICE (continued)

CARDIOVASCULARDISEASE (continued)

u Szalai, Gabor MDGender: MaleNPI: 11949928182520 E Main StSte 200(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; HoustonMethodist Hospital;Christus Spohn HospitalKlebergClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Venkatachalam, SridharMDGender: MaleNPI: 16595099902520 E Main StSte 200(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease

CHIROPRACTICHornsby, Charles H DCGender: MaleNPI: 1285775080

♿U1224 E Main St(361) 455-1761Clinic Affiliation: HmccPLLCBoard Certifications:NoneLanguage: Spanish

McArthur, Derek W DCGender: MaleNPI: 1679519177

♿U2200 E Main Street(361) 664-1181Clinic Affiliation: CalallenChiropracticBoard Certifications:NoneLanguage: SpanishSalinas, Mark DCGender: MaleNPI: 1023317823

U2200 E Main(361) 664-1181Clinic Affiliation: CalallenChiropracticBoard Certifications:NoneLanguage: Spanish

DIAG RADIOLOGYGershon, Ruth K MDGender: FemaleNPI: 1033475827

42000 Doctor N.w. AtkinsonBlvdSte 801(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

u Salinas, Guillermo MDGender: MaleNPI: 1437114162

42500 E Main St(361) 664-4376Hospital Affiliations:Laredo Medical Center;Christus Spohn HospitalAliceClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications: DiagRadiology; Radiology

Turner, Jennifer E MDGender: FemaleNPI: 16694662562000 Doctor N.w. AtkinsonBlvdSte 801(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

GENERAL SURGERYSubnani, Raj MDGender: MaleNPI: 1992707848

♿211 East 4th St(361) 668-0055Hospital Affiliations:Christus Spohn HospitalAlice; Christus SpohnHospital KlebergBoard Certifications:NoneLanguage: Gujarati; Hindi;Marathi; Sindhi

HEMATOLOGYGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1008 Medical Center Blvd(361) 885-0390Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

INTERNAL MEDICINEu Diaz, Roberto F MDGender: MaleNPI: 1851300891

♿2510 E Main StSte 102(361) 664-4445Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:Internal Medicine; SleepMedicineLanguage: SpanishGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1008 Medical Center Blvd(361) 885-0390Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;SpanishQureshi, Usman Q MDGender: MaleNPI: 1851365381

♿1008 Medical Center Blvd(361) 668-4278Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: AliceHeart CenterBoard Certifications:Cardiovascular DiseaseLanguage: French;German; Hindi; Pakistani;Spanish

MEDICAL ONCOLOGYu Ghraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1008 Medical Center Blvd(361) 885-0390Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ALICE

71

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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ALICE (continued)

NEPHROLOGYu Ramirez, Roberto R MDGender: MaleNPI: 1295761013

♿1008 Medical CenterBlvd(361) 882-9278Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx Shoreline; CorpusChristi Medical Center;Mem Hermann TheWoodlands Med CtrClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish

u Vazquez, Jorge L MDGender: MaleNPI: 1942245295901 Medical Center Blvd(361) 664-2440Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Christus Spohn Hosp CctxSouth; Christus SpohnHospital Alice; CorpusChristi Medical CenterClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish

NUTRITION & DIETETICSu Deyhim, Farzad RDGender: MaleNPI: 1669648440

♿U204 E 1st St(956) 728-1769♿614 W Front St(361) 664-9587♿700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Nutrition & DieteticsLanguage: American Sign;Spanish; American Sign;Spanish; American Sign;Spanish

u Griffiths, Laura L RDGender: FemaleNPI: 1790959278204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Nutrition & Dietetics

OBSTETRICS-GYNECOLOGYAlmendarez, Valentin MDGender: MaleNPI: 13260376152520 E Main StSte 206(361) 661-83902520 E Main St Ste 206(361) 661-8390Hospital Affiliations:Christus Spohn HospitalAlice; St Lukes BaptistHospital; MethodistHospital; St Lukes BaptistHospitalClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:NoneLanguage: Spanish

Bradford, Jason C MDGender: FemaleNPI: 18616514242510 E Main St Ste 106(361) 661-8370700 Flournoy RdSte 2a(361) 664-1417Hospital Affiliations:Peterson Regional MedicalCenter; Christus SpohnHospital Alice; PetersonRegional Medical Center;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hospital Alice;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx ShorelineClinic Affiliation: ChristusPhysician Group;Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishPeters, Carol L MDGender: FemaleNPI: 10533378162520 E Main St Ste 206(361) 661-8390Hospital Affiliations: StDavids N Austin MedicalCtr; Christus JasperMemorial HospitalClinic Affiliation: C HWilkinson Alford MooreBoard Certifications:ReproductiveEndocrinology & Infertility

Poole, Rebecca L MDGender: FemaleNPI: 16697844352520 E Main St Ste 206(361) 661-8390700 Flournoy RdSte 2a(361) 664-1417Hospital Affiliations:United Regional Hlth CareSystem; Christus SpohnHospital Alice; Kell WestRegional Hospital LLC;United Regional Hlth CareSystem; Christus StMichael Health System;Christus Spohn HospitalAlice; Kell West RegionalHospital LLC; Christus StMichael Health SystemClinic Affiliation: C HWilkinson Alford Moore;Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishWaer, Robert S MDGender: MaleNPI: 10533952022520 E Main St Ste 206(361) 661-8390Hospital Affiliations:Memorial HermannSurgery Center; MemorialHermann SW HospitalClinic Affiliation: ChristusPhysician GroupBoard Certifications:None

OCCUPATIONALTHERAPYAleman, Heather C OTGender: FemaleNPI: 1184867848204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ALICE 01/19/2021

72

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 73: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

ALICE (continued)

OCCUPATIONALTHERAPY (continued)Borges Aldana, MarisolOTGender: FemaleNPI: 1235289737204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishBuck, Alexis T OTGender: FemaleNPI: 1609408327204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneCapezzuto, Samantha OTGender: FemaleNPI: 1811458219204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneDulin, Rebecca A OTGender: FemaleNPI: 1467674358204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneGlass, Loraine D OTGender: FemaleNPI: 1184079667400 E Main St(956) 233-4111Clinic Affiliation: LittleLighthouse ChildrensRehabBoard Certifications:None

Hernandez, Rosa M OTGender: FemaleNPI: 1750597225

♿614 W Front St(361) 664-9587♿700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;SpanishOrozco, Aida M OTGender: FemaleNPI: 1245242825204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishPetri, Dragan OTGender: MaleNPI: 1407361124

U400 E Main St(361) 396-4029Clinic Affiliation: LittleLighthouse ChildrensRehabBoard Certifications:NoneRobertson, Michael J OTGender: MaleNPI: 1710085436

♿204 E 1st St(361) 661-1192♿614 W Front St(361) 664-9587♿700 Flournoy DrSte A(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;Spanish; American Sign;Spanish

Spence, Cynthia G OTGender: FemaleNPI: 1225190218

U400 E Main Street(361) 396-4029Clinic Affiliation: LittleLighthouse ChildrensRehabBoard Certifications:NoneWhite Cantu, Sarah L OTGender: FemaleNPI: 1922360122

♿U501 N Reynolds St(361) 396-4029Clinic Affiliation: LittleLighthouse ChildrensRehabBoard Certifications:NoneLanguage: Abkhazian;Afar; Afrikaans; Albanian;Spanish

ONCOLOGYGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1008 Medical Center Blvd(361) 885-0390Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

OPHTHALMOLOGYu Moore, Jacob J MDGender: MaleNPI: 1144249277

♿62 N Cameron St(361) 664-3571Hospital Affiliations:Corpus Christi MedicalCenter; Christus-SpohnSurgicare of Corpu;Christus Spohn HospitalKleberg; Valley BaptistMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CoastalBend Eye Center PABoard Certifications:OphthalmologyLanguage: Spanish

OPTOMETRYGarza, Alyssa C ODGender: FemaleNPI: 1629637574

U559 N US Highway 281(361) 664-2020Clinic Affiliation: LeanderEye Care PCBoard Certifications:NoneGarza, Raymund ODGender: MaleNPI: 1356423180

♿777 N Texas Blvd(361) 668-3937Clinic Affiliation: GarzaRaymund ODBoard Certifications:NoneLanguage: SpanishGonzalez, Angelica M ODGender: FemaleNPI: 16997586152701 E Main St(361) 500-5423Clinic Affiliation: J & AVision ClinicBoard Certifications:NoneLanguage: SpanishHarrison, Nancy A ODGender: FemaleNPI: 167961860762 N Cameron St(361) 882-2651Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:NonePerez, Victoria C ODGender: FemaleNPI: 116487366762 N Cameron St(361) 664-3571Clinic Affiliation: VictoriaC Perez OD PLLCBoard Certifications:NonePham, Kimberly Q ODGender: FemaleNPI: 1023351806559 N Hwy 281(361) 664-2020Clinic Affiliation: LeanderEye Care PCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ALICE

73

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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ALICE (continued)

OPTOMETRY(continued)Pittman, Bobby J ODGender: MaleNPI: 1649224015

U62 N Cameron St(361) 664-3571Clinic Affiliation: B JPittman OdpaBoard Certifications:NoneLanguage: SpanishPrescott, Jason A ODGender: MaleNPI: 1831218171

U559 N US Highway 281(361) 664-2020Clinic Affiliation: LeanderEye Care PCBoard Certifications:NoneLanguage: Spanish

PATHOLOGYAnsari, Mukhtar A MDGender: MaleNPI: 1861440968

♿42500 E Main St(361) 661-8807Hospital Affiliations:Christus Spohn HospitalAliceBoard Certifications:None

PHYSICAL THERAPYAlaniz, Bryan A LPTGender: MaleNPI: 13366250371302 E 5th St(361) 664-9675Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:None

Chapman, Kristi L LPTGender: FemaleNPI: 1851426001

♿U1302 E 5th St(361) 664-9675Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishChavez, Maria E LPTGender: FemaleNPI: 1588960314

♿U1302 E 5th St(361) 664-9675Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishCronkhite, Phillip J LPTGender: MaleNPI: 1801918479

♿U1302 E 5th St(361) 664-9675Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishGallegos, Claudette LPTGender: FemaleNPI: 1023164514204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneHesseltine, Mandy C LPTGender: FemaleNPI: 1780718627

♿U1302 E 5th St(361) 664-9675Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

Humpal, Scott A LPTGender: MaleNPI: 1255344230

♿U1302 E 5th St(361) 664-9675Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishOaferina, Aleth H LPTGender: MaleNPI: 1235113754

♿614 W Front St(361) 664-9587♿700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishPizana, Paula L LPTGender: FemaleNPI: 1770704942204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneRamirez, Yvonne A LPTGender: FemaleNPI: 1306098736

♿U1302 E 5th St(361) 664-9675Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Czech;SpanishRuiz, Stephanie A LPTGender: FemaleNPI: 1972747590204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

Smith, Brent A LPTGender: MaleNPI: 1447598230

U1302 E 5th St(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneSweigart, Chad E LPTGender: MaleNPI: 1265608046

♿204 E 1st St(361) 661-1192♿614 W Front St(361) 664-9587♿700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishVan Hazel, Kristina LPTGender: FemaleNPI: 1306399845204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneVillegas, Cristian A LPTGender: MaleNPI: 1164643219201 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneWilson Pimentel,Elizabeth A LPTGender: FemaleNPI: 1508293341

♿U1302 E 5th St(361) 664-9675Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ALICE 01/19/2021

74

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.UThis Provider Has Extended Hours.

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ALICE (continued)

PHYSICIAN ASSISTANTKubena, Brittany K PAGender: FemaleNPI: 19920049982510 E Main Ste 102(361) 664-4445Clinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:NoneTewell, Katdidia M PAGender: FemaleNPI: 1073854360

4317 E 1st St(361) 664-0202Clinic Affiliation: PrimaryCare and WellnessBoard Certifications:NoneLanguage: Spanish

PODIATRYVolling, Dwight C DPMGender: MaleNPI: 1518939842

♿72 North Wright Street(361) 664-1121Hospital Affiliations:Christus Spohn HospitalAliceBoard Certifications:NoneLanguage: Spanish

RADIOLOGYu Brociner, Ronald L MDGender: MaleNPI: 1225001092

42500 E Main St(361) 664-4376Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:Radiology

Gershon, Ruth K MDGender: FemaleNPI: 1033475827

42000 Doctor N.w. AtkinsonBlvdSte 801(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLehman, Craig A MDGender: MaleNPI: 1568459311

42500 E Main St(361) 664-4376Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:None

u Salinas, Guillermo MDGender: MaleNPI: 1437114162

42500 E Main St(361) 664-4376Hospital Affiliations:Laredo Medical Center;Christus Spohn HospitalAliceClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications: DiagRadiology; RadiologySatterlee, Arthur J MDGender: MaleNPI: 1013912278

42500 E Main St(361) 664-4376Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:None

Turner, Jennifer E MDGender: FemaleNPI: 16694662562000 Doctor N.w. AtkinsonBlvdSte 801(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

REPRODUCTIVEENDOCRINOLOGY &INFERTILITY

u Peters, Carol L MDGender: FemaleNPI: 10533378162520 E Main St Ste 206(361) 661-8390Hospital Affiliations: StDavids N Austin MedicalCtr; Christus JasperMemorial HospitalClinic Affiliation: C HWilkinson Alford MooreBoard Certifications:ReproductiveEndocrinology & Infertility

SLEEP MEDICINEu Diaz, Roberto F MDGender: MaleNPI: 1851300891

♿2510 E Main StSte 102(361) 664-4445Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:Internal Medicine; SleepMedicineLanguage: Spanish

SPEECH PATHOLOGYAlvarez, Adela R SLPGender: FemaleNPI: 1215394432204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneBost, Cheryl L SLPGender: FemaleNPI: 1851512461204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneCastro, Angelica M SLPGender: FemaleNPI: 1407131212204 E 1st St(361) 664-0145Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneChapa, Dalia M SLPGender: FemaleNPI: 1821279829204 E First St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishDominguez, Olinda M SLPGender: FemaleNPI: 1215077631700 Flournoy Rd Ste 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ALICE

75

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

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ALICE (continued)

SPEECH PATHOLOGY(continued)

u Elizondo, Rosa R SLPGender: FemaleNPI: 1548747801204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Speech PathologyFontenot, Ann M SLPGender: FemaleNPI: 1992748016204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishGarcia, Sonia SLPGender: FemaleNPI: 1790949386

♿204 E 1st St(361) 661-1192♿614 W Front St(361) 664-9587Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;SpanishGonzalez, Kristie N SLPGender: FemaleNPI: 1275027013

U400 E Main Street(361) 396-4029Clinic Affiliation: LittleLighthouse ChildrensRehabBoard Certifications:None

Greishaw, Jaime SLPGender: FemaleNPI: 1174879910204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishGrothe, Melissa SLPGender: FemaleNPI: 1700175668204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneHarrington, Kendall SLPGender: FemaleNPI: 1417507005204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneKing, Jennifer M SLPGender: FemaleNPI: 1336301803204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLindsey, Kim M SLPGender: FemaleNPI: 1356730212204 E 1st St(361) 661-1192614 W Front St(361) 664-9587700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:None

Martinez, Adriana A SLPGender: FemaleNPI: 1841554243400 E Main St(361) 396-4029Clinic Affiliation: LittleLighthouse ChildrensRehabBoard Certifications:NoneMartinez, Mary E SPGender: FemaleNPI: 1518188168201 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneOgando, Yvette G SLPGender: FemaleNPI: 1558589705

♿614 W Front St(361) 664-9587♿700 Flournoy Rd Ste 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;SpanishPalreiro, Laura F SLPGender: FemaleNPI: 1790081602204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NonePeck, Jerri A SLPGender: FemaleNPI: 1942703343204 E 1st Street(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:None

Powell, Mandee M SLPGender: FemaleNPI: 1831310572204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneRegan, Elizabeth A SLPGender: FemaleNPI: 1881960318204 E 1st St(361) 661-1192614 W Front St(361) 664-9587700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneRodriguez, Lisa R SLPGender: FemaleNPI: 1053617951204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneSalazar, Laura M SLPGender: FemaleNPI: 1306339270204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneSavage, Denise L SLPGender: FemaleNPI: 1669803672

U408 N Texas Blvd(361) 453-7108Clinic Affiliation:Milestones Therapy CenterBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ALICE 01/19/2021

76

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 77: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

ALICE (continued)

SPEECH PATHOLOGY(continued)Sneed, Elsa G SLPGender: FemaleNPI: 1184743585

♿U204 E 1st St(956) 728-1769

U400 E Main St(361) 396-4029Clinic Affiliation:Community Action SouthTexashealth Clinic; LittleLighthouse ChildrensRehabBoard Certifications:NoneLanguage: SpanishTamez Munson, Patricia VSLPGender: FemaleNPI: 1649326943204 E First St(361) 661-1192614 W Front St(361) 664-9587700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishZamora, Benjamin S SLPGender: MaleNPI: 1881162949204 E 1st St(956) 728-1769Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:None

THERAPEUTICOPTOMETRYGarza, Alyssa C ODGender: FemaleNPI: 1629637574

U559 N US Highway 281(361) 664-2020Clinic Affiliation: LeanderEye Care PCBoard Certifications:NoneGarza, Raymund ODGender: MaleNPI: 1356423180

♿777 N Texas Blvd(361) 668-3937Clinic Affiliation: GarzaRaymund ODBoard Certifications:NoneLanguage: SpanishGonzalez, Angelica M ODGender: FemaleNPI: 16997586152701 E Main St(361) 500-5423Clinic Affiliation: J & AVision ClinicBoard Certifications:NoneLanguage: SpanishHarrison, Nancy A ODGender: FemaleNPI: 167961860762 N Cameron St(361) 882-2651Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:NonePerez, Victoria C ODGender: FemaleNPI: 116487366762 N Cameron St(361) 664-3571Clinic Affiliation: VictoriaC Perez OD PLLCBoard Certifications:None

Pham, Kimberly Q ODGender: FemaleNPI: 1023351806559 N Hwy 281(361) 664-2020Clinic Affiliation: LeanderEye Care PCBoard Certifications:NonePittman, Bobby J ODGender: MaleNPI: 1649224015

U62 N Cameron St(361) 664-3571Clinic Affiliation: B JPittman OdpaBoard Certifications:NoneLanguage: SpanishPrescott, Jason A ODGender: MaleNPI: 1831218171

U559 N US Highway 281(361) 664-2020Clinic Affiliation: LeanderEye Care PCBoard Certifications:NoneLanguage: Spanish

ARANSAS PASS

ANP/CERT/CLNPAkpunku, Livina C APNGender: FemaleNPI: 17002546461711 W Wheeler AveSte 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:NoneBayardo, Rodolfo APNGender: MaleNPI: 12654380971711 W Wheeler Ave Ste 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:NoneLanguage: Spanish

u Cisneros, Maria P APNGender: FemaleNPI: 17204514611711 W Wheeler Ste 3(361) 717-1661Clinic Affiliation: TexasCoastal Bend PulmonaryandBoard Certifications:ANP/CERT/CLNPEngledowl, Lone P APNGender: FemaleNPI: 1205235082

♿1711 W Wheeler Ave Ste 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:NoneLanguage: SpanishKoepsel, Peggy Jo S APNGender: FemaleNPI: 1104885086

♿1711 W Wheeler Ave Ste 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:NoneLanguage: American Sign;SpanishPrater, Rodney A APNGender: MaleNPI: 1477838944

♿1711 W Wheeler Ave Ste 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:NoneLanguage: English;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ALICE

77

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 78: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

ARANSAS PASS(continued)

ANP/CERT/CLNP(continued)Rice, Rebecca R APNGender: FemaleNPI: 1518303932201 W Wilson Ave(361) 758-2799Hospital Affiliations:Christus Santa Rosa NewBraunfels; AscensionProvidence; Christus StMichael Health System;Seton Medical Ctr HarkerHeights; Dell ChildrensMedical Center; Dell SetonMedical Center at UT;Cedar Park RegionalMedical Ctr; GuadalupeRegional Medical Center;Ascension Seton NorthwestClinic Affiliation: TrinityClinicBoard Certifications:NoneVela, Bernadette B APNGender: FemaleNPI: 10335108471711 W Wheeler Ave(361) 717-1661Clinic Affiliation: TexasCoastal Bend PulmonaryandBoard Certifications:None

AUDIOLOGYKalies, Daksha K AUDIOGender: FemaleNPI: 1417950338201 W Wilson Ave(361) 758-0376Clinic Affiliation: CoastalBend Hearing Clinic LLCBoard Certifications:NoneLanguage: American Sign;Gujarati; Hindi; Marathi;Spanish

CARDIOVASCULARDISEASE

u Chekuri, Kasi V MDGender: MaleNPI: 1093797193

♿1663 W Wheeler(361) 883-3962Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHospital Beeville; ChristusSpohn Hospital Kleberg;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: HeartClinic of Corpus ChrisBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

HEMATOLOGYGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1663 W Wheeler Ave(361) 248-7938Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

INTERNAL MEDICINEGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1663 W Wheeler Ave(361) 248-7938Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

Low, Robert R DOGender: MaleNPI: 1881761989

♿1711 W Wheeler AveSte 3(361) 758-1599Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: InternalMedicine AssociatesBoard Certifications:NoneLanguage: Spanish

MEDICAL ONCOLOGYu Ghraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1663 W Wheeler Ave(361) 248-7938Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

ONCOLOGYGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1663 W Wheeler Ave(361) 248-7938Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

OPHTHALMOLOGYMalouf, John G DOGender: MaleNPI: 1659372837

♿501 S Commercial(361) 758-8338Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: John GMalouf DopaBoard Certifications:NoneLanguage: Greek; Spanish

OPTOMETRYMartini, Amanda R ODGender: FemaleNPI: 10534487462501 W Wheeler Ave(361) 758-3433Clinic Affiliation: CoastalVision Care PCBoard Certifications:NoneLanguage: Spanish

PHYSICAL THERAPYAlaniz, Bryan A LPTGender: MaleNPI: 13366250372150 W Wheeler Ave(361) 758-5199Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneChapman, Kristi L LPTGender: FemaleNPI: 1851426001

♿U2150 W Wheeler Ave(361) 758-5199Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishChavez, Maria E LPTGender: FemaleNPI: 1588960314

♿U2150 W Wheeler Ave(361) 758-5199Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishCronkhite, Phillip J LPTGender: MaleNPI: 1801918479

♿U2150 W Wheeler Ave(361) 758-5199Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ARANSAS PASS 01/19/2021

78

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 79: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

ARANSAS PASS(continued)

PHYSICAL THERAPY(continued)Hesseltine, Mandy C LPTGender: FemaleNPI: 1780718627

♿U2150 W Wheeler Ave(361) 758-5199Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishHumpal, Scott A LPTGender: MaleNPI: 1255344230

♿U2150 W Wheeler Ave(361) 758-5199Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishRamirez, Yvonne A LPTGender: FemaleNPI: 1306098736

♿U2150 W Wheeler Ave(361) 758-5199Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Czech;SpanishShelton, Kristen LPTGender: FemaleNPI: 14578807342150 W Wheeler Hwy181(361) 758-5199Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:None

Wilson Pimentel,Elizabeth A LPTGender: FemaleNPI: 1508293341

♿U2150 W Wheeler Ave(361) 758-5199Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

PHYSICIAN ASSISTANTJackson, James R PAGender: MaleNPI: 18716482531711 W Wheeler Ave Ste 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:NoneRichardson, Kristopher LPAGender: MaleNPI: 18614839841711 W Wheeler Ave Ste 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:NoneLanguage: Punjabi;Spanish

PULMONARY DISEASEu Chakilam, Ramakrishna

MDGender: MaleNPI: 16494381931711 W Wheeler Ste 3(361) 226-1908Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: TexasCoastal Bend PulmonaryandBoard Certifications:Pulmonary Disease

Khan, Alamgir A MDGender: MaleNPI: 16594459061711 W Wheeler AveSte 1(361) 885-7722Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShorelineClinic Affiliation: AlamgirA Khan MDBoard Certifications:NoneLanguage: Spanish

RADIOLOGYu Menendez, Isabel C MDGender: FemaleNPI: 1376508168

41711 W Wheeler(361) 815-0688

41711 W Wheeler Ave(361) 815-0688Hospital Affiliations:Christus Spohn HospitalBeeville; Laredo MedicalCenter; Christus SpohnHospital Kleberg; LaredoMedical CenterBoard Certifications:RadiologyLanguage: Spanish

SLEEP MEDICINEKhan, Alamgir A MDGender: MaleNPI: 16594459061711 W Wheeler AveSte 1(361) 885-7722Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShorelineClinic Affiliation: AlamgirA Khan MDBoard Certifications:NoneLanguage: Spanish

SPEECH PATHOLOGYDavis Guerrero, Erica NSLPGender: FemaleNPI: 1922369164

♿U126 W Cleveland Blvd(361) 226-0026Clinic Affiliation: Say andPlay Therapy LLCBoard Certifications:NoneLanguage: Spanish

THERAPEUTICOPTOMETRYMartini, Amanda R ODGender: FemaleNPI: 10534487462501 W Wheeler Ave(361) 758-3433Clinic Affiliation: CoastalVision Care PCBoard Certifications:NoneLanguage: Spanish

BAY CITY

ANP/CERT/CLNPPalermo, Kaitlin A APNGender: FemaleNPI: 1801354170111 Ave F North(979) 245-2008Clinic Affiliation: MehopPhysician GroupBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ARANSAS PASS

79

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 80: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BEEVILLE

ALLERGY/IMMUNOLOGY

u Rao, Gullapall K MDGender: MaleNPI: 1841236106

♿U1811 Frontage RdHwy 181(361) 573-0713Hospital Affiliations:Detar Hospital Navarro;Citizens Medical CenterClinic Affiliation: VictoriaAllergy and Asthma ClinicBoard Certifications:Allergy/ImmunologyLanguage: Spanish

ANESTHESIOLOGYu Brady, Kevin M MDGender: MaleNPI: 1528002045

41500 E Houston Hwy(361) 354-2000Hospital Affiliations: PaloPinto General Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:AnesthesiologyHeinrich, Michael S MDGender: MaleNPI: 1710930938

41500 E Houston Highway(361) 354-2000Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Fort DuncanMedical Center LP;Nacogdoches MedicalCenter; Chi St Lukes HlthMem Livingston; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:None

u Jung, Harry H MDGender: MaleNPI: 1740224674

41500 E Houston Hwy(361) 354-2000Hospital Affiliations: ChiSt Lukes Hlth MemLivingston; AscensionSeton Med Center Austin;Bs&w Medical CenterTaylor; Woodland HeightsMedical Center; St DavidsMedical Center; HospsProvidence MemorialCampus; UTMB HealthGalveston; Dell SetonMedical Center at UT;Christus Spohn Hos CctxShoreline; St DavidsGeorgetown HospitalClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

u Lemons, Mark F MDGender: MaleNPI: 1548225717

41500 E Houston Hwy(361) 354-2000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Knapp MedicalCenter; Christus SpohnHosp Cctx MemorialClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

u Rubio, Jose A MDGender: MaleNPI: 1225281645

41500 E Houston Hwy(361) 354-2000Hospital Affiliations:South Texas HealthSystem; Medical CityDallas; Christus Spohn HosCctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

White, Johnny L MDGender: MaleNPI: 1336252477

♿1602 E Houston HwySte A(877) 750-1027Hospital Affiliations:Christus Spohn HospitalKleberg; Otto KaiserMemorial Hospital;Southwest GeneralHospital; Tirr Systems;Cuero Regional Hospital;TX Hlth Presbyterian HospPlano; Christus SpohnHospital Beeville; TX HlthCtr Diagnostics&sx Plano;Christus Spohn HospitalAlice; Methodist HospitalClinic Affiliation: Disabilityand Pain ConsultantsBoard Certifications:NoneLanguage: Chinese;Spanish

ANP/CERT/CLNPAizon, Bernice J APNGender: FemaleNPI: 1083177984

U301 S Hillside Dr Ste 4(316) 226-1126Clinic Affiliation: BeevilleMedical ClinicBoard Certifications:NoneFlynn, Mercedita N APNGender: FemaleNPI: 1619166188301 S Hillside Dr Ste 4(361) 226-1126600 South HillsideDr(972) 447-9800Clinic Affiliation: BeevilleMedical Clinic; ReliantTransitional Care LLCBoard Certifications:NoneLanguage: Tagalog

Menager, Katherine FAPNGender: FemaleNPI: 15483989281406 E Houston StSte B(361) 542-8186Clinic Affiliation: MenagerFamily Clinic LLCBoard Certifications:NoneLanguage: SpanishSantos, Adela R APNGender: FemaleNPI: 1295073955

♿311 S Hillside Dr Ste 9(361) 993-4835Clinic Affiliation: Raul RCapitaine MD PABoard Certifications:NoneLanguage: SpanishTudor, Jennifer M APNGender: FemaleNPI: 17204558351602 E Houston StSte C(361) 358-9200301 S Hiilside Dr Ste 4(361) 226-1126Clinic Affiliation: BeevilleMedical Clinic; TwinFountains Primary CareCliniBoard Certifications:NoneWatts, Hatira APNGender: FemaleNPI: 1598130361301 S Hillside Dr Ste 9(361) 993-4835Hospital Affiliations:River Crest HospitalClinic Affiliation: Raul RCapitaine MD PABoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

BEEVILLE 01/19/2021

80

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 81: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BEEVILLE(continued)

CARDIACELECTROPHYSIOLOGY

u Choucair, Wassim K MDGender: MaleNPI: 1962496620

♿301 S Hillside DrSte 7(361) 362-1342Hospital Affiliations:Corpus Christi MedicalCenter; Baptist HealthSystem; St Lukes BaptistHospital; Christus SpohnHospital Beeville; MethodistStone Oak Hospital;Christus Spohn HospitalKleberg; MethodistHospital; Christus SpohnHos Cctx Shoreline;Methodist Texsan HospitalClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Arabic; French;Spanish

u Shuraih, Mossaab MDGender: MaleNPI: 1144318270301 S Hillside DrSte 9(361) 888-8271Hospital Affiliations:Memorial Hermann SWHospital; MemorialHermann SE Hospital; ChiSt Lukes Hlth Baylor CollMedClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Cardiac Electrophysiology

u Toth, Zoltan K MDGender: MaleNPI: 1093719882

♿1406 E Houston StSte A(361) 888-8271Hospital Affiliations:Ascension Seton Hays; StDavids GeorgetownHospital; South TexasSurgical Hospital; ChristusSpohn Hos Cctx Shoreline;Ascension Seton MedCenter Austin; ChristusSpohn Hosp Cctx South;Christus Spohn Hosp CctxMemorial; Christus SpohnHospital Kleberg; St DavidsMedical Center; HeartHospital of AustinClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Hungarian;Spanish

CARDIOVASCULARDISEASE

u Chekuri, Kasi V MDGender: MaleNPI: 1093797193

♿301 S Hillside DrSte 7(361) 883-3962Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHospital Kleberg; ChristusSpohn Hosp CctxMemorial; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: HeartClinic of Corpus ChrisBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Choucair, Wassim K MDGender: MaleNPI: 1962496620

♿301 S Hillside DrSte 7(361) 362-1342Hospital Affiliations:Corpus Christi MedicalCenter; Baptist HealthSystem; St Lukes BaptistHospital; Christus SpohnHospital Beeville; MethodistStone Oak Hospital;Christus Spohn HospitalKleberg; MethodistHospital; Christus SpohnHos Cctx Shoreline;Methodist Texsan HospitalClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Arabic; French;Spanish

u Coutin, Rafael F MDGender: MaleNPI: 1679574230

♿1406 E Houston StSte A(361) 888-8271301 S Hillside DrSte 9(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHospital Kleberg; ChristusSpohn Hosp CctxMemorial; Christus SpohnHosp Cctx South; ChristusSpohn Hosp CctxMemorial; South TexasSurgical Hospital; ChristusSpohn Hospital Kleberg;South Texas SurgicalHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Madry, Robert W MDGender: MaleNPI: 1285635342

♿301 S Hillside DrSte 7(361) 362-1343Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 BEEVILLE

81

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

Page 82: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BEEVILLE(continued)

CARDIOVASCULARDISEASE (continued)Martinez Quin, Carlos EMDGender: MaleNPI: 1568463941

♿1406 E Houston Ste 2(361) 888-8271♿301 South Hillside DrSte 7(361) 888-8271Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHospital Beeville; ChristusSpohn Hos Cctx Shoreline;South Texas SurgicalHospital; Christus SpohnHospital Kleberg; ChristusSpohn Hos Cctx Shoreline;South Texas SurgicalHospital; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx South; ChristusSpohn Hospital KlebergClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

Martinez Quinonez,Carlos E MDGender: MaleNPI: 1568463941301 S Hillside DrSte 9(361) 888-8271Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHospital Kleberg; ChristusSpohn Hospital Beeville;Christus Spohn Hosp CctxSouth; South TexasSurgical Hospital; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLanguage: SpanishMcKinstry, Scott W MDGender: MaleNPI: 1740281302

♿1406 E Houston StSte A(361) 888-8271301 S Hillside DrSte 9(361) 888-8271Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; ChristusSpohn Hospital Beeville;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hospital Kleberg;Corpus Christi MedicalCenter; Christus SpohnHospital BeevilleClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:NoneLanguage: Spanish

u Ormand, Jackson E MDGender: MaleNPI: 1790786168

♿301 S Hillside DrSte 7(361) 362-1343Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Christus SpohnHospital BeevilleClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular DiseaseLanguage: SpanishPappas, John D MDGender: MaleNPI: 1033110234

♿301 S HillsideSte 7(361) 362-1343301 S Hillside DrSte 9(361) 888-8271Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hospital Kleberg;Corpus Christi MedicalCenter; Christus SpohnHospital Beeville; SouthTexas Surgical Hospital;Christus Spohn HospitalBeeville; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; South TexasSurgical Hospital; ChristusSpohn Hospital Kleberg;Christus Spohn Hosp CctxSouthClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:NoneLanguage: Spanish

u Rodriguez, Mike E MDGender: MaleNPI: 1306847504

♿301 S Hillside DrSte 7(361) 362-1342301 S Hillside DrSte 9(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHospital Kleberg; CorpusChristi Medical Center;South Texas SurgicalHospital; Christus SpohnHospital Kleberg; CorpusChristi Medical Center;South Texas SurgicalHospital; Christus SpohnHospital Beeville; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

BEEVILLE 01/19/2021

82

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

Page 83: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BEEVILLE(continued)

CARDIOVASCULARDISEASE (continued)

u Szalai, Gabor MDGender: MaleNPI: 1194992818

♿301 S Hillside DrSte 7(361) 362-1343301 S Hillside DrSte 9(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHos Cctx Shoreline;Houston MethodistHospital; Christus SpohnHospital Kleberg; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Houston MethodistHospital; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn HospitalBeeville; Christus SpohnHospital Kleberg; CorpusChristi Medical CenterClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Toth, Zoltan K MDGender: MaleNPI: 1093719882

♿1406 E Houston StSte A(361) 888-8271Hospital Affiliations:Ascension Seton Hays; StDavids GeorgetownHospital; South TexasSurgical Hospital; ChristusSpohn Hos Cctx Shoreline;Ascension Seton MedCenter Austin; ChristusSpohn Hosp Cctx South;Christus Spohn Hosp CctxMemorial; Christus SpohnHospital Kleberg; St DavidsMedical Center; HeartHospital of AustinClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Hungarian;SpanishUpmanyu, Sant K MDGender: MaleNPI: 1609860931

♿301 S Hillside DrSte 7(361) 362-1343Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens HospitalClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

u Venkatachalam, SridharMDGender: MaleNPI: 16595099901406 E Houston Ste A(361) 888-8271Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease

CHIROPRACTICMeyer, John J DCGender: MaleNPI: 1639170483

♿U804 North St Marys(361) 358-4151Board Certifications:None

DIAG RADIOLOGYNouranifar, Rabin K MDGender: MaleNPI: 1093798431

41201 Newhall St(361) 358-2166Hospital Affiliations: LasPalmas Camp Lpdsh;Laredo Medical Center; DelSol Camp LpdshClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:None

u Pu, Glen A MDGender: MaleNPI: 1720069834

41201 Newhall(361) 358-2166Hospital Affiliations:Laredo Medical Center;Hendrick Med CenterBrownwoodClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications: DiagRadiology; Radiology

u Schultz, Donald A MDGender: MaleNPI: 1922268606

41201 Newhall St(631) 358-7166Hospital Affiliations:ETMC First PhysHenderson RHC; LaredoMedical CenterClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications: DiagRadiologyZhao, Ying MDGender: MaleNPI: 1710926308

41201 Newhall St(361) 658-7166Hospital Affiliations:Laredo Medical Center;Hunt Regional MedicalCenter; East Texas MedicalCenter AthensClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:Radiology

GENERAL SURGERYGarcia, Marvin L MDGender: MaleNPI: 11846315171805 N Frontage 181(361) 358-7998Hospital Affiliations:Refugio County MemorialHospital; Otto KaiserMemorial HospitalClinic Affiliation: BeevilleSurgical AssociatesBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 BEEVILLE

83

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 84: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BEEVILLE(continued)

GENERAL SURGERY(continued)

u Schlotter, James W MDGender: MaleNPI: 18917428541602 E Houston StSte A(361) 354-2832Hospital Affiliations:Christus Mother FrancesTyler; Ascension SetonHays; Christus Santa RosaNew Braunfels; ChristusSanta Rosa San Marcos;Christus Santa Rosa NewBraunfels; St DavidsMedical Center; ChristusSanta Rosa San Marcos;Ascension Seton Hays;Christus Mother FrancesTyler; St Davids MedicalCenterClinic Affiliation: CoastalPlains Surgical CareBoard Certifications:General SurgeryLanguage: Spanish

HEMATOLOGYGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1211 E Houston St(361) 358-5152Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

INFECTIOUS DISEASESu Sierra Hoffman, Miguel A

MDGender: MaleNPI: 1265472906

♿U1602 E Houston StSte A(361) 358-9200♿U1602 E Houston St Ste C(361) 358-9200Hospital Affiliations: EastTexas Medical Center;Christus Spohn HospitalBeeville; Citizens MedicalCenter; East Texas MedicalCenter; Corpus ChristiMedical Center; CitizensMedical Center; ChristusSpohn Hospital Beeville;Corpus Christi MedicalCenterClinic Affiliation: BeevilleMedical Associates P L L CBoard Certifications:Infectious DiseasesLanguage: Spanish

INTERNAL MEDICINEGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1211 E Houston St(361) 358-5152Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

u Iznaola Esquivel, Oscar AMDGender: MaleNPI: 1699968560100 W Huntington St(361) 239-2851Hospital Affiliations:Santa Rosa MedicalCenter; Detar HospitalNavarro; Christus SpohnHospital Beeville; CitizensMedical CenterClinic Affiliation: OscarIznaola MD PABoard Certifications:Internal Medicine;NephrologyLanguage: American Sign;Mandarin; Spanish; Urdu;Yoruba

u Khan, Faisal N MDGender: MaleNPI: 1811136039

♿302 S Hillside Dr(361) 358-9912Hospital Affiliations:Christus Spohn HospitalBeeville; Detar HospitalNavarro; Citizens MedicalCenterClinic Affiliation: JjpFamily Practice LLCBoard Certifications:Internal Medicine;NephrologyLanguage: Spanish

INTERVENTIONALCARDIOLOGYMcKinstry, Scott W MDGender: MaleNPI: 1740281302

♿1406 E Houston StSte A(361) 888-8271Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; ChristusSpohn Hospital Beeville;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hospital KlebergClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: SpanishPappas, John D MDGender: MaleNPI: 1033110234

♿301 S HillsideSte 7(361) 362-1343Hospital Affiliations:Christus Spohn HospitalKleberg; Corpus ChristiMedical Center; ChristusSpohn Hospital Beeville;Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; ChristusSpohn Hosp Cctx SouthClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

BEEVILLE 01/19/2021

84

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 85: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BEEVILLE(continued)

INTERVENTIONALCARDIOLOGY(continued)

u Rodriguez, Mike E MDGender: MaleNPI: 1306847504

♿301 S Hillside DrSte 7(361) 362-1342Hospital Affiliations:Christus Spohn HospitalKleberg; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Christus Spohn HospitalBeeville; Christus SpohnHos Cctx ShorelineClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Szalai, Gabor MDGender: MaleNPI: 1194992818

♿301 S Hillside DrSte 7(361) 362-1343Hospital Affiliations:Christus Spohn Hos CctxShoreline; HoustonMethodist Hospital;Christus Spohn Hosp CctxSouth; Christus SpohnHospital Beeville; ChristusSpohn Hospital Kleberg;Corpus Christi MedicalCenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

MEDICAL ONCOLOGYu Ghraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1211 E Houston St(361) 358-5152Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

NEPHROLOGYu Iznaola Esquivel, Oscar A

MDGender: MaleNPI: 1699968560100 W Huntington St(361) 239-2851Hospital Affiliations:Santa Rosa MedicalCenter; Detar HospitalNavarro; Christus SpohnHospital Beeville; CitizensMedical CenterClinic Affiliation: OscarIznaola MD PABoard Certifications:Internal Medicine;NephrologyLanguage: American Sign;Mandarin; Spanish; Urdu;Yoruba

u Khan, Faisal N MDGender: MaleNPI: 1811136039

♿302 S Hillside Dr(361) 358-9912Hospital Affiliations:Christus Spohn HospitalBeeville; Detar HospitalNavarro; Citizens MedicalCenterClinic Affiliation: JjpFamily Practice LLCBoard Certifications:Internal Medicine;NephrologyLanguage: Spanish

NEUROLOGYThangada, Praveen K MDGender: MaleNPI: 1023078250

♿U1211 E Houston St(210) 403-2074♿U1602 E Houston StSte B(210) 403-2074Hospital Affiliations:Ascension Seton Edgar BDavis; Santa Rosa MedicalCenter; Northeast BaptistHospital; Memorial HospSievers & Waelder;Northeast MethodistHospital; Northeast BaptistHospital; Ascension SetonEdgar B Davis; NortheastMethodist Hospital; SantaRosa Medical Center;Memorial Hosp Sievers &Waelder; Ascension SetonEdgar B Davis; Santa RosaMedical Center; GuadalupeRegional Medical Center;Memorial Hosp Sievers &Waelder; GuadalupeRegional Medical CenterClinic Affiliation:Guadalupe ValleyNeurology and ElBoard Certifications:NoneLanguage: Spanish

NUTRITION & DIETETICSu Deyhim, Farzad RDGender: MaleNPI: 1669648440

♿2808 Industrial Loop(361) 358-8411♿301 S Hillside DrSte 5(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Nutrition & DieteticsLanguage: American Sign;Spanish; American Sign;Spanish

OBSTETRICS-GYNECOLOGYHirani, Zishan A MDGender: MaleNPI: 1174919138301 S Hillside DrSte 14(361) 929-7088Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHospital BeevilleClinic Affiliation:Innovation In WomensHealth PLLCBoard Certifications:None

u Shoemaker, Edward S MDGender: MaleNPI: 1437153400301 S Hillside DrSte 14(361) 929-7088Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation:Innovation In WomensHealth PLLCBoard Certifications:Obstetrics-GynecologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 BEEVILLE

85

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 86: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BEEVILLE(continued)

OBSTETRICS-GYNECOLOGY(continued)Zarate, Luis A MDGender: MaleNPI: 1447366141301 S Hillside DrSuites 5 6 15(361) 362-0307♿301 S Hillside Dr Ste 6(915) 613-8132Hospital Affiliations:Hosps ProvidenceMemorial Campus; Del SolCamp Lpdsh; LegentHospital; Hosps ofProvidence Sierra Campus;Del Sol Camp Lpdsh;University Medical CenterEl Paso; Christus SpohnHospital Beeville;University Medical CenterEl Paso; Hosps ofProvidence Sierra Campus;Las Palmas Camp Lpdsh;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Christus Spohn HospitalBeeville; Legent HospitalClinic Affiliation:Community Action SouthTexashealth Clinic; MaternAll PABoard Certifications:NoneLanguage: Spanish

OCCUPATIONALTHERAPYHernandez, Rosa M OTGender: FemaleNPI: 1750597225

♿2808 Industrial Loop(361) 358-8411♿301 S Hillside DrSte 5 6 15(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;SpanishRobertson, Michael J OTGender: MaleNPI: 1710085436

♿2808 Industrial Loop(361) 358-8411♿301 S Hillside Dr Ste 5 6 15(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;Spanish

ONCOLOGYGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1211 E Houston St(361) 358-5152Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish

OPHTHALMOLOGYu Campbell, Charles H MDGender: MaleNPI: 1154395705

♿1209 N Saint Marys St(361) 993-8510Hospital Affiliations: RioGrande Regional Hospital;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; DriscollChildrens HospitalClinic Affiliation: SouthTexas Retina ConsultantsLLPBoard Certifications:OphthalmologyLanguage: Spanish

u Moore, Jacob J MDGender: MaleNPI: 1144249277

♿1209 N Saint Marys St(361) 358-3218Hospital Affiliations:Christus Spohn HospitalKleberg; Corpus ChristiMedical Center; ValleyBaptist Medical Center;Christus Spohn Hos CctxShoreline; Christus-SpohnSurgicare of CorpuClinic Affiliation: CoastalBend Eye Center PABoard Certifications:OphthalmologyLanguage: Spanish

OPTOMETRYHarrison, Nancy A ODGender: FemaleNPI: 16796186071209 N Saint Marys(361) 882-2651Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:None

Mistry, Kavita ODGender: FemaleNPI: 1326073255502 E FM 351(361) 362-1666Clinic Affiliation: KavitaMistry OD PABoard Certifications:NoneLanguage: French;SpanishPerez, Elizabeth ODGender: FemaleNPI: 15180752661209 N Saint Marys St(361) 358-3218701 E Houston St(361) 362-2020Clinic Affiliation: Bronte DBaker OD Inc; Mira VisionBoutiqueBoard Certifications:NoneLanguage: Spanish

ORTHOPEDIC SURGERYu Breech, Donald W MDGender: MaleNPI: 11847135131406 E Houston St(361) 578-2911Hospital Affiliations:Detar Hospital Navarro;Yoakum CommunityHosptal; Memorial MedicalCenter; Citizens MedicalCenterClinic Affiliation: RegionalEmployee AssistanceBoard Certifications:Orthopedic SurgeryLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

BEEVILLE 01/19/2021

86

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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BEEVILLE(continued)

PAIN MANAGEMENTWhite, Johnny L MDGender: MaleNPI: 1336252477

♿1602 E Houston HwySte A(877) 750-1027Hospital Affiliations:Christus Spohn HospitalKleberg; Otto KaiserMemorial Hospital;Southwest GeneralHospital; Tirr Systems;Cuero Regional Hospital;TX Hlth Presbyterian HospPlano; Christus SpohnHospital Beeville; TX HlthCtr Diagnostics&sx Plano;Christus Spohn HospitalAlice; Methodist HospitalClinic Affiliation: Disabilityand Pain ConsultantsBoard Certifications:NoneLanguage: Chinese;Spanish

PHYSICAL THERAPYDial, Erin C LPTGender: FemaleNPI: 1619123361

♿1406 E Houston StSte D(361) 542-4652Clinic Affiliation: BeevillePhysical Therapy PLLCBoard Certifications:NoneLanguage: SpanishMartin, Darryl L LPTGender: MaleNPI: 1164417002

♿1301 E Houston St(361) 362-1700Clinic Affiliation: CoastalBend Spine & SportBoard Certifications:NoneLanguage: Spanish

Oaferina, Aleth H LPTGender: MaleNPI: 1235113754

♿2808 Industrial Loop(361) 358-8411♿301 S Hillside Dr Ste 56 15(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishSweigart, Chad E LPTGender: MaleNPI: 1265608046

♿2808 Industrial Loop(361) 358-8411♿301 S Hillside DrSte 5(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

PHYSICIAN ASSISTANTArthur, Andrew A PAGender: MaleNPI: 17908242901400 W Corpus Christi StSte 4(361) 358-2974Clinic Affiliation: SouthTexas Family Planning &HeaBoard Certifications:NoneLanguage: SpanishCampbell, Christina E PAGender: FemaleNPI: 12051313231209 N Saint Marys St(361) 993-8510Clinic Affiliation: SouthTexas Retina ConsultantsLLPBoard Certifications:None

Meineke, Terrance L PAGender: MaleNPI: 1891785093

♿407 N Adams St(361) 358-4242Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

PODIATRYWilliams, Kenneth DPMGender: MaleNPI: 1740285329

♿1211 E Houston St(210) 225-5804Hospital Affiliations:Metropolitan MethodistHospital; HoustonMethodist Sugar LandHospClinic Affiliation: BeevilleMedical Associates P L L CBoard Certifications:NoneLanguage: Spanish

RADIOLOGYLutzker, Steven L MDGender: MaleNPI: 1457447120

41201 Newhall St(956) 796-5000Hospital Affiliations:Lyndon B Johnson GeneralHospital; UTMB HealthGalveston; MD AndersonCancer Center; LaredoMedical Center; MemorialHermann Hospital; TitusRegional Medical CenterClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:None

Morales, Francisco J MDGender: MaleNPI: 1427021542

41201 Newhall St(800) 945-2455Hospital Affiliations:Laredo Medical CenterClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:NoneNouranifar, Rabin K MDGender: MaleNPI: 1093798431

41201 Newhall St(361) 358-2166Hospital Affiliations: LasPalmas Camp Lpdsh;Laredo Medical Center; DelSol Camp LpdshClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:None

u Pu, Glen A MDGender: MaleNPI: 1720069834

41201 Newhall(361) 358-2166Hospital Affiliations:Laredo Medical Center;Hendrick Med CenterBrownwoodClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications: DiagRadiology; RadiologySchultz, Donald A MDGender: MaleNPI: 1922268606

41201 Newhall St(631) 358-7166Hospital Affiliations:ETMC First PhysHenderson RHC; LaredoMedical CenterClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications: DiagRadiology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 BEEVILLE

87

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

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BEEVILLE(continued)

RADIOLOGY (continued)Simmons, Karen W MDGender: FemaleNPI: 1134162860

41201 Newhall St(800) 945-2455Hospital Affiliations:Christus Hospital StElizabeth; Concho CountyHospital; Medical CenterHospital; Laredo MedicalCenterClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:None

u Zhao, Ying MDGender: MaleNPI: 1710926308

41201 Newhall St(361) 658-7166Hospital Affiliations:Laredo Medical Center;Hunt Regional MedicalCenter; East Texas MedicalCenter AthensClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:Radiology

SPEECH PATHOLOGYBaker, Carri D SPGender: FemaleNPI: 1295763134

♿704 W Ben White BlvdSte 150a(512) 441-5100Clinic Affiliation: ColeConsolidated Rehab LLCBoard Certifications:None

Dominguez, Olinda M SLPGender: FemaleNPI: 1215077631301 S Hillside DrSte 5 & Ste 6(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishGarcia, Sonia SLPGender: FemaleNPI: 1790949386

♿2808 Industrial Loop(361) 358-8411Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishLindsey, Kim M SLPGender: FemaleNPI: 13567302122808 Industrial Loop(361) 358-8411301 S Hillside DrSte 5 6 15(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneOgando, Yvette G SLPGender: FemaleNPI: 1558589705

♿2808 Industrial Loop(361) 358-8411♿301 S Hillside DrSte 5 & Ste 6(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;Spanish

Regan, Elizabeth A SLPGender: FemaleNPI: 18819603182808 Industrial Loop(361) 358-8411301 S Hillside DrSte 5(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneTamez Munson, Patricia VSLPGender: FemaleNPI: 16493269432808 Industrial Loop(361) 358-8411301 S Hillside DrSte 5(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

THERAPEUTICOPTOMETRYHarrison, Nancy A ODGender: FemaleNPI: 16796186071209 N Saint Marys(361) 882-2651Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:NoneMistry, Kavita ODGender: FemaleNPI: 1326073255502 E FM 351(361) 362-1666Clinic Affiliation: KavitaMistry OD PABoard Certifications:NoneLanguage: French;Spanish

Perez, Elizabeth ODGender: FemaleNPI: 15180752661209 N Saint Marys St(361) 358-3218701 E Houston St(361) 362-2020Clinic Affiliation: Bronte DBaker OD Inc; Mira VisionBoutiqueBoard Certifications:NoneLanguage: Spanish

THORACICCARDIOVASCULARSURGERY

u Misick, Lofton N MDGender: MaleNPI: 1942257746301 S Hillside(361) 902-1722Hospital Affiliations: RioGrande Regional Hospital;McAllen Heart Hospital;Valley Regional MedicalCenter; Harlingen MedicalCenter LP; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Vly Baptist Med CtrBrownsvilleClinic Affiliation: BayCardiovascular Surgery PABoard Certifications:Thoracic CardiovascularSurgery

VASCULAR SURGERYSchlotter, James W MDGender: MaleNPI: 1891742854

♿1602 E Houston StSte A(361) 354-2832Hospital Affiliations:Ascension Seton Hays;Christus Santa Rosa NewBraunfels; Christus SantaRosa San Marcos; ChristusMother Frances Tyler; StDavids Medical CenterBoard Certifications:General SurgeryLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

BEEVILLE 01/19/2021

88

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

Page 89: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

BENAVIDES

NUTRITION & DIETETICSu Deyhim, Farzad RDGender: MaleNPI: 1669648440

♿115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Nutrition & DieteticsLanguage: American Sign;Spanish

OCCUPATIONALTHERAPYHernandez, Rosa M OTGender: FemaleNPI: 1750597225

♿115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishRobertson, Michael J OTGender: MaleNPI: 1710085436

♿115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish

PHYSICAL THERAPYOaferina, Aleth H LPTGender: MaleNPI: 1235113754

♿115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

Sweigart, Chad E LPTGender: MaleNPI: 1265608046

♿115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SPEECH PATHOLOGYDominguez, Olinda M SLPGender: FemaleNPI: 1215077631115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishGarcia, Sonia SLPGender: FemaleNPI: 1790949386

♿115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishLindsey, Kim M SLPGender: FemaleNPI: 1356730212115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneOgando, Yvette G SLPGender: FemaleNPI: 1558589705

♿115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish

Regan, Elizabeth A SLPGender: FemaleNPI: 1881960318115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneTamez Munson, Patricia VSLPGender: FemaleNPI: 1649326943115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

BURLESON

EMERGENCY MEDICINEBlack, Jason B DOGender: MaleNPI: 1982017232

4300 Southeast John JonesRd(214) 712-2739Hospital Affiliations:Medical City LewisvilleClinic Affiliation:Questcare MedicalServices PLLCBoard Certifications:None

COMFORT

ANP/CERT/CLNPPardi, Kelle J APNGender: FemaleNPI: 1548535636815 Front St(830) 995-5633Clinic Affiliation:Cornerstone ClinicBoard Certifications:None

COPPERAS COVE

ANP/CERT/CLNPu Webb, Donald D APNGender: MaleNPI: 11947304993010 E Highway 190Ste 254(254) 519-1900Clinic Affiliation:Precision Medical GroupBoard Certifications:ANP/CERT/CLNP

CORPUS CHRISTI

ACUPUNCTUREBaradaran, Jalil M LACGender: MaleNPI: 1770664088

♿U5705 Gollihar RdSte 2(361) 991-0460Clinic Affiliation:Advanced Health ClinicBoard Certifications:NoneLanguage: SpanishMoreno, Devin M LACGender: MaleNPI: 1669921862

U5337 Yorktown BlvdSte 4a1(361) 249-3274Clinic Affiliation:Paradigm Wellness LLCBoard Certifications:NoneLanguage: Korean;Spanish; Vietnamese

ALLERGY/IMMUNOLOGY

u Jordan, Desha M MDGender: FemaleNPI: 19627603225402 S Staples StSte 205(361) 882-3487Clinic Affiliation: CorpusChristi Allergy AssociatesBoard Certifications:Allergy/Immunology;Pediatrics

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 BENAVIDES

89

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 90: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

ALLERGY/IMMUNOLOGY (continued)

u Legere, Henry J MDGender: MaleNPI: 16694647235402 S Staples St Ste 205(361) 882-3487Hospital Affiliations:Ascension Seton MedCenter Austin; AscensionSeton Williamson; DellChildrens Medical Center;St Davids Medical Center;The Hospital at WestlakeMedical; Ascension SetonNorthwest; Dell SetonMedical Center at UT; StDavids HospitalClinic Affiliation: CorpusChristi Allergy AssociatesBoard Certifications:Allergy/ImmunologyLanguage: Spanish

u Molina, Jurairat J MDGender: FemaleNPI: 17008299182418 Morgan Ave(361) 883-36832502 Morgan Avenue(361) 888-67825402 S Staples StSte 205(361) 882-3487Hospital Affiliations:Doctors Hospital of Laredo;Laredo Medical CenterClinic Affiliation: Alma SRigonan MD PA; CorpusChristi Allergy AssociatesBoard Certifications:Allergy/Immunology;PediatricsLanguage: Spanish; Thai;Spanish; Thai; Spanish;Thai

u Silvers, Stacy K MDGender: MaleNPI: 14676293375826 Esplanade DrSte 304(855) 845-7777Hospital Affiliations:Medical City Dallas; BaylorUniversity Medical CenterClinic Affiliation: AspireAllergy & SinusBoard Certifications:Allergy/ImmunologyLanguage: Spanish

u Tinana, Adrienne M MDGender: FemaleNPI: 1225246747

♿U6021 Parkway Dr(361) 985-0323Clinic Affiliation: AllergyPartners of Corpus ChristBoard Certifications:Allergy/Immunology

u Zhu, Ningxi MDGender: MaleNPI: 1487948121

U5402 S Staples St Ste 205(361) 882-3487♿U1718 Braeswood Dr(361) 992-8500Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: Allergyand ImmunologySpecialists of Corpus;Corpus Christi AllergyAssociatesBoard Certifications:Allergy/ImmunologyLanguage: Chinese;Spanish; Chinese

ANESTHESIOLOGYAlanmanou, Euleche AMDGender: MaleNPI: 1356302749

4

U3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens Hospital;University Health System;Driscoll Childrens Hospital;University Health SystemClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:NoneAounallah, Nabil MDGender: MaleNPI: 1508202029

43315 S Alameda St(706) 650-0705Hospital Affiliations: TXHlth Surgery CenterCleburne; Corpus ChristiMedical Center; TX HlthSurgery Center CleburneClinic Affiliation:Northstar Anesthesia II PA;Northstar Anesthesia PABoard Certifications:NoneAquino, Alfonso MDGender: MaleNPI: 1063479681

41734 Santa Fe(361) 883-6211Hospital Affiliations: TitusRegional Medical Center;Christus St Michael HealthSystem; Christus SpohnHospital Kleberg; TitusCounty Memorial HospitalClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:None

u Argyelan, Gyorgy MDGender: MaleNPI: 1396755609

43315 S Alameda St(706) 650-0705Hospital Affiliations:Corpus Christi MedicalCenter; Baylor UniversityMedical Center; HcaHouston HealthcareSoutheast; Hca HoustonHealthcre Medical Ctr;Doctors Hospital ParkwayTidwell; Laredo MedicalCenterClinic Affiliation: MiraHealthcare of Texas PLLCBoard Certifications:Anesthesiology

u Arnold, James A MDGender: MaleNPI: 1558354597

♿41734 Santa Fe St(361) 883-6211Hospital Affiliations:Baptist Health System;Christus Spohn Hos CctxShoreline; MethodistHospital; MethodistMansfield Medical CtrClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:Anesthesiology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

90

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)

u Barnett, Gary S MDGender: MaleNPI: 1528142395

4

U2606 Hospital Blvd(800) 939-7440

4

U3315 S Alameda St(361) 761-1400

43315 S Alameda St(877) 882-9099

47101 S Padre Island Dr(706) 650-0705Hospital Affiliations: StDavids GeorgetownHospital; Wadley RegionalMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Wadley RegionalMedical Center; CorpusChristi Medical Center; StDavids GeorgetownHospital; Corpus ChristiMedical Center; WadleyRegional Medical Center;Christus Spohn Hos CctxShoreline; St DavidsGeorgetown Hospital;Christus Spohn Hos CctxShoreline; WadleyRegional Medical CenterClinic Affiliation:Cardiovascular CareProviders Inc; ClinicalPartners PA; NorthstarAnesthesia II PA; NorthstarAnesthesia South TX MDBoard Certifications:Anesthesiology

Benson, Clayne MDGender: MaleNPI: 1538218714

43315 S Almeda St(706) 650-0705Hospital Affiliations:Methodist Stone OakHospital; Baptist HealthSystem; Doctors Hospitalof Laredo; Corpus ChristiMedical Center; WiseHealth SystemClinic Affiliation: MiraHealthcare of Texas PLLCBoard Certifications:NoneBhandari, Angelina D MDGender: FemaleNPI: 1679501324

43533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:None

u Biery, Diane R MDGender: MaleNPI: 1205829306

♿41734 Santa Fe St(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Santa RosaMedical CenterClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:Anesthesiology

u Bijak, Gregory J MDGender: MaleNPI: 1750301198

43315 S Alameda St(877) 882-9099Hospital Affiliations:Christus St Michael HealthSystem; Covenant HealthSystem; Corpus ChristiMedical CenterClinic Affiliation:Northstar Anesthesia II PABoard Certifications:Anesthesiology

u Bivona, Charles L MDGender: MaleNPI: 1902899909

♿44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations: StDavids S Austin MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:AnesthesiologyBoswell, James L MDGender: MaleNPI: 1891934147

41734 Santa Fe St(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NoneBouchra Hanna, Hani KMDGender: MaleNPI: 1619184777

4600 Elizabeth St(817) 330-1102Hospital Affiliations: StDavids Medical Center;The Womans Hospital ofTexas; Christus Spohn HosCctx Shoreline; UniversityMedical Center; UTMBHealth Galveston;Memorial Hermann SWHospitalClinic Affiliation:Emergenchealth LLCBoard Certifications:None

u Brady, Kevin M MDGender: MaleNPI: 1528002045

4600 Elizabeth St(361) 881-3657

43315 S Alameda St(800) 394-4445

45950 Saratoga Blvd(361) 881-3657Hospital Affiliations:Corpus Christi MedicalCenter; Palo Pinto GeneralHospital; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; PaloPinto General Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation:Emergenchealth LLC;Northstar Anesthesia II PABoard Certifications:AnesthesiologyBuckley, Michael A DOGender: MaleNPI: 1215040001

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:NoneBusenlehner, Bryce J MDGender: MaleNPI: 1760829709

41734 Santa Fe St(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

91

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)Buser, Raquel T MDGender: FemaleNPI: 1255314548

43533 S Alameda St(800) 627-4726Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology AssociatesBoard Certifications:None

u Campos, Napoleon A MDGender: MaleNPI: 1396914933

43315 S Alameda St(800) 394-4445Hospital Affiliations:Longview Regional MedicalCenter; Legent Hospital;Surgical Center of El Paso;Corpus Christi MedicalCenter; University MedicalCenter El Paso; El PasoDay Surgery LLC; El PasoCtr Gastrointestinal Endo;Paso Del Norte SurgeryCenter; Medical ArtsSurgery CenterClinic Affiliation:Northstar Anesthesia II PABoard Certifications:AnesthesiologyCancemi, Mario T MDGender: MaleNPI: 1922202522

44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:None

u Carlson, Mark D MDGender: MaleNPI: 1982697926

♿44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus-SpohnSurgicare of Corpu; CorpusChristi Medical CenterClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:AnesthesiologyCary, Adam B DOGender: MaleNPI: 1376589101

4600 Elizabeth St(817) 330-1102Hospital Affiliations:Christus Spohn Hos CctxShoreline; St DavidsGeorgetown HospitalClinic Affiliation:Emergenchealth LLCBoard Certifications:NoneCervantes, Miguel MDGender: MaleNPI: 1922101914

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:University Medical Center;St Davids GeorgetownHospital; Corpus ChristiMedical Center; St DavidsGeorgetown Hospital;Corpus Christi MedicalCenter; University MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:None

u Chahadeh, Hassan MDGender: MaleNPI: 1730124470

♿45721 Esplanade DrSte B(361) 334-2625Hospital Affiliations:Houston Methodist SugarLand Hosp; MemorialHermann Greater Heights;Houston MethodistBaytown Hosp; MemorialHermann SW Hospital;Houston MethodistHospital; Chi St Lukes HlthBaylor Coll Med; HcaHouston HealthcareTomballClinic Affiliation:Chahadeh Hassan MDBoard Certifications:AnesthesiologyLanguage: Arabic;Spanish

u Chan, Lisa MDGender: FemaleNPI: 1871806240

43315 S. Alameda St(800) 394-4445Hospital Affiliations:Mhhs Sugar Land Hospital;Corpus Christi MedicalCenterClinic Affiliation:Northstar Anesthesia II PABoard Certifications:Anesthesiology

u Chap, Kevin S MDGender: MaleNPI: 1770856288

43315 S Alameda St(800) 394-4445Hospital Affiliations: MDAnderson Cancer Center;Kelsey Seybold ClinicAmbulatory SurgeryCenter; St Lukes Hospitalat The Vintage; Ad HospitalEast LLC; Covenant HealthSystem; MemorialHermann SW Hospital;Doctors Hospital ParkwayTidwell; Corpus ChristiMedical Center; SxSpecialty Hosps AmericaSE Hou; Lyndon BJohnson General HospitalClinic Affiliation:Northstar Anesthesia II PABoard Certifications:Anesthesiology

u Chau, Chuong J MDGender: MaleNPI: 1336311968

4600 Elizabeth St(817) 516-8811Hospital Affiliations: HuntRegional Medical Center;Bs&w All Saints Med Ctr FtWorth; Christus Spohn HosCctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)

u Cintron, C A MDGender: MaleNPI: 1649295601

4600 Elizabeth St(361) 881-3657

43315 S Alameda St(877) 882-9099

43315 S Alameda St(877) 882-9099Hospital Affiliations: StDavids GeorgetownHospital; St JosephMedical Center; CorpusChristi Medical Center; StJoseph Medical Center;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; StDavids GeorgetownHospital; Corpus ChristiMedical Center; St JosephMedical Center; St DavidsGeorgetown Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation:Emergenchealth LLC;Northstar Anesthesia II PABoard Certifications:AnesthesiologyClaflin, Yvonne MDGender: FemaleNPI: 1043531353

43315 Alameda St(800) 394-4445Hospital Affiliations:Corpus Christi MedicalCenter; South TexasHealth SystemClinic Affiliation:Northstar Anesthesia PABoard Certifications:None

Clendeninn, Dallis J MDGender: MaleNPI: 1295078822

43315 S Alameda St(800) 394-4445Hospital Affiliations:Corpus Christi MedicalCenter; Memorial HermannHospitalClinic Affiliation:Northstar Anesthesia II PABoard Certifications:None

u Cohn, Aaron I MDGender: MaleNPI: 1942230867

41734 Santa Fe(361) 883-6211Hospital Affiliations:Christus Spohn HospitalKleberg; Vly Baptist MedCtr BrownsvilleClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:Anesthesiology

u Crawford, Jerry A MDGender: MaleNPI: 1477546422

♿41734 Santa Fe St(361) 883-6211Hospital Affiliations:Christus-Spohn Surgicareof Corpu; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Covenant HealthSystemClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:AnesthesiologyLanguage: SpanishCruz Zeno, Elvin J MDGender: MaleNPI: 1306824636

42606 Hospital Blvd(361) 902-4000Hospital Affiliations:Bs&w All Saints Med Ctr FtWorth; Southwest GeneralHospitalClinic Affiliation: ClinicalPartners PABoard Certifications:None

u Dallas, Torijaun MDGender: MaleNPI: 1669614079

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Corpus Christi MedicalCenter; Doctors Hospital ofLaredo; Memorial HermannSW Hospital; CorpusChristi Medical Center;Doctors Hospital of Laredo;TX Health Huguley Hosp FtWorth S; MemorialHermann SW Hospital; TXHealth Huguley Hosp FtWorth SClinic Affiliation:Cardiovascular CareProviders Inc; MiraHealthcare of Texas PLLCBoard Certifications:Anesthesiology

u Dar, Urfan A MDGender: MaleNPI: 12856152602222 Morgan Ave Ste 110(210) 268-0129Hospital Affiliations: SanMarcos Surgery Center;Baptist Health SystemClinic Affiliation: TricityPain Associates PABoard Certifications:AnesthesiologyLanguage: HindiDe Los Santos, Maria DMDGender: FemaleNPI: 1003859166

♿44444 Corona #232(361) 853-1520♿44444 Corona Suite 232(361) 857-8525Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: BayArea Anesthesia Associat;Corpus Christi OBAnesthesiaassociates PABoard Certifications:NoneLanguage: Spanish

Del Castillo, Gil MDGender: MaleNPI: 1497744809

42606 Hospital Blvd(361) 902-4000Hospital Affiliations:Memorial Hermann KatyHospital; TX HlthPresbyterian HospKaufman; Christus SpohnHosp Cctx MemorialClinic Affiliation: ClinicalPartners PABoard Certifications:None

u Dwyer, Michael J MDGender: MaleNPI: 1457301350

♿44444 Corona Suite 232(361) 853-1520Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: BayArea Anesthesia Associat;Corpus Christi OBAnesthesiaassociates PABoard Certifications:AnesthesiologyEarly, Linda L MDGender: FemaleNPI: 1003809054

♿41734 Santa Fe St(361) 883-6211Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)

u Elkadi, Tarek S MDGender: MaleNPI: 1245302736

4

U3315 S Alameda St(361) 761-1400

47101 S Padre IslandDr(706) 650-0705

47101 S Padre Island Dr(706) 650-0705Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; MiraHealthcare of Texas PLLC;Northstar Anesthesia II PA;Northstar Anesthesia SouthTX MDBoard Certifications:AnesthesiologyElkon, Deborah MDGender: FemaleNPI: 1124188123

4

U3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens Hospital;UTMB Health Galveston;Driscoll Childrens HospitalClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:None

u Engle, Mitchell P MDGender: MaleNPI: 1790946051

♿13725 Northwest Blvd(361) 387-0046♿5637 Corsica Rd(361) 387-0046Hospital Affiliations:Christus Spohn Hos CctxShoreline; MD AndersonCancer Center; CorpusChristi Medical Center; MDAnderson Cancer Center;Christus Spohn Hos CctxShorelineClinic Affiliation: Instituteof Precision Pain MedicBoard Certifications:Anesthesiology; PainManagementFernandez, Christopher LMDGender: MaleNPI: 1760475685

41734 Santa Fe St(361) 883-6211

43315 S Alameda St(877) 882-9099Hospital Affiliations:Christus Spohn Hos CctxShoreline; UniversityMedical Center; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; UniversityMedical CenterClinic Affiliation: GulfShore AnesthesiaAssociates PA; NorthstarAnesthesia II PABoard Certifications:None

Frankland, John T MDGender: MaleNPI: 1962408377

4

U3315 S Alameda S(800) 394-4445

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:NoneFratila, Antonio B MDGender: MaleNPI: 1467484691

4

U600 Elizabeth Street(817) 516-8811

4

U3315 S Alameda St(361) 761-1400

43315 S Alameda St(877) 882-9099

44444 Corona #232(361) 853-1520

44444 Corona St # 232(361) 857-8525Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: BayArea Anesthesia Associat;Cardiovascular CareProviders Inc; CorpusChristi OBAnesthesiaassociates PA;Emergenchealth LLC;Northstar Anesthesia II PABoard Certifications:None

u Gallacher, Bernard P MDGender: MaleNPI: 1447205885

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Memorial Hermann NEHospital; Hca HoustonHealthcare Kingwood;Corpus Christi MedicalCenter; Memorial HermannNE HospitalClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:Anesthesiology

u Garza, Pedro Y MDGender: MaleNPI: 1437148202

42606 Hospital Blvd(361) 902-4000Hospital Affiliations:Christus Spohn Hosp CctxMemorialClinic Affiliation: ClinicalPartners PABoard Certifications:Anesthesiology

u Ghabrial, Nabil W MDGender: MaleNPI: 1649235177

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Christus St Michael HealthSystem; Vly Baptist MedCtr Brownsville; WadleyRegional Medical Center;Rio Grande RegionalHospital; United RegionalHlth Care System; Bs&wMedical Center Centennial;Chi St Lukes HealthMemorial; Corpus ChristiMedical Center; MemorialMedical Center; TX HealthHuguley Hosp Ft Worth SClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Anesthesiology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)Gonzales, John R MDGender: MaleNPI: 1821363102

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:NoneGraham, Camille S MDGender: FemaleNPI: 1417918236

♿4

U

3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:NoneGreydanus, Wesley K MDGender: MaleNPI: 1366470353

43315 S Alameda St(706) 650-0705Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Northstar Anesthesia PABoard Certifications:None

u Grimes, William J MDGender: MaleNPI: 1033170436

♿3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology AssociatesBoard Certifications:Anesthesiology

u Hagemeister, Brent B MDGender: MaleNPI: 1780677880

44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:Anesthesiology

u Hagler, Anna K MDGender: FemaleNPI: 1356547012

4

U600 Elizabeth St(817) 330-1102

4

U3315 S Alameda St(361) 761-1400

43315 S Alameda St(706) 650-0705

43315 S Alameda St(877) 882-9099Hospital Affiliations:Corpus Christi MedicalCenter; St DavidsGeorgetown Hospital;Metropolitan MethodistHospital; Christus SpohnHos Cctx Shoreline;Metropolitan MethodistHospital; St DavidsGeorgetown Hospital;Christus Spohn Hos CctxShoreline; St DavidsGeorgetown Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Metropolitan MethodistHospital; Christus SpohnHos Cctx Shoreline;Metropolitan MethodistHospital; Corpus ChristiMedical CenterClinic Affiliation:Cardiovascular CareProviders Inc;Emergenchealth LLC; MiraHealthcare of Texas PLLC;Northstar Anesthesia II PABoard Certifications:Anesthesiology

u Hall, Barrett C MDGender: MaleNPI: 1093792293

4600 Elizabeth St(817) 516-8811Hospital Affiliations:Bs&w All Saints Med Ctr FtWorth; Chi St Lukes HealthMemorial; Christus SpohnHos Cctx Shoreline; WiseHealth System; TX HlthHarris Methodist Hosp FW;TX Hlth Harris MethodistCleburne; TX HealthHuguley Hosp Ft Worth S;Covenant Health System;Baylor University MedicalCenterClinic Affiliation:Emergenchealth LLCBoard Certifications:AnesthesiologyHarvey, Ryan J MDGender: MaleNPI: 1225384126

44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NoneHatridge, John I MDGender: MaleNPI: 1164482188

44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Citizens Medical Center;Detar Hospital North;Christus Spohn Hos CctxShoreline; Detar HospitalNavarroClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:None

Heinrich, Michael S MDGender: MaleNPI: 1710930938

4600 Elizabeth St(210) 921-2000

42606 Hospital Blvd(903) 663-3600

45950 Saratoga Blvd(361) 881-3657Hospital Affiliations: FortDuncan Medical Center LP;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Nacogdoches MedicalCenter; Fort DuncanMedical Center LP; Chi StLukes Hlth Mem Livingston;Christus Spohn Hos CctxShoreline; Fort DuncanMedical Center LP; Chi StLukes Hlth Mem Livingston;Christus Spohn Hosp CctxMemorial; Fort DuncanMedical Center LP; Chi StLukes Hlth Mem Livingston;Nacogdoches MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxMemorial; NacogdochesMedical CenterClinic Affiliation: ClinicalPartners PA;Emergenchealth LLCBoard Certifications:None

u Hicks, Russell J MDGender: MaleNPI: 1548417413

43315 S Alameda St(877) 882-9099Hospital Affiliations:Corpus Christi MedicalCenter; Hendrick MedicalCenterClinic Affiliation:Northstar Anesthesia II PABoard Certifications:Anesthesiology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)

u Hoover, Lance R MDGender: MaleNPI: 1730155466

43315 S Alameda St(706) 650-0705Hospital Affiliations:Corpus Christi MedicalCenter; University MedicalCenter El PasoClinic Affiliation: MiraHealthcare of Texas PLLCBoard Certifications:Anesthesiology

u Jevric, Nicholas MDGender: MaleNPI: 1396738498

♿41734 Santa Fe(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:Anesthesiology

u Jimenez, Joseph R MDGender: MaleNPI: 1356334395

♿41734 Santa Fe(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus-SpohnSurgicare of Corpu; CorpusChristi Medical CenterClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:Anesthesiology

Joglar, Javier E MDGender: MaleNPI: 1831342831

4

U3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:NoneJohnson, Steven C MDGender: MaleNPI: 1053330159

4

U3315 S Alameda St(361) 761-1400

43315 S. Alameda St(800) 394-4445Hospital Affiliations:Corpus Christi MedicalCenter; Knapp MedicalCenter; Corpus ChristiMedical Center; ChristusSanta Rosa San Marcos;Knapp Medical CenterClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:None

u Jolliffe, Mike P MDGender: MaleNPI: 1720021314

4600 Elizabeth St(361) 881-3657Hospital Affiliations:Hendrick Med CenterBrownwoodClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

u Jung, Harry H MDGender: MaleNPI: 1740224674

4

U600 Elizabeth St(254) 690-0900

45950 Saratoga Blvd(361) 881-3657Hospital Affiliations:Bs&w Medical CenterTaylor; St Davids MedicalCenter; Hosps ProvidenceMemorial Campus;Ascension Seton MedCenter Austin; St DavidsMedical Center; Dell SetonMedical Center at UT; ChiSt Lukes Hlth MemLivingston; St DavidsMedical Center; Chi StLukes Hlth Mem Livingston;Bs&w Medical CenterTaylor; Hosps ProvidenceMemorial Campus; Chi StLukes Hlth Mem Livingston;Woodland Heights MedicalCenter; UTMB HealthGalveston; Dell SetonMedical Center at UT;Ascension Seton MedCenter Austin; St DavidsGeorgetown Hospital;Woodland Heights MedicalCenter; UTMB HealthGalveston; Christus SpohnHos Cctx Shoreline; DellSeton Medical Center atUT; Ascension Seton MedCenter Austin; WoodlandHeights Medical Center;Bs&w Medical CenterTaylor; Hosps ProvidenceMemorial Campus; UTMBHealth Galveston; StDavids GeorgetownHospital; Christus SpohnHos Cctx Shoreline; StDavids GeorgetownHospitalClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

u Kao, Gary MDGender: MaleNPI: 13465820952222 Morgan Ave Ste 110(844) 789-7246♿5802 Saratoga BlvdSte 330(361) 356-6938Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Interventional PainManagement; Tricity PainAssociates PABoard Certifications:Anesthesiology

u Kashyap, Kapil K MDGender: MaleNPI: 1013945740

43315 S Alameda St(877) 882-9099Hospital Affiliations:Houston MethodistHospital; Knapp MedicalCenter; St Lukes Hospitalat The Vintage; CorpusChristi Medical Center;UTMB Health Galveston;Citizens Medical CenterClinic Affiliation:Northstar Anesthesia II PABoard Certifications:Anesthesiology

u Koska, Adolph J MDGender: MaleNPI: 1902867310

♿U3533 S Alameda St(361) 694-5445Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens HospitalClinic Affiliation:Anesthesiology AssociatesBoard Certifications:AnesthesiologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)

u Lemons, Mark F MDGender: MaleNPI: 1548225717

4600 Elizabeth St(361) 881-3657♿42606 Hospital Blvd(361) 902-4000

45950 Saratoga Blvd(361) 881-3657Hospital Affiliations:Knapp Medical Center;Christus Spohn Hos CctxShoreline; Knapp MedicalCenter; Christus SpohnHosp Cctx MemorialClinic Affiliation: ClinicalPartners PA;Emergenchealth LLCBoard Certifications:Anesthesiology

u Limon, David T MDGender: MaleNPI: 1457386401

4

U3533 S Alameda St(361) 694-5445Hospital Affiliations:Baptist Health System;Santa Rosa MedicalCenter; MetropolitanMethodist Hospital; BaptistHealth System; Santa RosaMedical Center; DriscollChildrens Hospital;Metropolitan MethodistHospital; Driscoll ChildrensHospitalClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:Anesthesiology

Lopez, Gabriel MDGender: MaleNPI: 1801814165

♿6005 Holly Rd(361) 452-0136♿3825 Spid Dr(361) 225-0089Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus-Spohn Surgicareof Corpu; Christus SpohnHosp Cctx South; Christus-Spohn Surgicare of Corpu;Corpus Christi OutpatientSurgery; University HealthSystem; Christus SpohnHosp Cctx Memorial;University Health System;Corpus Christi MedicalCenter; Corpus ChristiOutpatient SurgeryClinic Affiliation: CorpusChristi Pain Medicine PABoard Certifications: PainManagementLanguage: SpanishLoyal, Sabine MDGender: FemaleNPI: 1316908734

4

U3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:None

Maclachlan, Andrew A MDGender: MaleNPI: 1447243449

♿4

U

1734 Santa Fe(361) 883-6211

4

U3315 S Alameda St(361) 761-1400

43315 S Alameda St(877) 882-9099Hospital Affiliations:UTMB Health Galveston;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; MDAnderson Cancer Center;Covenant Medical Center;UTMB Health Galveston;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; CovenantMedical Center; UTMBHealth Galveston;Covenant Medical Center;MD Anderson CancerCenter; Christus SpohnHos Cctx Shoreline; MDAnderson Cancer Center;Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; Gulf ShoreAnesthesia Associates PA;Northstar Anesthesia II PABoard Certifications:NoneMakai, Balazs MDGender: MaleNPI: 1316957616

4600 Elizabeth Street(817) 516-8811Hospital Affiliations:Laredo Medical Center;Valley Regional MedicalCenter; MetropolitanMethodist Hospital; VlyBaptist Med CtrBrownsville; ChristusSpohn Hos Cctx Shoreline;Harlingen Medical CenterLPClinic Affiliation:Emergenchealth LLCBoard Certifications:None

u Martinez, Edgar I MDGender: MaleNPI: 1093885113

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Corpus Christi MedicalCenter; Memorial HermannSW Hospital; CorpusChristi Medical Center;Memorial Hermann SWHospital; Corpus ChristiMedical CenterClinic Affiliation:Cardiovascular CareProviders Inc; MiraHealthcare of Texas PLLC;Northstar Anesthesia II PA;Northstar Anesthesia SouthTX MDBoard Certifications:Anesthesiology

u Matar Enriquez,Raymundo G MDGender: MaleNPI: 1063595957

4600 Elizabeth St(361) 881-3657

43315 S Alameda St(800) 394-4445Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DoctorsHospital at Renaissance;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Emergenchealth LLC;Northstar Anesthesia II PABoard Certifications:AnesthesiologyMaurer, Frederick S MDGender: MaleNPI: 1821053117

♿42606 Hospital Blvd(361) 902-4000Hospital Affiliations:Christus Spohn Hosp CctxMemorialClinic Affiliation: ClinicalPartners PABoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)

u McCutchon, Michael D MDGender: MaleNPI: 1326031329

43315 S Alameda St(877) 882-9099♿44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Bs&w Medical CenterFrisco; Christus-SpohnSurgicare of Corpu;Christus Spohn Hos CctxShoreline; Christus-SpohnSurgicare of Corpu; CorpusChristi Medical Center;Bs&w Medical CenterFriscoClinic Affiliation: GulfShore AnesthesiaAssociates PA; NorthstarAnesthesia II PABoard Certifications:AnesthesiologyMcIntosh, Robert W DOGender: MaleNPI: 1356315782

4600 Elizabeth St(361) 881-3657Hospital Affiliations:Christus Spohn Hos CctxShoreline; Valley BaptistMedical Center; Chi StLukes Hlth Mem Livingston;Harlingen Medical CenterLP; Nacogdoches MedicalCenterClinic Affiliation:Emergenchealth LLCBoard Certifications:NoneLanguage: Spanish

Mehta, Mrudula V MDGender: FemaleNPI: 1770506834

42606 Hospital Blvd(361) 902-4000Hospital Affiliations:Christus Spohn Hosp CctxMemorial; United RegionalHlth Care System; PaloPinto General HospitalClinic Affiliation: ClinicalPartners PABoard Certifications:None

u Meisenheimer, Ben A MDGender: MaleNPI: 1023068939

♿44444 Corona Suite 232(361) 853-1520Hospital Affiliations:Corpus Christi MedicalCenter; Christus-SpohnSurgicare of Corpu;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; Christus-Spohn Surgicare of Corpu;Christus Spohn Hos CctxShorelineClinic Affiliation: BayArea Anesthesia Associat;Corpus Christi OBAnesthesiaassociates PABoard Certifications:AnesthesiologyLanguage: SpanishNavar, John J MDGender: MaleNPI: 1942293113

♿44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; Christus-Spohn Surgicare of CorpuClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:None

Newton, Will B MDGender: MaleNPI: 1679893200

44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Covenant HealthSystemClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NoneNguyen, Bao Phuong NMDGender: FemaleNPI: 1407817125

♿4

U

3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:NoneNguyen, Nhung H MDGender: FemaleNPI: 1477514123

4

U1734 Santa Fe(361) 883-6211

43315 S Alameda St(877) 882-9099

4

U3315 S Alameda Street(361) 761-1400Hospital Affiliations:Covenant Health System;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Covenant HealthSystem; Corpus ChristiMedical CenterClinic Affiliation:Cardiovascular CareProviders Inc; Gulf ShoreAnesthesia Associates PA;Northstar Anesthesia II PABoard Certifications:None

Nordmeyer, Debra A MDGender: FemaleNPI: 1669683827

41734 Santa Fe(361) 883-6211Hospital Affiliations:Grace Surgical Hospital;Christus Spohn Hos CctxShoreline; Covenant HealthSystemClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NonePallekonda, Vijay AnandR MDGender: MaleNPI: 1811089089

42606 Hospital Blvd(903) 663-3600Hospital Affiliations:Christus Spohn Hosp CctxMemorialClinic Affiliation: ClinicalPartners PABoard Certifications:None

u Palmero, Leonel R MDGender: MaleNPI: 1801832639

♿44444 Corona #232(361) 857-8525♿44444 Corona #232Spohn Hospital(361) 853-1520Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus-Spohn Surgicareof Corpu; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus-Spohn Surgicareof CorpuClinic Affiliation: BayArea Anesthesia Associat;Corpus Christi OBAnesthesiaassociates PABoard Certifications:AnesthesiologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)Patel, Ayan DOGender: MaleNPI: 1902283153

4

U3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Peltier, Bradley G MDGender: MaleNPI: 1588657589

43315 S Alameda St(877) 882-9099♿44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: GulfShore AnesthesiaAssociates PA; NorthstarAnesthesia II PABoard Certifications:Anesthesiology

Pham, Rosaly MDGender: FemaleNPI: 1962662171

4600 Elizabeth Street(817) 516-8811

43315 S Alameda St(706) 650-0705

43315 S Alameda St(877) 882-9099Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Chi St Lukes HlthBaylor Coll Med; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Emergenchealth LLC;Northstar Anesthesia II PA;Northstar Anesthesia PABoard Certifications:NonePina, Daniel N MDGender: MaleNPI: 1871518647

44444 Corona Suite 232(361) 857-8525Hospital Affiliations:Guadalupe RegionalMedical Center; MethodistMansfield Medical Ctr;Methodist Hospital; CorpusChristi Medical CenterClinic Affiliation: BayArea Anesthesia AssociatBoard Certifications:NonePotter, Ryan N MDGender: MaleNPI: 1730107095

♿5734 Spohn Dr(361) 882-4452Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; MetropolitanMethodist HospitalClinic Affiliation:Comprehensive PainManagement PABoard Certifications: PainManagementLanguage: Spanish

u Price, Michael D MDGender: MaleNPI: 1245229665

42606 Hospital Blvd(361) 902-4000Hospital Affiliations:Medical Center HospitalClinic Affiliation: ClinicalPartners PABoard Certifications:AnesthesiologyQaisar, Adeel MDGender: MaleNPI: 1124083845

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Knapp Medical Center;Surgery Center ofNortheast Texas; DoctorsHospital at Renaissance;Medical City Fort Worth;Corpus Christi MedicalCenter; Medical CenterHospital; Surgery Center ofNortheast Texas; KnappMedical Center; DoctorsHospital at Renaissance;Corpus Christi MedicalCenter; Medical CenterHospital; Medical City FortWorthClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:NoneRatcliff, Stephen L MDGender: MaleNPI: 1154479269

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Corpus Christi MedicalCenter; Hca HoustonHealthcare KingwoodClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:None

Regan, Tyce L MDGender: MaleNPI: 1104853365

41734 Santa Fe St(361) 883-6211Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NoneReid, Branden M MDGender: MaleNPI: 1033340807

44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NoneRhodes, Cristina M DOGender: FemaleNPI: 1669672580

4

U3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:NoneRodenhuis, Roger S MDGender: FemaleNPI: 1316030380

4600 Elizabeth St(817) 330-1102Hospital Affiliations: FrioRegional Hospital; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)Roper, M L MDGender: FemaleNPI: 1518021732

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Corpus Christi MedicalCenter; St DavidsGeorgetown Hospital; StJoseph Medical Center; StDavids GeorgetownHospital; Corpus ChristiMedical CenterClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:None

u Rubio, Jose A MDGender: MaleNPI: 1225281645

45950 Saratoga Blvd(361) 881-3657Hospital Affiliations:South Texas HealthSystem; Medical CityDallas; Christus Spohn HosCctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:AnesthesiologySanchez Jr, Jesus V MDGender: MaleNPI: 1205850351

44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:None

Sarkar, Deepak R MDGender: MaleNPI: 1790794246

43315 S Alameda St(877) 882-9099Hospital Affiliations:South Texas HealthSystem; Corpus ChristiMedical Center; Christus StMichael Health System;Laredo Medical CenterClinic Affiliation:Northstar Anesthesia II PABoard Certifications:NoneSchiller, Edward D MDGender: MaleNPI: 1225249915

4

U1734 Santa Fe St(361) 883-6211

4

U3315 S Alameda St(361) 761-1400

43315 S Alameda St(877) 882-9099Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Cardiovascular CareProviders Inc; Gulf ShoreAnesthesia Associates PA;Northstar Anesthesia II PABoard Certifications:NoneSerrao, Karl L MDGender: MaleNPI: 1952362105

♿3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology AssociatesBoard Certifications:None

Shull, James H MDGender: MaleNPI: 1588873913

4

U1734 Santa Fe St(361) 883-6211

4

U3315 S Alameda(361) 761-1400

43315 S Alameda St(877) 882-9099Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; Gulf ShoreAnesthesia Associates PA;Northstar Anesthesia II PABoard Certifications:NoneSkidmore, Kimberly L MDGender: FemaleNPI: 1144247842

4600 Elizabeth St(817) 330-1102Hospital Affiliations:Christus Good ShepherdMed Ctr; Christus SpohnHos Cctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:NoneSomaiya, Anie V DOGender: MaleNPI: 1093010738

4

U3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Springmann, Kurt E MDGender: MaleNPI: 1235138934

43315 S Alameda St(706) 650-0705Hospital Affiliations: StJoseph Medical Center;University Medical CenterEl Paso; Surgical Center ofEl Paso; Wadley RegionalMedical Center; CorpusChristi Medical CenterClinic Affiliation: MiraHealthcare of Texas PLLCBoard Certifications:AnesthesiologyStockstill, Randall D MDGender: MaleNPI: 1265421804

42606 Hospital Blvd(361) 902-4000Hospital Affiliations:Christus Spohn Hosp CctxMemorialClinic Affiliation: ClinicalPartners PABoard Certifications:NoneStotts, Corey J MDGender: MaleNPI: 1619110426

43315 S Alameda St(877) 882-9099Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Northstar Anesthesia II PABoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)

u Strain, Bonnie B MDGender: FemaleNPI: 1821048737

4600 Elizabeth St(817) 516-8811♿44444 Corona #232(361) 853-1520♿44444 Corona #232(361) 853-1520Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: BayArea Anesthesia Associat;Corpus Christi OBAnesthesiaassociates PA;Emergenchealth LLCBoard Certifications:Anesthesiology

u Sussman, Marian B MDGender: FemaleNPI: 1003852740

43315 S Alameda St(877) 882-9099

47101 S Padre Island Dr(706) 650-0705Hospital Affiliations: StDavids GeorgetownHospital; Corpus ChristiMedical Center; St DavidsGeorgetown HospitalClinic Affiliation:Northstar Anesthesia II PA;Northstar Anesthesia SouthTX MDBoard Certifications:Anesthesiology

u Taboada, Libardo J MDGender: MaleNPI: 1427008309

4600 Elizabeth St(817) 516-8811♿44444 Corona Suite 232(361) 857-8525♿44444 Corona Suite 232Spohn Hospital(361) 853-1520Hospital Affiliations:Corpus Christi MedicalCenter; Christus-SpohnSurgicare of Corpu;Christus Spohn Hos CctxShoreline; Christus-SpohnSurgicare of Corpu;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: BayArea Anesthesia Associat;Corpus Christi OBAnesthesiaassociates PA;Emergenchealth LLCBoard Certifications:AnesthesiologyLanguage: Spanish

u Theriot, Eugene C MDGender: MaleNPI: 1396738308

♿41734 Santa Fe St(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:Anesthesiology

Thong, Weng Y MDGender: MaleNPI: 1255329322

4

U3315 S Alameda(361) 761-1400

43315 S Almeda St(800) 394-4445Hospital Affiliations:Corpus Christi MedicalCenter; St Joseph MedicalCenter; Houston MethodistHospital; St JosephRegional Health Center; StJoseph Medical Center; StJoseph Regional HealthCenter; Corpus ChristiMedical Center; HoustonMethodist Hospital; HcaHouston HealthcareSoutheastClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:NoneTodd, Bret R DOGender: MaleNPI: 1134376338

41734 Santa Fe St(361) 883-6211Hospital Affiliations:Covenant Health System;Christus Spohn Hos CctxShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NoneTolentino, Hugo R MDGender: MaleNPI: 1487647475

♿44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:None

u Torres, Carlos R MDGender: MaleNPI: 1407820707

41734 Santa Fe(361) 883-6211Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:AnesthesiologyTou, Kevin M MDGender: MaleNPI: 1528261930

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Wadley Regional MedicalCenter; Corpus ChristiMedical CenterClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:NoneTran Nguyen, Jacklyn BMDGender: FemaleNPI: 1225051360

4

U3315 S Alameda St(361) 761-1400Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; NorthstarAnesthesia II PABoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)Travis, Eleanor MDGender: FemaleNPI: 1609835271

44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; ChristusSanta Rosa San Marcos;Cuero Regional Hospital;Uvalde Memorial HospitalClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NoneTrevino, Jose J MDGender: MaleNPI: 1508869603

♿613 Elizabeth StSte 805(361) 883-1744Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: Jose DeJesus Trevino PainManageBoard Certifications:NoneLanguage: SpanishTschickardt, Michael EMDGender: MaleNPI: 1477565208

♿7101 Williams Dr(361) 854-1910Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: MichaelTschickardt MD PABoard Certifications: PainManagementLanguage: Spanish

u Tunink, Bryan P MDGender: MaleNPI: 1407833981

4600 Elizabeth St(817) 516-8811Hospital Affiliations:Medical City Las Colinas;TX Hlth Harris MethSouthlake; Baylor MedicalCenter at Irving; BaylorUniversity Medical Center;Bs&w Medical CenterGrapevine; Christus SpohnHos Cctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:AnesthesiologyVela, Robert C MDGender: MaleNPI: 1083818678

41734 Sante Fe St(361) 883-6211

4718 Elizabeth St(361) 886-6314

43636 S Alameda St(361) 853-2200

44455 S Padre Island DrSte 11(361) 883-6211

45950 Saratoga Blvd(361) 985-5169Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NoneVelazquez, Wilson L MDGender: MaleNPI: 1144385121

44918 Holly RdSte B(361) 991-9300Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: WilsonVelazquez MD PABoard Certifications:NoneLanguage: Spanish

Velleman, Kenneth R MDGender: MaleNPI: 1528178498

4

U3533 S Alameda St(361) 694-5445Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Anesthesiology Associates;Childrens PhysiciansServices of South TexasBoard Certifications:NoneVenecia, David MDGender: MaleNPI: 1083607907

♿41734 Santa Fe(361) 883-6211Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:NoneLanguage: Spanish

u Vuong, Julie T MDGender: FemaleNPI: 1578792636

44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Covenant Health System;Christus Spohn Hosp CctxSouthClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:Anesthesiology

u Williamson, David C MDGender: MaleNPI: 1952394819

♿44455 S Padre Island DrSte 11(361) 883-6211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; Christus-Spohn Surgicare of CorpuClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:Anesthesiology

Willis, Thomas J MDGender: MaleNPI: 1487896866

41734 Santa Fe(361) 883-8211Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx SouthClinic Affiliation: GulfShore AnesthesiaAssociates PABoard Certifications:None

u Wilson, Mark S MDGender: MaleNPI: 1831287267

4600 Elizabeth St(361) 881-3657

43315 S Alameda St(877) 882-9099

47101 S Padre Island Dr(706) 650-0705Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; St DavidsGeorgetown Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; St DavidsGeorgetown Hospital;Christus Spohn Hos CctxShoreline; St DavidsGeorgetown Hospital;Corpus Christi MedicalCenterClinic Affiliation:Emergenchealth LLC;Northstar Anesthesia II PA;Northstar Anesthesia SouthTX MDBoard Certifications:Anesthesiology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANESTHESIOLOGY(continued)

u Yelderman, Mark L MDGender: MaleNPI: 1386933109

44444 Corona Ste 232(361) 857-8525Hospital Affiliations:Corpus Christi MedicalCenter; Detar HospitalNavarro; Chi St Lukes HlthBaylor Coll Med; SouthwestEndoscopy Surg Ctr LTD;Palo Pinto General HospitalClinic Affiliation: BayArea Anesthesia AssociatBoard Certifications:AnesthesiologyZablocki, Alan D MDGender: MaleNPI: 1265579668

43315 S Alameda St(706) 650-0705Hospital Affiliations:Methodist Spec &Transplant Hosp;Metropolitan MethodistHospital; Chi St Lukes HlthBaylor Coll Med; The CntrFor Special Surgery Tca;Laredo Medical Center;Santa Rosa MedicalCenter; Childrens HospitalSan Antonio; Baptist HealthSystem; Corpus ChristiMedical Center; MethodistHospitalClinic Affiliation: MiraHealthcare of Texas PLLCBoard Certifications:None

u Zanchi, Michael A MDGender: MaleNPI: 1568435063

47101 S Padre Island Dr(877) 882-9099Hospital Affiliations: JohnPeter Smith Hospital;Medical City North Hills;Covenant Health System;Corpus Christi MedicalCenter; Paris RegionalMedical Center; MedicalCity Fort WorthClinic Affiliation:Northstar Anesthesia II PABoard Certifications:Anesthesiology

ANP/CERT/CLNPAbrego, Hope APNGender: FemaleNPI: 16891790871415 Santa Fe St(861) 737-0600Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneAcebo, Jose A APNGender: MaleNPI: 1184927717

U5945 Saratoga Blvd(361) 694-1500Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneAcosta, Kathy A APNGender: FemaleNPI: 10537519331015 Santa Fe St(361) 450-0721Clinic Affiliation: Here OrThere Healthcare PLLCBoard Certifications:NoneAhern, Camille E APNGender: FemaleNPI: 123562307513725 Northwest BlveSte A(361) 387-9413Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

Aizon, Bernice J APNGender: FemaleNPI: 1083177984

U14254 Spid DrSte 207(361) 589-4068Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneAkpunku, Livina C APNGender: FemaleNPI: 17002546461315 Santa Fe(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:None

u Aleman, Kristy M APNGender: FemaleNPI: 10638409572922 Morgan Ave(361) 887-66015846 Wooldridge Rd(361) 994-897914254 South PadreIsland Dr Ste 207(361) 589-4068Clinic Affiliation: Sun andSurf Medical Clinic PC;Wellmed Medical Group PABoard Certifications:ANP/CERT/CLNPAlizadeh, Paresa H APNGender: FemaleNPI: 15780063677101 S Staples StSte 101(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Alvarez, Lillian M APNGender: FemaleNPI: 16891590975826 Esplanade DrSte 304b(361) 205-1024Clinic Affiliation: TexasCoastal Bend PulmonaryandBoard Certifications:ANP/CERT/CLNPLanguage: Spanish

Antoni, Lorraine A APNGender: FemaleNPI: 15385052844455 S Padre Island DrSte 13(361) 851-0545Clinic Affiliation: CorpusChristi Regenerative TheraBoard Certifications:NoneAquino, Cherrie A APNGender: FemaleNPI: 1922404375

U14254 Spid DrSte 207(361) 589-4068Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneAshley, Melissa F APNGender: FemaleNPI: 1033180021

♿3434 Saratoga Blvd(361) 985-9355Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish

u Avila, Ashton S APNGender: MaleNPI: 14970218857121 South Padre IslandDrive Ste 118(361) 694-60547121 SpidSte 118(361) 694-60547121 SpidSte 118(361) 694-60545920 Saratoga BlvdSte 635(361) 694-60545920 Saratoga BlvdSte 635(361) 694-6054Clinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Maternal & FetalPhys; Privia Medical GroupN TexasBoard Certifications:ANP/CERT/CLNP

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)Ayarzagoitia, Patrick APNGender: MaleNPI: 16495682394042 River Hill Dr(361) 933-51876646 S Staples StSte 122(361) 334-2023Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:NoneBaney, Jason J APNGender: MaleNPI: 10636456615734 Spohn Dr(361) 882-4452Clinic Affiliation:Comprehensive PainManagement PABoard Certifications:NoneBangalore, Deepa R APNGender: FemaleNPI: 14578058302634 GolliharSte C(361) 853-3995Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneBannon, Kathleen M APNGender: FemaleNPI: 1184632317718 Elizabeth StThird Floor(361) 884-2858Clinic Affiliation:Abdominal Specialists ofSouth TeBoard Certifications:None

u Barganski, Natalie E APNGender: FemaleNPI: 12454644863533 S Alameda St(361) 694-4700♿3533 S Alameda StSte 302(361) 694-4700Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South Texas;Cpsst Mid LevelsBoard Certifications:ANP/CERT/CLNPLanguage: SpanishBayardo, Rodolfo APNGender: MaleNPI: 12654380973240 Fort Worth StSte 120(361) 985-11157121 Spid DrSte 300(361) 696-6200Clinic Affiliation:Innovative Care PartnersPLLC; Thomas SpannClinic PABoard Certifications:NoneLanguage: SpanishBellamy, Virginia E APNGender: FemaleNPI: 13869921545633 S Staples Ste 700(361) 814-2001Clinic Affiliation: CoastalBend Aids Foundation IncBoard Certifications:None

u Bell, Eva M APNGender: FemaleNPI: 1326035890

♿1315 Santa Fe St(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:ANP/CERT/CLNPLanguage: Spanish

Belyeu, Danielle N APNGender: FemaleNPI: 12658484287121 S Padre Island DrSte 300(361) 696-62005920 Saratoga BlvdSte 510(361) 288-2222Clinic Affiliation: JenniferMichelle Amaral RamosMD; Thomas Spann ClinicPABoard Certifications:NoneBenavidez, Madeline DAPNGender: FemaleNPI: 10832735107101 Williams Dr(361) 561-0145Clinic Affiliation: MichaelTschickardt MD PABoard Certifications:NoneBenitez, Ramiro APNGender: MaleNPI: 1699140996

♿601 Texan TrailSte 300(361) 854-0811Clinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneLanguage: SpanishBernal, Telisha APNGender: FemaleNPI: 18711524963240 Fort Worth StSte 120(361) 985-11151625 Rodd Field RdSte 200(361) 985-2273Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: CorpusChristi Primary Care Assoc;Innovative Care PartnersPLLCBoard Certifications:None

Black, Barbara APNGender: FemaleNPI: 11043373365633 S Staples StSte 700(361) 814-2001Clinic Affiliation: CoastalBend Aids Foundation IncBoard Certifications:NoneBray, Lindsay D APNGender: FemaleNPI: 11549610841625 Rodd Field RdSte 200(361) 985-2273Clinic Affiliation: CorpusChristi Primary Care AssocBoard Certifications:NoneBrozo, Kristen A APNGender: FemaleNPI: 1740821990

U3536 Holly Rd(361) 855-91074410 Dillon LnSte 1(361) 855-9107Clinic Affiliation: Womensand Mens Health ServicesOBoard Certifications:NoneBuchanan, Dana X APNGender: FemaleNPI: 11545185463536 Holly Rd(361) 855-91074410 Dillon Ln Ste 1(361) 857-0101Clinic Affiliation: Womensand Mens Health ServicesOBoard Certifications:NoneCabano, Sara N APNGender: FemaleNPI: 1528588225

U3536 Holly Road(361) 855-91074410 Dillon Lane Ste 1(361) 855-9107Clinic Affiliation: Womensand Mens Health ServicesOBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)Cantu, Jennifer E APNGender: FemaleNPI: 11448729045920 Saratoga BlvdSte 425(361) 287-0100Clinic Affiliation: CorpusChristi Ent Sinus and AlleBoard Certifications:NoneLanguage: SpanishCapupus, Juan APNGender: MaleNPI: 1891168597

U4042 River Hill Dr(361) 933-5187Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:NoneCarlson, Michelle L APNGender: FemaleNPI: 15583801622922 Morgan Ave(361) 887-6601Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishCarr, Jenny APNGender: FemaleNPI: 12950887553533 S Alameda St(361) 694-6691Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Castaneda, Ernest APNGender: MaleNPI: 12951832004042 River Hill Dr(361) 933-5188Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:ANP/CERT/CLNPLanguage: Spanish

Castaneda, Rosalie MAPNGender: FemaleNPI: 1912472739

U2120 Baldwin Blvd(361) 500-0096

U5945 Saratoga Blvd(361) 694-15001504 Waldron Rd(361) 937-5311Clinic Affiliation: AntradosPA; Childrens PhysiciansServices of South TexasBoard Certifications:NoneCavazos, Dina A APNGender: FemaleNPI: 1669938783

44444 Corona DrSte 130(361) 992-4500Clinic Affiliation: CoastalBend House CallsBoard Certifications:NoneCazares, Beatriz I APNGender: FemaleNPI: 1982263455

U6182 Dunbarton Oak StSte B(361) 452-9320Clinic Affiliation: AttigoInfusion Inc; South CoastFamily Medicine PLLCBoard Certifications:NoneCervantes, Abel P APNGender: MaleNPI: 1750935821

U7121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneChipman, Melanie R APNGender: FemaleNPI: 13062269237121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:None

Cisneros, Maria P APNGender: FemaleNPI: 17204514612606 Hospital Blvd4 West(361) 902-61002606 Hospital BlvdSte F(361) 902-6100Clinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:NoneClack, Kendrick T APNGender: MaleNPI: 17305976595633 S Staples St Ste 700(361) 814-2001Clinic Affiliation: CoastalBend Aids Foundation IncBoard Certifications:NoneClifton, Erin L APNGender: FemaleNPI: 12952389211533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center IBoard Certifications:NoneCottle, David L APNGender: MaleNPI: 13768240781660 S Staples Ste 150(361) 800-8155Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx ShorelineClinic Affiliation: WellmedNetworks IncBoard Certifications:NoneCoulthirst, Aunella O APNGender: FemaleNPI: 12859450974101 S Staples St(316) 883-8001Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

Cudd, Lacey M APNGender: FemaleNPI: 1972005965

U13310 Leopard StSte 27(361) 242-3355

U5817 Patton St Ste 101(361) 992-9383Clinic Affiliation:Sunnyside Pediatrics PLLCBoard Certifications:NoneLanguage: SpanishCulver, Tracy L APNGender: FemaleNPI: 119423341114254 Spid DrSte 207(361) 884-2904Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneCurtiss, Victoria J APNGender: FemaleNPI: 10437993805920 Saratoga BlvdSte 300(361) 442-2442Clinic Affiliation: JenniferMichelle Amaral RamosMDBoard Certifications:None

u De Cordova, Marilyn AAPNGender: FemaleNPI: 17700274016625 Wooldridge RdSte 101(361) 356-6441Clinic Affiliation: SouthTexas Mental HealthAssociaBoard Certifications:ANP/CERT/CLNP

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)De Leon, Elsie Y APNGender: FemaleNPI: 17001664364617 Greenwood Dr(361) 857-294614202 S Padre Island Dr(361) 949-766014725 S Padre Island Dr(361) 902-6170Clinic Affiliation: ChristusPhysician Group; SpohnHealth System; TrinityClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;Spanish; American Sign;SpanishDeering, Leta R APNGender: FemaleNPI: 19028293022634 GolliharSte C(361) 853-3995Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish

u Deleon, Rudolfo C APNGender: MaleNPI: 1881821692

♿U14254 S Padre Island DrSte 207(361) 589-4068

U14254 Spid Dr Ste 207(361) 589-4068Clinic Affiliation: AccessTotal Care LLC; Sun andSurf Medical Clinic PCBoard Certifications:ANP/CERT/CLNPLanguage: Spanish

u Delua Ruiz, Nedia N APNGender: FemaleNPI: 19922478036625 Wooldridge RdSte 101(361) 356-6441Clinic Affiliation: SouthTexas Mental HealthAssociaBoard Certifications:ANP/CERT/CLNPLanguage: SpanishDematt, Christopher LAPNGender: MaleNPI: 1134737158

♿U14254 S Padre Island DrSte 207(361) 589-4068Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneDillon, Kristin L APNGender: FemaleNPI: 101332168614725 Compass St(361) 929-1122Clinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:NoneDodson, Jami L APNGender: FemaleNPI: 1942559331

45710 Esplanade Dr(361) 991-8000Clinic Affiliation: PrimaryCare and WellnessBoard Certifications:NoneElevazo, Jhoanne C APNGender: FemaleNPI: 18316417377101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Escamilla, Jackie L APNGender: FemaleNPI: 14376357783533 S Alameda St(361) 694-4445Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:ANP/CERT/CLNPFernando, Ophelia L APNGender: FemaleNPI: 1275051880

U5945 Saratoga Blvd(361) 694-1500Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneFlores, Frederick N APNGender: MaleNPI: 10539735291011 Santa Fe St(361) 993-10831015 Santa Fe St(361) 450-0721Clinic Affiliation: Here OrThere Healthcare PLLC;Physicians Express PLLCBoard Certifications:None

u Foster, Christina APNGender: FemaleNPI: 19224580743536 Holly Rd(361) 855-9107Clinic Affiliation: Womensand Mens Health ServicesOBoard Certifications:ANP/CERT/CLNPFrago, Susan M APNGender: FemaleNPI: 13668856677121 S Padre Island DrSuite 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneLanguage: Spanish

u Rabagos Health CareGender: MaleNPI: 14579944364042 River Hill Dr(361) 933-51876646 S Staples StSte 122(361) 334-2023Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:ANP/CERT/CLNPFray, Sasha M APNGender: FemaleNPI: 19922883107101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneGarcia, Aracele APNGender: FemaleNPI: 12052430451660 S Staples(361) 694-149813725 Northwest BlvdSte A(361) 387-9413Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneGarcia, Juan A APNGender: MaleNPI: 19922891441202 Third St(361) 883-3962Clinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:NoneGlover, Julianne S APNGender: FemaleNPI: 1720576937805 Morgan Ave(361) 371-3710Clinic Affiliation: WellmedNetworks IncBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

106

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)Goehring, Rose M APNGender: FemaleNPI: 12255315697101 S Staples StSte 101(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneGomez, Sanida M APNGender: FemaleNPI: 18619676972922 Morgan Ave(361) 887-6601Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

u Gonzales, Laura A APNGender: FemaleNPI: 1093010449

U5945 Saratoga Blvd(361) 694-1500Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:ANP/CERT/CLNPGonzales, Melissa A APNGender: FemaleNPI: 1326495201

U3536 Holly Rd(361) 855-91074410 Dillon Ln Ste 1(361) 857-0101Clinic Affiliation: Womensand Mens Health ServicesOBoard Certifications:NoneLanguage: Arabic;Burmese; Cantonese;Farsi; French; Arabic;Burmese; Cantonese;Farsi; French

Gonzalez, Mary C APNGender: FemaleNPI: 1952713083

U4042 River Hill Dr(361) 933-5187

U6646 S Staples StSte 12(361) 334-2023Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:NoneGoode, Celia P APNGender: FemaleNPI: 13769175005826 Esplanade DrSte 201(361) 986-0404Clinic Affiliation: CitizensMedical ProfessionalBoard Certifications:NoneLanguage: SpanishGorbet, Melissa D APNGender: FemaleNPI: 13962916391533 5th(361) 371-55441533 5th St(806) 712-1096Clinic Affiliation:Physicians Unity PA;Transitions CareManagement PABoard Certifications:NoneGordon, Cheryl D APNGender: FemaleNPI: 19122532792606 Hospital BlvdSte B(361) 902-4789Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

Grantham, Daniella D APNGender: FemaleNPI: 1801899349

♿7121 S Padre IslandDr Ste 200(361) 993-6000♿7121 S Padre Island DrSte 100(361) 993-6000♿7121 S Padre Island DrSte 206(361) 993-6000Clinic Affiliation: CoastalBend Womens CenterBoard Certifications:NoneLanguage: SpanishGrunberg, Christi G APNGender: FemaleNPI: 1730434960

♿601 Texan TrilSte 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Clinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:NoneLanguage: SpanishGuajardo, Hazel J APNGender: FemaleNPI: 1649789892

U1533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center IBoard Certifications:NoneGuerrero, Thelma B APNGender: FemaleNPI: 11949514751660 S Staples StSte 160(361) 694-1498Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

Guico, Haidee M APNGender: FemaleNPI: 17003779913533 S Alameda StFurman Bldg Ste 202(631) 694-6691Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Spanish

u Hearn, Melissa L APNGender: FemaleNPI: 12750329894234 Weber Rd(361) 883-3831Clinic Affiliation: Colonand Rectal Associates ofSouth TexasBoard Certifications:ANP/CERT/CLNP

u Hernandez, Crystal A APNGender: FemaleNPI: 1851798359

♿3533 S Alameda St(361) 694-5057Clinic Affiliation: VictoriaAfter HoursBoard Certifications:ANP/CERT/CLNPHernandez, Diana J APNGender: FemaleNPI: 15780997191533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center IBoard Certifications:NoneHernandez, Steve APNGender: MaleNPI: 19922878415950 Saratoga Blvd(321) 917-9263Clinic Affiliation: Rishiand Srikanth PABoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

107

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)

u Hobbs, Susan M APNGender: FemaleNPI: 1740361914

♿601 Texan Trail Ste 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Clinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:ANP/CERT/CLNPLanguage: American Sign;Spanish; American Sign;SpanishHubert, Kelli M APNGender: FemaleNPI: 1124383245

U14254 Spid DrSte 207(361) 589-4068Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneHuerta, Irene R APNGender: FemaleNPI: 13567854487121 S Padre Island DrSte 100(361) 993-6000Clinic Affiliation: CoastalBend Womens CenterBoard Certifications:NoneIrigoyen, Eliana A APNGender: FemaleNPI: 123576911810838 Leopard St(361) 387-9496Clinic Affiliation:Sifuentes Roger M MDBoard Certifications:NoneJazul, Noel C APNGender: MaleNPI: 11447375115714 Spohn Dr(361) 906-0900Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

u Johnson, Sally M APNGender: FemaleNPI: 15284545507101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:ANP/CERT/CLNPKoepsel, Peggy Jo S APNGender: FemaleNPI: 1104885086

♿5440 Old Brownsville Rd(361) 452-1151Clinic Affiliation:Childrens PsychiatricServices ofBoard Certifications:NoneLanguage: SpanishKostoff, Heather A APNGender: FemaleNPI: 15686153182701 Morgan Ave Ste 400(832) 998-15102727 Morgan Ave Ste 400(361) 883-88883240 Fort Worth Ste 120(361) 985-1115Clinic Affiliation: AntonioGuzman MD PA; PrimaryCare and Wellness; RamosMedical Group PABoard Certifications:ANP/CERT/CLNPKugelmann, Colin APNGender: MaleNPI: 13660032467101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneLewis, Sarah E APNGender: FemaleNPI: 126582671314254 S Padre Island DrSte 207(361) 589-4068Clinic Affiliation: Sun andSurf Medical Clinic PCBoard Certifications:None

Lopez Briseno, Maria CAPNGender: FemaleNPI: 1124480751

U7121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneLucio, Kristin D APNGender: FemaleNPI: 1639609167

U14254 Spid DrSte 207(361) 589-4068Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneMaher, Janet E APNGender: FemaleNPI: 1023310018

U7121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneMartinez, Rosa A APNGender: FemaleNPI: 15880063081533 5th St(361) 737-1554Clinic Affiliation:Transitions CareManagement PABoard Certifications:NoneLanguage: SpanishMason, Traci S APNGender: FemaleNPI: 14971278314042 River Hill Dr(361) 933-51876646 S Staples StSte 122(361) 933-5188Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:None

u McLaughlin, Jennifer LAPNGender: FemaleNPI: 11747261861202 Third St(361) 883-3962Clinic Affiliation: CorpusChristi Heart Clinic PLLC;Heart Clinic of CorpusChrisBoard Certifications:ANP/CERT/CLNPLanguage: SpanishMedley, Samantha J APNGender: FemaleNPI: 16397117995826 Esplanade DrSte 102(361) 500-2998Clinic Affiliation: TheBetter Weigh Center PLLCBoard Certifications:NoneMeza, Sonia M APNGender: FemaleNPI: 11841891857101 S Staples StSte 101(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneMidyett, Ronald W APNGender: MaleNPI: 1013401488

U14254 Spid Dr Ste 207(361) 589-4068Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneMiller, Emily A APNGender: FemaleNPI: 16497255572606 Hospital BlvdSte F(361) 902-61002606 Hospital Blvd 4 W(361) 902-6100Clinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)Miller, Melissa M APNGender: FemaleNPI: 1023364973

♿3533 S AlamedaSte 301(361) 694-47003533 S Alameda StSte 301(361) 694-4700Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South Texas;Cpsst Mid LevelsBoard Certifications:NoneLanguage: Spanish

u Mims, Hollie M APNGender: FemaleNPI: 1992318489601 Texan TrailSte 300(361) 854-0811Clinic Affiliation: SouthTexas Bone and JointBoard Certifications:ANP/CERT/CLNPMitchell, Ellen J APNGender: FemaleNPI: 11947427264141 S Staples StSte 300(361) 882-5560Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: SouthTexas Dermatology PLLCBoard Certifications:NoneLanguage: English;SpanishMondesir, Danielle APNGender: FemaleNPI: 12558571657101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Montgomery, Katie M APNGender: FemaleNPI: 18418452867502 S Padre Island Dr(361) 500-4184Clinic Affiliation: Abeer AKaldas MD PLLCBoard Certifications:ANP/CERT/CLNPLanguage: Spanish

u Mora, Collen S APNGender: FemaleNPI: 18215334801533 5th St(361) 371-5544Clinic Affiliation:Physicians Unity PABoard Certifications:ANP/CERT/CLNPMoreno, Laura APNGender: FemaleNPI: 1184050429

♿3533 S Alameda StSte 501 Bldg Furman(361) 694-5778Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Spanish

u Moreno, Yamily APNGender: FemaleNPI: 11346987803765 S Alameda St(361) 850-8300Clinic Affiliation: DanielaBadea Mic MD PABoard Certifications:ANP/CERT/CLNP

u Moschitto, Carrie M APNGender: FemaleNPI: 19526986981202 3rd St(512) 807-3150Clinic Affiliation: StDavids Heart and VascularPLLCBoard Certifications:ANP/CERT/CLNP

Moy, Misty M APNGender: FemaleNPI: 16496896543533 S Alameda StSte 302(361) 694-4700Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneNaranjo, Liza M APNGender: FemaleNPI: 1912483041

U7121 S Padre Island DrSte 300(361) 696-6200♿U3536 Holly Rd(361) 855-9107♿4410 Dillon LnSte 1(361) 855-9107Clinic Affiliation: ThomasSpann Clinic PA; Womensand Mens Health ServicesOBoard Certifications:NoneNorwood, Armie D APNGender: FemaleNPI: 1881157071

U3533 S Alameda St(361) 694-4864Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneNwosu, Inemesit M APNGender: FemaleNPI: 14870038287121 S Padre Island DrSte 206(361) 993-6000Clinic Affiliation: CoastalBend Womens CenterBoard Certifications:None

Ocampo, Alvaro APNGender: MaleNPI: 15184996727101 S Staples St(281) 888-8999Hospital Affiliations:Valley Regional MedicalCenter; Hca HoustonHealthcare NorthwestClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneOlivarez, Jennifer APNGender: FemaleNPI: 10234143803533 S Alameda St(361) 694-4986Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneOlvera, Rhonda J APNGender: FemaleNPI: 1184683518

U5945 Saratoga Blvd(361) 694-1500Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NonePadilla, Anita R APNGender: FemaleNPI: 12458952754444 Corona DrSte 242(361) 452-1151Clinic Affiliation:Childrens PsychiatricServices ofBoard Certifications:NonePadilla, Viviana APNGender: FemaleNPI: 12155785963533 S Alameda StFurman Bldg Ste 501(361) 694-5778Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)Paris, Alyson M APNGender: FemaleNPI: 16497301773533 S Alameda St(361) 694-5311Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Parris, Velma I APNGender: FemaleNPI: 16494030563301 S Almadeda Ste 201(361) 857-2900Clinic Affiliation: CorpusChristi Primary Care AssocBoard Certifications:ANP/CERT/CLNPPattillo, Tammy J APNGender: FemaleNPI: 1972840908

U2033 Airline RdSte H1(361) 442-207314725 Compass St(361) 929-1122Clinic Affiliation: AliceInternal Medicine Consult;Corpus ChristiRejuvenation and ABoard Certifications:NonePetty, Cindy S APNGender: FemaleNPI: 1053479337

U4710 Everhart RdSte 100(361) 857-2273Clinic Affiliation: CorpusCare IncBoard Certifications:NoneLanguage: SignLanguage; Spanish

u Platt, Adrienne M APNGender: FemaleNPI: 1003872540

U5945 Saratoga Blvd(361) 694-1500Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: DriscollChildrens Urgent CareBoard Certifications:ANP/CERT/CLNPPrater, Rodney A APNGender: MaleNPI: 1477838944

♿1630 South Brownlee(361) 886-6900Clinic Affiliation: NuecesCounty MHMR Comm CtrBoard Certifications:NoneLanguage: English;SpanishPrice, Kimberly R APNGender: FemaleNPI: 1760853451

U1533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center IBoard Certifications:NonePulido, Jennifer APNGender: FemaleNPI: 138605239713725 Northwest BlvdSte A(361) 387-9413Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneRabagos, Katherine CAPNGender: FemaleNPI: 1134415631

U4042 River Hill Dr(361) 933-5187

U6646 S Staples St Ste 122(713) 893-6214Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:NoneLanguage: Spanish;Tagalog; Spanish; Tagalog

Ramsden, Melissa APNGender: FemaleNPI: 1194376228

U1533 5th St(361) 371-5544

U600 Elizabeth St(361) 881-3223Clinic Affiliation:Physicians Unity PABoard Certifications:None

u Reese, Karen A APNGender: FemaleNPI: 1558335059

U1533 5th St(361) 371-5544

U7121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation:Physicians Unity PA;Thomas Spann Clinic PABoard Certifications:ANP/CERT/CLNPRequenez, Ricardo J APNGender: MaleNPI: 121545956514725 Compass St(361) 929-1122Clinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:NoneReyes, Ilaria M APNGender: FemaleNPI: 19123542421415 Santa Fe St(361) 861-97603434 Saratoga Blvd(361) 985-9355Clinic Affiliation: ChristusPhysician Group; WellmedMedical Group PABoard Certifications:NoneReyna, Laura N APNGender: FemaleNPI: 13568223573533 S Alameda StFurman Bldg Ste 202(361) 694-6691Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

Robles, Tiffani M APNGender: FemaleNPI: 14476386715945 Saratoga Blvd(361) 694-1500Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneRock, Melissa L APNGender: FemaleNPI: 1588011639

U2033 Airline Rd Ste H1(361) 442-20735846 Wooldridge Rd(361) 994-8979Clinic Affiliation: CorpusChristi Rejuvenation and A;Wellmed Medical Group PABoard Certifications:NoneRodriguez, Angela M APNGender: FemaleNPI: 15881546607121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneRodriguez, Heather AAPNGender: FemaleNPI: 18314932873533 S Alameda StFurman Bldg Ste 202(361) 694-6691Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneRodriguez, Stephanie MAPNGender: FemaleNPI: 17701347517121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)

u Salinas, Cynthia G APNGender: FemaleNPI: 12658653074042 River Hill Dr(361) 933-51876646 S Staples StSte 122(361) 334-2023Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:ANP/CERT/CLNPSanchez, Ruviola APNGender: FemaleNPI: 1205392594

U14254 Spid DrSte 207(361) 589-4068Clinic Affiliation: AccessTotal Care LLCBoard Certifications:None

u Santo, Gabrielle APNGender: FemaleNPI: 1518597749

♿U3536 Holly Rd(361) 855-9107♿4410 Dillon LnSte 1(361) 855-9107Clinic Affiliation: Womensand Mens Health ServicesOBoard Certifications:ANP/CERT/CLNP

Santos, Adela R APNGender: FemaleNPI: 1295073955

♿6000 S Staples StSte 406(361) 993-48356182 Dunbarton Oak StSte B(361) 452-93205440 Old Brownsville Rd(361) 452-1151Clinic Affiliation:Childrens PsychiatricServices of; Raul RCapitaine MD PA; SouthCoast Family MedicinePLLCBoard Certifications:NoneLanguage: SpanishSchoolcraft, Mary K APNGender: FemaleNPI: 1043667769

U1533 S Brownlee BlvdSte 100(361) 884-2242601 Texan TrailSte 300(361) 854-0811Clinic Affiliation: AmistadCommunity Health CenterI; South Texas Bone andJointBoard Certifications:None

u Schroll, Misti L APNGender: FemaleNPI: 1295769248

♿5734 Spohn Dr(361) 882-4452Clinic Affiliation:Comprehensive PainManagement PABoard Certifications:ANP/CERT/CLNPLanguage: SpanishShafiei, Shiva APNGender: FemaleNPI: 1629630744

♿6182 Dunbarton Oak StSte B(361) 452-9320Clinic Affiliation: SouthCoast Family MedicinePLLCBoard Certifications:None

Siros, Kalin N APNGender: FemaleNPI: 15588751957121 S Padre Island DrSte 300(361) 696-62006002 S Staples St(361) 334-26255721 Esplanade Dr(361) 334-2625Clinic Affiliation:Christopher Majka MDPLLC; Nurse Practitionersof Corpus Chr; ThomasSpann Clinic PABoard Certifications:ANP/CERT/CLNPSquires, Patricia APNGender: FemaleNPI: 10739320672606 Hospital Blvd 4 W(361) 902-6100Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneStacy, Alma D APNGender: FemaleNPI: 17306841681011 Santa Fe St(361) 933-10831015 Santa Fe St(361) 450-0721Clinic Affiliation: Here OrThere Healthcare PLLC;Physicians Express PLLCBoard Certifications:NoneSvatek, Maegan J APNGender: FemaleNPI: 16396702504042 River Hill Dr(361) 933-51876646 S Staples St Ste 122(361) 933-5187Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:None

Trevino, Perla J APNGender: FemaleNPI: 11245408517121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneTrombley, Dina D APNGender: FemaleNPI: 10139150734617 Greenwood Dr(361) 857-2872Clinic Affiliation: ChristusPhysician Group; SpohnHealth SystemBoard Certifications:NoneLanguage: American SignTurner, Amy L APNGender: FemaleNPI: 15385489125714 Spohn Dr(361) 445-3008Clinic Affiliation: WellmedNetworks IncBoard Certifications:NoneTurner, Weldon R APNGender: MaleNPI: 18912246482922 Morgan Ave(361) 887-6601Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneUrban, Jennifer A APNGender: FemaleNPI: 15083352251415 Santa Fe(361) 887-4521Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

111

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)

u Uzoigwe, Georgina C APNGender: FemaleNPI: 15182049243126 Road Field Rd(361) 452-6897Clinic Affiliation: GulfCoast Behavioral ClinicLLCBoard Certifications:ANP/CERT/CLNPLanguage: Igbo; NigerianValverde, Caitlin D APNGender: FemaleNPI: 13164081497101 S Staples StSte 101(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Vasquez, Jennifer R APNGender: FemaleNPI: 14577298815950 Saratoga Blvd(321) 917-9263Clinic Affiliation: Rishiand Srikanth PABoard Certifications:ANP/CERT/CLNPVela, Bernadette B APNGender: FemaleNPI: 10335108472606 Hospital BlvdSte 4 West(361) 902-61003817 S Padre Island Dr(361) 857-0178Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneWagner, Anna APNGender: FemaleNPI: 14973075577121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:None

Walker, Patricia A APNGender: FemaleNPI: 11243452933533 S Alameda StFurman Bldg Ste 202(361) 694-6691Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: SpanishWatkins, Karen C APNGender: FemaleNPI: 14770442532202 Morgan Ave(361) 884-3966Clinic Affiliation: NagClinicBoard Certifications:NoneWatts, Hatira APNGender: FemaleNPI: 1598130361

U6000 S Staples St Ste 406(361) 993-4835

U3126 Rodd Field Rd(361) 452-6886Hospital Affiliations:River Crest HospitalClinic Affiliation: GulfCoast Behavioral ClinicLLC; Raul R Capitaine MDPABoard Certifications:NoneWest, Elodie V APNGender: FemaleNPI: 1508363805718 Elizabeth St Fl 3(361) 884-2858Clinic Affiliation:Abdominal Specialists ofSouth TeBoard Certifications:NoneWhitehurst, Elizabeth AAPNGender: FemaleNPI: 14576810171533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center IBoard Certifications:None

Wilcox, Mary M APNGender: FemaleNPI: 11447423131521 S Staples Ste 510(361) 882-40005633 S Staples StSte 700(361) 814-2001Clinic Affiliation: CoastalBend Aids Foundation Inc;Vascare MDBoard Certifications:ANP/CERT/CLNPWilliams, Jeremiah J APNGender: MaleNPI: 1750845343

45710 Esplanade Dr(361) 991-8000Clinic Affiliation: PrimaryCare and WellnessBoard Certifications:NoneWilliams, Sharon M APNGender: FemaleNPI: 18912714331533 5th St(361) 371-5544Clinic Affiliation:Physicians Unity PABoard Certifications:NoneWillis, Julie D APNGender: FemaleNPI: 16094076422120 Baldwin Blvd(361) 500-0096Clinic Affiliation: AntradosPABoard Certifications:None

u Wilson, Jessica P APNGender: FemaleNPI: 1720158595

U4455 S Padre Island DrSte 106(361) 937-1010Clinic Affiliation: OasisCounseling and PsychiatryLBoard Certifications:ANP/CERT/CLNP

Yepez, Marissa M APNGender: FemaleNPI: 1205481868

♿U13310 Leopard StSte 27(361) 242-3355♿U5817 Patton StSte 101(361) 992-9383Clinic Affiliation:Sunnyside Pediatrics PLLCBoard Certifications:NoneLanguage: SpanishYnostroza, Jaime R APNGender: MaleNPI: 1780156141

U1533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center IBoard Certifications:None

u Zey, Edward B APNGender: MaleNPI: 1760897748

♿6118 Parkway(361) 883-2000Clinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:ANP/CERT/CLNPLanguage: Spanish

AUDIOLOGYAndrews, Seth M AUDIOGender: MaleNPI: 18616637423314 S Alameda(361) 854-2500♿3318 S Alameda(361) 854-7000Clinic Affiliation: EarNose and ThroatAssociates; Hear AgainHearing Aids LLCBoard Certifications:NoneLanguage: Spanish;American Sign; Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

AUDIOLOGY (continued)Arnaud, Hilary M AUDIOGender: FemaleNPI: 1396863254

♿3201 Airline RdSte A(361) 993-5093Clinic Affiliation: HearingServices Company TX LLCBoard Certifications:NoneBeams, Shari L AUDIOGender: FemaleNPI: 16394882995920 Saratoga BlvdSte 425(361) 287-0100Clinic Affiliation: ChristusPhysician Group; CorpusChristi Ent Sinus and AlleBoard Certifications:NoneLanguage: SpanishCattanach, Marie Lys IAUDIOGender: FemaleNPI: 10131694323533 S Alameda 501(361) 694-5481Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneChagoya, Diana AUDIOGender: FemaleNPI: 1376062562

♿3318 S Alameda(361) 854-7000Clinic Affiliation: EarNose and ThroatAssociatesBoard Certifications:NoneLanguage: Spanish

Gold, Cheryll A AUDIOGender: FemaleNPI: 1912042441

♿3314 S Alameda(361) 854-2500♿3318 S Alameda St(361) 854-7000Clinic Affiliation: EarNose and ThroatAssociates; Hear AgainHearing Aids LLCBoard Certifications:NoneLanguage: Malaysian;Spanish; Malaysian;SpanishGriffin, Cayce AUDIOGender: FemaleNPI: 17903385493533 S Alameda StSte 501(361) 694-5778Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneMadore, KassandraAUDIOGender: FemaleNPI: 16094906303533 S Alameda StSte 501(361) 694-5778Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneMcManus, Cindy AUDIOGender: FemaleNPI: 13062117683201 Airline Rd Ste A(361) 993-5093Clinic Affiliation: HearingServices Company TX LLCBoard Certifications:NonePeeler, Shelby AUDIOGender: FemaleNPI: 11649157813533 S Alameda 501(361) 694-5481Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

Pimentel Roman, MarilynD AUDIOGender: FemaleNPI: 13564316133201 Airline RdSte A(361) 334-6666Clinic Affiliation: HearingServices Company TX LLCBoard Certifications:NoneSawyer, Ryan A AUDIOGender: MaleNPI: 1366645970

♿3301 S AlamedaSte 506(361) 855-3000Clinic Affiliation: SawyerAudiologyllcBoard Certifications:NoneLanguage: SpanishSchmeling, Richard JAUDIOGender: MaleNPI: 1821229022

♿7602 S Staples St Ste 103(361) 288-3000Clinic Affiliation: HoffmanHearing Solutions LLCBoard Certifications:NoneWelty, Rebekah AUDIOGender: FemaleNPI: 17003378623533 S Alameda 501(361) 694-5481Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneWhritenour, Kevin JAUDIOGender: MaleNPI: 1265503924

♿400 S Padre Island DrSte 107(361) 290-4632Clinic Affiliation: Kevin JWhritenour IncBoard Certifications:NoneLanguage: SignLanguage; Spanish

CARDIACELECTROPHYSIOLOGY

u Choucair, Wassim K MDGender: MaleNPI: 1962496620

♿1521 S Staples Ste 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Methodist TexsanHospital; Corpus ChristiMedical Center; St LukesBaptist Hospital; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; ChristusSpohn Hos Cctx Shoreline;Methodist Stone OakHospital; Baptist HealthSystem; MethodistHospital; Baptist HealthSystem; Methodist StoneOak Hospital; ChristusSpohn Hospital Beeville;Methodist Texsan Hospital;St Lukes Baptist Hospital;Methodist Hospital; CorpusChristi Medical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Arabic; French;Spanish; Arabic; French;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

CARDIACELECTROPHYSIOLOGY(continued)Ekeruo, Ijeoma A MDGender: FemaleNPI: 1306095021613 Elizabeth StSte 411(361) 888-5524Hospital Affiliations:Memorial Hermann SEHospital; MD AndersonCancer Center; El CampoMemorial Hospital;Memorial Hermann SWHospital; MemorialHermann Hospital; MemHermann The WoodlandsMed Ctr; Ben Taub GeneralHospital; MemorialHermann Pearland Hosp;Memorial Hermann GreaterHeights; MemorialHermann Cypress HospitalClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneGoya, Garbine MDGender: FemaleNPI: 1174611156

♿3533 S Alameda StSte H100(361) 694-5086Hospital Affiliations:Christus Spohn Hosp CctxSouth; Cuero RegionalHospital; Driscoll ChildrensHospital; Christus SpohnHospital Kleberg; ChristusSpohn Hos Cctx Shoreline;Detar Hospital Navarro;Doctors Hospital of Laredo;Laredo Medical Center;Christus Spohn Hosp CctxMemorial; Citizens MedicalCenterClinic Affiliation: DriscollPhysicians GroupBoard Certifications:NoneLanguage: Spanish

u Hariharan, Ramesh MDGender: MaleNPI: 1770509168613 Elizabeth St Ste 411(361) 888-5524Hospital Affiliations:Memorial HermannHospital; Mem HermannThe Woodlands Med Ctr;Houston Methodist WestHospital; Baptist BeaumontHospital; Hca HoustonHealthcare Conroe;Christus Spohn Hos CctxShoreline; St LukesHospital at The Vintage;Chi St Lukes Hlth BaylorColl Med; MemorialHermann Greater HeightsClinic Affiliation: ChristusPhysician GroupBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Spanish

u Shuraih, Mossaab MDGender: MaleNPI: 11443182701521 South Staples StSte 700(361) 888-82717121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Memorial HermannSW Hospital; MemorialHermann SE Hospital; ChiSt Lukes Hlth Baylor CollMed; Memorial HermannSE HospitalClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiac Electrophysiology

CARDIAC THORACICSURGERYAlonso, Javier MDGender: MaleNPI: 1194772160

♿5242 Holly Rd(361) 991-6611Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: JavierAlonso MD PHD PABoard Certifications:NoneLanguage: SpanishDavis, Cornelius A MDGender: MaleNPI: 15280379757101 S Staples StSte 101(281) 888-8999Hospital Affiliations:Memorial HermannMemorial CityClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Mehta, Inder D MDGender: MaleNPI: 17302800743533 S Alameda(361) 694-5086Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: DriscollPhysicians GroupBoard Certifications:Cardiac Thoracic Surgery

Tavares, Sergio MDGender: MaleNPI: 1801895222

♿601 Texan Trail Ste 205(361) 884-7081601 Texan TrlSte 205(361) 884-7081Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLanguage: Portuguese;Spanish; Portuguese;Spanish

CARDIOVASCULARDISEASE

u Akram, Yasir MDGender: MaleNPI: 15586768417101 S Staples StSte 101(281) 888-8999Hospital Affiliations: HcaHouston HealthcareNorthwest; St LukesHospital at The Vintage;Hca Houston HealthcareTomball; MemorialHermann Cypress Hospital;Hca Houston HealthcareKingwoodClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Cardiovascular DiseaseLanguage: Hindi; Punjabi;Urdu

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

CARDIOVASCULARDISEASE (continued)

u Alexander, Thomas MDGender: MaleNPI: 10331918381202 3rd St(361) 883-39621202 Third St(361) 883-3962♿1202 Third St(361) 883-3963♿1533 13th St(361) 883-3962♿7121 S Padre Island DrSte 116(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Cardiovascular CareProviders Inc; CorpusChristi Heart Clinic PLLC;Heart Clinic of CorpusChrisBoard Certifications:Cardiovascular DiseaseLanguage: American Sign;Indonesian; Spanish;American Sign; Spanish;American Sign; Indonesian;Spanish; American Sign;Indonesian; Spanish;American Sign; Spanish

u Badruddin Mawji, ShamimMDGender: FemaleNPI: 1871593525

♿613 Elizabeth Ste 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHospital Kleberg; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:Cardiovascular DiseaseLanguage: German; SignLanguage; Spanish;Tagalog; Urdu; German;Sign Language; Spanish;Tagalog; UrduBerio Muniz, Rafael L MDGender: MaleNPI: 1760403620

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CoastalCardiology AssociateBoard Certifications:NoneLanguage: German; SignLanguage; Spanish;Tagalog; Urdu; German;Sign Language; Spanish;Tagalog; Urdu

u Brenner, Lawrence D MDGender: MaleNPI: 12250103171202 3rd St(361) 883-3962♿1202 Third St(361) 883-39621202 Third St(361) 883-39627121 South Padre Island DrSte 116(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Cardiovascular CareProviders Inc; CorpusChristi Heart Clinic PLLC;Heart Clinic of CorpusChrisBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Hindi; Spanish;Hindi; Spanish; Hindi;Spanish; Hindi; Spanish

u Chekuri, Kasi V MDGender: MaleNPI: 1093797193

♿U1202 3rd St(361) 883-39621202 Third St(361) 883-3962♿1202 Third St(361) 883-3962♿U1533 13th St(361) 883-3962Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx Memorial;Christus Spohn HospitalKleberg; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHospital Kleberg; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; ChristusSpohn Hospital Beeville;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; ChristusSpohn Hosp CctxMemorial; Christus SpohnHospital Beeville; ChristusSpohn Hosp CctxMemorial; Corpus ChristiMedical Center; ChristusSpohn Hospital KlebergClinic Affiliation:Cardiovascular CareProviders Inc; CorpusChristi Heart Clinic PLLC;Heart Clinic of CorpusChrisBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

CARDIOVASCULARDISEASE (continued)

u Choucair, Wassim K MDGender: MaleNPI: 1962496620

♿1521 S Staples Ste 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Methodist TexsanHospital; Corpus ChristiMedical Center; St LukesBaptist Hospital; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; ChristusSpohn Hos Cctx Shoreline;Methodist Stone OakHospital; Baptist HealthSystem; MethodistHospital; Baptist HealthSystem; Methodist StoneOak Hospital; ChristusSpohn Hospital Beeville;Methodist Texsan Hospital;St Lukes Baptist Hospital;Methodist Hospital; CorpusChristi Medical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Arabic; French;Spanish; Arabic; French;Spanish

u Cuevas, Christel R MDGender: FemaleNPI: 13667353751202 3rd St(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Cardiovascular Disease

u Damaraju, Srikanth MDGender: MaleNPI: 1790785442

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; CorpusChristi Medical Center;Christus Spohn Hos CctxShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:Cardiovascular Disease;Internal Medicine;Interventional CardiologyLanguage: French;German; Spanish; Tagalog;Urdu; French; German;Spanish; Tagalog; UrduGraf, Raymond H MDGender: MaleNPI: 1972503605

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; CorpusChristi Medical Center;Christus Spohn Hos CctxShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:NoneLanguage: French;German; Spanish; Tagalog;Urdu; French; German;Spanish; Tagalog; Urdu

Grenier, Michelle A MDGender: FemaleNPI: 13160276753533 S Alameda Ste H 100(361) 694-5086Hospital Affiliations:Texas Childrens Hospital;Mission Regional MedicalCenter; Driscoll ChildrensHospital; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;South Texas HealthSystemClinic Affiliation: DriscollPhysicians GroupBoard Certifications:Pediatric CardiologyHamoud, Naktal S MDGender: MaleNPI: 1922237494613 Elizabeth St Ste 411(361) 888-5524Hospital Affiliations: StLukes Hospital at TheVintage; Houston MethodistWillowbrook; HoustonMethodist West Hospital;Memorial HermannHospital; St Lukes TheWoodlands Hospital; HcaHouston HealthcareConroeClinic Affiliation: ChristusPhysician GroupBoard Certifications:None

u Hariharan, Ramesh MDGender: MaleNPI: 1770509168613 Elizabeth St Ste 411(361) 888-5524Hospital Affiliations:Memorial HermannHospital; Mem HermannThe Woodlands Med Ctr;Houston Methodist WestHospital; Baptist BeaumontHospital; Hca HoustonHealthcare Conroe;Christus Spohn Hos CctxShoreline; St LukesHospital at The Vintage;Chi St Lukes Hlth BaylorColl Med; MemorialHermann Greater HeightsClinic Affiliation: ChristusPhysician GroupBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

CARDIOVASCULARDISEASE (continued)

u Heath, Paul W MDGender: MaleNPI: 14977375971202 3rd St(361) 883-3962♿1202 Third St(361) 883-39621202 Third St(361) 883-3962♿1533 13th St(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHospital Kleberg; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; ChristusSpohn Hospital Kleberg;Corpus Christi MedicalCenter; Christus SpohnHospital Beeville; ChristusSpohn Hospital Kleberg;Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; CorpusChristi Heart Clinic PLLC;Heart Clinic of CorpusChrisBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Malayalam;Spanish; Urdu; Malayalam;Spanish; Urdu; Spanish;Urdu; Spanish; Urdu

u Khan, Muhammad U MDGender: MaleNPI: 17404450147101 S Staples StSte 101(281) 888-8999Hospital Affiliations: TXHlth Harris Methodist HospFW; Medical City FortWorthClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Cardiovascular Disease

u Madry, Robert W MDGender: MaleNPI: 1285635342

♿1521 S Staples StSte 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular DiseaseLanguage: SpanishMangla, Narain D MDGender: MaleNPI: 1942343090

♿2601 Hospital BlvdSte 103(361) 883-8473Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterBoard Certifications:NoneLanguage: Hindi; Spanish

Martinez Quin, Carlos EMDGender: MaleNPI: 1568463941

♿1521 South StaplesSte 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; ChristusSpohn Hosp Cctx South;Christus Spohn HospitalKleberg; Christus SpohnHospital Beeville; CorpusChristi Medical Center;South Texas SurgicalHospital; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

Martinez Quinonez,Carlos E MDGender: MaleNPI: 15684639411521 S Staples StSte 700(361) 888-82717121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Christus SpohnHospital Kleberg; CorpusChristi Medical Center;Christus Spohn HospitalKleberg; Christus SpohnHospital Beeville; ChristusSpohn Hos Cctx Shoreline;South Texas SurgicalHospitalClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

CARDIOVASCULARDISEASE (continued)

u Ormand, Jackson E MDGender: MaleNPI: 1790786168

♿1521 South Staples StSte 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Otah, Kenneth E MDGender: MaleNPI: 10937048277101 S Staples St(281) 888-8999Hospital Affiliations:Houston Methodist SugarLand Hosp; MemorialHermann Hospital; Chi StLukes Hlth Baylor CollMed; Memorial HermannSW Hospital; Mhhs SugarLand Hospital; HcaHouston Healthcare WestClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Cardiovascular DiseaseLanguage: Afrikaans;Spanish

Pappas, John D MDGender: MaleNPI: 10331102341521 S Staples StSte 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-82717121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHos Cctx Shoreline; SouthTexas Surgical Hospital;Christus Spohn HospitalKleberg; South TexasSurgical Hospital; ChristusSpohn Hospital Kleberg;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHospital Beeville; ChristusSpohn Hosp Cctx South;Corpus Christi MedicalCenter; South TexasSurgical Hospital; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalKleberg; Christus SpohnHosp Cctx South; ChristusSpohn Hospital Kleberg;Corpus Christi MedicalCenterClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:NoneLanguage: Spanish

u Rodriguez, Mike E MDGender: MaleNPI: 13068475041521 S Staples StSte 700(361) 888-82717121 S Padre Island DrSte 112(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalKleberg; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Corpus Christi MedicalCenter; Christus SpohnHospital Beeville; SouthTexas Surgical Hospital;Corpus Christi MedicalCenter; Christus SpohnHospital Kleberg; ChristusSpohn Hospital Beeville;South Texas SurgicalHospital; Christus SpohnHospital Kleberg; SouthTexas Surgical HospitalClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Rose, Cary MDGender: MaleNPI: 15482441222732 S Padre Island DrSte 315(317) 663-3289Hospital Affiliations:Good Shepherd MedicalCenter; Christus GoodShepherd Med CtrClinic Affiliation:Radiology MedicalConsultantsBoard Certifications:Cardiovascular DiseaseSanchez, Julian A MDGender: MaleNPI: 10836966521202 3rd St(361) 883-3962♿1202 Third St(361) 883-39621202 Third St(361) 883-3962♿1533 13th St(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; CorpusChristi Heart Clinic PLLC;Heart Clinic of CorpusChrisBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

CARDIOVASCULARDISEASE (continued)Sartori, Michele P MDGender: MaleNPI: 17200781817101 S Staples St(281) 888-8999Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Cornerstone RegionalHospital LP; St JosephMedical Center; HcaHouston Healthcre MedicalCtr; Houston MethodistHospital; Kindred HospitalHouston MedicalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneLanguage: French; Italian;Spanish

u Schechter, Charles J MDGender: MaleNPI: 1487654125

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:Cardiovascular DiseaseLanguage: American Sign;German; Spanish;American Sign; German;Spanish

u Silva, Jaime L MDGender: MaleNPI: 16896348837101 S Staples StSte 101(281) 888-8999Hospital Affiliations:Valley Regional MedicalCenter; Vly Baptist Med CtrBrownsvilleClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Silverman, Gregg L MDGender: MaleNPI: 1003816638

♿613 Elizabeth StSte 402(361) 887-2900Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHospital Kleberg; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:Cardiovascular DiseaseLanguage: American Sign;German; Spanish; Tagalog;Urdu

u Taylor, Travis P MDGender: MaleNPI: 1386969343

♿613 Elizabeth StSte 402(361) 887-2900♿613 Elizabeth StSte 411(361) 826-0187♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: CoastalCardiology AssociateBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: English;Spanish; English; Spanish;English; SpanishTurner, Stephen A MDGender: MaleNPI: 1508866252

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:NoneLanguage: French;German; Spanish; Tagalog;Urdu; French; German;Spanish; Tagalog; Urdu

Upmanyu, Sant K MDGender: MaleNPI: 1609860931

♿1521 S Staples StSte 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens HospitalClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

u Venkatachalam, SridharMDGender: MaleNPI: 16595099901521 S Staples StSte 700(361) 888-82711521 South Staples StSte 700(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular Disease

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

CHILD ABUSEPEDIATRICSBooth, Ada L MDGender: FemaleNPI: 1144326364

♿3533 S Alameda St(361) 694-4345Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: American Sign;Spanish

CHIROPRACTICAdame, Nicholas L DCGender: MaleNPI: 1215004981

♿U2727 Morgan Ave Ste 300a(361) 888-5418Board Certifications:NoneLanguage: SpanishBaczinskas, Kazimieras JDCGender: MaleNPI: 1124534417

U5705 Gollihar Rd Ste 2(361) 991-0460Clinic Affiliation:Advanced Health ClinicBoard Certifications:NoneBaucum, Nicholas S DCGender: MaleNPI: 1811324841

U14902 Trinity River DrSte 2(361) 654-4747

U1220 Airline RdSte 280(361) 654-4747Clinic Affiliation:Armadillo SportChiropractic; ArmadilloSport Chiropractic PABoard Certifications:None

Bhakta, Hetul D DCGender: MaleNPI: 1033120373

♿U5866 S Staples StSte 101(361) 985-2225Clinic Affiliation: IntegraChiropractic; IntegraChiropractic Group LLCBoard Certifications:NoneLanguage: Gujarati;SpanishCizek, Alexander J DCGender: MaleNPI: 16790760615650 Wooldridge Rd(808) 404-6050Clinic Affiliation: AirrostiRehab Center LLCBoard Certifications:NoneCole, Jacquelyn F DCGender: FemaleNPI: 11543593622025 Flour Bluff Dr(361) 937-1215Clinic Affiliation: ColeChiropractic ClinicBoard Certifications:NoneCox, Rudy D DCGender: MaleNPI: 18413038311521 S StaplesSte 803(512) 323-6900Clinic Affiliation: UnionTreatment CentersBoard Certifications:NoneLanguage: SpanishCurtis, Brent A DCGender: MaleNPI: 1306865258

♿709 Everhart Road(361) 991-9524Board Certifications:None

Durbin, Misty M DCGender: FemaleNPI: 1740337419

♿U5022 Holly RdSte 104(361) 991-8887Clinic Affiliation: DurbinChiropractic & Wellness CeBoard Certifications:NoneLanguage: SpanishDurham, George A DCGender: MaleNPI: 1245262625

♿U5443 Everhart RdSte C(361) 852-2211Clinic Affiliation: GeorgeA Durham DC PCBoard Certifications:NoneLanguage: SpanishFilla, James M DCGender: MaleNPI: 1821076621

♿U11217 Leopard StSte 3(361) 241-5744Clinic Affiliation: FillaChiropractic CenterBoard Certifications:NoneLanguage: SpanishGwartney, Donald E DCGender: MaleNPI: 1710039037

♿U6500 S Padre Island DrSte 18(361) 992-2048Clinic Affiliation:Advanced Therapy ClinicBoard Certifications:NoneLanguage: Farsi; SpanishHarris, Curtis R DCGender: MaleNPI: 13262514065650 Wooldridge Rd(800) 404-6050Clinic Affiliation: AirrostiRehab Center LLCBoard Certifications:NoneLanguage: Spanish

Knippa, Rose M DCGender: FemaleNPI: 1154332583

♿U4455 S Padre Island DrSte 13(361) 991-4672Clinic Affiliation:BalancedChiropractic&nutritionpaBoard Certifications:NoneLanguage: SpanishLandavazo, Imogene Y DCGender: FemaleNPI: 1891881942

♿U6009 S Staples St(361) 854-2440Board Certifications:NoneLanguage: SpanishLarson, Lorentz M DCGender: MaleNPI: 1558994731

U13925 Northwest Blvd(361) 767-3300Clinic Affiliation: CalallenChiropracticBoard Certifications:NoneLewis, Jeffrey W DCGender: MaleNPI: 1700109683

U2033 Airline Rd Ste H1(361) 442-2073Clinic Affiliation: CorpusChristi Chiropracitc and W;Corpus ChristiRejuvenation and ABoard Certifications:NoneLanguage: SpanishLindell, Nathan L DCGender: MaleNPI: 1528093226

♿U7109 S Staples StSte A(361) 991-4500Clinic Affiliation: LindellChiropractic CenterBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

CHIROPRACTIC(continued)Lopez, John M DCGender: MaleNPI: 1053322800

♿U4825 Everhart Rd Ste 2(361) 884-9191Board Certifications:NoneLanguage: SpanishMartinez, Ricardo S DCGender: MaleNPI: 1255301867

♿2300 Baldwin Blvd(361) 884-6609Clinic Affiliation: MartinezChiropractic ClinicBoard Certifications:NoneLanguage: SpanishMauger, Michael A DCGender: MaleNPI: 1598700551

♿U6009 S Staples St(361) 993-3917Clinic Affiliation: Instituteof Pain ManagementincBoard Certifications:NoneLanguage: SpanishMcArthur, Derek W DCGender: MaleNPI: 1679519177

♿U13925 Northwest Blvd(361) 767-3300Clinic Affiliation: CalallenChiropracticBoard Certifications:NoneLanguage: SpanishMoore, Justin T DCGender: MaleNPI: 1154330884

♿U13925 Northwest Blvd(361) 767-3300Clinic Affiliation: CalallenChiropracticBoard Certifications:NoneLanguage: Spanish

Nelson, David A DCGender: MaleNPI: 1194806364

♿U4117 S Staples StSte 230(361) 371-7100Clinic Affiliation: Fit LifeChiropracticBoard Certifications:NoneLanguage: SpanishPeters, Chad S DCGender: MaleNPI: 1407882426

♿1220 Airline RdSte 280(361) 654-4747Clinic Affiliation:Armadillo SportChiropractic PABoard Certifications:NoneLanguage: SpanishPosey, James H DCGender: MaleNPI: 1720174030

♿U2306 Airline Ste 117(361) 994-1041Board Certifications:NoneRichter, Kadee D DCGender: FemaleNPI: 1578798062

U6418 S Staples StSte 142(361) 855-0000Clinic Affiliation: SeasideChiropractic PABoard Certifications:NoneLanguage: SpanishRivera, Gary G DCGender: MaleNPI: 15780008655826 Esplanade DrSte 302(361) 992-1851Board Certifications:None

Salazar, Richard DCGender: MaleNPI: 18518007591220 Airline RdSte 280(361) 654-4747Clinic Affiliation:Armadillo SportChiropractic PABoard Certifications:NoneSalinas, Mark DCGender: MaleNPI: 102331782313925 Northwest Blvd(361) 767-3300Clinic Affiliation: CalallenChiropracticBoard Certifications:NoneLanguage: SpanishShelton, Gabriel A DCGender: MaleNPI: 196290507514317 NW BlvdSte D(800) 404-60505650 Wooldridge Rd(800) 404-6050Clinic Affiliation: AirrostiRehab Center LLCBoard Certifications:NoneSnowden, Philip E DCGender: MaleNPI: 16492371324368 S Alameda(361) 993-2375Board Certifications:NoneLanguage: SpanishTanner, James D DCGender: MaleNPI: 1639284078

♿4646 Corona DrSte 140(361) 980-8119Clinic Affiliation: DCRehab Center LLCBoard Certifications:NoneLanguage: Spanish

Thomas, Patrick J DCGender: MaleNPI: 1326005075

♿4368 South Alameda(361) 993-2375Board Certifications:NoneLanguage: SpanishTovar, Erica A DCGender: FemaleNPI: 1891196143

U6418 S Staples StSte 142(361) 855-0000Clinic Affiliation: SeasideChiropractic PABoard Certifications:NoneViersen, Nikki L DCGender: FemaleNPI: 1205871936

♿1220 Airline RdSte 280(361) 654-4747Clinic Affiliation:Armadillo SportChiropractic PABoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

CLINICAL CARDIACELECTROPHYSIOLOGY

u Bailey, Shane M MDGender: MaleNPI: 14372133371202 3rd St(361) 883-39627121 S Padre Island Dr Ste116(512) 807-3150Hospital Affiliations: DellSeton Medical Center atUT; Ascension SetonNorthwest; AscensionProvidence; Heart Hospitalof Austin; St DavidsGeorgetown Hospital;Bs&w Medical CenterHillcrest; Christus SpohnHos Cctx Shoreline; HcaHouston HealthcareConroe; St DavidsGeorgetown Hospital;Ascension Providence;Ascension Seton MedCenter Austin; HcaHouston HealthcareConroe; Ascension SetonNorthwest; Bs&w MedicalCenter Hillcrest; St DavidsMedical Center; HeartHospital of Austin; ChristusSpohn Hos Cctx Shoreline;Dell Seton Medical Centerat UT; St Davids MedicalCenterClinic Affiliation: StDavids Heart and VascularPLLCBoard Certifications:Clinical CardiacElectrophysiologyLanguage: Spanish

u Bassiouny, Mohamed AMDGender: MaleNPI: 11747578921202 3rd St(512) 807-3150Hospital Affiliations: StDavids Medical CenterClinic Affiliation: StDavids Heart and VascularPLLCBoard Certifications:Clinical CardiacElectrophysiology

u Canby, Robert C MDGender: MaleNPI: 15189684111202 3rd St(512) 807-3150Hospital Affiliations:Ascension Providence;Shannon Medical Center;Ascension Seton Hays;Ascension SetonNorthwest; St DavidsMedical Center; AscensionSeton Med Center Austin;Bs&w Medical CenterHillcrest; Ascension SetonSouthwest; Dell SetonMedical Center at UTClinic Affiliation: StDavids Heart and VascularPLLCBoard Certifications:Clinical CardiacElectrophysiologyLanguage: SpanishMukerji, Siddharth MDGender: MaleNPI: 1720100027613 Elizabeth StSte 411(361) 888-5524Hospital Affiliations:Christus Spohn Hos CctxShoreline; MemorialHermann Hospital; Chi StLukes Hlth Baylor Coll MedClinic Affiliation: ChristusPhysician GroupBoard Certifications:None

u Reddy, Sunil K MDGender: MaleNPI: 1760624928613 Elizabeth St Ste 411(361) 888-5524Hospital Affiliations:Christus Spohn Hos CctxShoreline; HoustonMethodist Hospital;Memorial HermannHospitalClinic Affiliation: ChristusPhysician GroupBoard Certifications:Clinical CardiacElectrophysiology

CLINICAL GENETICSStratton, Robert F MDGender: MaleNPI: 1316949118

♿3533 S Alameda St(361) 694-4874Hospital Affiliations:Driscoll Childrens Hospital;Methodist Hospital;Childrens Hospital SanAntonioClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Spanish

COLON-RECTALSURGERYBrackett, Fred B MDGender: MaleNPI: 1053383372

♿4234 Weber Rd(361) 883-3831Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: Colonand Rectal Associates ofSouth TexasBoard Certifications:NoneLanguage: English;Spanish

u Hahn, Tara L MDGender: FemaleNPI: 1417939018

♿4234 Weber Rd(361) 883-3831Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: Colonand Rectal Associates ofSouth TexasBoard Certifications:Colon-Rectal SurgeryLanguage: English;Spanish

u Lin, Yu Hsin MDGender: FemaleNPI: 11647898304234 Weber Road(361) 883-3831Hospital Affiliations:Christus Spohn Hosp CctxMemorial; South TexasSurgical Hospital; ChristusSpohn Hosp Cctx South;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: Colonand Rectal Associates ofSouth TexasBoard Certifications:Colon-Rectal Surgery

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

COLON-RECTALSURGERY (continued)

u Sanders, Bridget M MDGender: FemaleNPI: 1760482467345 S Water St(361) 500-06001533 5th St(361) 371-5544600 Elizabeth St(361) 881-3223Hospital Affiliations:Christus Spohn HospitalBeeville; Santa RosaMedical Center; UniversityMedical Center; ChristusSanta Rosa Health System;Santa Rosa MedicalCenter; Christus SpohnHospital Beeville;University Medical Center;Christus Spohn HospitalBeeville; Christus SpohnHos Cctx Shoreline; SantaRosa Medical Center;Christus Spohn Hos CctxShoreline; Christus SantaRosa Health System;Christus Spohn Hos CctxShorelineClinic Affiliation:Physicians Unity PABoard Certifications:Colon-Rectal Surgery

u Torres, Pedro P MDGender: MaleNPI: 1023000379

♿3301 S Alameda StSte 305(361) 888-8401Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp CctxMemorial; Corpus ChristiMedical CenterBoard Certifications:Colon-Rectal SurgeryLanguage: Spanish

Varin, Richard C MDGender: MaleNPI: 1639141963

♿4234 Weber Rd(361) 883-3831Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: Colonand Rectal Associates ofSouth TexasBoard Certifications:NoneLanguage: Spanish

DERMATOLOGYu Becker, Emily M MDGender: FemaleNPI: 12656192173533 S Alameda St Ste 201(361) 694-4975Hospital Affiliations:Methodist Hospital; DriscollChildrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:DermatologyLanguage: Spanish

u Davis, Nathan A MDGender: MaleNPI: 1841443231

♿4141 S Staples StSte 300(361) 882-5560Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: SouthTexas Dermatology PLLCBoard Certifications:DermatologyLanguage: Spanish

u Desai, Alpesh D DOGender: MaleNPI: 1386696904

♿5756 South StaplesSuite J-1(361) 994-1001Hospital Affiliations:Memorial Hermann GreaterHeights; Christus SantaRosa San Marcos;Ascension Seton MedCenter AustinClinic Affiliation: Alpesh DDesai DO PLLCBoard Certifications:DermatologyLanguage: Gujarati; Hindi;Spanish

u Desai, Tejas D DOGender: MaleNPI: 19029815335756 S Staples StSte J 1(361) 994-1001Hospital Affiliations:Memorial Hermann GreaterHeightsClinic Affiliation: Alpesh DDesai DO PLLCBoard Certifications:DermatologyLanguage: Spanish

u Fagan, Wayne A MDGender: MaleNPI: 1942206180

♿4141 S Staples StSte 300(361) 882-5560Clinic Affiliation: SouthTexas Dermatology PLLCBoard Certifications:DermatologyLanguage: Spanish

u Held, Beverly L MDGender: FemaleNPI: 1477544211

♿5756 S StaplesSte J2(361) 993-3190Clinic Affiliation: BeverlyL Held MDBoard Certifications:Dermatology

u Rogers, Ryan T MDGender: MaleNPI: 13960654705920 Saratoga BlvdSte 540(361) 993-0234Clinic Affiliation: PadreDermatology PLLCBoard Certifications:Dermatology

DEVELOPMENTAL-BEHAVIORALPEDIATRICS

u Gulbronson, Maricela DMDGender: FemaleNPI: 1992743645

♿3533 S Alameda(361) 694-5650Hospital Affiliations:Driscoll Childrens Hospital;John Peter Smith Hospital;Cook Childrens MedicalCenterClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Developmental-BehavioralPediatricsLanguage: Spanish

DIAG RADIOLOGYu Bhatti, Zagum A MDGender: MaleNPI: 10535778907101 S Staples St(281) 888-8999Hospital Affiliations:Memorial HermannHospital; Hca HoustonHealthcare Conroe;Huntsville MemorialHospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications: DiagRadiology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

DIAG RADIOLOGY(continued)Cao, Mailan M MDGender: FemaleNPI: 1588816136

41812 S Alameda St(361) 887-7000

4325 Cape Aron Dr(952) 595-1100Hospital Affiliations:Corpus Christi MedicalCenter; Del Sol CampLpdsh; Corpus ChristiMedical CenterClinic Affiliation:Cardiovascular CareProviders Inc; VirtualRadiologic ProfessionalsBoard Certifications:RadiologyCraft, Alexander J DOGender: MaleNPI: 1194022236

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologyElvin, Patrick K MDGender: MaleNPI: 1154327336

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

Gayle, Everett L MDGender: MaleNPI: 1518963313

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologyGershon, Ruth K MDGender: FemaleNPI: 1033475827

4

U1812 S Alameda St(361) 887-7000

4

U3929 River East Dr(361) 887-7000

4

U5742 Spohn Dr(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneGover Mendez, Charles BMDGender: MaleNPI: 1295733822

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologyHarrell, Leslie M DOGender: FemaleNPI: 1811208010

41415 Santa Fe St(361) 887-4521Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

Panapitiya, Narendra CMDGender: MaleNPI: 17203997853533 S Alameda St(361) 694-5240Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical Center;Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:RadiologyStrong, David B MDGender: MaleNPI: 1083612576

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenter; Christus-SpohnSurgicare of CorpuClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologyTurner, Jennifer E MDGender: FemaleNPI: 1669466256

U1812 S Alameda St(361) 887-7000

U3929 River East Dr(361) 887-7000

U5742 Spohn Dr(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

Williams, David K MDGender: MaleNPI: 1669440228

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologyWilson, David D MDGender: MaleNPI: 1164420923

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologyYang, Robert MDGender: MaleNPI: 1437416195

41812 S Alameda St(361) 561-3100Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

EMERGENCY MEDICINEAli, Mohammed M DOGender: MaleNPI: 1295113702

4

U3315 S Alameda(361) 887-5752Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: CorpusChristi Hospitalists PLLCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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4 This Provider May Not Be Accepting New Patients. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

EMERGENCY MEDICINE(continued)Cortes, Edgar L MDGender: MaleNPI: 1801844261

♿43533 S Alameda St(361) 855-8201Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:NoneLanguage: SpanishEnriquez, Jose L MDGender: MaleNPI: 1194733485

♿43533 S Alameda St(361) 855-8201Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:NoneHart, Alicia D MDGender: FemaleNPI: 1174588438

43533 S Alameda St(361) 855-8201Hospital Affiliations:Ascension SetonNorthwest; Dell SetonMedical Center at UT;Seton Medical Ctr HarkerHeights; Christus StMichael Health System;Ascension Providence;Driscoll Childrens Hospital;Dell Childrens MedicalCenterClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:None

Hassanin, Salsabeal S DOGender: FemaleNPI: 1790162295

4

U5262 S Staples StSte 210(361) 500-4351Hospital Affiliations:Refugio County MemorialHospital; Christus SpohnHospital Beeville; CorpusChristi Medical Center;Santa Rosa Medical CenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

u Hensley, Justin P MDGender: MaleNPI: 1275731945

43435 S Alameda St(361) 855-8201Hospital Affiliations: BenTaub General Hospital;Driscoll Childrens HospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:Emergency MedicineHerrick, John S DOGender: MaleNPI: 1003913880

43435 S Alameda St(361) 855-8201Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:None

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

46130 Parkway Dr(361) 826-5785Hospital Affiliations:Jackson HealthcareCenter; El CampoMemorial Hospital; ChristusSpohn Hos Cctx Shoreline;Refugio County MemorialHospital; Baptist HealthSystem; Rankin CountyHospital DistrictClinic Affiliation: HospitalCare Consultants IncBoard Certifications:Emergency MedicineLanguage: Spanish

Jiang, Hongmei MDGender: FemaleNPI: 1932400462

43533 S Alameda St(361) 855-8201Hospital Affiliations:Seton Medical Ctr HarkerHeights; Baptist HealthSystem; GuadalupeRegional Medical Center;Ascension SetonNorthwest; AscensionProvidence; Dell SetonMedical Center at UT; DellChildrens Medical Center;Driscoll Childrens Hospital;Christus St Michael HealthSystemClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:NoneKramer, Salomon D DOGender: MaleNPI: 1912114091

46130 Parkway Dr(361) 826-5785Hospital Affiliations:Freestone Medical Center;Baptist Health System;Golden Plains CommunityHospital; Palo PintoGeneral Hospital; ClayCounty Memorial HospitalClinic Affiliation: HospitalCare Consultants IncBoard Certifications:NoneLanguage: SpanishLeeson, Ben A MDGender: MaleNPI: 1013014570

43533 S Alameda(361) 855-8201Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:None

Leeson, Kimberly MDGender: FemaleNPI: 1013188259

43533 S Alameda(361) 855-8261Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:NoneO'Daniell, Estela M MDGender: FemaleNPI: 1386714897

43533 S Alameda St(361) 855-8201Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:NoneOnger, Frederick A MDGender: MaleNPI: 1770517609

46130 Parkway Dr(361) 826-5785Hospital Affiliations:Hendrick Medical Center;University Medical Center;Covenant Health System;Nacogdoches MedicalCenter; Eastland MemorialHospital; Baptist HealthSystem; StephensMemorial Hospital;Covenant ChildrensHospitalClinic Affiliation: HospitalCare Consultants IncBoard Certifications:NoneLanguage: Chinese;Kiswahili; SpanishRafael, Marita L MDGender: FemaleNPI: 1033209705

♿43533 S Alameda St(361) 855-8201Hospital Affiliations:Childrens Hospital SanAntonio; Driscoll ChildrensHospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

EMERGENCY MEDICINE(continued)Way, Peter C MDGender: MaleNPI: 1689603714

46130 Parkway Dr(361) 826-5785Hospital Affiliations: GlenRose Medical Center;Stephens MemorialHospital; Baptist HealthSystem; Heart of TexasMemorial Hospital; GoldenPlains Community Hospital;Frio Regional Hospital;Memorial Medical Center;Covenant HospitalLevellandClinic Affiliation: HospitalCare Consultants IncBoard Certifications:NoneYancy, Kerry J MDGender: FemaleNPI: 1952490260

43533 S Alameda(361) 855-8201Hospital Affiliations:Doctors Hospital atRenaissance; CookChildrens Medical Center;Driscoll Childrens HospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:NoneYe, Qilin MDGender: FemaleNPI: 1952475220

43533 S Alameda St(361) 855-8201Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: CoastalBend Emer Serv ASCBoard Certifications:None

ENDOCRINOLOGY,DIABETES &METABOLISMAddison, Brandi M DOGender: FemaleNPI: 18911152757121 S Padre Island DrSte 300(361) 696-6200Clinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneBrusco, Osvaldo A MDGender: MaleNPI: 1154329332

♿5814 Esplanade Dr(361) 885-0448Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: DrOsvaldo A Brusco MD PABoard Certifications:NoneLanguage: SpanishCohn, Jacqueline E MDGender: FemaleNPI: 1851378863

♿1521 S Staples StSte 801(361) 888-5794Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: L L Buck& J E Cohn MD PABoard Certifications:NoneLanguage: German;Spanish

Miranda, Egbert MDGender: MaleNPI: 1093785230

♿5934 S Staples StSte 205(361) 991-5520Hospital Affiliations:Cuero Regional Hospital;Detar Hospital Navarro;Christus Spohn Hos CctxShorelineClinic Affiliation: EgbertMiranda MD PABoard Certifications:NoneLanguage: Spanish

u Senguttuvan, Rajan MDGender: MaleNPI: 17405433963533 S Alameda St(361) 694-4986Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Endocrinology, Diabetes &Metabolism

FAMILY PRACTICEAcosta, Kathy A APNGender: FemaleNPI: 10537519331011 Santa Fe St(361) 993-1083Clinic Affiliation:Physicians Express PLLCBoard Certifications:NoneCaro, Robert E MDGender: MaleNPI: 13169449036182 Dunbarton Oak StSte B(972) 661-2273Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp Cctx MemorialClinic Affiliation: AttigoInfusion IncBoard Certifications:NoneLanguage: American Sign;Spanish

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

♿42601 Hospital Blvd(361) 902-4789♿42606 Hospital Blvd Ste B(361) 902-4589♿45920 Saratoga BlvdSte 110(361) 985-5533Hospital Affiliations:Christus Spohn Hos CctxShoreline; JacksonHealthcare Center; RankinCounty Hospital District; ElCampo Memorial Hospital;Baptist Health System;Christus Spohn Hos CctxShoreline; Rankin CountyHospital District; ChristusSpohn Hos Cctx Shoreline;El Campo MemorialHospital; JacksonHealthcare Center; BaptistHealth System; RefugioCounty Memorial Hospital;Jackson HealthcareCenter; Refugio CountyMemorial Hospital; ElCampo Memorial HospitalClinic Affiliation: ChristusPhysician GroupBoard Certifications:Family Practice; GeriatricMedicineLanguage: SpanishPetty, Cindy S APNGender: FemaleNPI: 1053479337

U4710 Everhart RdSte 100(361) 857-2273Clinic Affiliation: CorpusCare IncBoard Certifications:NoneLanguage: SignLanguage; Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

FAMILY PRACTICE(continued)Puentes, Jairo A MDGender: MaleNPI: 1508849944

♿U5920 Saratoga BlvdSte 395(361) 852-0852Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation: MedicalSpecialists Group PABoard Certifications:NoneLanguage: American Sign;SpanishRaposo, Robert A PAGender: MaleNPI: 10030355281521 S StaplesSte 803(361) 882-9675Clinic Affiliation: UtcHealth and Rehab CorpusChrisBoard Certifications:NoneLanguage: Portuguese

GASTROENTEROLOGYu Acosta Jr, Daniel MDGender: MaleNPI: 1275539405

♿718 Elizabeth StThird Floor(361) 884-2858Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Abdominal Specialists ofSouth TeBoard Certifications:GastroenterologyLanguage: Spanish

u Armstrong, Luis A MDGender: MaleNPI: 1952411670613 Elizabeth StSte 509(361) 882-3010Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Gastroenterology andAdvanced EndBoard Certifications:GastroenterologyLanguage: Spanish

u Gibson, Bruce A MDGender: MaleNPI: 1952307902

♿718 Elizabeth StThird Floor(361) 884-2858Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Abdominal Specialists ofSouth TeBoard Certifications:GastroenterologyLanguage: Spanish

u Junaidi, Omer MDGender: MaleNPI: 1457435331

♿3240 Fort Worth StSte 109(210) 575-4837Hospital Affiliations:Methodist Spec &Transplant Hosp; MethodistHospitalClinic Affiliation:Methodist PhysicianPractices PllBoard Certifications:GastroenterologyLanguage: Spanish

u Kim, Jae D MDGender: MaleNPI: 1083685218

♿6421 Saratoga Blvd106(361) 991-7109Hospital Affiliations:Corpus Christi MedicalCenter; Doctors Hospital atRenaissance; ChristusSpohn Hosp Cctx South;Christus Spohn Hos CctxShorelineClinic Affiliation: CorpusChristi GastroenterologyPLLCBoard Certifications:Gastroenterology; InternalMedicineLanguage: Spanish

u Linsteadt, Joanna R MDGender: FemaleNPI: 1396971040718 Elizabeth StThird Floor(361) 884-2858Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Abdominal Specialists ofSouth TeBoard Certifications:Gastroenterology

u Mitchell, Robert S MDGender: MaleNPI: 1184694697

♿6421 Saratoga Blvd106(361) 991-7109Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: CorpusChristi GastroenterologyPLLCBoard Certifications:GastroenterologyLanguage: Spanish

Rodrigues, Edison D MDGender: MaleNPI: 1508864489718 Elizabeth StThird Floor(361) 884-2858Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Abdominal Specialists ofSouth TeBoard Certifications:NoneLanguage: Spanish

u Singh, Raghujit MDGender: MaleNPI: 1407852452

♿718 Elizabeth StThird Floor(361) 884-2858Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Abdominal Specialists ofSouth TeBoard Certifications:Gastroenterology; InternalMedicineLanguage: SpanishSpeeg, K V MDGender: MaleNPI: 1932117108

♿5022 Holly RdSte 106(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

GASTROENTEROLOGY(continued)Vanfrank, Timothy D MDGender: MaleNPI: 1992775407

♿6421 Saratoga Blvd106(361) 991-7109Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical Center;Christus Spohn Hosp CctxMemorialClinic Affiliation: CorpusChristi GastroenterologyPLLCBoard Certifications:NoneLanguage: Spanish

GENERAL SURGERYBlow, Osbert MDGender: MaleNPI: 1508819871

♿U600 Elizabeth St(361) 902-4135♿U2606 Hospital Blvd(361) 290-68052606 Hospital Blvd(361) 902-4000♿5950 Saratoga(361) 985-5000Hospital Affiliations:University Health System;Christus Spohn Hos CctxShoreline; UniversityHealth System; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: OsbertBlow MD PHD PA; SpohnHealth SystemBoard Certifications:NoneLanguage: Spanish

u Dye, James M MDGender: MaleNPI: 1003887977

♿6133 Parkway Dr(361) 881-8333Hospital Affiliations:Corpus Christi MedicalCenter; South TexasSurgical Hospital; ChristusSpohn Hosp CctxMemorial; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: SurgicalAssociatesBoard Certifications:General SurgeryLanguage: Spanish

u Emran, Mohammad A MDGender: MaleNPI: 1215025911

♿3533 S Alameda St FurmanBldg Ste 302(361) 694-4700Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:General Surgery; PediatricSurgeryLanguage: American Sign;Arabic; French; SpanishEwing, Michael J MDGender: MaleNPI: 10537087846133 Parkway Dr(361) 881-8333Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation: SurgicalAssociatesBoard Certifications:None

u Farek, Paul E MDGender: MaleNPI: 1245201409

♿613 Elizabeth StSte 811(361) 882-1245Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineBoard Certifications:General SurgeryLanguage: Spanish

u Ficenec, Matthew J MDGender: MaleNPI: 15381555931224 3rd StSte 8(361) 985-9403Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; ChristusSpohn Hosp Cctx South;Christus Spohn Hosp CctxMemorialClinic Affiliation: MatthewJ Ficenec MD PABoard Certifications:General SurgeryLanguage: Spanish

u Fritze, Danielle M MDGender: FemaleNPI: 16797826195022 Holly RdSte 106(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:General SurgeryGopal, Jegan MDGender: MaleNPI: 12757476445826 Esplanade Dr Ste 102(361) 500-2898Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: TheBetter Weigh Center PLLCBoard Certifications:None

Gutierrez, Charles K MDGender: MaleNPI: 1104807627

♿1521 S Staples Ste 510(361) 882-4000Hospital Affiliations:Nacogdoches MemorialHealth; Christus SpohnHos Cctx Shoreline;Christus Jasper MemorialHospitalClinic Affiliation: VascareMDBoard Certifications:NoneHalff, Glenn A MDGender: MaleNPI: 1437266590

♿5022 Holly Rd Ste 106(888) 336-9633Hospital Affiliations:University Medical Center;Santa Rosa MedicalCenter; Methodist Hospital;University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:NoneLanguage: Spanish

u Halpert, Michael MDGender: MaleNPI: 1588777346

4600 Elizabeth St(361) 884-2904Hospital Affiliations:Christus Spohn Hos CctxShoreline; Medical CenterHospitalClinic Affiliation: MichaelHalpert MD PLLCBoard Certifications:General SurgeryHanfland, Robert A MDGender: MaleNPI: 19828131013533 S Alameda StFurman Bldg Ste 202(361) 694-6691Hospital Affiliations:Memorial HermannHospital; Driscoll ChildrensHospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

GENERAL SURGERY(continued)

u Johnson, David L MDGender: MaleNPI: 1033176961

♿42606 Hospital Blvd(361) 985-1221Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: CorpusChristi Trauma andGeneral; Spohn HealthSystemBoard Certifications:General SurgeryJuan, Vicente M MDGender: MaleNPI: 1942348719

♿1425 Santa Fe(361) 887-9995Hospital Affiliations:Corpus Christi OutpatientSurgery; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalKleberg; Corpus ChristiMedical CenterBoard Certifications:NoneLanguage: SpanishKerek, David E DOGender: MaleNPI: 1003873944

♿42606 Hospital Blvd(361) 902-4199Hospital Affiliations:Christus Spohn Hos CctxShoreline; Medical City LasColinas; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi Trauma andGeneral; Spohn HealthSystemBoard Certifications:NoneLanguage: Spanish

u Koehler, Shannon M MDGender: FemaleNPI: 17101141783533 S Alameda StFurman Bldg Ste 302(361) 694-4700Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:General SurgeryLesperance, Richard NMDGender: MaleNPI: 1194927228

4

U600 Elizabeth St(361) 985-1221Hospital Affiliations:Christus Spohn Hos CctxShorelineBoard Certifications:None

u Maawy, Ali A MDGender: MaleNPI: 1245462852

♿6133 Parkway Dr(361) 881-8333Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Corpus Christi MedicalCenterClinic Affiliation: SurgicalAssociatesBoard Certifications:General SurgeryLanguage: SwahiliMartin, Dan F MDGender: MaleNPI: 1902020225

♿6133 Parkway Dr(361) 881-8333Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: SurgicalAssociatesBoard Certifications:NoneLanguage: English;Spanish

Martinez, Jeffrey M MDGender: MaleNPI: 12957311647101 S Staples StSte 101(281) 888-8999Hospital Affiliations:Childrens Hospital SanAntonio; Baptist HealthSystem; MetropolitanMethodist Hospital;Methodist Hospital; SantaRosa Medical CenterClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneLanguage: Greek; SpanishMcDaniel, Brian D DOGender: MaleNPI: 19624685385826 Esplanade DrSte 201(361) 986-0404Hospital Affiliations:Citizens Medical Center;Parkland Health & HospitalSystem; Detar HospitalNavarroClinic Affiliation: CitizensMedical ProfessionalBoard Certifications:NoneLanguage: Spanish

u Misick, Lofton N MDGender: MaleNPI: 19422577465802 Saratoga BlvdSte 306(361) 880-8322Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; McAllenHeart Hospital; HarlingenMedical Center LP; RioGrande Regional Hospital;Vly Baptist Med CtrBrownsville; ValleyRegional Medical CenterClinic Affiliation: DialysisAccess Center LLPBoard Certifications:General Surgery

u Nelson, Lawrence E DOGender: MaleNPI: 1427035534

42606 Hospital Blvd(361) 985-1221Hospital Affiliations:Christus Spohn Hosp CctxMemorialClinic Affiliation:Lawrence E Nelson DOPLLCBoard Certifications:General Surgery

u Ortiz, Victor B MDGender: MaleNPI: 1912978784

♿6133 Parkway Dr(361) 881-8333Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hos CctxShorelineClinic Affiliation: SurgicalAssociatesBoard Certifications:General SurgeryLanguage: Spanish

u Owsley, Jimie D MDGender: FemaleNPI: 1730115270

♿810 Morgan Ave(361) 876-2475Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx MemorialClinic Affiliation: SurgicalConsultants PABoard Certifications:General Surgery

u Pearce, David E MDGender: MaleNPI: 1710936281

♿5920 Saratoga BlvdSte 350(361) 991-1290Hospital Affiliations:Christus Spohn Hosp CctxSouthClinic Affiliation: David EPearce MD PABoard Certifications:General SurgeryLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

GENERAL SURGERY(continued)Peterson, Wylan C MDGender: MaleNPI: 1659395523

4

U600 Elizabeth StTrauma Services(361) 902-6499Hospital Affiliations: StDavids S Austin MedicalCenter; Hca HoustonHealthcare West; HcaHouston Healthcare ClearLake; Christus Spohn HosCctx ShorelineBoard Certifications:NoneReyes, Michael J MDGender: MaleNPI: 1942444880

♿6133 Parkway Dr(361) 881-8333Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; CorpusChristi Medical CenterClinic Affiliation: SurgicalAssociatesBoard Certifications:NoneLanguage: SpanishRodman, Charles J MDGender: MaleNPI: 13160027853301 S Alameda StSte 402(361) 371-8100Hospital Affiliations:Christus Hospital StElizabeth; Christus SpohnHos Cctx Shoreline; TheMedical Center of SETexasClinic Affiliation: JcmVein PLLC Care CoastalBendBoard Certifications:None

u Schlotter, James W MDGender: MaleNPI: 18917428541521 S Stapples Ste 210(361) 882-4000Hospital Affiliations: StDavids Medical Center;Christus Santa Rosa SanMarcos; Christus SantaRosa New Braunfels;Ascension Seton Hays;Christus Mother FrancesTylerClinic Affiliation: VascareMDBoard Certifications:General SurgeryLanguage: Spanish

u Stegemann, Lloyd H MDGender: MaleNPI: 1134117450

♿5826 EsplanadeSte 102(361) 500-2898Hospital Affiliations:Northeast Baptist Hospital;Methodist Spec &Transplant Hosp; CorpusChristi Medical Center;Methodist HospitalClinic Affiliation: TheBetter Weigh Center PLLCBoard Certifications:General SurgeryLanguage: Spanish

u Townsend, Thomas M MDGender: MaleNPI: 1053382812

♿6133 Parkway Dr(361) 881-8333Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouthClinic Affiliation: SurgicalAssociatesBoard Certifications:General SurgeryLanguage: Spanish

u Vela, Steven A MDGender: MaleNPI: 1831134816

♿6133 Parkway Dr(361) 881-8333Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation: SurgicalAssociatesBoard Certifications:General SurgeryLanguage: Spanish

GENERAL VASCULARSURGERY

u Cheema, Zulfiqar F MDGender: MaleNPI: 18313047247101 S Staples StSte 101(281) 888-8999Hospital Affiliations: JohnPeter Smith Hospital;UTMB Health Galveston; StLukes Patients MedicalCenter; Hca HoustonHealthcare Pearland; HcaHouston Healthcare ClearLakeClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:General Vascular SurgeryMartin, Gordon H MDGender: MaleNPI: 13563414087101 S Staples St(281) 888-8999Hospital Affiliations:Houston Methodist ClearLake HospClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneLanguage: Spanish

u Ochoa, Lyssa N MDGender: FemaleNPI: 16999004801521 S Staples StSte 150(210) 610-7283Hospital Affiliations:Baptist Health System;Santa Rosa MedicalCenter; MetropolitanMethodist HospitalClinic Affiliation: SanAntonio Vascular andEndovascBoard Certifications:General Vascular SurgeryLanguage: Spanish

u Saqib, Naveed U MDGender: MaleNPI: 10332580417101 S Staples St(281) 888-8999Hospital Affiliations:Houston Methodist ClearLake Hosp; MemorialHermann Hospital;Memorial HermannMemorial City; MemorialHermann SW HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:General Vascular Surgery

GERIATRIC MEDICINEHerrera, Maximiliano J MDGender: MaleNPI: 128586523813542 Queen Johanna CT(361) 549-4351Hospital Affiliations:Baptist Health System;Christus Spohn Hos CctxShorelineBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

Page 131: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

CORPUS CHRISTI(continued)

GERIATRIC MEDICINE(continued)

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

♿42601 Hospital Blvd(361) 902-4789♿42606 Hospital Blvd Ste B(361) 902-4589♿45920 Saratoga BlvdSte 110(361) 985-5533Hospital Affiliations:Christus Spohn Hos CctxShoreline; JacksonHealthcare Center; RankinCounty Hospital District; ElCampo Memorial Hospital;Baptist Health System;Christus Spohn Hos CctxShoreline; Rankin CountyHospital District; ChristusSpohn Hos Cctx Shoreline;El Campo MemorialHospital; JacksonHealthcare Center; BaptistHealth System; RefugioCounty Memorial Hospital;Jackson HealthcareCenter; Refugio CountyMemorial Hospital; ElCampo Memorial HospitalClinic Affiliation: ChristusPhysician GroupBoard Certifications:Family Practice; GeriatricMedicineLanguage: Spanish

HEMATOLOGYGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1205 S 19th St(361) 885-0390♿U14120 Northwest Blvd(361) 241-2626Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish; Samoan; Spanish

u Manalo, Yvonne S MDGender: FemaleNPI: 1619956596

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:Hematology; MedicalOncologyLanguage: Arabic;Spanish; TagalogNash, Michael E MDGender: MaleNPI: 17705872711415 Santa Fe St(361) 861-9760Hospital Affiliations:Corpus Christi MedicalCenter; Baptist BeaumontHospital; The MedicalCenter of SE Texas;Christus Spohn Hos CctxShoreline; ChristusHospital St ElizabethClinic Affiliation: ChristusPhysician GroupBoard Certifications:OncologyLanguage: French;Spanish; Urdu

u Panati, Swetha MDGender: FemaleNPI: 19929342281415 Santa Fe(361) 887-45211415 Santa Fe St(361) 861-9760Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Alice; ChristusSpohn Hospital Kleberg;Christus Spohn HospitalAlice; Christus SpohnHospital Beeville; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Christus SpohnHospital BeevilleClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:HematologyPollard, Ester B MDGender: FemaleNPI: 1225002843

♿712 Booty St(361) 882-41011205 S 19th St(361) 737-0574Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend OncologyHematology PA; GhraowiMohamad A MDBoard Certifications:Internal Medicine;OncologyLanguage: Spanish

Salloum, Emile C MDGender: MaleNPI: 1144209024

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx SouthClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:NoneLanguage: French;SpanishSehgal, Ajay MDGender: MaleNPI: 1164529806

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:NoneLanguage: Arabic; French;Hindi; Russian; SpanishShaughnessy, Paul J MDGender: MaleNPI: 13169045503240 Fort Worth StSte 109(361) 761-14003315 A Alameda St(361) 761-1400Hospital Affiliations: HillCountry Memorial Hospital;Methodist Hospital;Methodist Spec &Transplant HospClinic Affiliation:Methodist PhysicianPractices PllBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

HEMATOLOGY(continued)Villamil, Alfonso MDGender: MaleNPI: 1669451548

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:NoneLanguage: American Sign;French; Spanish

HEMATOLOGY-ONCOLOGYChao, Ju Hsien DOGender: MaleNPI: 14575471353240 Fort Worth StSte 109(361) 761-1400Hospital Affiliations:Methodist Hospital; CorpusChristi Medical CenterClinic Affiliation:Methodist PhysicianPractices PllBoard Certifications:NoneMahmood, Aftab MDGender: MaleNPI: 1952305591

♿7121 Spid Ste 102(361) 993-3456Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: CancerSpecialists of South TexasPABoard Certifications:NoneLanguage: American Sign;French; Spanish; Urdu

Pollard, Ester B MDGender: FemaleNPI: 1225002843

♿712 Booty St(361) 882-4101Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CoastalBend OncologyHematology PABoard Certifications:Internal Medicine;OncologyLanguage: Spanish

HOSPICE & PALLIATIVEMEDICINEStephens, Ronald D MDGender: MaleNPI: 12856209895714 Spohn Dr(361) 445-3008Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: WellmedNetworks IncBoard Certifications:NoneLanguage: Spanish

INFECTIOUS DISEASESu Matthew, Earl B MDGender: MaleNPI: 1295891166

♿2606 Hospital BlvdHector P Garcia SpcltyClinic(361) 902-6992Hospital Affiliations: DellSeton Medical Center atUTBoard Certifications:Infectious DiseasesLanguage: Spanish

u Ramachandruni, SrikanthMDGender: MaleNPI: 14977193065950 Saratoga Blvd(321) 917-9263Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: Rishiand Srikanth PABoard Certifications:Infectious Diseases

INTERNAL MEDICINEu Aleman Weinmann, Ann

M MDGender: FemaleNPI: 1982660338

♿1101 Sante Fe(361) 882-7300Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx MemorialClinic Affiliation: Ann MAleman Weinmann MDBoard Certifications:Internal MedicineLanguage: SpanishAlexander, Thomas MDGender: MaleNPI: 10331918381202 Third St(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Cardiovascular DiseaseLanguage: American Sign;Spanish

Berio Muniz, Rafael L MDGender: MaleNPI: 1760403620

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CoastalCardiology AssociateBoard Certifications:NoneLanguage: German; SignLanguage; Spanish;Tagalog; Urdu; German;Sign Language; Spanish;Tagalog; Urdu

u Bhatia, Sanjeev MDGender: MaleNPI: 12755134915621 Corsica RdSte B(361) 288-1855Hospital Affiliations:Detar Hospital Navarro;Citizens Medical CenterClinic Affiliation: SleepRite Center LPBoard Certifications:Internal Medicine; SleepMedicineLanguage: Spanish

u Brenner, Lawrence D MDGender: MaleNPI: 12250103171202 Third St(361) 883-39627121 South Padre Island DrSte 116(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Hindi; Spanish;Hindi; Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

INTERNAL MEDICINE(continued)Chekuri, Kasi V MDGender: MaleNPI: 10937971931202 Third St(361) 883-3962Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Corpus Christi MedicalCenter; Christus SpohnHospital Beeville; ChristusSpohn Hospital KlebergClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Cardiovascular DiseaseLanguage: SpanishCohn, Jacqueline E MDGender: FemaleNPI: 1851378863

♿1521 S Staples StSte 801(361) 888-5794Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: L L Buck& J E Cohn MD PABoard Certifications:NoneLanguage: German;Spanish

u Damaraju, Srikanth MDGender: MaleNPI: 1790785442

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; CorpusChristi Medical Center;Christus Spohn Hos CctxShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:Cardiovascular Disease;Internal Medicine;Interventional CardiologyLanguage: French;German; Spanish; Tagalog;Urdu; French; German;Spanish; Tagalog; UrduDhar, Renu MDGender: FemaleNPI: 1265547129

♿5714 Spohn Dr(361) 906-0900Hospital Affiliations:Christus Spohn Hos CctxShorelineBoard Certifications:NoneLanguage: Hindi; Punjabi;Spanish; Urdu

u Diaz, Roberto F MDGender: MaleNPI: 1851300891

♿5920 Saratoga BlvdSte 420(361) 239-4712Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:Internal Medicine; SleepMedicineLanguage: Spanish

u Franco, Rene MDGender: MaleNPI: 19729480811202 Third St(361) 883-3962Hospital Affiliations:Medical City Weatherford;Palo Pinto GeneralHospital; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Internal Medicine

u Garcia, Fernando MDGender: MaleNPI: 1164539508

U1521 S Staples StSte 605(361) 883-5419Hospital Affiliations:Christus Spohn Hos CctxShoreline; Palo PintoGeneral Hospital; ValleyBaptist Medical CenterClinic Affiliation: GarciasFamily Health GroupBoard Certifications:Internal MedicineLanguage: SpanishGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1205 S 19th St(361) 885-0390♿U14120 Northwest Blvd(361) 241-2626Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish; Samoan; Spanish

u Heath, Paul W MDGender: MaleNPI: 14977375971202 Third St(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalKleberg; Christus SpohnHospital BeevilleClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Spanish; Urdu

u Kim, Jae D MDGender: MaleNPI: 1083685218

♿6421 Saratoga Blvd106(361) 991-7109Hospital Affiliations:Corpus Christi MedicalCenter; Doctors Hospital atRenaissance; ChristusSpohn Hosp Cctx South;Christus Spohn Hos CctxShorelineClinic Affiliation: CorpusChristi GastroenterologyPLLCBoard Certifications:Gastroenterology; InternalMedicineLanguage: SpanishKonkimalla, Sridevi MDGender: FemaleNPI: 1053477372614 Furman Ave(210) 403-5989Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

INTERNAL MEDICINE(continued)Lovoi, Michael S MDGender: MaleNPI: 1235131335

♿413725 Northwest BlvdSte 260(361) 387-5161♿5826 Esplanade DrSte 202(361) 387-5161

45826 Esplanade Dr Ste 202(361) 288-1855Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: MichaelS Lovoi MD PA; Sleep RiteCenter LPBoard Certifications:NoneLanguage: SpanishMahajan, Nitin MDGender: MaleNPI: 14675619027101 S Staples StSte 101(281) 888-8999Hospital Affiliations: HcaHouston HealthcareNorthwest; Hca HoustonHealthcare Conroe;Kindred Hospital El PasoClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneMahmood, Aftab MDGender: MaleNPI: 1952305591

♿7121 Spid Ste 102(361) 993-3456Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: CancerSpecialists of South TexasPABoard Certifications:NoneLanguage: American Sign;French; Spanish; Urdu

Ogbu, Chijioke E MDGender: MaleNPI: 18818972885802 Saratoga BlvdSte 306(361) 883-3962Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShorelineClinic Affiliation: DialysisAccess Center LLPBoard Certifications:None

u Pollard, Ester B MDGender: FemaleNPI: 1225002843

♿712 Booty St(361) 882-4101Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CoastalBend OncologyHematology PABoard Certifications:Internal Medicine;OncologyLanguage: SpanishRasmusson, Mark D MDGender: MaleNPI: 1598881948

♿U13725 Northwest BlvdSte 12(361) 387-6587Clinic Affiliation: Mark DRasmusson MD PABoard Certifications:NoneLanguage: SpanishSehgal, Ajay MDGender: MaleNPI: 1164529806

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:NoneLanguage: Arabic; French;Hindi; Russian; Spanish

u Sherani, Khalid MDGender: MaleNPI: 1760873293

♿1202 Third St(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; HcaHouston Healthcare ClearLakeClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Internal Medicine

u Singh, Raghujit MDGender: MaleNPI: 1407852452

♿718 Elizabeth StThird Floor(361) 884-2858Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Abdominal Specialists ofSouth TeBoard Certifications:Gastroenterology; InternalMedicineLanguage: Spanish

u Surani, Salim R MDGender: MaleNPI: 12755366171202 Third St(361) 883-3962Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Internal MedicineLanguage: Hindi; Urdu

u Taylor, Travis P MDGender: MaleNPI: 1386969343

♿613 Elizabeth StSte 402(361) 887-2900♿613 Elizabeth StSte 411(361) 826-0187♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: CoastalCardiology AssociateBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: English;Spanish; English; Spanish;English; SpanishTurner, Stephen A MDGender: MaleNPI: 1508866252

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:NoneLanguage: French;German; Spanish; Tagalog;Urdu; French; German;Spanish; Tagalog; Urdu

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

INTERNAL MEDICINE(continued)

u Vakil, Abhay MDGender: MaleNPI: 12456420811202 Third St(361) 883-3962Hospital Affiliations:Corpus Christi MedicalCenter; Dell ChildrensMedical Center; ChristusMother Frances Tyler; HcaHouston Healthcare ClearLakeClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Internal Medicine

INTERVENTIONALCARDIOLOGYAhmad, Anwar MDGender: MaleNPI: 15987048197101 S Staples St(281) 888-8999Hospital Affiliations:Houston MethodistHospital; St JosephMedical Center; MhhsSugar Land Hospital;Memorial Hermann SWHospital; Titus RegionalMedical Center; HoustonMethodist Sugar LandHospClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Banerjee, Arindam M MDGender: MaleNPI: 18614028107101 S Staples St(281) 888-8999Hospital Affiliations:Huntsville MemorialHospital; MemorialHermann SW Hospital; StLukes The WoodlandsHospital; Chi St Lukes HlthBaylor Coll Med; MemHermann The WoodlandsMed Ctr; Hca HoustonHealthcare ConroeClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Interventional CardiologyLanguage: Spanish

u Damaraju, Srikanth MDGender: MaleNPI: 1790785442

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; CorpusChristi Medical Center;Christus Spohn Hos CctxShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:Cardiovascular Disease;Internal Medicine;Interventional CardiologyLanguage: French;German; Spanish; Tagalog;Urdu; French; German;Spanish; Tagalog; Urdu

u Gruenebaum, Dane D DOGender: FemaleNPI: 12657961307101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Interventional Cardiology

u Mangalpally, Kiran K MDGender: MaleNPI: 15585182097101 S Staples St(281) 888-8999Hospital Affiliations:Christus St Michael HealthSystem; Mission RegionalMedical CenterClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Interventional CardiologyMcKinstry, Scott W MDGender: MaleNPI: 1740281302

♿1521 S Staples StSte 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; ChristusSpohn Hospital Beeville;Christus Spohn HospitalKleberg; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShorelineClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

Melhem, Ayyash Y MDGender: MaleNPI: 19020449937101 S Staples St(281) 888-8999Hospital Affiliations:UTMB Health Galveston;Memorial Hermann SWHospital; MemorialHermann SE HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NonePappas, John D MDGender: MaleNPI: 1033110234

♿1521 S Staples StSte 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; ChristusSpohn Hospital Beeville;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; South TexasSurgical Hospital; ChristusSpohn Hospital Kleberg;Christus Spohn Hosp CctxSouth; Christus SpohnHospital Kleberg; CorpusChristi Medical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

INTERVENTIONALCARDIOLOGY(continued)

u Rodriguez, Mike E MDGender: MaleNPI: 1306847504

♿1521 S Staples StSte 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; CorpusChristi Medical Center;South Texas SurgicalHospital; Corpus ChristiMedical Center; ChristusSpohn Hospital Kleberg;South Texas SurgicalHospitalClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: SpanishSartori, Michele P MDGender: MaleNPI: 17200781817101 S Staples St(281) 888-8999Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Cornerstone RegionalHospital LP; St JosephMedical Center; HcaHouston Healthcre MedicalCtr; Houston MethodistHospital; Kindred HospitalHouston MedicalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneLanguage: French; Italian;Spanish

Schechter, Charles J MDGender: MaleNPI: 1487654125

♿613 Elizabeth StSte 402(361) 887-2900♿13725 Northwest BlvdSte 180(361) 387-1179Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalCardiology AssociateBoard Certifications:Cardiovascular DiseaseLanguage: American Sign;German; Spanish;American Sign; German;SpanishShah, Rakesh MDGender: MaleNPI: 14472922067101 S Staples St(281) 888-8999Hospital Affiliations: HcaHouston Healthcare ClearLake; Kindred HospitalClear LakeClinic Affiliation: NirpVictoria PLLCBoard Certifications:NoneLanguage: Gujarati; HindiSonbol, Yassir A MDGender: MaleNPI: 15180399657101 S Staples St(281) 888-8999Hospital Affiliations:Memorial HermannMemorial City; HoustonMethodist Sugar LandHosp; St Lukes Sugar LandHospital; Chi St Lukes HlthBaylor Coll Med; BaptistBeaumont HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Szalai, Gabor MDGender: MaleNPI: 1194992818

♿1521 S Staples StSte 700(361) 888-8271♿7121 S Padre Island DrSte 112(361) 888-8271Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; HoustonMethodist Hospital;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; HoustonMethodist Hospital;Christus Spohn HospitalBeeville; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHospital Beeville; ChristusSpohn Hospital KlebergClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

MATERNAL & FETALMEDICINECastro Vasquez, Bertha ADOGender: FemaleNPI: 1548516396

♿7121 S Padre Island DrSte 118(361) 694-6054Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Spanish

Childrens PhysiciansServicesGender: FemaleNPI: 1548516396

♿5920 Saratoga BlvdSte 635(361) 694-1590Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

MATERNAL & FETALMEDICINE (continued)Gonzalez, Anna B MDGender: FemaleNPI: 13464435387121 S Padre Island DrSte 118(361) 694-60547121 SpidSte 118(361) 694-60547121 SpidSte 118(361) 694-60545920 Saratoga BlvdSte 635(361) 694-15905920 Saratoga BlvdSte 635(361) 694-60545920 Saratoga BlvdSte 635(361) 694-6054Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Maternal & FetalPhys; Privia Medical GroupN TexasBoard Certifications:NoneLanguage: Spanish

Jaekle, Ronald K MDGender: MaleNPI: 1992704357

♿7121 SpidSte 118(361) 694-60547121 Spid Ste 118(361) 694-60545920 SaratogaSte 635(361) 694-6054♿5920 Saratoga BlvdSte 635(361) 694-15905920 Saratoga BlvdSte 635(361) 694-6054Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Maternal & FetalPhys; Privia Medical GroupN TexasBoard Certifications:None

Li, Chao MDGender: MaleNPI: 11949811267121 S Padre Island DrSte 118(361) 694-60547121 SpidSte 118(361) 694-60547121 SpidSte 118(361) 694-60545920 Saratoga BlvdSte 635(361) 694-60545920 Saratoga BlvdSte 635(361) 694-6054Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp Cctx South;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Maternal & FetalPhys; Privia Medical GroupN TexasBoard Certifications:None

Visintine, John F MDGender: MaleNPI: 1295868883

♿7121 S Padre Island DrSte 118(361) 980-12447121 SpidSte 118(361) 694-6054♿5920 Saragota BlvdSte 635(361) 694-15905920 Saratoga BlvdSte 635(361) 694-6054Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Maternal & FetalPhysBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;Spanish; American Sign;Spanish; American Sign;Spanish

MAXILLOFACIALSURGERY

u Parekh, Ketan P DDSGender: MaleNPI: 19727064635425 S Padre Island DrSte 144(361) 980-3931Hospital Affiliations: TXHealth Presby HospRockwall; Bs&w MedicalCenter Lake PointeClinic Affiliation: TXDesai Dental CorpusChristiBoard Certifications:Maxillofacial Surgery

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

MAXILLOFACIALSURGERY (continued)

u Teenier, Thomas J MDGender: MaleNPI: 1326055781

♿5402 Holly RdBldg 3 Ste 302(361) 814-3223Hospital Affiliations:Christus Spohn Hos CctxShorelineBoard Certifications:Maxillofacial SurgeryLanguage: Spanish

MEDICAL GENETICSStratton, Robert F MDGender: MaleNPI: 1316949118

♿3533 S Alameda St(361) 694-4874Hospital Affiliations:Driscoll Childrens Hospital;Methodist Hospital;Childrens Hospital SanAntonioClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Spanish

MEDICAL ONCOLOGYu Ghraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1205 S 19th St(361) 885-0390♿U14120 Northwest Blvd(361) 241-2626Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish; Samoan; Spanish

u Manalo, Yvonne S MDGender: FemaleNPI: 1619956596

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:Hematology; MedicalOncologyLanguage: Arabic;Spanish; TagalogShaughnessy, Paul J MDGender: MaleNPI: 13169045503240 Fort Worth StSte 109(361) 761-14003315 A Alameda St(361) 761-1400Hospital Affiliations: HillCountry Memorial Hospital;Methodist Hospital;Methodist Spec &Transplant HospClinic Affiliation:Methodist PhysicianPractices PllBoard Certifications:NoneLanguage: Spanish

NEONATAL-PERINATALMEDICINEChong, Euming MDGender: FemaleNPI: 1730214933

45913 Patton St(361) 653-6361Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation:Neonatology ConsultantsBoard Certifications:None

Deleon, Miguel A MDGender: MaleNPI: 1407816887

♿4

U

5913 Patton(361) 653-6361Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital;Christus Spohn Hosp CctxSouth; Doctors Hospital atRenaissance; CorpusChristi Medical CenterClinic Affiliation:Neonatology ConsultantsBoard Certifications:NoneLanguage: SpanishGuo, Jie MDGender: FemaleNPI: 1508968280

45913 Patton St(361) 653-6361Hospital Affiliations:Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospital; Corpus ChristiMedical Center; Bs&wMedical Center TempleClinic Affiliation:Neonatology ConsultantsBoard Certifications:NoneOjadi, Vallier C MDGender: FemaleNPI: 1255370573

45920 Saratoga BlvdSte 450(888) 258-3326Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: GulfCoast Neonatology PLLCBoard Certifications:None

u Prado, Alfonso M MDGender: MaleNPI: 1073573002

♿4

U

5913 Patton(361) 653-6361Hospital Affiliations:Doctors Hospital atRenaissance; ChristusSpohn Hosp Cctx South;Driscoll Childrens Hospital;Corpus Christi MedicalCenterClinic Affiliation:Neonatology ConsultantsBoard Certifications:Neonatal-PerinatalMedicineLanguage: SpanishReeves, Aaron A MDGender: MaleNPI: 1700085123

45920 Saratoga Blvd Ste 450(888) 258-3326Hospital Affiliations:Childrens Hospital SanAntonio; Christus SpohnHos Cctx ShorelineClinic Affiliation: GulfCoast Neonatology PLLCBoard Certifications:NoneSoares, Fernando A MDGender: MaleNPI: 1790925311

43533 S Alameda StFurman Bldg Ste 202(361) 694-6691Hospital Affiliations: VlyBaptist Med Ctr BrownsvilleClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

NEPHROLOGYAsif, Muhammad MDGender: MaleNPI: 1043242654614 Furman Ave(361) 882-9278Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx Shoreline; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouthClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NoneBhayana, Suverta MDGender: FemaleNPI: 14171510105022 Holly Rd Ste 106(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:None

u Charba, Deane S MDGender: FemaleNPI: 12452814921521 S Staples StSte 603(361) 884-9244Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusNephrology NetworkBoard Certifications:NephrologyLanguage: English;Spanish

u Cortese, Jack L MDGender: MaleNPI: 1659374577

♿1521 S StaplesSte 603(361) 884-9244Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusNephrology NetworkBoard Certifications:NephrologyLanguage: Spanish

u Din, Sabeeh U MDGender: MaleNPI: 16997029931533 5th St(361) 880-8322♿614 Furman Ave(361) 882-9278Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShorelineClinic Affiliation: BayArea Kidney DiseasePhysicians; Dialysis AccessCenter LLPBoard Certifications:NephrologyLanguage: Spanish

u Islam, Shah F MDGender: MaleNPI: 1841293727

♿1521 S Staples StSte 601(361) 887-84511533 5th St(361) 880-8322Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp CctxMemorial; Corpus ChristiMedical Center; ChristusSpohn Hosp CctxMemorial; Christus SpohnHosp Cctx SouthClinic Affiliation: DialysisAccess Center LLP; KidneySpecialists of South TX PABoard Certifications:NephrologyLanguage: Spanish

u Jifi Bahlool, Samer I MDGender: MaleNPI: 1881621118

♿614 Furman Ave(361) 882-9278Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish

u Kaldas, Abeer A MDGender: FemaleNPI: 18818260897502 S Padre Island Dr(316) 500-4184Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Christus Spohn Hos CctxShorelineClinic Affiliation: Abeer AKaldas MD PLLCBoard Certifications:Nephrology

Konkimalla, Sridevi MDGender: FemaleNPI: 1053477372614 Furman Ave(210) 403-5989Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:None

u Lee, Benjamin S MDGender: MaleNPI: 18717849671521 S Staples StSte 601(361) 887-8451♿5802 Saratoga BlvdSte 306(361) 883-3962Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical CenterClinic Affiliation: DialysisAccess Center LLP; KidneySpecialists of South TX PABoard Certifications:NephrologyLanguage: Malay

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

NEPHROLOGY(continued)

u Nooruddin, Karim N MDGender: MaleNPI: 1386647253

♿1521 S Staples StSte 601(361) 887-84511533 5th St(361) 880-8322♿5826 EsplanadeSte 204(361) 994-4858Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: DialysisAccess Center LLP; KidneySpecialists of South TX PABoard Certifications:NephrologyLanguage: Hindi;Pakistani; Hindi; Pakistani;Hindi; Pakistani

u Ogbu, Chijioke E MDGender: MaleNPI: 1881897288614 Furman Ave(361) 882-9278Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouthClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:Nephrology

u Ramirez, Roberto R MDGender: MaleNPI: 1295761013

♿614 Furman Ave(361) 882-9278Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Alice; MemHermann The WoodlandsMed Ctr; Corpus ChristiMedical CenterClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish

u Reddy, Geeta P MDGender: FemaleNPI: 1144223876

♿1521 S Staples StSte 601(361) 887-84511533 5th St(361) 880-8322Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouthClinic Affiliation: DialysisAccess Center LLP; KidneySpecialists of South TX PABoard Certifications:NephrologyLanguage: Spanish

u Saleem, Zakaria N MDGender: MaleNPI: 1275758278

♿614 Furman Ave(361) 882-9278Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish

u Salloum, Cynthia G MDGender: FemaleNPI: 14078978381533 5th St(361) 880-8322♿614 Furman Ave(361) 882-9278Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: BayArea Kidney DiseasePhysicians; Dialysis AccessCenter LLPBoard Certifications:NephrologyLanguage: Spanish;Tagalog; Spanish; Tagalog

u Shaffer, William L MDGender: MaleNPI: 1972506913

♿1521 S Staples StSte 601(361) 887-8451Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: KidneySpecialists of South TX PABoard Certifications:NephrologyLanguage: Spanish

u Vazquez, Jorge L MDGender: MaleNPI: 1942245295614 Furman Ave(391) 882-9278Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HospCctx Memorial; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish

u Zarinetchi, Fariba MDGender: FemaleNPI: 1518960491

♿1521 S Staples StSte 601(361) 887-8451Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx MemorialClinic Affiliation: KidneySpecialists of South TX PABoard Certifications:Nephrology

NEUROLOGICALSURGERY

u Alexander, Mathew T MDGender: MaleNPI: 11745058871227 3rd St(361) 883-4323Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus-SpohnSurgicare of Corpu;Christus Spohn Hos CctxShorelineClinic Affiliation: SouthTexas Brain & SpineCenterBoard Certifications:Neurological SurgeryLanguage: French;SpanishGleason, Patrick L MDGender: MaleNPI: 1629030804

♿3240 Fort Worth StSte 104(361) 857-5556Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: SpecialtyAssociates of W HoustonBoard Certifications:NoneLanguage: German;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

NEUROLOGICALSURGERY (continued)Hanna, Ashley K MDGender: FemaleNPI: 14475354063533 S Alameda StFurman Bldg Ste 302(361) 694-4700Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: SpanishMacias, Melissa Y MDGender: FemaleNPI: 1710044383

♿1227 3rd St(361) 883-4323Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: SouthTexas Brain & SpineCenterBoard Certifications:NoneLanguage: Spanish;TagalogSchmitt, Paul J MDGender: MaleNPI: 10031152701227 3rd St(361) 883-4323Clinic Affiliation: C HWilkinson Alford MooreBoard Certifications:None

NEUROLOGYu Campbell, Morgan S MDGender: MaleNPI: 1982661195

♿3301 S Alameda StSte 501(361) 853-0867Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi NeurologyBoard Certifications:NeurologyLanguage: Spanish

u Guido, Ernesto H MDGender: MaleNPI: 16199582047121 S Padre Island DrSte 300(361) 696-6200Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: ThomasSpann Clinic PABoard Certifications:NeurologyLanguage: Spanish

u Longwell, Paxton J MDGender: MaleNPI: 1518074095

♿3301 S Alameda StSte 501(361) 853-0867Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi NeurologyBoard Certifications:NeurologyLanguage: Spanish

u Mendizabal, Jorge E MDGender: MaleNPI: 1588771950

♿3301 S Alameda StSte 501(361) 853-0867Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus StMichael Hosp Atlanta;Doctors Hospital of Laredo;University Medical CenterEl Paso; Shannon MedicalCenter; Christus St MichaelHealth System; CorpusChristi Medical Center; LasPalmas Camp Lpdsh; DelSol Camp Lpdsh; HcaHouston HealthcareSoutheastClinic Affiliation: CorpusChristi NeurologyBoard Certifications:NeurologyLanguage: Spanish

u Santos, Juan F MDGender: MaleNPI: 1376508101

♿527 Gordon StSte B(361) 882-9100Hospital Affiliations:Christus Spohn HospitalAlice; Corpus ChristiMedical Center; ChristusSpohn Hosp CctxMemorial; Christus SpohnHos Cctx ShorelineClinic Affiliation:Ambulatory AdultNeurology PABoard Certifications:Neurology; Sleep MedicineLanguage: Spanish

u Thodeson, Drew M MDGender: MaleNPI: 1033347521

♿3533 S Alameda St(361) 694-6747Hospital Affiliations: UTSouthwestern UniversityHosp; Driscoll ChildrensHospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Neurology; PediatricNeurology

Trolley, Gregory C MDGender: MaleNPI: 16090196523301 S Alameda(361) 853-0867Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi NeurologyBoard Certifications:NoneValdez, Marcos J MDGender: MaleNPI: 1104800200

♿3533 S Alameda St(361) 694-6747Hospital Affiliations:Driscoll Childrens Hospital;South Texas HealthSystem; Doctors Hospitalat Renaissance; RioGrande Regional HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Spanish

NUTRITION & DIETETICSChen, Connie RDGender: FemaleNPI: 15386212302202 Morgan Ave(361) 884-3966Clinic Affiliation: NagClinicBoard Certifications:NoneHolt, Grete C RDGender: FemaleNPI: 1285914267

U5313 Saraoga(855) 481-1149Clinic Affiliation: HEBCompany LPBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

NUTRITION & DIETETICS(continued)Hudson, Julie K LDTGender: FemaleNPI: 1902065444

U5313 Saratoga Blvd(855) 481-1149Clinic Affiliation: HEBCompany LPBoard Certifications:NoneKillion, Shelby RDGender: FemaleNPI: 14475644301129 S Padre Island Dr(361) 960-2692Board Certifications:None

u Ortiz, Norami RDGender: FemaleNPI: 1427608850

U5313 Saratoga Blvd(855) 481-11495440 Old Brownsville Rd(361) 452-1151Clinic Affiliation:Childrens PsychiatricServices of; HEB CompanyLPBoard Certifications:Nutrition & DieteticsVasquez, Elizabeth RDGender: FemaleNPI: 1215276464

♿3133 S Alameda St(855) 481-1149♿5425 S Padre Island Dr(855) 481-1149♿4320 S Alameda St(855) 481-1149♿5313 Saratoga Blvd(855) 481-1149Clinic Affiliation: HEBCompany LPBoard Certifications:NoneLanguage: Spanish

OBSTETRICS-GYNECOLOGYBailey, Kathleen M MDGender: FemaleNPI: 1578538823

♿5920 Saratoga BlvdSte 200(361) 994-5454Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: OB GynAssociates of CorpusChristi LLPBoard Certifications:NoneLanguage: SpanishCanterbury, Christine LMDGender: FemaleNPI: 1104899152

♿7121 Spid DrSte 302(361) 851-5000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: NuecesCounty Womens Clinic PABoard Certifications:NoneLanguage: American Sign;French; Italian; Spanish

u Chiasson, Melissa A MDGender: FemaleNPI: 1932182037

♿5920 Saratoga BlvdSte 200(361) 994-5454Hospital Affiliations:Christus Spohn Hosp CctxSouth; South TexasSurgical HospitalClinic Affiliation: OB GynAssociates of CorpusChristi LLPBoard Certifications:Obstetrics-GynecologyLanguage: Spanish

Corrada, Romulo G MDGender: MaleNPI: 1114924446

♿7121 S Padre Island DrSte 100(361) 993-6000♿7121 S Padre Island DrSte 200(361) 993-6000♿7121 S Padre Island DrSte 206(361) 993-6000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; CorpusChristi Medical CenterClinic Affiliation: CoastalBend Womens CenterBoard Certifications:NoneLanguage: SpanishDixon, Heather A DOGender: FemaleNPI: 11749413897121 So Padre Island DrSte 302(361) 851-5000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: NuecesCounty Womens Clinic PABoard Certifications:NoneDulak, Catherine E MDGender: FemaleNPI: 13565452715920 Saratoga BlvdSte 440(361) 985-6111Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; SouthTexas Surgical HospitalBoard Certifications:None

Eftimescu, Dina F MDGender: FemaleNPI: 11644009825920 Saratoga BlvdSte 360(361) 500-4151Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; SouthTexas Surgical HospitalClinic Affiliation: CorpusChristi Womens CareCenterBoard Certifications:NoneLanguage: English;Romanian; SpanishEspada, Roberto A MDGender: MaleNPI: 1548231962

♿5920 Saratoga BlvdSte 160(361) 985-8884Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: RobertoEspada MD PABoard Certifications:NoneLanguage: Hindi; Indian;Romanian; Spanish

u Eubank, Dale C MDGender: MaleNPI: 1750347084

♿5920 Saratoga BlvdSte 110(361) 906-1277Hospital Affiliations:South Texas SurgicalHospital; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation: CharlesDale Eubank MDBoard Certifications:Obstetrics-GynecologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

OBSTETRICS-GYNECOLOGY(continued)

u Glazener, Leighanne MDGender: FemaleNPI: 10534151177121 Spid DrSte 302(361) 851-5000Hospital Affiliations:Corpus Christi MedicalCenter; Methodist HospitalClinic Affiliation: NuecesCounty Womens Clinic PABoard Certifications:Obstetrics-GynecologyLanguage: American Sign;French; Italian; SpanishHirani, Zishan A MDGender: MaleNPI: 11749191385920 Saratoga BlvdSte 101(361) 929-7088Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHospital BeevilleClinic Affiliation:Innovation In WomensHealth PLLCBoard Certifications:None

u Horn, Erica N MDGender: FemaleNPI: 15482588747121 S Padre Island DrSte 100(361) 993-60007121 S Padre Island DrSte 200(361) 993-60007121 S Padre Island DrSte 206(361) 993-6000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: CoastalBend Womens CenterBoard Certifications:Obstetrics-Gynecology

u Hyde, Mary J DOGender: FemaleNPI: 1386671840

♿5920 Saratoga BlvdSte 200(361) 994-5454Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; CorpusChristi Medical CenterClinic Affiliation: OB GynAssociates of CorpusChristi LLPBoard Certifications:Obstetrics-GynecologyLanguage: American Sign;SpanishInman, Danielle A MDGender: FemaleNPI: 1043470974

♿7121 Spid DrSte 302(361) 851-5000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: NuecesCounty Womens Clinic PABoard Certifications:NoneLanguage: American Sign;SpanishKhimani, Sultana A MDGender: FemaleNPI: 10230022845920 Saratoga BlvdSte 570(361) 985-8100Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;South Texas SurgicalHospital; Christus SpohnHosp Cctx MemorialClinic Affiliation:Southside WomensCenterpaBoard Certifications:NoneLanguage: Arabic; Hindi;Kannada; Marathi; Spanish

u Kirkham, Charles R MDGender: MaleNPI: 1316911191

♿7121 Spid Dr Ste 302(361) 851-5000♿5920 Saratoga BlvdSte 300(361) 851-5000Hospital Affiliations:Christus-Spohn Surgicareof Corpu; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Christus-SpohnSurgicare of CorpuClinic Affiliation: NuecesCounty Womens Clinic PABoard Certifications:Obstetrics-GynecologyLanguage: French; Italian;Spanish; French; Italian;SpanishLira, Noe MDGender: MaleNPI: 1225004732

♿4525 S Staples(361) 991-7900Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Refugio County MemorialHospital; South TexasSurgical HospitalBoard Certifications:NoneLanguage: Spanish

Lochner, Denise M MDGender: FemaleNPI: 19725774687121 S Padre IslandDr Ste 206(361) 993-60007121 S Padre Island DrSte 100(361) 993-60007121 S Padre Island DrSte 200(361) 993-6000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp Cctx South;Corpus Christi MedicalCenterClinic Affiliation: CoastalBend Womens CenterBoard Certifications:NoneLanguage: SpanishNoriega, Sandra I MDGender: FemaleNPI: 1811991888

♿7121 S Padre Island DrSte 200(361) 993-6000Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx MemorialClinic Affiliation: CoastalBend Womens CenterBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

OBSTETRICS-GYNECOLOGY(continued)Ommani, Sophia J MDGender: FemaleNPI: 17708989677121 S Padre Island DrSte 100(361) 993-60007121 S Padre Island DrSte 200(361) 993-60007121 S Padre Island DrSte 206(361) 993-6000Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx SouthClinic Affiliation: CoastalBend Womens CenterBoard Certifications:None

u Pathikonda, Meena G MDGender: FemaleNPI: 19927991595920 Saratoga BlvdSte 570(361) 985-8100Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hosp CctxMemorial; Christus SpohnHosp Cctx South; SouthTexas Surgical HospitalClinic Affiliation:Southside WomensCenterpaBoard Certifications:Obstetrics-GynecologyLanguage: Arabic; Hindi;Kannada; Marathi; Spanish

Pena, Jaime MDGender: MaleNPI: 1386617041

♿7121 Spid Dr Ste 302(361) 851-5000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: NuecesCounty Womens Clinic PABoard Certifications:NoneLanguage: American Sign;French; Italian; SpanishPerez Montes, Maria C MDGender: FemaleNPI: 1083687628

♿7121 Spid Ste 302(361) 851-5000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: NuecesCounty Womens Clinic PABoard Certifications:NoneLanguage: American Sign;French; Italian; Spanish

u Pizarro, Maria A MDGender: FemaleNPI: 1740285675

♿7121 S Padre Island DrSte 100(361) 993-6000♿7121 S Padre Island DrSte 200(361) 993-6000♿7121 S Padre Island DrSte 206(361) 993-6000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: CoastalBend Womens CenterBoard Certifications:Obstetrics-GynecologyLanguage: Spanish

Praderio, Carolina MDGender: FemaleNPI: 16797642525920 Saratoga Ste 110(361) 991-9356Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx SouthClinic Affiliation: CarolinaPraderio MD PLLCBoard Certifications:NoneLanguage: SpanishRasmussen, Kathleen RMDGender: FemaleNPI: 1447225065

♿5920 Saratoga Ste 200(361) 994-5454Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; SouthTexas Surgical HospitalClinic Affiliation: OB GynAssociates of CorpusChristi LLPBoard Certifications:NoneLanguage: American Sign;Spanish

u Rodriguez, Leo MDGender: MaleNPI: 1174527006

♿7121 S Padre Island DrSte 200(361) 993-6000Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical CenterClinic Affiliation: CoastalBend Womens CenterBoard Certifications:Obstetrics-GynecologyLanguage: Spanish

Scholz, Kyla M MDGender: FemaleNPI: 1669791059

♿5920 SaratogaSte 200(361) 994-5454Hospital Affiliations:Christus Spohn Hosp CctxSouthClinic Affiliation: OB GynAssociates of CorpusChristi LLPBoard Certifications:NoneLanguage: SpanishShelton, Laura L MDGender: FemaleNPI: 1760457014

♿5920 Saratoga BlvdSte 200(361) 994-5454Hospital Affiliations:Christus Hospital StElizabeth; Christus SpohnHos Cctx Shoreline; SouthTexas Surgical Hospital;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation: OB GynAssociates of CorpusChristi LLPBoard Certifications:NoneLanguage: Spanish

u Shoemaker, Edward S MDGender: MaleNPI: 14371534005920 Saratoga BlvdSte 101(361) 929-7088Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical CenterClinic Affiliation:Innovation In WomensHealth PLLCBoard Certifications:Obstetrics-GynecologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

OBSTETRICS-GYNECOLOGY(continued)Supnet, Benjamin D MDGender: MaleNPI: 1508862723

♿7121 Spid DrSte 302(361) 851-5000Hospital Affiliations:Round Rock MedicalCenter; St Davids S AustinMedical Center; St DavidsN Austin Medical Ctr;Corpus Christi MedicalCenter; St Davids MedicalCenterClinic Affiliation: NuecesCounty Womens Clinic PABoard Certifications:NoneLanguage: American Sign;Italian; SpanishVasquez, Lindsey R MDGender: FemaleNPI: 17707569261533 S Brownlee BlvdSte 100(361) 884-22427121 S Padre Island DrSte 302(361) 851-5000Hospital Affiliations:Bs&w All Saints Med Ctr FtWorth; Corpus ChristiMedical CenterClinic Affiliation: AmistadCommunity Health CenterI; Nueces County WomensClinic PABoard Certifications:None

Vazquez Vicente, Jose ODOGender: MaleNPI: 15685209067121 S Padre Island DrSte 206(361) 993-6000Hospital Affiliations:Laredo Medical Center;Doctors Hospital of LaredoClinic Affiliation: CoastalBend Womens CenterBoard Certifications:NoneLanguage: SpanishVega, Rolando E MDGender: MaleNPI: 1134182488

♿7121 S Padre Island DrSte 100(361) 993-6000♿7121 S Padre Island DrSte 200(361) 993-6000♿7121 S Padre Island DrSte 206(361) 993-6000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Womens CenterBoard Certifications:NoneLanguage: Spanish

Weathersby, Maryjoy AMDGender: FemaleNPI: 16290540105920 Saratoga Suite 200Ste 200(361) 994-5454Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; SouthTexas Surgical HospitalClinic Affiliation: OB GynAssociates of CorpusChristi LLPBoard Certifications:NoneWilder, Thomas L MDGender: MaleNPI: 1124091178

♿7121 Spid Dr Ste 302(361) 851-5000Hospital Affiliations:Corpus Christi OutpatientSurgery; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: NuecesCounty Womens Clinic PABoard Certifications:NoneLanguage: American Sign;French; Italian; SpanishWoodson, Ronald C MDGender: MaleNPI: 1174599989

♿5920 Saratoga BlvdSte 110(361) 991-4007Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthBoard Certifications:NoneLanguage: Spanish

OCCUPATIONALTHERAPYBarrera, Vilma G OTGender: FemaleNPI: 1407977895

U9929 South Padre Island DrSte 117(361) 657-0168Clinic Affiliation: DynamicOrthopedic PT WellnessBoard Certifications:NoneCornelius, Caren F OTGender: FemaleNPI: 1134106552

♿2101 Airline Rd(361) 993-4778Clinic Affiliation: TherapyFirst LLCBoard Certifications:NoneLanguage: SpanishFairchild, Gary P OTGender: MaleNPI: 13866697943747 S Alameda(361) 814-989814302 Nemo CT(361) 949-9898Clinic Affiliation: NewStride Physical TherapyBoard Certifications:NoneLanguage: SpanishGonzalez, Kathryn OTGender: FemaleNPI: 17406368365440 Everhart RdSte 1(361) 994-5224Clinic Affiliation: SheaPhysical TherapyBoard Certifications:NoneHeflin, Sheila OTGender: FemaleNPI: 1245257278

♿5440 Everhart RdSte 1(361) 992-1435Clinic Affiliation: SheaPhysical TherapyBoard Certifications:NoneLanguage: Dutch; Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

OCCUPATIONALTHERAPY (continued)Jarrell, Waynette W OTGender: FemaleNPI: 1962445544

♿U1001 Louisiana AveSte 402(361) 853-0488Clinic Affiliation: CynthiaWaynette Jarrell OtBoard Certifications:NoneJoe, Marie K OTGender: FemaleNPI: 1316178833

♿2709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneLanguage: English;SpanishJones, Jennifer H OTGender: FemaleNPI: 1235145160

♿5440 Everhart RdSte 1(361) 992-1435Clinic Affiliation: SheaPhysical TherapyBoard Certifications:NoneLanguage: Dutch; SpanishLin, Vickie Y OTGender: FemaleNPI: 15880306052709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneMay, M B OTGender: FemaleNPI: 19323857391001 Louisiana AveSte 402(361) 853-0488Clinic Affiliation: CynthiaWaynette Jarrell OtBoard Certifications:None

Mrazek, Carrie K OTGender: FemaleNPI: 1346725553

U5440 Everhart Rd Ste 1(361) 994-5224Clinic Affiliation: SheaPhysical TherapyBoard Certifications:NoneSlavin, Tammi J OTGender: FemaleNPI: 13564085532101 Airline Rd(361) 993-4778Clinic Affiliation: TherapyFirst LLCBoard Certifications:NoneLanguage: SpanishSokora, Catherine S OTGender: FemaleNPI: 1982739645

♿2709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneSpreen, Anita M OTGender: FemaleNPI: 1740241405

U5440 Everhart RdSte 1(361) 992-1435Clinic Affiliation: SheaPhysical TherapyBoard Certifications:NoneLanguage: SpanishWeinstein, Leslie N OTGender: FemaleNPI: 17101553122709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:None

ONCOLOGYChao, Ju Hsien DOGender: MaleNPI: 14575471353240 Fort Worth StSte 109(361) 761-1400Hospital Affiliations:Methodist Hospital; CorpusChristi Medical CenterClinic Affiliation:Methodist PhysicianPractices PllBoard Certifications:NoneGhraowi, Mohamad A MDGender: MaleNPI: 1942201439

♿U1205 S 19th St(361) 885-0390♿U14120 Northwest Blvd(361) 241-2626Clinic Affiliation: GhraowiMohamad A MDBoard Certifications:Medical OncologyLanguage: Samoan;Spanish; Samoan; SpanishMahmood, Aftab MDGender: MaleNPI: 19523055917121 S Padre Island DrSuite 300(361) 696-6200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: ThomasSpann Clinic PABoard Certifications:NoneLanguage: French;Spanish; Urdu

Manalo, Yvonne S MDGender: FemaleNPI: 1619956596

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:Hematology; MedicalOncologyLanguage: Arabic;Spanish; Tagalog

u Nash, Michael E MDGender: MaleNPI: 17705872711415 Santa Fe St(361) 861-9760Hospital Affiliations:Corpus Christi MedicalCenter; Baptist BeaumontHospital; The MedicalCenter of SE Texas;Christus Spohn Hos CctxShoreline; ChristusHospital St ElizabethClinic Affiliation: ChristusPhysician GroupBoard Certifications:OncologyLanguage: French;Spanish; Urdu

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

ONCOLOGY (continued)Panati, Swetha MDGender: FemaleNPI: 19929342281415 Santa Fe(361) 887-45211415 Santa Fe St(361) 861-9760Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Alice; ChristusSpohn Hospital Kleberg;Christus Spohn HospitalAlice; Christus SpohnHospital Beeville; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Christus SpohnHospital BeevilleClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:Hematology

u Pollard, Ester B MDGender: FemaleNPI: 1225002843

♿712 Booty St(361) 882-41011205 S 19th St(361) 737-0574Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend OncologyHematology PA; GhraowiMohamad A MDBoard Certifications:Internal Medicine;OncologyLanguage: Spanish

Salloum, Emile C MDGender: MaleNPI: 1144209024

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx SouthClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:NoneLanguage: French;SpanishSehgal, Ajay MDGender: MaleNPI: 1164529806

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:NoneLanguage: Arabic; French;Hindi; Russian; SpanishVillamil, Alfonso MDGender: MaleNPI: 1669451548

♿1625 Rodd Field RdSte 100(361) 887-0067Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:NoneLanguage: American Sign;French; Spanish

OPHTHALMOLOGYAgarwal, Sanjay MDGender: MaleNPI: 1871575688

♿5722 Esplanade DrSte 100(361) 980-1115Hospital Affiliations:South Texas SurgicalHospital; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Christus Spohn Hosp CctxMemorial; DriscollChildrens Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation: CoastalBend Retina PABoard Certifications:NoneLanguage: Hindi; SpanishAvet, Patrick P MDGender: MaleNPI: 1649283615

♿3301 S Alameda StSte 403(361) 853-7319Hospital Affiliations:Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation: EyeAssociates of CorpusChristiBoard Certifications:NoneLanguage: Spanish

u Barnes, Clemit D MDGender: MaleNPI: 18917242175540 Saratoga BlvdSte 200(361) 993-8510Hospital Affiliations: RioGrande Regional HospitalClinic Affiliation: SouthTexas Retina ConsultantsLLPBoard Certifications:Ophthalmology

u Bishop, John E MDGender: MaleNPI: 1063408458

♿4707 Everhart Ste 108(361) 857-6600Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Driscoll Childrens HospitalBoard Certifications:OphthalmologyLanguage: SpanishBond, Richard M MDGender: MaleNPI: 17405871126002 S Staples St(361) 334-2625Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx MemorialClinic Affiliation:Christopher Majka MDPLLCBoard Certifications:NoneLanguage: Spanish

u Campbell, Charles H MDGender: MaleNPI: 1154395705

♿5540 Saratoga BlvdSte 200(361) 993-8510Hospital Affiliations:Driscoll Childrens Hospital;Rio Grande RegionalHospital; Christus SpohnHosp Cctx South; CorpusChristi Medical CenterClinic Affiliation: SouthTexas Retina ConsultantsLLPBoard Certifications:OphthalmologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

OPHTHALMOLOGY(continued)De La Chapa, Jorge A DOGender: MaleNPI: 17100265966002 S Staples St(361) 334-2625Hospital Affiliations: ValVerde Regional MedicalCenterClinic Affiliation:Christopher Majka MDPLLCBoard Certifications:NoneLanguage: SpanishDietze, Thomas R MDGender: MaleNPI: 1417938713

♿13725 Northwest BlvdSte C(361) 387-4911♿5402 S Staples Ste 100(361) 992-9400Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; CorpusChristi Medical Center;Christus Spohn Hos CctxShorelineClinic Affiliation: SouthTexas Eye ConsultantsBoard Certifications:NoneLanguage: Spanish

u Dugan, John T MDGender: MaleNPI: 1356340574

♿1333 3rd StSte 100(361) 884-8878Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx ShorelineClinic Affiliation: DuganEye InstituteBoard Certifications:OphthalmologyLanguage: Spanish

u Ghoghawala, Shahed YMDGender: MaleNPI: 1871768051

♿2222 Morgan AveSte 102(361) 992-9400♿13725 Northwest BlvdSte C(361) 992-9400♿5402 S StaplesSte 100(361) 992-9400Hospital Affiliations:South Texas SurgicalHospital; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Corpus Christi MedicalCenterClinic Affiliation: SouthTexas Eye ConsultantsBoard Certifications:OphthalmologyLanguage: Spanish

u Hunsaker, Jerry D MDGender: MaleNPI: 1194705319

♿4707 Everhart Suite 106(361) 854-7505Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; CorpusChristi Medical CenterBoard Certifications:OphthalmologyLanguage: Spanish

u Karim, Shaheen MDGender: MaleNPI: 1427287382

♿5722 Esplande DrSte 100(361) 980-1115Hospital Affiliations:South Texas SurgicalHospitalClinic Affiliation: CoastalBend Retina PABoard Certifications:OphthalmologyLanguage: Hindi; Spanish

Krishnan, Ravindera MDGender: MaleNPI: 1952393373

♿5729 Esplanade Dr(361) 991-3800Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; DriscollChildrens Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation: EyeInstitute of Corpus ChristiBoard Certifications:NoneLanguage: SpanishKuffel, Ronald R MDGender: MaleNPI: 1801895107

♿5656 S Staples StSte 230(361) 991-0500Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Driscoll Childrens HospitalClinic Affiliation: RetinaSpecialists PABoard Certifications:NoneLanguage: German;SpanishMajka, Christopher P MDGender: MaleNPI: 1437303906

♿6002 S Staples St(361) 334-2625Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx ShorelineClinic Affiliation:Christopher Majka MDPLLCBoard Certifications:NoneLanguage: Japanese;Spanish

Malouf, John G DOGender: MaleNPI: 1659372837

♿5022 Holly RdSte 105(361) 985-2015Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: John GMalouf DopaBoard Certifications:NoneLanguage: Greek; Spanish

u Moore, Jacob J MDGender: MaleNPI: 1144249277

♿U900 Morgan Ave(361) 888-4288Hospital Affiliations:Christus Spohn HospitalKleberg; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus-SpohnSurgicare of Corpu; ValleyBaptist Medical CenterClinic Affiliation: CoastalBend Eye Center PABoard Certifications:OphthalmologyLanguage: Spanish

u Newberry, William C MDGender: MaleNPI: 1013024512

♿3301 S Alameda StSte 403(361) 853-7319Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalBeeville; Corpus ChristiMedical CenterClinic Affiliation: EyeAssociates of CorpusChristiBoard Certifications:OphthalmologyLanguage: American Sign;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

OPHTHALMOLOGY(continued)

u Sahadi, Jack A MDGender: MaleNPI: 1235152570

♿U900 Morgan Ave(361) 888-4288Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CoastalBend Eye Center PABoard Certifications:OphthalmologyLanguage: Spanish

u Sohocki, John B MDGender: MaleNPI: 12654135791333 3rd StSte 100(361) 884-8878Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: DuganEye InstituteBoard Certifications:OphthalmologyLanguage: Spanish

u Spengler, Adam L MDGender: MaleNPI: 16899659641333 3rd StSte 100(361) 884-88785350 S Staples StSte 318(361) 992-1060Hospital Affiliations:Christus Spohn HospitalAlice; Christus Spohn HosCctx Shoreline; ChristusSpohn Hospital Kleberg;Driscoll Childrens Hospital;Christus Spohn HospitalAlice; Christus Spohn HosCctx Shoreline; ChristusSpohn Hospital Kleberg;Driscoll Childrens HospitalClinic Affiliation: BerkeleyEye Institute PA; DuganEye InstituteBoard Certifications:OphthalmologyLanguage: Spanish

u Torres, Waldemar MDGender: MaleNPI: 1275528051

♿5540 Saratoga Ste 200(361) 993-8510Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation: SouthTexas Retina ConsultantsLLPBoard Certifications:OphthalmologyLanguage: Spanish

OPTOMETRYAllen, John P ODGender: MaleNPI: 1093787533

♿U5431 Everhart Rd(361) 854-1833Clinic Affiliation: FamilyVision Associates IncBoard Certifications:NoneLanguage: Spanish

Alsup, Mary K ODGender: FemaleNPI: 1558700161

U6101 Saratoga Blvd(361) 929-5319Clinic Affiliation: AlsupEyecare PLLCBoard Certifications:NoneAvila, Catalina L ODGender: FemaleNPI: 1508978735

♿U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: SpanishAvila, Richard ODGender: MaleNPI: 1043292295

♿2222 Morgan Ste 102(361) 884-0638♿5402 S Staples Ste 100(361) 992-9400Clinic Affiliation: SouthTexas Eye ConsultantsBoard Certifications:NoneLanguage: SpanishBhakta, Samir R ODGender: MaleNPI: 1457551459

U4109 S Staples St(361) 854-2020Clinic Affiliation: SamirBhakta OdpaBoard Certifications:NoneLanguage: Gujarati;SpanishBlankenship, Brooke NODGender: FemaleNPI: 1689237018

U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:None

Browning, David C ODGender: MaleNPI: 1770899437

♿U5488 S Padre Island DrSte 2042(361) 994-03106002 S Staples St(361) 334-2625Clinic Affiliation:Christopher Majka MDPLLC; Doctors McIntyre &GarzaBoard Certifications:NoneLanguage: SpanishCadena, Linda A ODGender: FemaleNPI: 1558558437

♿U5431 Everhart Rd(361) 854-1833Clinic Affiliation: FamilyVision Associates IncBoard Certifications:NoneLanguage: SpanishCastro Maldonado, CarlosA ODGender: MaleNPI: 1881733640

U4802 S Padre Island Dr(361) 992-6700Clinic Affiliation: TexasPhysicians Eyecare GroupPCBoard Certifications:NoneEby, Anthony G ODGender: MaleNPI: 1568461762

♿1333 3rd StSte 100(361) 884-8878Clinic Affiliation: DuganEye InstituteBoard Certifications:NoneLanguage: SpanishEchevarria, Jose H ODGender: MaleNPI: 1972586261

U900 Morgan Ave(361) 888-4288Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

OPTOMETRY(continued)Gamez, Alyssa M ODGender: FemaleNPI: 1780024737

♿U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: SpanishGarza, Edward ODGender: MaleNPI: 1043322274

♿U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: SpanishGates, Robert C ODGender: MaleNPI: 1679912513

♿4747 S Padre Island DrSte 102(361) 814-8095♿5488 S Padre Island DrSte 1308(361) 985-0478Clinic Affiliation: EyesightHealthcare PLLCBoard Certifications:NoneLanguage: SpanishGill, John T ODGender: MaleNPI: 1912015454

♿U5425 S Padre Island DrSte 119b(361) 993-7778Clinic Affiliation: BayArea Vision & Contact LensBoard Certifications:NoneLanguage: Spanish

Gonzalez, Angelica M ODGender: FemaleNPI: 16997586155262 S Staples StSte 265(361) 993-0505Clinic Affiliation: J & AVision ClinicBoard Certifications:NoneLanguage: SpanishHarrison, Nancy A ODGender: FemaleNPI: 1679618607

U1521 S StaplesSte 204(361) 882-2651

U900 Morgan Ave(361) 888-4288Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:NoneJensen, Lauren B ODGender: FemaleNPI: 15487815296002 S Staples St(361) 334-2625Clinic Affiliation:Christopher Majka MDPLLCBoard Certifications:NoneJurica, Adam R ODGender: MaleNPI: 1174635304

♿U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: Spanish;VietnameseLarsen, Aaron R ODGender: MaleNPI: 1639223969

U4938 S Staples StSte E4(361) 334-3575Clinic Affiliation: TodaysVision Corpus ChristiBoard Certifications:None

Lawson, Michael E ODGender: MaleNPI: 1467459024

♿U5431 Everhart Rd(361) 854-1833Clinic Affiliation: FamilyVision Associates IncBoard Certifications:NoneLanguage: SpanishLazarte, Richard C ODGender: MaleNPI: 1730109216

♿U1333 3rd StSte 100(361) 884-8878

U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & Garza; DuganEye InstituteBoard Certifications:NoneLanguage: SpanishLeclear, Kirk L ODGender: MaleNPI: 13967847165638 Saratoga BlvdSte 106(361) 980-0523Clinic Affiliation:Heriberto D Ramos OdpaBoard Certifications:NoneMai, Amy Luu Q ODGender: FemaleNPI: 1730557182

U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: Spanish;VietnameseMcIntyre, John R ODGender: MaleNPI: 1588776710

U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: Spanish

Pena, Janet M ODGender: FemaleNPI: 1417989799

U1821 S Padre Island Dr(361) 853-7466♿U1821 Spid(361) 853-7466Clinic Affiliation: JanetPena ODBoard Certifications:NoneLanguage: SpanishRamirez, David A ODGender: MaleNPI: 1588702641

♿U14017 Northwest BlvdSte 109a(361) 767-2560Board Certifications:NoneLanguage: SpanishRamos, Heriberto D ODGender: MaleNPI: 1982697850

♿U7042 S Staples StSte 101(361) 980-0523Clinic Affiliation:Heriberto D Ramos OdpaBoard Certifications:NoneLanguage: SpanishSetterberg, Ashley ODGender: FemaleNPI: 1235381591

♿U6646 S Staples StSte 108(361) 854-1460Clinic Affiliation: DivineInnovations PLLCBoard Certifications:NoneLanguage: SpanishTrevino, Christopher L ODGender: MaleNPI: 1679914725

U1250 Flour Bluff Dr(361) 939-1128Clinic Affiliation: EyelandView Eye Care PLLCBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

OPTOMETRY(continued)Upton, Aynn L ODGender: FemaleNPI: 1487611190

♿U5014 Holly Rd(361) 993-5882Board Certifications:NoneLanguage: SpanishVoigt, Kevin W ODGender: MaleNPI: 1437509700

♿5729 Esplanade Dr(361) 991-3800Clinic Affiliation: EyeInstitute of Corpus ChristiBoard Certifications:NoneWalker, Nathan D ODGender: MaleNPI: 18513143555402 S Staples StSte 100(361) 992-9400Clinic Affiliation: SouthTexas Eye ConsultantsBoard Certifications:NoneWalz, Timothy J ODGender: MaleNPI: 1932213444

♿U5425 Spid DrSte 119b(361) 993-7778Clinic Affiliation: BayArea Vision & Contact LensBoard Certifications:NoneLanguage: SpanishWilliamson, Gail L ODGender: FemaleNPI: 17305123855638 Saratoga BlvdSte 106(361) 980-0523Clinic Affiliation:Heriberto D Ramos OdpaBoard Certifications:None

Witt, Vaughn P ODGender: MaleNPI: 1063514412

♿U4101 US Highway 77Ste B3(361) 241-9357Board Certifications:NoneLanguage: Latin; Spanish

ORAL SURGERYu Gomez Perez, Jesus A

DDSGender: MaleNPI: 13967015616421 Saratoga BlvdSte 101(361) 992-3873Clinic Affiliation: R BryanGulley DDSBoard Certifications: OralSurgeryGulley, Robert B DDSGender: MaleNPI: 1700973658

♿6421 Saratoga BlvdBldg 101(361) 992-3873Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens Hospital; CorpusChristi Medical CenterClinic Affiliation: R BryanGulley DDSBoard Certifications:NoneLanguage: German;Korean; German; KoreanParekh, Ketan P DDSGender: MaleNPI: 19727064635425 S Padre Island DrSte 144(361) 980-3931Hospital Affiliations: TXHealth Presby HospRockwall; Bs&w MedicalCenter Lake PointeClinic Affiliation: TXDesai Dental CorpusChristiBoard Certifications:Maxillofacial Surgery

Teenier, Thomas J MDGender: MaleNPI: 1326055781

♿5402 Holly RdBldg 3 Ste 302(361) 814-3223Hospital Affiliations:Christus Spohn Hos CctxShorelineBoard Certifications:Maxillofacial SurgeryLanguage: SpanishZakhireh, Gholam R DDSGender: MaleNPI: 10039614834901 S Padre Island Dr(361) 986-1117Clinic Affiliation: LovettDentalBoard Certifications:None

ORTHOPEDIC SURGERYu Anderson, Edward R MDGender: MaleNPI: 10139875362606 Hospital Blvd3rd Flr E(361) 902-4766Hospital Affiliations: SanAntonio Amg SpecialtyHospita; SouthwestGeneral Hospital;Methodist Hospital; Bs&wMedical Center Hillcrest;Metropolitan MethodistHospital; Medical CityPlano; Santa Rosa MedicalCenter; Baptist HealthSystem; South TexasSpine & Surgical HospClinic Affiliation: ChristusPhysician GroupBoard Certifications:Orthopedic SurgeryLanguage: Spanish

Baker, Stephanie C MDGender: FemaleNPI: 1427378470613 ElizabethSte 804(361) 881-33515920 Saratoga BlvdSte 600a(361) 994-1166Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx MemorialClinic Affiliation: ChristusPhysician Group; CoastalOrthopedics PABoard Certifications:NoneBerastain, Miguel A MDGender: MaleNPI: 1568416048

♿7121 S Padre Island DrSte 106(361) 994-5151♿6118 Parkway(361) 883-2000Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; SouthTexas Surgical Hospital;Corpus Christi MedicalCenter; Corpus ChristiOutpatient Surgery;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; CorpusChristi Outpatient Surgery;South Texas SurgicalHospitalClinic Affiliation: Miguel ABerastain MD PA;Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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CORPUS CHRISTI(continued)

ORTHOPEDIC SURGERY(continued)Berastain, Miguel A MDGender: MaleNPI: 1821097528

♿7121 Spid DrSte 106(361) 994-5151Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; CorpusChristi Outpatient Surgery;Driscoll Childrens Hospital;South Texas SurgicalHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: Miguel ABerastain MD PABoard Certifications:NoneLanguage: SpanishBorkowski, John M MDGender: MaleNPI: 1316959661

♿601 Texan Trail Ste 300(361) 854-0811Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; South TexasSurgical Hospital; CorpusChristi Outpatient SurgeryClinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneLanguage: French;Spanish

u Breckenridge, Charles WMDGender: MaleNPI: 1366454662

♿601 Texan Trail Ste 300(361) 854-0811Hospital Affiliations:Corpus Christi OutpatientSurgery; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: SouthTexas Bone and JointBoard Certifications:Orthopedic SurgeryLanguage: Spanish

u Burns, Travis MDGender: MaleNPI: 14876787022606 Hospital Blvd3rd Floor E(361) 902-47662606 Hospital BlvdSte E(361) 902-4766Hospital Affiliations:Metropolitan MethodistHospital; Baptist HealthSystem; Christus SpohnHos Cctx Shoreline; ValleyBaptist Medical Center;Southwest GeneralHospital; Christus MotherFrances Tyler; MethodistHospital; Valley BaptistMedical Center; ChristusSanta Rosa Alamo Heights;Christus Mother FrancesTyler; Christus Spohn HosCctx Shoreline; ChristusSanta Rosa Alamo Heights;Methodist Hospital;Southwest GeneralHospital; Baptist HealthSystem; MetropolitanMethodist HospitalClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:Orthopedic Surgery

u Clark, Charles S MDGender: MaleNPI: 1114921913

♿6118 Parkway(361) 883-2000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus StMichael Health System;Driscoll Childrens Hospital;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Corpus Christi OutpatientSurgeryClinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:Orthopedic SurgeryLanguage: SpanishCohn, Joseph M MDGender: MaleNPI: 18816040726118 Parkway Dr(361) 883-2000Hospital Affiliations:Bs&w Medical CenterLlano; Hill CountryMemorial HospitalClinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:NoneLanguage: Spanish

u Cordell, Davin D MDGender: FemaleNPI: 17809784606118 Parkway(361) 883-2000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; SouthTexas Surgical HospitalClinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:Orthopedic Surgery;Surgery of the SpineLanguage: Spanish

u Del Gallo, Walter A MDGender: MaleNPI: 1780746644

♿14317 Northwest BlvdSte A(361) 241-0324Hospital Affiliations:Christus Spohn HospitalKleberg; Corpus ChristiOutpatient Surgery; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Corpus ChristiOutpatient Surgery; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Christus SpohnHospital KlebergClinic Affiliation: CalallenOrthopaedics LLPBoard Certifications:Orthopedic SurgeryLanguage: SpanishFowler, Justin T MDGender: MaleNPI: 13868355852606 Hospital BlvdSte E(361) 902-4766Hospital Affiliations:Christus Spohn Hosp CctxSouthClinic Affiliation: ChristusPhysician GroupBoard Certifications:None

u Glebus, Geoffrey P DOGender: MaleNPI: 1154555126613 Elizabeth St Ste 804(361) 881-3351Hospital Affiliations:Christus Spohn Hos CctxShoreline; NortheastMethodist HospitalClinic Affiliation: ChristusPhysician GroupBoard Certifications:Orthopedic Surgery

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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CORPUS CHRISTI(continued)

ORTHOPEDIC SURGERY(continued)

u Grosser, Dawn M MDGender: FemaleNPI: 1154306652

♿601 Texan Trail Ste 300(361) 854-0811Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; CorpusChristi Outpatient SurgeryClinic Affiliation: SouthTexas Bone and JointBoard Certifications:Orthopedic SurgeryLanguage: Spanish

u Gunderson, Robert J DOGender: MaleNPI: 15987489072606 Hospital BlvdSte E(361) 902-4847Hospital Affiliations: WiseHealth SystemClinic Affiliation: ChristusPhysician GroupBoard Certifications:Orthopedic Surgery

u Hall, Christopher S MDGender: MaleNPI: 1174508295

42606 Hospital Blvd Ste E(361) 902-4766Hospital Affiliations: HillCountry Memorial Hospital;Medical City Plano;Ascension Seton MedCenter Austin; MatagordaRegional Medical Center;Ascension Seton Hays;Christus Spohn Hos CctxShoreline; Bs&w MedicalCenter Round RockClinic Affiliation: ChristusPhysician GroupBoard Certifications:Orthopedic Surgery

Hallquist, April M MDGender: FemaleNPI: 16798944895920 Saratoga BlvdSte 130(361) 986-46606118 Parkway Dr(361) 883-2000Hospital Affiliations:University Health System;Santa Rosa Medical CenterClinic Affiliation: ChristusPhysician Group;Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:None

u Karia, Ravi A MDGender: MaleNPI: 13565233442606 Hospital Blvd 3rd FlSte E(361) 902-4766Hospital Affiliations:Christus Mother FrancesTyler; University HealthSystemClinic Affiliation: ChristusPhysician GroupBoard Certifications:Orthopedic Surgery

u Klimisch, Justin J MDGender: MaleNPI: 1093919664

♿601 Texan Trail Ste 300(361) 854-0811Hospital Affiliations:Corpus Christi OutpatientSurgery; Corpus ChristiMedical CenterClinic Affiliation: SouthTexas Bone and JointBoard Certifications:Orthopedic SurgeryLanguage: Spanish

Larkins, Christopher GMDGender: MaleNPI: 1336584226601 Texan TrailSte 300(361) 854-0811Hospital Affiliations:Corpus Christi OutpatientSurgery; Corpus ChristiMedical CenterClinic Affiliation: SouthTexas Bone and JointBoard Certifications:None

u Lewis, Robert Q MDGender: MaleNPI: 1689670093

♿6118 Parkway(361) 883-2000Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; CorpusChristi Medical Center;Driscoll Childrens Hospital;Christus-Spohn Surgicareof Corpu; Christus StMichael Health System;Christus Spohn Hosp CctxSouthClinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:Orthopedic SurgeryLanguage: Spanish

u Masciale, John P MDGender: MaleNPI: 1912919119

♿601 Texan Trl Ste 300(361) 854-0811Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Driscoll Childrens HospitalClinic Affiliation: SouthTexas Bone and JointBoard Certifications:Orthopedic SurgeryLanguage: Spanish

u McKeever, John D MDGender: MaleNPI: 1093710600

♿2601 Hospital Blvd #205(361) 985-9400Hospital Affiliations:Corpus Christi OutpatientSurgery; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Christus-SpohnSurgicare of Corpu; CorpusChristi Medical CenterBoard Certifications:Orthopedic SurgeryLanguage: SpanishNeff, Peter C MDGender: MaleNPI: 17608099666118 Parkway Dr(361) 561-3382Hospital Affiliations:South Texas SurgicalHospitalClinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:NonePatterson, Brian L MDGender: MaleNPI: 10937113016118 Parkway(361) 883-2000Hospital Affiliations:Corpus Christi MedicalCenter; South TexasSurgical Hospital; ChristusSpohn Hosp Cctx South;Christus St Michael HealthSystem; Christus SpohnHos Cctx Shoreline;Driscoll Childrens HospitalClinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

ORTHOPEDIC SURGERY(continued)Santos, Erick M MDGender: MaleNPI: 1679565071

♿2222 Airline Rd Ste B1(361) 561-3500Hospital Affiliations:South Texas HealthSystem; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: SouthCentral Texas Bone andJointBoard Certifications:NoneLanguage: SpanishSchlimmer, Jeffrey R MDGender: MaleNPI: 18715987306118 Parkway Dr(361) 883-2000Hospital Affiliations:Corpus Christi OutpatientSurgery; Driscoll ChildrensHospital; South TexasSurgical Hospital; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; Christus-Spohn Surgicare of CorpuClinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:NoneLanguage: Spanish

Seger, Bernard M MDGender: MaleNPI: 1851303069

♿601 Texan Trl Ste 300(361) 854-0811Hospital Affiliations:Christus Spohn HospitalBeeville; Surgicare ofSouth Austin; CorpusChristi Medical Center;Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Warm SpringsRehab Hosp San Anton;Corpus Christi OutpatientSurgery; South TexasSurgical HospitalClinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneLanguage: Spanish

u Stinson, Zachary S MDGender: MaleNPI: 1154503274613 Elizabeth StSte 804(361) 881-3351Hospital Affiliations:Childrens Hospital SanAntonio; Santa RosaMedical CenterClinic Affiliation: ChristusPhysician GroupBoard Certifications:Orthopedic Surgery

u Thomas, Ryan B MDGender: MaleNPI: 1134300833

♿601 Texan TrailSte 300(361) 854-0811Hospital Affiliations:Corpus Christi OutpatientSurgery; South TexasSurgical Hospital; CorpusChristi Medical CenterClinic Affiliation: SouthTexas Bone and JointBoard Certifications:Orthopedic SurgeryLanguage: Spanish

Thompson, Jason F MDGender: MaleNPI: 1326465576601 Texan TrailSte 300(361) 854-0811Clinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneTucker, William A DOGender: MaleNPI: 1922088095613 Elizabeth StSte 804(361) 881-3351Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

u Williams, Robert S MDGender: MaleNPI: 1831191873

♿5920 Saratoga BlvdSte 600a(361) 994-1166Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation: CoastalOrthopedics PABoard Certifications:Orthopedic SurgeryLanguage: SpanishWilson, William K MDGender: MaleNPI: 1316384316601 Texan TrailSte 300(361) 854-0811Hospital Affiliations:Corpus Christi OutpatientSurgery; Corpus ChristiMedical CenterClinic Affiliation: SouthTexas Bone and JointBoard Certifications:None

OTOLARYNGOLOGYu Clark, William D MDGender: MaleNPI: 13068072683533 S Alameda Ste 501Bldg McIver Furman(361) 694-5778Hospital Affiliations:Childrens Hospital SanAntonio; Driscoll ChildrensHospital; University HealthSystem; Santa RosaMedical Center; DellChildrens Medical Center;Methodist HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:OtolaryngologyLanguage: Spanish

u Creamean, Troy L DOGender: MaleNPI: 1275513269

♿3318 S Alameda St(361) 854-7000Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline; SouthTexas Surgical HospitalClinic Affiliation: EarNose and ThroatAssociatesBoard Certifications:OtolaryngologyLanguage: German;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

OTOLARYNGOLOGY(continued)

u Fisher, George H MDGender: MaleNPI: 1558366070

♿3318 S Alameda St(361) 854-7000Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; DriscollChildrens Hospital;Christus Spohn Hosp CctxMemorial; Corpus ChristiMedical CenterClinic Affiliation: EarNose and ThroatAssociatesBoard Certifications:OtolaryngologyLanguage: German;Spanish

u Fulmer, Robert P MDGender: MaleNPI: 14472230035826 Esplanade DrSte 304(855) 845-7777Hospital Affiliations:Christus Mother FrancesTyler; The Hospital atWestlake Medical; EastTexas Medical Center;Ascension Seton MedCenter AustinClinic Affiliation: AspireAllergy & SinusBoard Certifications:Otolaryngology

u Kaden, Andreas MDGender: MaleNPI: 1578724852

♿3318 S Alameda(361) 854-7000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens Hospital;South Texas SurgicalHospitalClinic Affiliation: EarNose and ThroatAssociatesBoard Certifications:OtolaryngologyLanguage: German;Spanish

u Loeffler, Paul W MDGender: MaleNPI: 1508861188

♿3318 S Alameda St(361) 854-7000Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital; SouthTexas Surgical Hospital;Christus Spohn Hosp CctxMemorial; Corpus ChristiMedical CenterClinic Affiliation: EarNose and ThroatAssociatesBoard Certifications:OtolaryngologyLanguage: German;Spanish

u McLelland, Claude A MDGender: MaleNPI: 1356457444

♿3301 S Alameda Ste 506(361) 855-3000Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterBoard Certifications:OtolaryngologyLanguage: Spanish

u Mintz, Michael L MDGender: MaleNPI: 1023013612

♿3318 S Alameda St(361) 854-7000Hospital Affiliations:South Texas SurgicalHospital; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: EarNose and ThroatAssociatesBoard Certifications:OtolaryngologyLanguage: German;Spanish

u Oshman, Robert D MDGender: MaleNPI: 1023013604

♿3318 S Alameda St(361) 854-7000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; SouthTexas Surgical Hospital;Driscoll Childrens HospitalClinic Affiliation: EarNose and ThroatAssociatesBoard Certifications:OtolaryngologyLanguage: German;Spanish

u Slater, Patrick W MDGender: MaleNPI: 14674401805402 S Staples StSte 205(361) 882-3487Hospital Affiliations:Ascension SetonNorthwest; Dell SetonMedical Center at UT; StDavids Medical Center;Ascension Seton MedCenter Austin; Central ParkSurgery Center; St JosephRegional Health Center; StDavids N Austin MedicalCtrClinic Affiliation: CorpusChristi Allergy AssociatesBoard Certifications:Otolaryngology

Steehler, Matthew K MDGender: MaleNPI: 1164678959

♿3318 S Alameda St(361) 854-7000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens Hospital; SouthTexas Surgical HospitalClinic Affiliation: EarNose and ThroatAssociatesBoard Certifications:NoneLanguage: German;Spanish

u Thompson, Christopher PMDGender: MaleNPI: 15482348425826 Esplanade DrSte 304(855) 845-7777Hospital Affiliations: StDavids N Austin MedicalCtr; Las Palmas CampLpdsh; The Hospital atWestlake MedicalClinic Affiliation: AspireAllergy & SinusBoard Certifications:OtolaryngologyLanguage: Spanish

u Weiss, Todd M MDGender: MaleNPI: 16595937135920 Saratoga BlvdSte 425(361) 287-0100Clinic Affiliation: CorpusChristi Ent Sinus and AlleBoard Certifications:OtolaryngologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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CORPUS CHRISTI(continued)

OTOLARYNGOLOGY(continued)

u Zane, Randall S MDGender: MaleNPI: 1609871201

♿3318 S Alameda St(361) 854-7000Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHos C C SNF; ChristusSpohn Hos Cctx Shoreline;Driscoll Childrens Hospital;Corpus Christi MedicalCenterClinic Affiliation: EarNose and ThroatAssociatesBoard Certifications:OtolaryngologyLanguage: German;SpanishZapata, Syboney MDGender: FemaleNPI: 12958227573533 S Alameda St(361) 694-5481Hospital Affiliations: StDavids Medical Center;Ascension SetonNorthwest; Bailey SquareSurgery Center; Dell SetonMedical Center at UT;Driscoll Childrens Hospital;Surgicare of South Austin;Dell Childrens MedicalCenter; Ascension SetonMed Center Austin; AriseAustin Medical CenterClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: American Sign;Spanish

PAIN MANAGEMENTChahadeh, Hassan MDGender: MaleNPI: 1730124470

♿45721 Esplanade DrSte B(361) 334-2625Hospital Affiliations:Houston Methodist SugarLand Hosp; HoustonMethodist Hospital; Chi StLukes Hlth Baylor CollMed; Memorial HermannGreater Heights; HoustonMethodist Baytown Hosp;Memorial Hermann SWHospital; Hca HoustonHealthcare TomballClinic Affiliation:Chahadeh Hassan MDBoard Certifications:AnesthesiologyLanguage: Arabic;SpanishDar, Urfan A MDGender: MaleNPI: 12856152602222 Morgan Ave Ste 110(210) 268-0129Hospital Affiliations: SanMarcos Surgery Center;Baptist Health SystemClinic Affiliation: TricityPain Associates PABoard Certifications:AnesthesiologyLanguage: Hindi

u Engle, Mitchell P MDGender: MaleNPI: 1790946051

♿13725 Northwest Blvd(361) 387-0046♿5637 Corsica Rd(361) 387-0046Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; MDAnderson Cancer Center;Christus Spohn Hos CctxShorelineClinic Affiliation: Instituteof Precision Pain MedicBoard Certifications:Anesthesiology; PainManagement

Kao, Gary MDGender: MaleNPI: 13465820952222 Morgan Ave Ste 110(844) 789-7246♿5802 Saratoga BlvdSte 330(361) 356-6938Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Interventional PainManagement; Tricity PainAssociates PABoard Certifications:Anesthesiology

u Liu, Li Herng E MDGender: MaleNPI: 1609037969

♿13725 Northwest Blvd(361) 387-0046♿5637 Corsica Rd(361) 387-0046Hospital Affiliations:Corpus Christi OutpatientSurgery; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi OutpatientSurgery; Christus SpohnHos Cctx ShorelineClinic Affiliation: Instituteof Precision Pain MedicBoard Certifications: PainManagementLanguage: Spanish

u Lopez, Gabriel MDGender: MaleNPI: 1801814165

♿6005 Holly Rd(361) 452-0136♿3825 Spid Dr(361) 225-0089Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Christus-SpohnSurgicare of Corpu;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; CorpusChristi Outpatient Surgery;University Health System;Christus-Spohn Surgicareof Corpu; University HealthSystem; Christus SpohnHosp Cctx MemorialClinic Affiliation: CorpusChristi Pain Medicine PABoard Certifications: PainManagementLanguage: Spanish

u Potter, Ryan N MDGender: MaleNPI: 1730107095

♿5734 Spohn Dr(361) 882-4452Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Metropolitan MethodistHospitalClinic Affiliation:Comprehensive PainManagement PABoard Certifications: PainManagementLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

PAIN MANAGEMENT(continued)Puentes, Jairo A MDGender: MaleNPI: 1508849944

♿U5920 Saratoga BlvdSte 395(361) 852-0852Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; CorpusChristi Medical CenterClinic Affiliation: MedicalSpecialists Group PABoard Certifications:NoneLanguage: American Sign;SpanishTrevino, Jose J MDGender: MaleNPI: 1508869603

♿613 Elizabeth StSte 805(361) 883-1744Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: Jose DeJesus Trevino PainManageBoard Certifications:NoneLanguage: Spanish

u Tschickardt, Michael EMDGender: MaleNPI: 1477565208

♿7101 Williams Dr(361) 854-1910Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: MichaelTschickardt MD PABoard Certifications: PainManagementLanguage: Spanish

Velazquez, Wilson L MDGender: MaleNPI: 1144385121

44918 Holly RdSte B(361) 991-9300Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: WilsonVelazquez MD PABoard Certifications:NoneLanguage: Spanish

PATHOLOGYBailey, Michael E MDGender: MaleNPI: 1649278144

♿4

U

3853 S Alameda(361) 980-0077

4

U3853 S Alameda St(361) 992-4040Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; PathologyAssociates of CorpusChristiBoard Certifications:NoneGalatzan, Steve J MDGender: MaleNPI: 1093713661

♿43853 S Alameda(361) 980-0077Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Pathology Associates ofCorpus ChristiBoard Certifications:None

Harvey, Aaron M MDGender: MaleNPI: 1588809339

43853 S Alameda(361) 992-4211Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Pathology Associates ofCorpus ChristiBoard Certifications:NoneLewis, Joe A MDGender: MaleNPI: 1770581399

♿43853 S Alameda(361) 980-0077Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Pathology Associates ofCorpus ChristiBoard Certifications:NoneMay, Stephen A MDGender: MaleNPI: 1215907928

43853 S Alameda(361) 992-4211Hospital Affiliations:Christus Spohn Hosp CctxSouth; St Joseph RegionalHealth CenterClinic Affiliation:Pathology Associates ofCorpus ChristiBoard Certifications:NoneMilligan, Thomas W MDGender: MaleNPI: 1467412155

♿43533 S Alameda St(361) 694-5427Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

Mullins, James D MDGender: MaleNPI: 1922006428

♿43853 S Alameda(361) 980-0077Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx SouthClinic Affiliation:Pathology Associates ofCorpus ChristiBoard Certifications:NoneSalazar, Katrina MDGender: FemaleNPI: 1922365519

43853 S Alameda St(361) 992-4211Hospital Affiliations:Christus Spohn Hosp CctxSouthClinic Affiliation:Pathology Associates ofCorpus ChristiBoard Certifications:None

u Savell, Van H MDGender: MaleNPI: 1952361248

♿43533 S Alameda St(361) 694-5427Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:PathologyLanguage: SpanishSouchick, Ann M MDGender: FemaleNPI: 1962400549

♿43853 S Alameda(361) 980-0077Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Pathology Associates ofCorpus ChristiBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PATHOLOGY(continued)Sutton, Lisa M MDGender: FemaleNPI: 1578763512

43533 S Alameda St(361) 694-4113Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneTurner, Thomas M MDGender: MaleNPI: 1629076203

4

U3853 S Alameda St(361) 992-4040♿43853 South Alameda(361) 992-4040Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation:Cardiovascular CareProviders Inc; PathologyAssociates of CorpusChristiBoard Certifications:None

PEDIATRICCARDIOLOGY

u Brownlee, John R MDGender: MaleNPI: 1487633145

♿3533 S Alameda StSte H100(361) 694-5086Hospital Affiliations:Methodist Hospital;Metropolitan MethodistHospital; NortheastMethodist Hospital;Methodist Spec &Transplant Hosp; ShannonMedical Center; SantaRosa Medical Center;Christus Spohn HospitalKleberg; Corpus ChristiMedical Center; ChristusSpohn Hospital Alice;Baptist Health SystemClinic Affiliation: DriscollPhysicians GroupBoard Certifications:Pediatric Cardiology;PediatricsLanguage: Spanish

u Butchko, Gary J MDGender: MaleNPI: 12856202033533 S Alameda StSte 209(361) 694-56863533 S Alameda StSte H100(361) 694-5086Hospital Affiliations:Christus Spohn HospitalAlice; Knapp MedicalCenter; Valley BaptistMedical Center; DriscollChildrens Hospital; KnappMedical Center; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; MissionRegional Medical Center;South Texas HealthSystem; Christus SpohnHospital Kleberg; ValleyBaptist Medical Center;Corpus Christi MedicalCenter; Christus SpohnHospital Kleberg; SouthTexas Health System; RioGrande Regional Hospital;Driscoll Childrens Hospital;Mission Regional MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Physicians GroupBoard Certifications:Pediatric CardiologyLanguage: Spanish

Dhar, Pradip K MDGender: MaleNPI: 16997221085714 Spohn Dr(361) 561-0005Hospital Affiliations:Christus Spohn Hos CctxShoreline; Citizens MedicalCenter; Christus SpohnHosp Cctx Memorial;Knapp Medical Center;Detar Hospital Navarro;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; CueroRegional Hospital; DriscollChildrens HospitalBoard Certifications:NoneLanguage: Hindi;Kashmiri; Punjabi; Spanish;Urdu

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PEDIATRICCARDIOLOGY(continued)Goya, Garbine MDGender: FemaleNPI: 11746111563533 S Alameda StSte 202(361) 694-5082♿3533 S Alameda StSte H100(361) 694-5086Hospital Affiliations:Doctors Hospital of Laredo;Cuero Regional Hospital;Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospital; Christus SpohnHosp Cctx South; LaredoMedical Center; ChristusSpohn Hos Cctx Shoreline;Detar Hospital Navarro;Christus Spohn HospitalKleberg; Driscoll ChildrensHospital; Citizens MedicalCenter; Christus SpohnHos Cctx Shoreline;Citizens Medical Center;Laredo Medical Center;Christus Spohn Hosp CctxMemorial; Christus SpohnHospital Kleberg; DoctorsHospital of Laredo;Christus Spohn Hosp CctxMemorial; Detar HospitalNavarroClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Physicians GroupBoard Certifications:NoneLanguage: Spanish

u Grenier, Michelle A MDGender: FemaleNPI: 13160276753533 S Alameda StSte 202(361) 694-50823533 S Alameda Ste H 100(361) 694-5086Hospital Affiliations:South Texas HealthSystem; Texas ChildrensHospital; Driscoll ChildrensHospital; Mission RegionalMedical Center; DriscollChildrens Hospital; MissionRegional Medical Center;Corpus Christi MedicalCenter; Texas ChildrensHospital; Christus SpohnHos Cctx Shoreline; SouthTexas Health SystemClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Physicians GroupBoard Certifications:Pediatric CardiologyHarris, Andrea D MDGender: FemaleNPI: 12252648803533 S Alameda StSte H 100(361) 694-5086Hospital Affiliations:Christus Spohn HospitalKleberg; Christus SpohnHospital Alice; DoctorsHospital of Laredo; CitizensMedical Center; DriscollChildrens Hospital;Christus Spohn Hos CctxShoreline; Laredo MedicalCenter; Corpus ChristiMedical Center; DetarHospital NavarroClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Khan, Muhammad S MDGender: MaleNPI: 1548207053

♿3533 S Alameda StSte 201(361) 694-50863533 S Alameda StSte 202(361) 694-5082Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHospital Kleberg; CitizensMedical Center; DriscollChildrens Hospital; DetarHospital Navarro; ChristusSpohn Hosp CctxMemorial; South TexasHealth System; ChristusSpohn Hos Cctx Shoreline;Cuero Regional Hospital;Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp Cctx South;Christus Spohn HospitalKleberg; Cuero RegionalHospital; Driscoll ChildrensHospital; Detar HospitalNavarro; Citizens MedicalCenter; South TexasHealth SystemClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Physicians GroupBoard Certifications:Pediatric CardiologyLanguage: Spanish

Mendoza Paredes, AlbertoMDGender: MaleNPI: 15889306713533 S Alameda St(361) 694-5686Hospital Affiliations: StarrCounty Memorial Hospital;Mission Regional MedicalCenter; Driscoll ChildrensHospital; Valley BaptistMedical Center; RioGrande Regional Hospital;Vly Baptist Med CtrBrownsville; ValleyRegional Medical Center;Knapp Medical Center;South Texas HealthSystemClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Michael, Jerry T MDGender: MaleNPI: 17102456423533 S Alameda StSte 202(361) 694-50823533 S Alameda Ste H 100(361) 694-50865945 Saratoga Blvd(361) 694-5082Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Physicians GroupBoard Certifications:Pediatric Cardiology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

PEDIATRICCARDIOLOGY(continued)

u Ozcelik, Nazire MDGender: FemaleNPI: 1366699159

♿3533 S Alameda(361) 694-50863533 S Alameda StSte 202(361) 694-5082Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHospital Alice; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Alice; ChristusSpohn Hos Cctx Shoreline;Driscoll Childrens Hospital;Corpus Christi MedicalCenterClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Physicians GroupBoard Certifications:Pediatric CardiologyLanguage: American Sign;Spanish

u Patel, Jatin N DOGender: MaleNPI: 12452199143533 S Alameda StSte 201(361) 694-50865920 Saratoga BlvdSte 635(361) 694-5086Hospital Affiliations:Medina Regional Hospital;Driscoll Childrens Hospital;Methodist Hospital; MedinaRegional Hospital; HillCountry Memorial Hospital;Santa Rosa MedicalCenter; Hill CountryMemorial Hospital; ChristusSpohn Hos Cctx Shoreline;Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; ShannonMedical Center; BaptistHealth System; Santa RosaMedical Center; UvaldeMemorial Hospital;Shannon Medical Center;Methodist Hospital;Christus Santa Rosa NewBraunfels; Baptist HealthSystem; Uvalde MemorialHospital; Christus SantaRosa New BraunfelsClinic Affiliation: DriscollPhysicians GroupBoard Certifications:Pediatric CardiologyLanguage: SpanishRios, Billy MDGender: MaleNPI: 17109737223502 S Alameda St(361) 694-5082Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Corpus Christi MedicalCenter; Driscoll ChildrensHospitalClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Physicians GroupBoard Certifications:None

u Salamat, Mehrdad MDGender: MaleNPI: 1154378669

♿5802 Saratoga BlvdSte 320(361) 452-4404Hospital Affiliations: RioGrande Regional Hospital;Cuero Regional Hospital;South Texas HealthSystem; Mission RegionalMedical Center; DriscollChildrens Hospital;Christus Spohn Hosp CctxSouth; Citizens MedicalCenter; Christus SpohnHos Cctx Shoreline; DetarHospital Navarro; UvaldeMemorial HospitalClinic Affiliation: MehrdadSalamat MD PABoard Certifications:Pediatric CardiologyLanguage: American Sign;German; Spanish

u Yarrabolu, TharakanathaR MDGender: MaleNPI: 13667990253533 S AlamedaSuite H-100(361) 694-50863533 S Alameda StSte 202(361) 694-5082Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South Texas;Driscoll Physicians GroupBoard Certifications:Pediatric CardiologyLanguage: American Sign;Spanish

PEDIATRICENDOCRINOLOGYAmaral Ramos, JenniferM MDGender: FemaleNPI: 1306806757

♿5920 Saratoga BlvdSte 300(361) 442-2442Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: JenniferMichelle Amaral RamosMDBoard Certifications:NoneLanguage: Spanish

u Paez, Ana M MDGender: FemaleNPI: 1124203179

♿3533 S Alameda(361) 694-4986Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric EndocrinologyLanguage: English;Spanish

PEDIATRICGASTROENTEROLOGY

u Jain, Ashok K MDGender: MaleNPI: 1013977701

♿3533 S Alameda St(361) 694-6128Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric GastroenterologyLanguage: American Sign;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

PEDIATRICGASTROENTEROLOGY(continued)

u Okwu, Vera A MDGender: FemaleNPI: 18717365043533 S Alameda St(361) 694-6128Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric GastroenterologyShah, Mahendra D MDGender: MaleNPI: 1427075035

♿3533 S Alameda St(361) 694-6128Hospital Affiliations:Driscoll Childrens Hospital;Childrens Hospital SanAntonioClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: Spanish

u Syed, Sabeen A MDGender: FemaleNPI: 1386806792

♿3533 S Alameda St(361) 694-6128Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric GastroenterologyLanguage: Spanish

PEDIATRICHEMATOLOGY-ONCOLOGY

u Boston, Catherine W MDGender: FemaleNPI: 12454143173533 S Alameda St(361) 694-5311Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric Hematology-Oncology

u Mba, Nkechi I MDGender: FemaleNPI: 1477501856

♿3533 S Alameda St(361) 694-5311Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasHealth System; DriscollChildrens Hospital; ValleyRegional Medical Center;Valley Baptist MedicalCenterClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric Hematology-OncologyLanguage: American Sign;SpanishNhlane, Ndina M MDGender: MaleNPI: 15980803683533 S Alameda St(361) 694-5311Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatrics

u Sherani, Farha MDGender: FemaleNPI: 16293564493533 S Alameda St(361) 694-5311Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric Hematology-OncologyLanguage: Spanish

PEDIATRIC INFECTIOUSDISEASE

u Fergie, Jaime E MDGender: MaleNPI: 1679533368

♿3533 S Alameda St(361) 694-6128Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric InfectiousDiseaseLanguage: American Sign;Spanish

PEDIATRICNEPHROLOGY

u Al Akash, Samhar I MDGender: MaleNPI: 1700829173

♿3533 S Alameda St2nd Floor(361) 694-5022Hospital Affiliations:Valley Regional MedicalCenter; Valley BaptistMedical Center; DriscollChildrens Hospital; CorpusChristi Medical Center;Doctors Hospital atRenaissanceClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric NephrologyLanguage: American Sign;Arabic; Spanish

u Becker, Amy M MDGender: FemaleNPI: 1124037643

♿3533 S Alameda St(361) 694-5022Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric NephrologyLanguage: SpanishOlvera, Mauricio R MDGender: MaleNPI: 18718716163533 S Alameda St(361) 694-5022Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatrics

PEDIATRICNEUROLOGY

u Deline, Carol C MDGender: FemaleNPI: 1760441158

♿3533 S Alameda St(956) 688-1200Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric NeurologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

PEDIATRICNEUROLOGY(continued)

u Thodeson, Drew M MDGender: MaleNPI: 1033347521

♿3533 S Alameda St(361) 694-6747Hospital Affiliations: UTSouthwestern UniversityHosp; Driscoll ChildrensHospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Neurology; PediatricNeurology

PEDIATRICOPHTHALMOLOGYBishop, John E MDGender: MaleNPI: 1063408458

♿4707 Everhart Ste 108(361) 857-6600Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; CorpusChristi Medical Center;Driscoll Childrens HospitalBoard Certifications:OphthalmologyLanguage: Spanish

PEDIATRICORTHOPEDICSComstock, Christoph PMDGender: MaleNPI: 1376509125

♿3533 South Alameda(361) 694-4320Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation:Childrens OrthopaedicAssociatesBoard Certifications:NoneLanguage: SpanishTimperlake, Roger W MDGender: MaleNPI: 1013972173

♿3533 South Alameda(361) 694-4320Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Childrens OrthopaedicAssociatesBoard Certifications:NoneLanguage: SpanishWait, Eric S MDGender: MaleNPI: 15587714363533 S Alameda StFurman Bldg Ste 202(361) 694-5057Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

PEDIATRICOTOLARYNGOLOGYZapata, Syboney MDGender: FemaleNPI: 12958227573533 S Alameda St(361) 694-5481Hospital Affiliations: StDavids Medical Center;Ascension SetonNorthwest; Bailey SquareSurgery Center; Dell SetonMedical Center at UT;Driscoll Childrens Hospital;Surgicare of South Austin;Dell Childrens MedicalCenter; Ascension SetonMed Center Austin; AriseAustin Medical CenterClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: American Sign;Spanish

PEDIATRICPULMONOLOGY

u Daher, Amine MDGender: MaleNPI: 18213861783533 S Alameda St(361) 694-4447Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric PulmonologyEncalada, Santiago E MDGender: MaleNPI: 11849894283533 S Alameda(361) 694-6128Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Roberts, Jon E MDGender: MaleNPI: 1114933272

♿3533 S Alameda St(361) 694-4447Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric PulmonologyLanguage: American Sign;Spanish

PEDIATRICRHEUMATOLOGY

u Mizesko, Melissa C MDGender: FemaleNPI: 10030261393533 S Alameda St(956) 688-1200Hospital Affiliations:Texas Childrens Hospital;Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric RheumatologyLanguage: Spanish

PEDIATRIC SPORTSMEDICINEKleppe, Scott K DOGender: MaleNPI: 18315840023533 S Alameda St(361) 694-50575945 Saratoga Blvd(361) 694-1500Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

PEDIATRIC SURGERYu Almond, Patrick S MDGender: MaleNPI: 1740231703

♿3533 S Alameda StSte 302(361) 694-4700Hospital Affiliations:Christus Spohn Hos CctxShoreline; DriscollChildrens Hospital;Christus Spohn Hosp CctxMemorialClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric SurgeryLanguage: American Sign;English; Spanish

u Cigarroa, Francisco G MDGender: MaleNPI: 1962481945

♿5022 Holly RdSte 106(888) 336-9633Hospital Affiliations:University Health System;Childrens Hospital SanAntonio; Baptist HealthSystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:Pediatric SurgeryLanguage: Spanish

u Emran, Mohammad A MDGender: MaleNPI: 1215025911

♿3533 S Alameda St FurmanBldg Ste 302(361) 694-4700Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:General Surgery; PediatricSurgeryLanguage: American Sign;Arabic; French; Spanish

Koehler, Shannon M MDGender: FemaleNPI: 17101141783533 S Alameda StFurman Bldg Ste 302(361) 694-4700Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:General Surgery

u Patel, Haroon I MDGender: MaleNPI: 1982643979

♿3533 S Alameda StFurman Bldg Ste 302(361) 694-4700Hospital Affiliations:Driscoll Childrens Hospital;Hca Houston HealthcareClear Lake; Valley BaptistMedical Center; El PasoChildrens Hospital; CorpusChristi Medical Center;Christus Spohn Hosp CctxSouthClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatric SurgeryLanguage: Afrikaans;American Sign; Spanish

PEDIATRIC UROLOGYSmith Harrison, Leon I MDGender: MaleNPI: 1053370031

♿3533 S Alameda StSte 302(361) 694-6712Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: American Sign;Spanish

PEDIATRICSAmaral Ramos, JenniferM MDGender: FemaleNPI: 1306806757

♿5920 Saratoga BlvdSte 300(361) 442-2442Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: JenniferMichelle Amaral RamosMDBoard Certifications:NoneLanguage: Spanish

u Brownlee, John R MDGender: MaleNPI: 1487633145

♿3533 S Alameda StSte H100(361) 694-5086Hospital Affiliations:Methodist Hospital;Metropolitan MethodistHospital; NortheastMethodist Hospital;Methodist Spec &Transplant Hosp; ShannonMedical Center; SantaRosa Medical Center;Christus Spohn HospitalKleberg; Corpus ChristiMedical Center; ChristusSpohn Hospital Alice;Baptist Health SystemClinic Affiliation: DriscollPhysicians GroupBoard Certifications:Pediatric Cardiology;PediatricsLanguage: SpanishFrench, Kimberley G APNGender: FemaleNPI: 1013211655

U5945 Saratoga Blvd(361) 694-1500Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

Garcia, Fernando MDGender: MaleNPI: 1164539508

U1521 S Staples StSte 605(361) 883-5419Hospital Affiliations:Christus Spohn Hos CctxShoreline; Palo PintoGeneral Hospital; ValleyBaptist Medical CenterClinic Affiliation: GarciasFamily Health GroupBoard Certifications:Internal MedicineLanguage: SpanishHarris, Andrea D MDGender: FemaleNPI: 12252648803533 S Alameda StSte H 100(361) 694-5086Hospital Affiliations:Christus Spohn HospitalKleberg; Christus SpohnHospital Alice; DoctorsHospital of Laredo; CitizensMedical Center; DriscollChildrens Hospital;Christus Spohn Hos CctxShoreline; Laredo MedicalCenter; Corpus ChristiMedical Center; DetarHospital NavarroClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Jordan, Desha M MDGender: FemaleNPI: 19627603225402 S Staples StSte 205(361) 882-3487Clinic Affiliation: CorpusChristi Allergy AssociatesBoard Certifications:Allergy/Immunology;Pediatrics

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PEDIATRICS (continued)u Molina, Jurairat J MDGender: FemaleNPI: 17008299182418 Morgan Ave(361) 883-36832502 Morgan Avenue(361) 888-6782Hospital Affiliations:Doctors Hospital of Laredo;Laredo Medical CenterClinic Affiliation: Alma SRigonan MD PABoard Certifications:Allergy/Immunology;PediatricsLanguage: Spanish; Thai;Spanish; Thai

u Nhlane, Ndina M MDGender: MaleNPI: 15980803683533 S Alameda St(361) 694-5311Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatrics

u Olvera, Mauricio R MDGender: MaleNPI: 18718716163533 S Alameda St(361) 694-5022Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Pediatrics

u Vargas Whale, Raquel AMDGender: FemaleNPI: 11949277313533 S Alameda St(361) 694-4345Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:PediatricsLanguage: SpanishZafra, Mildred P MDGender: FemaleNPI: 1467496810

♿1225 Agnes St(361) 881-8228Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: MildredP Zafra MD PABoard Certifications:NoneLanguage: Spanish;Tagalog

PHYSICAL MEDICINE &REHABILITATION

u Fuentes, Michael G MDGender: MaleNPI: 16897213835656 S Staples StSte 252(361) 888-7716♿5656 S Staples Ste 252(361) 888-7716Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Corpus ChristiMedical Center; SouthTexas Surgical Hospital;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxMemorial; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: MichaelG Fuentes MD PABoard Certifications:Physical Medicine &RehabilitationLanguage: Spanish

u Lee, Kang S MDGender: MaleNPI: 1124000823

♿345 South Water St(361) 980-1964Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterBoard Certifications:Physical Medicine &Rehabilitation

u Puentes, Jairo A MDGender: MaleNPI: 1508849944

♿U5920 Saratoga BlvdSte 395(361) 852-0852Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical CenterClinic Affiliation: MedicalSpecialists Group PA;Prontomed ClinicBoard Certifications:Physical Medicine &RehabilitationLanguage: American Sign;Spanish; American Sign;SpanishTower, Susan D MDGender: FemaleNPI: 1467466250

♿U600 Elizabeth St(361) 985-1221Hospital Affiliations:Christus Spohn Hosp CctxMemorial; LongviewRegional Medical Center;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Alice; GoodShepherd Medical CenterClinic Affiliation: SusanDepoliti Tower MD PABoard Certifications:None

PHYSICAL THERAPYAlaniz, Bryan A LPTGender: MaleNPI: 1336625037

U4040 Five Points Rd(361) 241-7399

U5026 Deepwood Circle(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneArroyo, Joe A LPTGender: MaleNPI: 1356537583

U9929 South Padre Island DrSte 117(361) 657-0168Clinic Affiliation: DynamicOrthopedic PT WellnessBoard Certifications:NoneAvila, Antonio LPTGender: MaleNPI: 1083031637

U1726 Braeswood Dr(361) 500-6686Clinic Affiliation: AvilaPhysical Therapy LLCBoard Certifications:NoneLanguage: SpanishBailey, Randa R LPTGender: FemaleNPI: 1598302143

U5026 Deepwood Circle(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneCardenas, Catherine TLPTGender: FemaleNPI: 1710469572

♿4025 South Padre IslandDr(888) 997-2669Clinic Affiliation:Concentra Medical CentersBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PHYSICAL THERAPY(continued)Castaneda, Hope E LPTGender: FemaleNPI: 1982261590

U4025 S Padre Island Dr(888) 997-2669Clinic Affiliation:Concentra Medical CentersBoard Certifications:NoneChapman, Kristi L LPTGender: FemaleNPI: 1851426001

♿U4040 Five Points Rd(361) 241-7399♿U5026 Deepwood Cir(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishChavez, Maria E LPTGender: FemaleNPI: 1588960314

♿U4040 Five Points Rd(361) 241-7399Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishChristensen, Deborah PLPTGender: FemaleNPI: 1871513838

♿U5440 Everhart RdSte 1(361) 994-5224Clinic Affiliation: SheaPhysical TherapyBoard Certifications:NoneLanguage: Dutch; Spanish

Cronkhite, Phillip J LPTGender: MaleNPI: 1801918479

♿U4040 Five Points Rd(361) 241-7399Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishDimalanta, Valerie A LPTGender: FemaleNPI: 1073151569

U5718 Spohn DrSte 200(361) 906-2062Clinic Affiliation:Orthopedic PhysicalTherapyBoard Certifications:NoneDrozdowski, Witold J LPTGender: MaleNPI: 1669758488

♿U701 Park Ave(361) 879-0006♿U5017 Saratoga BlvdSte 141(361) 993-0441Board Certifications:NoneLanguage: English; Polish;Spanish; English; Polish;SpanishDrysdale, Diane P LPTGender: FemaleNPI: 1417962184

♿5440 Everhart RdSte 1(361) 994-5224Clinic Affiliation: SheaPhysical TherapyBoard Certifications:NoneLanguage: Dutch; English;SpanishErnst, Gregory P LPTGender: MaleNPI: 1669452454

♿5734 Spohn Dr(361) 882-4452Clinic Affiliation:Comprehensive PainManagement PABoard Certifications:NoneLanguage: Spanish

Ferrand, Amber R LPTGender: FemaleNPI: 1174990725

♿601 Texan TrailSte 250(361) 806-5030Clinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneLanguage: SpanishFisher, John F LPTGender: MaleNPI: 1922019173

♿U14041 Northwest BlvdSte 4(361) 387-5000Clinic Affiliation: FisherPhysical Therapy LLCBoard Certifications:NoneLanguage: SpanishGallagher, Brian J LPTGender: MaleNPI: 18718654936130 Parkway Dr(330) 472-0372Clinic Affiliation: CowboyHealthcareBoard Certifications:NoneLanguage: German;Polish; SpanishGellerman, Garrett C LPTGender: MaleNPI: 1427691591

U5026 Deepwood Circle(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneGibson, Samuel M LPTGender: MaleNPI: 1205936796

U5026 Deepwood Circle(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

Glover, Lee C LPTGender: MaleNPI: 1689699605

♿U5959 S Staples StSte 105(361) 994-5251Clinic Affiliation: CorpusChristi Physical Therapy ABoard Certifications:NoneLanguage: SpanishHesseltine, Mandy C LPTGender: FemaleNPI: 1780718627

♿U4040 Five Points Rd(361) 241-7399♿U5026 Deepwood Cir(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishHopkins, Stephen M LPTGender: MaleNPI: 1942431861

♿U4455 S Padre Island DrSte 8(361) 879-0920♿U5718 Spohn Dr Ste 200(361) 906-2062

U14701 S Padre Island DrSte 107(361) 589-4480Clinic Affiliation:Orthopedic PhysicalTherapy; The TrainingRoom LLC; WymerPhysical TherapyBoard Certifications:NoneLanguage: SpanishHouck, Thomas L LPTGender: MaleNPI: 17407501165440 Everhart RdSte 1(361) 994-5224Clinic Affiliation: SheaPhysical TherapyBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PHYSICAL THERAPY(continued)Humpal, Scott A LPTGender: MaleNPI: 1255344230

♿U4040 Five Points RdSte A7(361) 241-7399♿U5026 Deepwood Cir(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

u Jones Salaam, Imani SLPTGender: FemaleNPI: 14779399242709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:Physical TherapyJones, Allison E LPTGender: FemaleNPI: 1760047872

U5718 Spohn DrSte 200(210) 481-7730

U5718 Spohn StSte 200(361) 906-2062Clinic Affiliation:Empower Physical TherapyTX LLC; OrthopedicPhysical TherapyBoard Certifications:NoneLanguage: SpanishKarrenbrock Blackloc,Nanette LPTGender: FemaleNPI: 18018739142709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneLanguage: American Sign;Spanish

Lopez, Eugene LPTGender: MaleNPI: 19326967213201 Airline RdSte E(361) 334-1033Clinic Affiliation: FyzicalCorpus ChristiBoard Certifications:NoneLucido Clay, Monica MLPTGender: FemaleNPI: 1811287980701 Park Ave(361) 879-0006Board Certifications:NoneMcCloskey, Traci L LPTGender: FemaleNPI: 1023070919

♿U3747 S Alameda St(361) 814-9898♿U14302 Nemo CT(361) 949-9898Clinic Affiliation: NewStride Physical TherapyBoard Certifications:NoneLanguage: SpanishMcDowell, Pamela A LPTGender: FemaleNPI: 1235171141

♿U1001 Louisiana AveSte 402(361) 853-0488Clinic Affiliation: PamelaA McDowell PCBoard Certifications:NoneLanguage: SpanishMcElwee, Kaycee L LPTGender: FemaleNPI: 1003329764

U5530 Lipes Blvd(361) 993-9434

U5026 Deepwood Circle(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine Ctr; SouthTexas Sports Medicine IncBoard Certifications:None

Moreno, Jaime P LPTGender: MaleNPI: 1679659817

♿701 Park Ave(361) 879-0006♿5017 Saratoga BlvdSte 141(361) 993-0441Board Certifications:NoneLanguage: English;Spanish; English; SpanishMurray, Jennifer L LPTGender: FemaleNPI: 1235434127

♿2709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneMusser, Hannah LPTGender: FemaleNPI: 1871138198

U6130 Parkway Dr(361) 826-5779Clinic Affiliation: CowboyHealthcareBoard Certifications:NoneNarvaez, Adan L LPTGender: MaleNPI: 1285155242

U2033 Airline RdSte E7(361) 500-6686Clinic Affiliation: AvilaPhysical Therapy LLCBoard Certifications:NoneOliver, Donald R LPTGender: MaleNPI: 1528083136

♿U14241 Northwest BlvdSte 101(361) 488-6335Clinic Affiliation: OliverPhysical Therapy and SportBoard Certifications:NoneLanguage: English;Spanish

Pido Iledan, Jennifer LPTGender: FemaleNPI: 14070935942709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NonePierce, Catherine L LPTGender: FemaleNPI: 1891736021

♿U2101 Airline Rd(361) 993-4778Clinic Affiliation: TherapyFirst LLCBoard Certifications:NoneLanguage: Spanish;TagalogPrabhu, Varsha C LPTGender: FemaleNPI: 16596157222709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneRamirez, Yvonne A LPTGender: FemaleNPI: 1306098736

♿U4040 Five Points Rd(361) 241-7399♿U5026 Deepwood Cir(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Czech;Spanish; Czech; SpanishRandolph, Kelly LPTGender: MaleNPI: 1447401104

U6130 Parkway Dr(361) 826-5779Clinic Affiliation: CowboyHealthcareBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PHYSICAL THERAPY(continued)Rivera, Guile G LPTGender: MaleNPI: 17104664952033 Airline RdSte E7(361) 500-6686Clinic Affiliation: AvilaPhysical Therapy LLCBoard Certifications:NoneSchep, Peter H LPTGender: MaleNPI: 1255406419

♿U4455 S Padre Island DrSte 8(361) 879-0920

U5718 Spohn DrSte 200(210) 481-7730♿U5718 Spohn DrSte 200(361) 906-2062Clinic Affiliation:Empower Physical TherapyTX LLC; OrthopedicPhysical Therapy; WymerPhysical TherapyBoard Certifications:NoneLanguage: Dutch;Spanish; Dutch; Spanish;Dutch; SpanishShaffer, Gabrielle N LPTGender: FemaleNPI: 10135793255440 Everhart RdSte 1(361) 994-5224Clinic Affiliation: SheaPhysical TherapyBoard Certifications:None

Shea, Daniel R LPTGender: MaleNPI: 1093735060

♿U5440 Everhart RdSte 1(361) 994-5224Clinic Affiliation: SheaPhysical TherapyBoard Certifications:NoneLanguage: Dutch; SpanishShelton, Kristen LPTGender: FemaleNPI: 1457880734

U4040 Five Points Rd(361) 241-7399

U5026 Deepwood Cir(361) 334-2317Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneShull, Victoria L LPTGender: FemaleNPI: 1720450828

♿4646 Corona DrSte 130(361) 225-2539Clinic Affiliation: ShullPhysical Therapy CtrBoard Certifications:NoneLanguage: SpanishShull, Walter G LPTGender: MaleNPI: 1083691323

♿4646 Corona Dr Ste 130(361) 225-2539Clinic Affiliation: ShullPhysical Therapy CtrBoard Certifications:NoneLanguage: SpanishSooda, Bhakti LPTGender: FemaleNPI: 19626812132222 Airline RdSte A 9(361) 853-6500Clinic Affiliation: TrueCare Physical TherapyPLLCBoard Certifications:None

Sooda, Pallavi A LPTGender: FemaleNPI: 19425298882222 Airline Rd Ste A9(361) 853-6500Clinic Affiliation: TrueCare Physical TherapyPLLCBoard Certifications:NoneStewart Richlen, TrevorLPTGender: MaleNPI: 1528596137

U4455 S Padre Island DrSte 8(361) 879-0920Clinic Affiliation:Orthopedic PhysicalTherapy; Wymer PhysicalTherapyBoard Certifications:NoneStrowbridge, Hendrika GLPTGender: FemaleNPI: 1144242959

♿5440 Everhart RdSte 1(361) 994-5224Clinic Affiliation: SheaPhysical TherapyBoard Certifications:NoneLanguage: Dutch; SpanishThorpe, Brooke T LPTGender: FemaleNPI: 1730141144

♿3747 S Alameda Street(361) 814-9898♿14302 Nemo Court(361) 949-9898Clinic Affiliation: NewStride Physical TherapyBoard Certifications:NoneLanguage: SpanishTorres, Fernando I LPTGender: MaleNPI: 1144830787

U14701 S Padre Island Dr(361) 867-1058Clinic Affiliation: TheTraining Room LLCBoard Certifications:None

Trotter, Robin E LPTGender: FemaleNPI: 1437685989

U6130 Parkway Dr(361) 826-5779Clinic Affiliation: CowboyHealthcareBoard Certifications:NoneVillanueva, Stephen RLPTGender: MaleNPI: 1235598707

U5530 Lipes Blvd(361) 993-9494Clinic Affiliation: SouthTexas Sports Medicine IncBoard Certifications:NoneWalker, Bradley S LPTGender: MaleNPI: 13666213105017 Saratoga BlvdSte 139(361) 814-48005530 Lipes Blvd(361) 993-94945621 Corsica RdSte C(361) 547-9555Clinic Affiliation: AlamedaFitness & Rehab Center;South Texas SportsMedicine IncBoard Certifications:NoneLanguage: SpanishWilson Pimentel,Elizabeth A LPTGender: FemaleNPI: 1508293341

♿U4040 Five Points Rd(361) 241-7399♿U5026 Deepwood Cir(361) 854-2278Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PHYSICAL THERAPY(continued)Wymer, Richard D LPTGender: MaleNPI: 1831261106

U4455 S Padre Island DrSte 8(361) 879-0920Clinic Affiliation:Empower Physical TherapyTX LLC; Wymer PhysicalTherapyBoard Certifications:NoneLanguage: Spanish

PHYSICIAN ASSISTANTAndoh Baidoo, RosemarieA PAGender: FemaleNPI: 1457751620613 Elizabeth Ste 804(361) 881-3351Hospital Affiliations:Doctors Hospital atRenaissanceClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneArthur, Andrew A PAGender: MaleNPI: 17908242904455 Spid Ste 30(361) 883-0619Clinic Affiliation: SouthTexas Family Planning &HeaBoard Certifications:NoneLanguage: SpanishBarrow Russell, MelindaPAGender: FemaleNPI: 17102840212922 Morgan Ave(361) 887-6601Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

Boostrom, William PAGender: MaleNPI: 17604759331406 Martin LutherKing Dr(361) 887-88111406 Martin Luther KingDr(361) 887-88111406 Martin Luther KingDr(361) 887-8811Clinic Affiliation: ChristusPhysician Group; SpohnHealth System; TrinityClinicBoard Certifications:NoneBuddenbaum, Carley PAGender: FemaleNPI: 1982174074

♿3533 S Alameda St(361) 694-6691Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: SpanishCampbell, Christina E PAGender: FemaleNPI: 12051313235540 Saratoga BlvdSte 200(361) 993-85105826 Esplanade DrSte 304(361) 998-9934Clinic Affiliation: AspireAllergy & Sinus; SouthTexas Retina ConsultantsLLPBoard Certifications:NoneCapupus, Mari A PAGender: FemaleNPI: 17405179454042 River Hill Dr(361) 993-51876646 S Staples StSte 122(361) 993-5188Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:None

Chimbunde, Barbara N PAGender: FemaleNPI: 11342417713533 S Alameda St(361) 694-4700Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneLanguage: SpanishCoates, Jacquelyn A PAGender: FemaleNPI: 1730164617

♿601 Texan TrailSte 300(361) 854-0811Clinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneLanguage: SpanishCoates, Mark A PAGender: MaleNPI: 19322886441660 S Staples Ste 150(361) 800-81555920 Saratoga BlvdSte 475(361) 654-2064Clinic Affiliation: IdealInternal Medicine PLLC;Wellmed Networks IncBoard Certifications:NoneDavidson, Julie M PAGender: FemaleNPI: 1629139555

♿601 Texan TrlSte 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Hospital Affiliations:Odessa Regional MedicalCenter; Medical CenterHospital; Odessa RegionalMedical Center; MedicalCenter HospitalClinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:NoneLanguage: Spanish

Deardorf, Erika G PAGender: FemaleNPI: 16497297811227 Third St(361) 883-43233240 Fort Worth StSte 104(361) 857-3556Clinic Affiliation: SouthTexas Brain & SpineCenter; SpecialtyAssociates of W HoustonBoard Certifications:NoneDocis, Paul T PAGender: MaleNPI: 17908049465756 South StaplesSuite J-1(713) 864-2659Hospital Affiliations:Houston MethodistBaytown HospClinic Affiliation: Alpesh DDesai DO PLLCBoard Certifications:NoneEttinger, David C PAGender: MaleNPI: 1598096018

♿3533 S Alameda St(361) 694-4444Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneEvans, Oksana PAGender: FemaleNPI: 12255796185920 Saratoga BlvdSte 540(361) 985-1221Clinic Affiliation: PadreDermatology PLLCBoard Certifications:None

u Flores, Alana N PAGender: FemaleNPI: 1962035139601 Texan TrailSte 300(361) 854-0811Clinic Affiliation: SouthTexas Bone and JointBoard Certifications:Physician Assistant

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

PHYSICIAN ASSISTANT(continued)Garcia, Jazlene PAGender: FemaleNPI: 19224598585802 Saratoga BlvdSte 130(361) 986-4660Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneGarza, Jesus E PAGender: MaleNPI: 18214855092922 Morgan Ave(361) 887-66015846 Wooldridge Rd(361) 994-8979Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneGiacontiere, Kevin J PAGender: MaleNPI: 1942205430

♿4141 S Staples StSte 300(361) 882-5560Clinic Affiliation: SouthTexas Dermatology PLLCBoard Certifications:NoneLanguage: English;SpanishHarms, Christine PAGender: FemaleNPI: 1104900646

U5920 Saratoga BlvdSte 475(361) 654-20646182 Dunbarton Oak StSte B(361) 452-9320Clinic Affiliation: IbanezInternal Medicine; IdealInternal Medicine PLLC;South Coast FamilyMedicine PLLCBoard Certifications:NoneLanguage: Spanish

Heath, Mallory L PAGender: FemaleNPI: 12152259094141 S Staples Ste 300(361) 882-5560Clinic Affiliation: SouthTexas Dermatology PLLCBoard Certifications:NoneJackson, James R PAGender: MaleNPI: 18716482531315 Santa FeSte 201(361) 887-96005440 Old Brownsville Rd(361) 452-1151Clinic Affiliation:Childrens PsychiatricServices of; PsychiatricConsulting ServiBoard Certifications:None

u Johnson, Desiree L PAGender: FemaleNPI: 11745897822606 Hospital BlvdSte E(361) 902-4766Clinic Affiliation: ChristusPhysician GroupBoard Certifications:Physician AssistantKubena, Brittany K PAGender: FemaleNPI: 199200499814725 Compass St(361) 929-1122Clinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:NoneKuepper, Caroline PAGender: FemaleNPI: 1679778260

♿2922 Morgan Ave(361) 887-6601Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

Lemaster, Meagan E PAGender: FemaleNPI: 18516390175920 Saratoga BlvdSte 300(361) 442-2442Clinic Affiliation: JenniferMichelle Amaral RamosMDBoard Certifications:NoneLopez, Veronica H PAGender: FemaleNPI: 1871726158

♿U5802 Saratoga BlvdSte 150(361) 985-1888♿U5802 Saratoga BlvdSuite 150(361) 986-4600Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

u Martinez, Veronica A PAGender: FemaleNPI: 1952621377

♿13725 Northwest BlvdSte A(361) 387-9413Clinic Affiliation: WellmedMedical Group PABoard Certifications:Physician AssistantMontemayor, Eduardo DPAGender: MaleNPI: 17102249935540 SaratogaSte 200(361) 993-8510Clinic Affiliation: SouthTexas Retina ConsultantsLLPBoard Certifications:NoneLanguage: SpanishParker, Padgett A PAGender: FemaleNPI: 108315880214120 Northwest Blvd(361) 241-2626Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

Parks, Tamaryn PAGender: FemaleNPI: 1558765040613 Elizabeth Ste 804(361) 881-3351Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: SpanishPerez, Raymond S PAGender: MaleNPI: 17609986601227 Third St(361) 883-4323Clinic Affiliation: SouthTexas Brain & SpineCenterBoard Certifications:NonePeterson, Amber C PAGender: FemaleNPI: 11242068752401 Morgan Ave(361) 887-6601Clinic Affiliation: WellmedMedical Group PABoard Certifications:NonePetrila, Kimberly A PAGender: FemaleNPI: 15282236585920 Saratoga BlvdSte 600a(361) 994-1166Clinic Affiliation: CoastalOrthopedics PABoard Certifications:NonePhenix, Courtney PAGender: FemaleNPI: 13163998274141 S Staples StSte 300(361) 882-5560Clinic Affiliation: SouthTexas Dermatology PLLCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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CORPUS CHRISTI(continued)

PHYSICIAN ASSISTANT(continued)Pillen, Todd J PAGender: MaleNPI: 15088126294141 S Staples Ste 300(361) 882-5560Clinic Affiliation: SouthTexas Dermatology PLLCBoard Certifications:NoneLanguage: SpanishPiotrowski, Jonathan PPAGender: MaleNPI: 14071793511227 Third St(361) 883-4323600 Elizabeth St(361) 881-3223Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Physicians Unity PA; SouthTexas Brain & SpineCenterBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;SpanishRecio, Jose R PAGender: MaleNPI: 1851303093

♿601 Texan TrlSte 300(361) 854-0811Clinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneLanguage: SpanishRichman, Jessica PAGender: FemaleNPI: 17403684486226 Saratoga Blvd(830) 643-6205Clinic Affiliation:Physicians Unity PABoard Certifications:None

Sims, Kaylee M PAGender: FemaleNPI: 1174991509

♿601 Texan TrailSte 300(361) 854-0811Hospital Affiliations:Texas Orthopedic HospitalClinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneLanguage: SpanishSparks, Cori A PAGender: FemaleNPI: 1417564758601 Texan TrlSte 300(361) 854-0811Clinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneSpringer, Stephen PAGender: MaleNPI: 1518979657

♿601 Texan Trail Ste 300(361) 854-08115734 Spohn Dr(361) 882-4452Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx SouthClinic Affiliation:Comprehensive PainManagement PA; SouthTexas Bone and JointBoard Certifications:NoneLanguage: SpanishSteele, Leeanna E MDGender: FemaleNPI: 15881353963533 S Alameda St(361) 694-4700Clinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

Tewell, Katdidia M PAGender: FemaleNPI: 10738543601227 Third St(361) 883-4323Clinic Affiliation: SouthTexas Brain & SpineCenterBoard Certifications:NoneLanguage: SpanishThapa, Nishan PAGender: MaleNPI: 10437950164141 S Staples StSte 300(361) 882-5560Clinic Affiliation: SouthTexas Dermatology PLLCBoard Certifications:None

u Vaclavik, Celia M PAGender: FemaleNPI: 11647033935756 South StaplesSuite J-1(713) 864-2654Clinic Affiliation: Alpesh DDesai DO PLLCBoard Certifications:Physician AssistantLanguage: SpanishWall, Tammy R PAGender: FemaleNPI: 12453483583301 S Alameda StSte 201(361) 857-2900Clinic Affiliation: CorpusChristi Primary Care AssocBoard Certifications:NoneWelsh, Kelsey PAGender: FemaleNPI: 1306217211613 Elizabeth Ste 804(361) 881-3351Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

Whitfield, Joseph E PAGender: MaleNPI: 1265495683

♿5440 Old Brownsville Rd(361) 452-1151Clinic Affiliation:Childrens PsychiatricServices ofBoard Certifications:NoneLanguage: Spanish

PLASTIC SURGERYBindingnavele, Vijay KMDGender: MaleNPI: 1497940951

♿613 Elizabeth StSte 601(361) 888-7082♿5642 Esplanade Dr(361) 888-7417Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: Robert AFernandez MD PA; Vijay KBindingnavele MD PABoard Certifications:NoneLanguage: French; Hindi;Kannada; Spanish; Tamil;French; Hindi; Kannada;Spanish; Tamil

u Dimas, Vanessa D MDGender: FemaleNPI: 17505729393533 S AlamedaFurman Bldg Ste 502(361) 694-4444Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Plastic Surgery

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

PLASTIC SURGERY(continued)Fernandez, Robert A MDGender: MaleNPI: 1114927258

♿613 Elizabeth St Ste 601(361) 888-7082Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenter; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShorelineClinic Affiliation: Robert AFernandez MD PABoard Certifications:NoneLanguage: SpanishHinojosa, Cassidy D MDGender: FemaleNPI: 16596350435642 Esplanade Dr(361) 888-7417Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens HospitalClinic Affiliation: Vijay KBindingnavele MD PABoard Certifications:NoneLanguage: Spanish

u Hopkins, Kevin S MDGender: MaleNPI: 1578514303

♿3533 S AlamedaFurman Bldg Ste 502(361) 694-4444Hospital Affiliations:Driscoll Childrens Hospital;Corpus Christi MedicalCenterClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Plastic SurgeryLanguage: Spanish

u Pederson, William C MDGender: MaleNPI: 10533879023533 S Alameda St(361) 694-5057Hospital Affiliations:Driscoll Childrens Hospital;Texas Childrens Hospital;Ben Taub GeneralHospital; MethodistHospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Plastic Surgery

u Saieh, Teodoro A MDGender: MaleNPI: 1568441723

♿1710 Braeswood Dr(361) 884-9575Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; ChristusSpohn Hosp CctxMemorial; Corpus ChristiMedical CenterClinic Affiliation: ABCPlastic Surgery Center PABoard Certifications:Plastic SurgeryLanguage: Spanish

PODIATRYu Corum, Bryan G DPMGender: MaleNPI: 1184651424

♿613 Elizabeth St Ste 200(361) 884-5900Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Complete Podiatry PCBoard Certifications:PodiatryLanguage: Spanish

Dang, Dzung D DPMGender: MaleNPI: 13462740992401 Morgan Ave(361) 371-3896Hospital Affiliations:Memorial Hermann GreaterHeights; Hca HoustonHealthcare Clear Lake;Memorial Hermann SWHospitalClinic Affiliation: WellmedNetworks IncBoard Certifications:NoneLanguage: VietnameseDickson, Christian M DPMGender: MaleNPI: 1033142336

♿5920 Saratoga BlvdSte 510(361) 993-4230Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: ChristianM Dickson DPM PABoard Certifications:NoneLanguage: Spanish

u Escalea, Candice N DPMGender: FemaleNPI: 16797397421215 Santa Fe St(361) 884-9900Clinic Affiliation: WellmedNetworks IncBoard Certifications:PodiatryGoolsby, Corey M DPMGender: MaleNPI: 17901206813301 S Alameda StSte 306(361) 884-3984Clinic Affiliation: Foot andAnkle Specialists of CorBoard Certifications:NoneLanguage: Spanish

u Gouin, John R DPMGender: MaleNPI: 1790766442

♿2601 Hospital BlvdSte 106(361) 883-5955Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; Christus-Spohn Surgicare of CorpuClinic Affiliation: CorpusChristi Podiatry AssociatesBoard Certifications:PodiatryLanguage: SpanishKline, Albert C DPMGender: MaleNPI: 1932181872

♿3301 S Alameda St Ste 306(361) 884-3984Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiOutpatient Surgery; CorpusChristi Medical CenterClinic Affiliation: Foot andAnkle Specialists of CorBoard Certifications:NoneLanguage: English;SpanishLawrence, Bradley T DPMGender: MaleNPI: 12356367213301 S Alameda StSte 306(361) 884-3984Clinic Affiliation: Foot andAnkle Specialists of CorBoard Certifications:NoneLee, Serei Y DPMGender: MaleNPI: 13069590512601 Hospital BlvdSte 106(361) 883-5955Hospital Affiliations:Christus Spohn Hos CctxShoreline; CornerstoneRegional Hospital LPClinic Affiliation:Shoreline PodiatryBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

PODIATRY (continued)Miller, Glenn R DPMGender: MaleNPI: 1265456602

♿7101 S Staples St Ste 103(361) 814-4055Board Certifications:NoneLanguage: Spanish

u Pacheco, Nestor M DPMGender: MaleNPI: 1285739854

♿5934 S Staples St Ste 200(361) 883-3668Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: Nestor MPacheco DPMBoard Certifications:PodiatryLanguage: SpanishRickards, Jeanny J DPMGender: FemaleNPI: 16294771127121 S Padre Island DrSte 106(361) 353-2020Clinic Affiliation: JeannyRickards DPM PLLCBoard Certifications:None

u Schiop, Michael J DPMGender: MaleNPI: 1962472340

♿13725 Northwest BlvdSte 6(361) 767-1132Hospital Affiliations:Christus Spohn HospitalKleberg; Corpus ChristiOutpatient Surgery;Christus Spohn HospitalAliceBoard Certifications:PodiatryLanguage: Spanish

u Wells, Jed M DPMGender: MaleNPI: 1083612238

♿U745 Everhart Rd Ste A(361) 452-4978Hospital Affiliations:Laredo Medical Center;Doctors Hospital of LaredoClinic Affiliation:LaredO'S Foot Care CenterPABoard Certifications:PodiatryLanguage: Spanish

PULMONARY DISEASEu Anjum, Humayun MDGender: MaleNPI: 11049457731202 Third St(361) 883-3962701 Ayers St(361) 885-7722Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: CorpusChristi Heart Clinic PLLC;Humayun AnjumBoard Certifications:Pulmonary Disease

u Franco, Rene MDGender: MaleNPI: 1972948081701 Ayers(361) 885-7722Hospital Affiliations:Medical City Weatherford;Palo Pinto GeneralHospital; Corpus ChristiMedical CenterClinic Affiliation: ReneFranco Jr MD PABoard Certifications:Pulmonary Disease

Khan, Alamgir A MDGender: MaleNPI: 1659445906

♿701 Ayers St(361) 885-7722Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: AlamgirKhan MD PLLCBoard Certifications:None

u Sherani, Khalid MDGender: MaleNPI: 1760873293701 Ayers(361) 885-7722Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; HcaHouston Healthcare ClearLakeClinic Affiliation: Sheraniand Associates LLCBoard Certifications:Pulmonary Disease

u Surani, Salim R MDGender: MaleNPI: 1275536617

♿701 Ayers St(361) 885-7722Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: SuraniSalim R MDBoard Certifications:Pulmonary DiseaseLanguage: Hindi; Urdu

u Vakil, Abhay MDGender: MaleNPI: 1245642081701 Ayers(361) 885-7722701 Ayers St(361) 885-7722Hospital Affiliations: HcaHouston Healthcare ClearLake; Corpus ChristiMedical Center; ChristusMother Frances Tyler;Corpus Christi MedicalCenter; Hca HoustonHealthcare Clear Lake;Christus Mother FrancesTyler; Dell ChildrensMedical CenterClinic Affiliation:Pulmonary Critical CareAssociate; Sherani andAssociates LLCBoard Certifications:Pulmonary Disease

RADIATION ONCOLOGYAu, Kin W MDGender: MaleNPI: 14977938141415 Santa Fe St(361) 861-9760Hospital Affiliations:Christus St Michael HealthSystem; Hendrick MedicalCenter; Christus St MichaelHealth SystemClinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:None

u Hsiang, Jim Y MDGender: MaleNPI: 1164531273

♿5134 Carroll Ln(361) 561-4193Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:Radiation OncologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

RADIATION ONCOLOGY(continued)

u Thompson, Travis L MDGender: MaleNPI: 11644726765701 S Padre Island Dr(361) 334-5130Hospital Affiliations:Christus Spohn Hosp CctxSouth; TX Hlth HarrisMethodist Hosp FW;Corpus Christi MedicalCenter; TX Health HuguleyHosp Ft Worth S; ChristusSpohn Hos Cctx Shoreline;Medical City Fort WorthClinic Affiliation: CoastalBend Cancer CenterBoard Certifications:Radiation OncologyLanguage: SpanishVoorhees, Gerard J MDGender: MaleNPI: 1104828540

♿1625 Rodd Field Rd(361) 985-22731625 Rodd Field Rd #200(361) 985-2273Hospital Affiliations:Christus St Michael HealthSystem; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus St Michael HealthSystem; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus St MichaelHealth SystemClinic Affiliation: CorpusChristi Primary Care Assoc;Peregrine Cancer Care PABoard Certifications:NoneLanguage: Spanish

RADIOLOGYAnnamalai, Palam MDGender: MaleNPI: 19725295847101 S Staples St(281) 888-8999Hospital Affiliations:Ballinger MemorialHospital; UTMB HealthGalveston; MemorialHermann Hospital; Del SolCamp Lpdsh; MidlandMemorial HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneArnold, Allister D MDGender: MaleNPI: 1114993169

43533 S Alameda St(361) 694-5240

45945 Saratoga Blvd(361) 694-1530Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:NoneBhatti, Zagum A MDGender: MaleNPI: 10535778907101 S Staples St(281) 888-8999Hospital Affiliations:Memorial HermannHospital; HuntsvilleMemorial Hospital; HcaHouston HealthcareConroeClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications: DiagRadiology

u Cao, Mailan M MDGender: FemaleNPI: 1588816136

41812 S Alameda St(361) 887-7000

4325 Cape Aron Dr(952) 595-1100Hospital Affiliations:Corpus Christi MedicalCenter; Del Sol CampLpdsh; Corpus ChristiMedical CenterClinic Affiliation:Cardiovascular CareProviders Inc; VirtualRadiologic ProfessionalsBoard Certifications:RadiologyChauvin, Dean P MDGender: MaleNPI: 17907072147101 S Staples St(281) 888-8999Hospital Affiliations:Memorial HermannMemorial CityClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Vascular & IntervenRadiology

u Chepey, Richard P MDGender: MaleNPI: 1629073887

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologyChinnery, Martha S MDGender: FemaleNPI: 1285607788

♿43533 S Alameda St(361) 851-1932♿45945 Saratoga Blvd(361) 694-1530Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

Cho, Parina G MDGender: FemaleNPI: 1790770261

47003 Adcote Dr(877) 448-8681

47033 Adcote Dr(952) 595-1242Hospital Affiliations: FortDuncan Medical Center LP;Woodland Heights MedicalCenter; Memorial HermannSW Hospital; WoodlandHeights Medical CenterClinic Affiliation:Radadvantage AProfessional Corporation;Virtual RadiologicProfessionalsBoard Certifications:None

u Choudhri, Ajay MDGender: MaleNPI: 12058714317101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Radiology

u Cook, Kenneth R MDGender: MaleNPI: 1881699601

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenter; Christus-SpohnSurgicare of CorpuClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

u Craft, Alexander J DOGender: MaleNPI: 1194022236

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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CORPUS CHRISTI(continued)

RADIOLOGY (continued)u Elvin, Patrick K MDGender: MaleNPI: 1154327336

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

u Fan, Karl T MDGender: MaleNPI: 1962408989

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

u Gayle, Everett L MDGender: MaleNPI: 1518963313

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

Gershon, Ruth K MDGender: FemaleNPI: 1033475827

4

U1812 S Alameda St(361) 887-7000

4

U3929 River East Dr(361) 887-7000

4

U5742 Spohn Dr(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneGomes, Andrew MDGender: MaleNPI: 12150687967101 S Staples St(281) 888-8999Hospital Affiliations:Memorial Hermann SWHospital; Mhhs Sugar LandHospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Gorsage, Daniel M MDGender: MaleNPI: 19425593493533 S Alameda St2nd Floor(361) 694-52405945 Saratoga Blvd(361) 694-1530Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:Radiology

u Gover Mendez, Charles BMDGender: MaleNPI: 1295733822

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologyHanus, Bryan D MDGender: MaleNPI: 1568805828

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneHarrell, Leslie M DOGender: FemaleNPI: 1811208010

41415 Santa Fe St(361) 887-4521Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

u Huang, Ning MDGender: MaleNPI: 1093706483

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

u Iqbal, Maaz MDGender: MaleNPI: 12657959677101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Radiology

u Kozlowski, Mark A MDGender: MaleNPI: 1134127723

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologyMacrino, Sheri J MDGender: FemaleNPI: 18112838561521 S StaplesSte 510(361) 882-4000Hospital Affiliations:Oakbend Medical Center;First Surgical HospitalClinic Affiliation: VascareMDBoard Certifications:None

u Matejka, Kenneth D MDGender: MaleNPI: 1043218639

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

u Menendez, Isabel C MDGender: FemaleNPI: 1376508168

♿45656 S Staples StSte 210(361) 906-0969Hospital Affiliations:Christus Spohn HospitalKleberg; Laredo MedicalCenter; Christus SpohnHospital BeevilleClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:RadiologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

RADIOLOGY (continued)Michell, Michael W MDGender: MaleNPI: 1427249614

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneMoon, Aaron MDGender: MaleNPI: 1922264571

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneNwankwo, John I MDGender: MaleNPI: 1831400498

42606 Hospital Blvd(952) 595-1093Hospital Affiliations:Memorial Hermann GreaterHeights; Christus SpohnHos Cctx ShorelineClinic Affiliation: VirtualRadiologic ProfessionalsBoard Certifications:None

u Panapitiya, Narendra CMDGender: MaleNPI: 17203997853533 S Alameda St(361) 694-5240Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical Center;Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:RadiologyQuraishi, Rafath MDGender: MaleNPI: 1679596910

♿1001 3rd St Ste 9(800) 273-1744Hospital Affiliations: RioGrande Regional HospitalBoard Certifications:NoneLanguage: Spanish

u Ramos, Alvaro J MDGender: MaleNPI: 1952384091

♿43554 S Alameda St(361) 855-5382Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation: Alvaro JRamos MD PABoard Certifications:RadiologyRao, Sandeep MDGender: MaleNPI: 19929050957101 S Staples St(281) 888-8999Hospital Affiliations:Ascension Seton MedCenter Austin; Las PalmasCamp Lpdsh; HospsProvidence MemorialCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Vascular & IntervenRadiologyLanguage: Spanish

u Romero, Elena MDGender: FemaleNPI: 1124090790

♿43533 S Alameda St(361) 694-4520♿45945 Saratoga Blvd(361) 694-1530Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:RadiologySaeed, Mohammad A MDGender: MaleNPI: 18311163837101 S Staples St(281) 888-8999Hospital Affiliations: HcaHouston Healthcare West;Oakbend Medical CenterClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneLanguage: Hindi; Spanish;UrduSharma, Amit K MDGender: MaleNPI: 15081536857101 S Staples StSte 101(281) 888-8999Hospital Affiliations:Houston MethodistWillowbrook; TX HealthHarris Meth Hosp SW FW;Houston MethodistHospital; HospsProvidence MemorialCampus; Ascension SetonMed Center Austin;Metroplex HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

Shestopalov, AlexanderMDGender: MaleNPI: 10537560987101 S Staples St(281) 888-8999Hospital Affiliations:UTMB Health GalvestonClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Strong, David B MDGender: MaleNPI: 1083612576

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenter; Christus-SpohnSurgicare of CorpuClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:RadiologySundarakumar, Dinesh KMDGender: MaleNPI: 14172357147101 S Staples StSte 101(281) 888-8999Hospital Affiliations:Laredo Medical Center;University Medical CenterEl PasoClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneSurnedi, Murali K MDGender: MaleNPI: 1407003015

43533 S Alameda(361) 694-5240

45945 Saratoga Blvd(361) 694-1530Hospital Affiliations:Driscoll Childrens HospitalClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

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CORPUS CHRISTI(continued)

RADIOLOGY (continued)Suwan, Tariq Z MDGender: MaleNPI: 16797182097101 S Staples St(281) 888-8999Hospital Affiliations: HcaHouston HealthcareKingwood; Hca HoustonHealthcare Pearland; HcaHouston Healthcare ClearLake; Hca HoustonHealthcare Conroe; HcaHouston Healthcre MedicalCtr; Valley RegionalMedical Center; RioGrande Regional HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Truong, Vi Q DOGender: MaleNPI: 1295799088

♿45656 S Staples StSte 210(361) 358-7166Hospital Affiliations:University Medical Center;Christus Spohn HospitalAlice; Laredo MedicalCenterClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:RadiologyLanguage: Spanish

Turner, Jennifer E MDGender: FemaleNPI: 1669466256

U1812 S Alameda St(361) 887-7000

U3929 River East Dr(361) 887-7000

U5742 Spohn Dr(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneValenson, Arnold J MDGender: MaleNPI: 18313370961521 S Staples Ste 510(361) 882-4000Hospital Affiliations:Memorial Hermann SEHospitalClinic Affiliation: VascareMDBoard Certifications:None

u Williams, David K MDGender: MaleNPI: 1669440228

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

u Wilson, David D MDGender: MaleNPI: 1164420923

41812 S Alameda St(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Radiology

Yang, Robert MDGender: MaleNPI: 1437416195

41812 S Alameda St(361) 561-3100Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneZarghouni, Mehrzad MDGender: MaleNPI: 17809009937101 S Staples StSte 101(281) 888-8999Hospital Affiliations:North Central SurgicalCenter; Memorial HermannHospital; Chi St LukesHealth MemorialClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneLanguage: FarsiZvavanjanja, Rodrick CMDGender: MaleNPI: 18011516597101 S Staples St(281) 888-8999Hospital Affiliations:Lyndon B Johnson GeneralHospital; MemorialHermann Hospital; Med Ctrof SE TX Victory CampusClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

RHEUMATOLOGYu Chiang, Eric P MDGender: MaleNPI: 13869621162820 S Padre Island DrSte 175(361) 400-7700Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: Arthritisand Osteoporosis CenterBoard Certifications:Rheumatology

u Petros, David P MDGender: MaleNPI: 1154306603613 Elizabeth St Ste 704(361) 885-0010Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: AdrianaPop Moody MD ClinicBoard Certifications:RheumatologyLanguage: Spanish

u Pop Moody, Adriana MMDGender: FemaleNPI: 1700919719613 Elizabeth St Ste 704(361) 885-0010Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: AdrianaPop Moody MD ClinicBoard Certifications:RheumatologyLanguage: Romanian;Spanish

SLEEP MEDICINEu Bhatia, Sanjeev MDGender: MaleNPI: 12755134915621 Corsica RdSte B(361) 288-1855Hospital Affiliations:Detar Hospital Navarro;Citizens Medical CenterClinic Affiliation: SleepRite Center LPBoard Certifications:Internal Medicine; SleepMedicineLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

SLEEP MEDICINE(continued)

u Diaz, Roberto F MDGender: MaleNPI: 1851300891

♿5920 Saratoga BlvdSte 420(361) 239-4712Hospital Affiliations:Christus Spohn HospitalAliceClinic Affiliation: AliceInternal Medicine ConsultBoard Certifications:Internal Medicine; SleepMedicineLanguage: Spanish

u Santos, Juan F MDGender: MaleNPI: 1376508101

♿527 Gordon StSte B(361) 882-9100Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Corpus ChristiMedical Center; ChristusSpohn Hospital Alice;Christus Spohn Hos CctxShorelineClinic Affiliation:Ambulatory AdultNeurology PABoard Certifications:Neurology; Sleep MedicineLanguage: Spanish

SPEECH PATHOLOGYArroyo, Stephanie A SLPGender: FemaleNPI: 1295938694

U9929 South Padre Island DrSte 117(361) 657-0168Clinic Affiliation: DynamicOrthopedic PT WellnessBoard Certifications:None

Davisson, Angelique NSLPGender: FemaleNPI: 1366893794

U1001 Louisiana AveSuite 402(361) 853-0488Clinic Affiliation: MaderSandra PCBoard Certifications:NoneFahey, Evin L SLPGender: FemaleNPI: 10839630782709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneFord, Kimberly E SLPGender: FemaleNPI: 13162170782709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneGrothe, Melissa SLPGender: FemaleNPI: 1700175668810 Morgan Ave(361) 816-3637Clinic Affiliation:Tomorrows Voice LLCBoard Certifications:NoneHeath, Jacqueline SLPGender: FemaleNPI: 11840997721001 LouisanaSte 402(361) 853-0488Clinic Affiliation: MaderSandra PCBoard Certifications:NoneHopkins, Margot O SLPGender: FemaleNPI: 12150395811001 Louisiana Ste 402(361) 853-0488Clinic Affiliation: MaderSandra PCBoard Certifications:NoneLanguage: Spanish

Lindsey, Kim M SLPGender: FemaleNPI: 1356730212

U4202 Hermosa Dr(361) 728-9192Clinic Affiliation: A PlaceFor SpeechBoard Certifications:NoneMiller, Elizabeth S SLPGender: FemaleNPI: 1336594837

♿2709 Cimarron Blvd(361) 980-8200Clinic Affiliation:Rehabcare GroupBoard Certifications:NoneOsterloh, Patricia O SPGender: FemaleNPI: 1760513337

♿U3765 S Alameda StSte 428(361) 814-4600Clinic Affiliation: CoastalBend Speech & LanguageAssociatesBoard Certifications:NoneSaenz, Leanna SLPGender: FemaleNPI: 11648182821001 Louisiana Ste 402(361) 853-0488Clinic Affiliation: MaderSandra PCBoard Certifications:NoneSiebold, Tracey L SLPGender: FemaleNPI: 1023294824

♿U4202 Hermosa Dr(361) 728-9192Clinic Affiliation: A PlaceFor SpeechBoard Certifications:NoneLanguage: American Sign

Skrobarczyk, Michelle LSLPGender: FemaleNPI: 12656632234455 S Padre Island DrSte 104(361) 792-08225262 S Staples St Ste 265(361) 792-0822Clinic Affiliation: SimplySpeech PLLCBoard Certifications:NoneLanguage: SpanishSparks, Kelly A SLPGender: FemaleNPI: 1366648651

U3426 S Alameda St(361) 334-5657Clinic Affiliation: TheSpeech CenterBoard Certifications:NoneLanguage: SpanishSutphin, Terri L SLPGender: FemaleNPI: 1013365717

U1001 Louisiana AveSuite 402(361) 853-0488Clinic Affiliation: MaderSandra PCBoard Certifications:NoneVara, Eileen W SPGender: FemaleNPI: 1477683332

♿3765 S Alameda StSte 428(361) 814-4600Clinic Affiliation: CoastalBend Speech & LanguageAssociatesBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

SPORTS MEDICINEu Montgomery, Michael W

MDGender: MaleNPI: 1043566649

♿601 Texan TrailSte 300(361) 854-0811Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: SouthTexas Bone and JointBoard Certifications:Sports MedicineLanguage: SpanishSchlimmer, Jeffrey R MDGender: MaleNPI: 18715987306118 Parkway Dr(361) 883-2000Hospital Affiliations:Corpus Christi OutpatientSurgery; Driscoll ChildrensHospital; South TexasSurgical Hospital; ChristusSpohn Hos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; Christus-Spohn Surgicare of CorpuClinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:NoneLanguage: Spanish

SURG ASSISTSkoruppa, Jacob D LSAGender: MaleNPI: 1215113022

45929 Brightwood Dr(361) 537-3209Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: CuttingEdge Surgical LLCBoard Certifications:None

SURGERYVarin, Richard C MDGender: MaleNPI: 1639141963

♿4234 Weber Rd(361) 883-3831Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: Colonand Rectal Associates ofSouth TexasBoard Certifications:NoneLanguage: Spanish

SURGERY OF THESPINEBorkowski, John M MDGender: MaleNPI: 1316959661

♿601 Texan Trail Ste 300(361) 854-0811Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; South TexasSurgical Hospital; CorpusChristi Outpatient SurgeryClinic Affiliation: SouthTexas Bone and JointBoard Certifications:NoneLanguage: French;Spanish

u Cordell, Davin D MDGender: FemaleNPI: 17809784606118 Parkway(361) 883-2000Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; SouthTexas Surgical HospitalClinic Affiliation:Orthopaedic Surgery &Sportsmed Assoc LLPBoard Certifications:Orthopedic Surgery;Surgery of the SpineLanguage: Spanish

THERAPEUTICOPTOMETRYAllen, John P ODGender: MaleNPI: 1093787533

♿U5431 Everhart Rd(361) 854-1833Clinic Affiliation: FamilyVision Associates IncBoard Certifications:NoneLanguage: SpanishAlsup, Mary K ODGender: FemaleNPI: 1558700161

U6101 Saratoga Blvd(361) 929-5319Clinic Affiliation: AlsupEyecare PLLCBoard Certifications:NoneAvila, Catalina L ODGender: FemaleNPI: 1508978735

♿U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: SpanishAvila, Richard ODGender: MaleNPI: 1043292295

♿2222 Morgan Ste 102(361) 884-0638♿5402 S Staples Ste 100(361) 992-9400Clinic Affiliation: SouthTexas Eye ConsultantsBoard Certifications:NoneLanguage: SpanishBhakta, Samir R ODGender: MaleNPI: 1457551459

U4109 S Staples St(361) 854-2020Clinic Affiliation: SamirBhakta OdpaBoard Certifications:NoneLanguage: Gujarati;Spanish

Blankenship, Brooke NODGender: FemaleNPI: 1689237018

U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneBrowning, David C ODGender: MaleNPI: 1770899437

♿U5488 S Padre Island DrSte 2042(361) 994-03106002 S Staples St(361) 334-2625Clinic Affiliation:Christopher Majka MDPLLC; Doctors McIntyre &GarzaBoard Certifications:NoneLanguage: SpanishEby, Anthony G ODGender: MaleNPI: 1568461762

♿1333 3rd StSte 100(361) 884-8878Clinic Affiliation: DuganEye InstituteBoard Certifications:NoneLanguage: SpanishEchevarria, Jose H ODGender: MaleNPI: 1972586261

U900 Morgan Ave(361) 888-4288Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:NoneLanguage: SpanishGamez, Alyssa M ODGender: FemaleNPI: 1780024737

♿U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

THERAPEUTICOPTOMETRY(continued)Garza, Edward ODGender: MaleNPI: 1043322274

♿U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: SpanishGates, Robert C ODGender: MaleNPI: 1679912513

♿4747 S Padre Island DrSte 102(361) 814-8095♿5488 S Padre Island DrSte 1308(361) 985-0478Clinic Affiliation: EyesightHealthcare PLLCBoard Certifications:NoneLanguage: SpanishGill, John T ODGender: MaleNPI: 1912015454

♿U5425 S Padre Island DrSte 119b(361) 993-7778Clinic Affiliation: BayArea Vision & Contact LensBoard Certifications:NoneLanguage: SpanishGonzalez, Angelica M ODGender: FemaleNPI: 16997586155262 S Staples StSte 265(361) 993-0505Clinic Affiliation: J & AVision ClinicBoard Certifications:NoneLanguage: Spanish

Harrison, Nancy A ODGender: FemaleNPI: 1679618607

U1521 S StaplesSte 204(361) 882-2651

U900 Morgan Ave(361) 888-4288Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:NoneJensen, Lauren B ODGender: FemaleNPI: 15487815296002 S Staples St(361) 334-2625Clinic Affiliation:Christopher Majka MDPLLCBoard Certifications:NoneJurica, Adam R ODGender: MaleNPI: 1174635304

♿U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: Spanish;VietnameseLarsen, Aaron R ODGender: MaleNPI: 1639223969

U4938 S Staples StSte E4(361) 334-3575Clinic Affiliation: TodaysVision Corpus ChristiBoard Certifications:NoneLawson, Michael E ODGender: MaleNPI: 1467459024

♿U5431 Everhart Rd(361) 854-1833Clinic Affiliation: FamilyVision Associates IncBoard Certifications:NoneLanguage: Spanish

Lazarte, Richard C ODGender: MaleNPI: 1730109216

♿U1333 3rd StSte 100(361) 884-8878

U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & Garza; DuganEye InstituteBoard Certifications:NoneLanguage: SpanishLeclear, Kirk L ODGender: MaleNPI: 13967847165638 Saratoga BlvdSte 106(361) 980-0523Clinic Affiliation:Heriberto D Ramos OdpaBoard Certifications:NoneMai, Amy Luu Q ODGender: FemaleNPI: 1730557182

U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: Spanish;VietnameseMcIntyre, John R ODGender: MaleNPI: 1588776710

U5488 S Padre Island DrSte 2042(361) 994-0310Clinic Affiliation: DoctorsMcIntyre & GarzaBoard Certifications:NoneLanguage: Spanish

Pena, Janet M ODGender: FemaleNPI: 1417989799

U1821 S Padre Island Dr(361) 853-7466♿U1821 Spid(361) 853-7466Clinic Affiliation: JanetPena ODBoard Certifications:NoneLanguage: SpanishRamos, Heriberto D ODGender: MaleNPI: 1982697850

♿U7042 S Staples StSte 101(361) 980-0523Clinic Affiliation:Heriberto D Ramos OdpaBoard Certifications:NoneLanguage: SpanishUpton, Aynn L ODGender: FemaleNPI: 1487611190

♿U5014 Holly Rd(361) 993-5882Board Certifications:NoneLanguage: SpanishVoigt, Kevin W ODGender: MaleNPI: 1437509700

♿5729 Esplanade Dr(361) 991-3800Clinic Affiliation: EyeInstitute of Corpus ChristiBoard Certifications:NoneWalz, Timothy J ODGender: MaleNPI: 1932213444

♿U5425 Spid DrSte 119b(361) 993-7778Clinic Affiliation: BayArea Vision & Contact LensBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

THERAPEUTICOPTOMETRY(continued)Williamson, Gail L ODGender: FemaleNPI: 17305123855638 Saratoga BlvdSte 106(361) 980-0523Clinic Affiliation:Heriberto D Ramos OdpaBoard Certifications:NoneWitt, Vaughn P ODGender: MaleNPI: 1063514412

♿U4101 US Highway 77Ste B3(361) 241-9357Board Certifications:NoneLanguage: Latin; Spanish

THORACICCARDIOVASCULARSURGERYCrespo Velez, WilfredoMDGender: MaleNPI: 19524085851224 3rd St(361) 854-02011224 3rd StSte 1(361) 854-0201Hospital Affiliations:Valley Regional MedicalCenter; Corpus ChristiMedical Center; ValleyRegional Medical Center;Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders Inc; J MarkMorales MD PABoard Certifications:None

u Misick, Lofton N MDGender: MaleNPI: 19422577461224 3rd StSte 1(361) 854-02015920 Saratoga BlvdSte 470(361) 902-1722Hospital Affiliations:Corpus Christi MedicalCenter; McAllen HeartHospital; Christus SpohnHosp Cctx South; McAllenHeart Hospital; Rio GrandeRegional Hospital; CorpusChristi Medical Center;Valley Regional MedicalCenter; Harlingen MedicalCenter LP; Christus SpohnHosp Cctx South; CorpusChristi Medical Center; VlyBaptist Med CtrBrownsville; Rio GrandeRegional Hospital; ChristusSpohn Hosp Cctx South;McAllen Heart Hospital;Valley Regional MedicalCenter; Vly Baptist Med CtrBrownsville; ValleyRegional Medical Center;Harlingen Medical CenterLP; Vly Baptist Med CtrBrownsvilleClinic Affiliation: BayCardiovascular SurgeryPA; Cardiovascular CareProviders Inc; J MarkMorales MD PABoard Certifications:Thoracic CardiovascularSurgery

THORACIC SURGERYAlonso, Javier MDGender: MaleNPI: 1194772160

♿5242 Holly Rd(361) 991-6611Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: JavierAlonso MD PHD PABoard Certifications:NoneLanguage: Spanish

u Bielefeld, Mark R MDGender: MaleNPI: 1538255229

U1224 3rd StSte 1(361) 854-0201♿U1224 3rd St Ste 1(361) 854-0201Hospital Affiliations:Driscoll Childrens Hospital;Vly Baptist Med CtrBrownsville; HarlingenMedical Center LP; VlyBaptist Med CtrBrownsville; Rio GrandeRegional Hospital; ValleyRegional Medical Center;Corpus Christi MedicalCenter; Valley BaptistMedical Center; CorpusChristi Medical Center;Valley Baptist MedicalCenter; Driscoll ChildrensHospital; Harlingen MedicalCenter LP; Christus SpohnHos Cctx Shoreline; ValleyRegional Medical CenterClinic Affiliation:Cardiovascular CareProviders Inc; J MarkMorales MD PABoard Certifications:Thoracic SurgeryLanguage: SpanishDavis, Cornelius A MDGender: MaleNPI: 15280379757101 S Staples StSte 101(281) 888-8999Hospital Affiliations:Memorial HermannMemorial CityClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Katsigiannis, Christos AMDGender: MaleNPI: 11947252347101 S Staples St(281) 888-8999Hospital Affiliations:Houston MethodistHospital; Hca HoustonHealthcare Clear Lake;Houston Methodist ClearLake Hosp; St JosephMedical Center; MemorialHermann SE Hospital; HcaHouston HealthcareSoutheastClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Thoracic SurgeryLanguage: GreekMehta, Inder D MDGender: MaleNPI: 17302800743533 S Alameda StSte 209(361) 694-5686Hospital Affiliations:Driscoll Childrens Hospital;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Misick, Lofton N MDGender: MaleNPI: 19422577467101 S Staples St(281) 888-8999Hospital Affiliations:Harlingen Medical CenterLP; Vly Baptist Med CtrBrownsville; Corpus ChristiMedical Center; RioGrande Regional Hospital;Christus Spohn Hosp CctxSouth; Valley RegionalMedical Center; McAllenHeart HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Thoracic Surgery

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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CORPUS CHRISTI(continued)

THORACIC SURGERY(continued)

u Morales, John M MDGender: MaleNPI: 11341706571224 3rd StSte 1(361) 854-0201Hospital Affiliations:Valley Regional MedicalCenter; Corpus ChristiMedical Center; DriscollChildrens Hospital; RioGrande Regional Hospital;Christus Spohn Hos CctxShorelineClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Thoracic SurgeryLanguage: Spanish

u Morales, Mark J MDGender: MaleNPI: 1134170657

♿1224 Third St Ste 1(361) 854-0201Hospital Affiliations: RioGrande Regional Hospital;Valley Regional MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: J MarkMorales MD PABoard Certifications:Thoracic SurgeryLanguage: Spanish

Steele, Steven J MDGender: MaleNPI: 1033111885

♿1224 3rd StSte 4(361) 851-0110Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; PamSpecialty Hospital ofCorpus; Corpus ChristiMedical CenterClinic Affiliation: Steven JSteele MD Facs PABoard Certifications:NoneLanguage: SpanishTavares, Sergio MDGender: MaleNPI: 1801895222

♿601 Texan Trail Ste 205(361) 884-7081601 Texan TrlSte 205(361) 884-7081Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLanguage: Portuguese;Spanish; Portuguese;Spanish

u Tripathy, Uttam MDGender: MaleNPI: 11442859667101 S Staples St(281) 888-8999Hospital Affiliations:Memorial Hermann SWHospital; Hca HoustonHealthcare West; St LukesSugar Land Hospital; MhhsSugar Land Hospital;Houston Methodist SugarLand Hosp; OakbendMedical Center; HoustonMethodist HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Thoracic SurgeryLanguage: Hindi; Indian

TRANSPLANTHEPATOLOGYGuerrero, Juan A MDGender: MaleNPI: 1356458418

♿5022 Holly RdSte 106(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:None

UNDERSEA MEDICINEu Larkin, Allyson C MDGender: FemaleNPI: 1184697708

♿600 Elizabeth St 2nd Fl(361) 881-3515Hospital Affiliations:Christus Spohn Hos CctxShorelineBoard Certifications:Undersea MedicineLanguage: Spanish

UROLOGYu Brehm, Norbert C MDGender: MaleNPI: 1699761213

♿601 Texan TrlSte 100(361) 884-8631♿5134 Carroll Ln(361) 884-6381Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:UrologyLanguage: Spanish

u Fisher, Jason D DOGender: MaleNPI: 1417154154601 Texan Trail Ste 100(361) 884-63815134 Carroll Ln(361) 884-6381Clinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:UrologyLanguage: SpanishGhaffary, Cameron MDGender: MaleNPI: 1629498159601 Texan TrailSte 100(361) 561-4103Clinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:None

u May, Robert A MDGender: MaleNPI: 1699760710

♿601 Texan TrlSte 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:UrologyLanguage: Spanish

u Naismith, Robert A MDGender: MaleNPI: 1013903624

♿601 Texan TrlSte 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:UrologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

UROLOGY (continued)u Nisbet, Alan A MDGender: MaleNPI: 1700920964

♿601 Texan TrlSte 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:UrologyLanguage: SpanishRivero, Jesus R MDGender: MaleNPI: 1891138194601 Texan TrlSte 100(361) 561-4103Clinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:NoneTreat, Eric MDGender: MaleNPI: 11242809203240 Fort Worth StSte 109(210) 575-8425Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation:Methodist PhysicianPractices PllBoard Certifications:NoneLanguage: Spanish

u Tyree, James B MDGender: MaleNPI: 1912999541

♿601 Texan TrlSte 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:UrologyLanguage: Spanish

VASCULAR & INTERVENRADIOLOGYAnnamalai, Palam MDGender: MaleNPI: 19725295847101 S Staples St(281) 888-8999Hospital Affiliations:Ballinger MemorialHospital; UTMB HealthGalveston; MemorialHermann Hospital; Del SolCamp Lpdsh; MidlandMemorial HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

u Chauvin, Dean P MDGender: MaleNPI: 17907072147101 S Staples St(281) 888-8999Hospital Affiliations:Memorial HermannMemorial CityClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Vascular & IntervenRadiology

Choudhri, Ajay MDGender: MaleNPI: 12058714317101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:RadiologyGomes, Andrew MDGender: MaleNPI: 12150687967101 S Staples St(281) 888-8999Hospital Affiliations:Memorial Hermann SWHospital; Mhhs Sugar LandHospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneIqbal, Maaz MDGender: MaleNPI: 12657959677101 S Staples St(281) 888-8999Clinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:RadiologyMacrino, Sheri J MDGender: FemaleNPI: 18112838561521 S StaplesSte 510(361) 882-4000Hospital Affiliations:Oakbend Medical Center;First Surgical HospitalClinic Affiliation: VascareMDBoard Certifications:None

u Rao, Sandeep MDGender: MaleNPI: 19929050957101 S Staples St(281) 888-8999Hospital Affiliations:Ascension Seton MedCenter Austin; Las PalmasCamp Lpdsh; HospsProvidence MemorialCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:Vascular & IntervenRadiologyLanguage: SpanishSharma, Amit K MDGender: MaleNPI: 15081536857101 S Staples StSte 101(281) 888-8999Hospital Affiliations:Houston MethodistWillowbrook; TX HealthHarris Meth Hosp SW FW;Houston MethodistHospital; HospsProvidence MemorialCampus; Ascension SetonMed Center Austin;Metroplex HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneShestopalov, AlexanderMDGender: MaleNPI: 10537560987101 S Staples St(281) 888-8999Hospital Affiliations:UTMB Health GalvestonClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

VASCULAR & INTERVENRADIOLOGY (continued)Sundarakumar, Dinesh KMDGender: MaleNPI: 14172357147101 S Staples StSte 101(281) 888-8999Hospital Affiliations:Laredo Medical Center;University Medical CenterEl PasoClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneSuwan, Tariq Z MDGender: MaleNPI: 16797182097101 S Staples St(281) 888-8999Hospital Affiliations: HcaHouston HealthcareKingwood; Hca HoustonHealthcare Pearland; HcaHouston Healthcare ClearLake; Hca HoustonHealthcare Conroe; HcaHouston Healthcre MedicalCtr; Valley RegionalMedical Center; RioGrande Regional HospitalClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:NoneValenson, Arnold J MDGender: MaleNPI: 18313370961521 S Staples Ste 510(361) 882-4000Hospital Affiliations:Memorial Hermann SEHospitalClinic Affiliation: VascareMDBoard Certifications:None

Zvavanjanja, Rodrick CMDGender: MaleNPI: 18011516597101 S Staples St(281) 888-8999Hospital Affiliations:Lyndon B Johnson GeneralHospital; MemorialHermann Hospital; Med Ctrof SE TX Victory CampusClinic Affiliation: NirpCorpus Christi PLLCBoard Certifications:None

VASCULAR SURGERYRodman, Charles J MDGender: MaleNPI: 13160027853301 S Alameda StSte 402(361) 371-8100Hospital Affiliations:Christus Hospital StElizabeth; Christus SpohnHos Cctx Shoreline; TheMedical Center of SETexasClinic Affiliation: JcmVein PLLC Care CoastalBendBoard Certifications:None

CYPRESS

ORTHOPEDIC SURGERYTessier, Darin D MDGender: FemaleNPI: 116460386621212 Northwest FrwySte 605(281) 664-2102Hospital Affiliations: HcaHouston HealthcareKingwood; MemorialHermann Memorial City;Hca Houston HealthcareTomball; MemorialHermann Cypress HospitalClinic Affiliation: CyfairBone and Joint LLPBoard Certifications:None

DALLAS

NEUROLOGYLouis, Elan D MDGender: MaleNPI: 17302606056201 Harry Hines Blvd(214) 633-5555Hospital Affiliations:Parkland Health & HospitalSystem; UT SouthwesternUniversity HospClinic Affiliation: UTSouthwestern MedicalCenterBoard Certifications:None

OBSTETRICS-GYNECOLOGY

u Laibl Rogers, Vanessa MDGender: FemaleNPI: 1609948157

♿6201 Harry Hines Blvd5th Fl(214) 633-0500Hospital Affiliations:Parkland Health & HospitalSystemClinic Affiliation: UTSouthwestern MedicalCenterBoard Certifications:Obstetrics-Gynecology

RADIOLOGYLeifer, David M MDGender: MaleNPI: 1386627958

46201 Harry Hines Blvd(214) 645-0496Hospital Affiliations:Methodist Dallas MedicalCenter; UT SouthwesternUniversity Hosp; ParklandHealth & Hospital System;Medical City DallasClinic Affiliation: UTSouthwestern MedicalCenterBoard Certifications:NoneLanguage: Spanish

EAGLE PASS

RADIOLOGYVreeland, Thomas H MDGender: MaleNPI: 1841252467

43333 N Foster MaldonadoBlvd(830) 773-5321Clinic Affiliation: VirtualRadiologic ProfessionalsBoard Certifications:None

EULESS

PHYSICAL THERAPYHiller, Jay M LPTGender: MaleNPI: 12155817493001 Highway 121Ste Unit 292(817) 684-0397Clinic Affiliation: PhysicalTherapy of Flower MoundBoard Certifications:None

FALFURRIAS

ANESTHESIOLOGYMcWhorter, Gregory MDGender: MaleNPI: 1912983289

4118 Flack St(956) 631-8875Hospital Affiliations: TXHlth Presbyterian HospPlanoClinic Affiliation: MedicalAnesthesia PartnersBoard Certifications:None

ANP/CERT/CLNPAlvarez, Natalia V APNGender: FemaleNPI: 17608911621400 S St Marys St(361) 325-1910Clinic Affiliation:Falfurrias Medical GroupLLPBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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FALFURRIAS(continued)

ANP/CERT/CLNP(continued)Coleman, Richard APNGender: MaleNPI: 1003153628

♿221 W Potts St(361) 325-1910Hospital Affiliations:Mission Regional MedicalCenterClinic Affiliation:Falfurrias Medical GroupLLPBoard Certifications:NoneLanguage: SpanishVela, Raquel G APNGender: FemaleNPI: 10236418181302 S St Marys StSte A B D(361) 325-9404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:None

CARDIOVASCULARDISEASE

u Manoharan, Paulrajan MDGender: MaleNPI: 11644900741400 S St Marys St(361) 325-1910Hospital Affiliations:Mission Regional MedicalCenter; Rio GrandeRegional Hospital; SouthTexas Health System;Doctors Hospital atRenaissance; SolaraSpecialty Hospitals McAlleClinic Affiliation:Falfurrias Medical GroupLLPBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

ENDOCRINOLOGY,DIABETES &METABOLISMAlbustamy, AbdulrahmanM MDGender: MaleNPI: 13866655451400 S St Marys St(956) 351-5698Hospital Affiliations:Cornerstone RegionalHospital LP; South TexasHealth SystemClinic Affiliation: Diabetesand Endocrinology ClinicBoard Certifications:NoneLanguage: Arabic;Spanish

NEPHROLOGYLevine, Andrew MDGender: MaleNPI: 1972574010

♿221 W Potts(361) 325-1910Hospital Affiliations:South Texas HealthSystem; Harlingen MedicalCenter LP; Christus SpohnHospital Alice; Rio GrandeRegional Hospital; ValleyBaptist Medical Center;Doctors Hospital atRenaissance; ChristusSpohn Hospital Kleberg;Mission Regional MedicalCenter; Knapp MedicalCenterClinic Affiliation:Falfurrias Medical GroupLLPBoard Certifications:NoneLanguage: Spanish; Thai

NUTRITION & DIETETICSu Deyhim, Farzad RDGender: MaleNPI: 1669648440

♿1302 S St Marys St(361) 325-9404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Nutrition & DieteticsLanguage: American Sign;Spanish

OCCUPATIONALTHERAPYHernandez, Rosa M OTGender: FemaleNPI: 1750597225

♿1302 S St Marys St(361) 325-6404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishRobertson, Michael J OTGender: MaleNPI: 1710085436

♿1302 S St Marys St(361) 325-6404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish

OPHTHALMOLOGYu Alhabshan, Rashed N MDGender: MaleNPI: 1811316680103 S Garner(956) 631-8875Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:Ophthalmology

Arciniega, Juan C MDGender: MaleNPI: 1508153115103 S Gardner St(956) 631-8875Hospital Affiliations:Doctors Hospital atRenaissance; Rio GrandeRegional HospitalClinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: Spanish

u Gonzalez, Victor H MDGender: MaleNPI: 1871599100

♿103 S Gardner St(956) 631-8875Hospital Affiliations:South Texas HealthSystem; Rio GrandeRegional HospitalClinic Affiliation: ValleyRetina InstitutepaBoard Certifications:OphthalmologyLanguage: SpanishOphthalmic ConsultantsofGender: MaleNPI: 1508897935103 S Gardner St(956) 423-2100Hospital Affiliations:Valley Baptist MedicalCenter; Doctors Hospital atRenaissance; CornerstoneRegional Hospital LPClinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: Spanish

u McMillin, Reagan B MDGender: MaleNPI: 1487650578

♿103 S Gardner St(956) 631-8875Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:OphthalmologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

FALFURRIAS 01/19/2021

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FALFURRIAS(continued)

OPHTHALMOLOGY(continued)

u Meadows, Donald C MDGender: MaleNPI: 1932130275

♿103 S Gardner St(956) 631-8875Hospital Affiliations:Harlingen Medical CenterLP; Valley Baptist MedicalCenterClinic Affiliation:Ophthalmic ConsultantsBoard Certifications:OphthalmologyLanguage: Spanish

u Patel, Nehal R MDGender: MaleNPI: 1386762128

♿103 S Gardner(956) 631-8875Hospital Affiliations: RioGrande Regional HospitalClinic Affiliation:Ophthalmic ConsultantsBoard Certifications:OphthalmologyLanguage: Spanish

u Rostamizadeh, Mahdi MDGender: MaleNPI: 1053654384103 S Gardner St(956) 631-8875Hospital Affiliations:South Texas HealthSystem; Mission RegionalMedical CenterClinic Affiliation: ValleyRetina InstitutepaBoard Certifications:Ophthalmology

OPTOMETRYCantu, Rogelio ODGender: MaleNPI: 1720020316103 S Gardner St(956) 631-8875118 Flack St(361) 667-3034Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: SpanishGarza, Miroslava ODGender: FemaleNPI: 1578085338103 S Gardner St(956) 631-8875Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneGuerrero, Lauro ODGender: MaleNPI: 1902834963

♿103 S Gardner St(956) 631-8875Hospital Affiliations:Valley Baptist MedicalCenterClinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: SpanishLarsen, Stephen A ODGender: MaleNPI: 1720148604103 S Gardner St(956) 631-8875Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: Italian; SpanishReed, Ida R ODGender: FemaleNPI: 1932284858

♿103 S Gardner St(361) 667-3066Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: Spanish

Wingard, Michael T ODGender: MaleNPI: 1932105020

♿103 S Gardner St(956) 631-8875Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: Spanish

PHYSICAL THERAPYOaferina, Aleth H LPTGender: MaleNPI: 1235113754

♿1302 S St Marys St(361) 325-6404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishSweigart, Chad E LPTGender: MaleNPI: 1265608046

♿1302 S St Marys St(361) 325-9404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SPEECH PATHOLOGYDominguez, Olinda M SLPGender: FemaleNPI: 12150776311302 S St Marys St(361) 325-6404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

Garcia, Sonia SLPGender: FemaleNPI: 1790949386

♿1302 S St Marys St(361) 325-9404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishLindsey, Kim M SLPGender: FemaleNPI: 13567302121302 S St Marys St(361) 325-9404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneOgando, Yvette G SLPGender: FemaleNPI: 1558589705

♿1302 S St Marys St(361) 325-6404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishRegan, Elizabeth A SLPGender: FemaleNPI: 18819603181302 S St Marys St(361) 325-9404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneTamez Munson, Patricia VSLPGender: FemaleNPI: 16493269431302 S St Marys St(361) 325-9404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 FALFURRIAS

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FALFURRIAS(continued)

THERAPEUTICOPTOMETRYCantu, Rogelio ODGender: MaleNPI: 1720020316103 S Gardner St(956) 631-8875118 Flack St(361) 667-3034Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: SpanishGarza, Miroslava ODGender: FemaleNPI: 1578085338103 S Gardner St(956) 631-8875Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneGuerrero, Lauro ODGender: MaleNPI: 1902834963

♿103 S Gardner St(956) 631-8875Hospital Affiliations:Valley Baptist MedicalCenterClinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: SpanishLarsen, Stephen A ODGender: MaleNPI: 1720148604103 S Gardner St(956) 631-8875Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: Italian; Spanish

Reed, Ida R ODGender: FemaleNPI: 1932284858

♿103 S Gardner St(361) 667-3066Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: SpanishWingard, Michael T ODGender: MaleNPI: 1932105020

♿103 S Gardner St(956) 631-8875Clinic Affiliation:Ophthalmic ConsultantsBoard Certifications:NoneLanguage: Spanish

FORT WORTH

DIAG RADIOLOGYWeissmann, Robert C MDGender: MaleNPI: 1558576348

4815 Pennsylvaia Ave(817) 321-0404Hospital Affiliations: TylerContinuecare Hosp atMother; Christus MotherFrances TylerClinic Affiliation:Radiology Associates ofNorth Texas PABoard Certifications:None

PHYSICAL THERAPYFlinn, Sara E LPTGender: FemaleNPI: 19822691714364 Heritage PkwySte 108(817) 379-1400Clinic Affiliation: PhysicalTherapy of Flower MoundBoard Certifications:NoneLanguage: English

RADIOLOGYWeissmann, Robert C MDGender: MaleNPI: 1558576348

4815 Pennsylvaia Ave(817) 321-0404Hospital Affiliations: TylerContinuecare Hosp atMother; Christus MotherFrances TylerClinic Affiliation:Radiology Associates ofNorth Texas PABoard Certifications:None

FULTON

PHYSICAL THERAPYMcElwee, Kaycee L LPTGender: FemaleNPI: 10033297641007 FM 3036(361) 728-4288Clinic Affiliation: SouthTexas Sports Medicine IncBoard Certifications:None

GEORGE WEST

ANP/CERT/CLNPTudor, Jennifer M APNGender: FemaleNPI: 1720455835504a Houston St(713) 893-6214Clinic Affiliation: BeevilleMedical ClinicBoard Certifications:None

PHYSICIAN ASSISTANTMeineke, Terrance L PAGender: MaleNPI: 1891785093

♿U801 Houston St(361) 449-1947Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

HARKER HEIGHTS

OCCUPATIONALTHERAPYKelley, Kayla R OTGender: FemaleNPI: 1477815470101b W Central ExpySte D(254) 630-1186Clinic Affiliation: Cen TexRehabilitation LLCBoard Certifications:NoneLanguage: American Sign;German; Hindi; Spanish

HASLET

PHYSICAL THERAPYRodriguez Capili, CullenLPTGender: MaleNPI: 140736634712520 Willow Springs RdSte 104 Bldg 3(817) 210-6196Clinic Affiliation: PhysicalTherapy of Flower MoundBoard Certifications:None

HOUSTON

ANP/CERT/CLNPQuinn, Lucy E APNGender: FemaleNPI: 1780198044

U2627 S Loop WSte 265(512) 575-8029Clinic Affiliation: TrumenPhysician and AssociatesBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

FALFURRIAS 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.UThis Provider Has Extended Hours.

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HOUSTON(continued)

PHYSICIAN ASSISTANTRasheed, Teressa PAGender: FemaleNPI: 13867488044635 Southwest Fwy Ste635(713) 850-0049Clinic Affiliation: SeniorPsychcare of Dallas I PLLCBoard Certifications:None

JAYTON

CHIROPRACTICRamos, Anthony C DCGender: MaleNPI: 19325995111443 N Main St(800) 404-6050Clinic Affiliation: AirrostiRehab Center LLCBoard Certifications:None

KARNES CITY

ANP/CERT/CLNPHolder, Brittany A APNGender: FemaleNPI: 1740827310

U302 N Butler St(830) 780-3100757 S Panna Maria Ave(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:NonePawelek, Jochelle D APNGender: FemaleNPI: 1215436142302 N Butler(830) 781-3100757 S Panna Maria Ave(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

u Rainer, Holly C APNGender: FemaleNPI: 1649532029

U302 N Butler(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:ANP/CERT/CLNPRichter, Meredyth E APNGender: FemaleNPI: 1275937559302 N Butler St(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

FAMILY PRACTICEClark, Pamela D APNGender: FemaleNPI: 1306967187

♿U302 N Butler St(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: American Sign;Spanish

OBSTETRICS-GYNECOLOGYNayar, Scheel S DOGender: MaleNPI: 1104841873

♿757 S Panna Maria Ave(830) 780-3100Hospital Affiliations:Methodist Hospital;Southwest GeneralHospital; North CentralBaptist Hospital; BaptistHealth System; ChildrensHospital San Antonio;Santa Rosa MedicalCenter; Memorial HospSievers & Waelder;Ascension SetonSmithville; MetropolitanMethodist HospitalClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: Spanish;Swahili

KATY

OCCUPATIONALTHERAPYJoseph, Dominic K OTGender: MaleNPI: 1396038790

♿2840 Commercial BlvdSte 103(281) 693-1063Clinic Affiliation: StarTherapy Services of CyFairBoard Certifications:None

KENEDY

ANP/CERT/CLNPAdamek, Laura B APNGender: FemaleNPI: 1376952481

♿113 W Main St(830) 583-0627Clinic Affiliation: KenedyFamily PracticeBoard Certifications:NoneBrown, Laura R APNGender: FemaleNPI: 1790233864

♿113 W Main St(830) 583-06123349 S Hwy 181Ste 3(830) 583-3401Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: GoliadFamily Practice; KaiserFamily Practice; KenedyFamily Practice; ParksideFamily Clinic; YorktownMedical ClinicBoard Certifications:NoneLanguage: Spanish

Fitts, Hermelinda A APNGender: FemaleNPI: 1285164749

♿113 W Main St(830) 583-0612Clinic Affiliation: CueroMedical Clinic; GoliadFamily Practice; KenedyFamily Practice; ParksideFamily Clinic; YorktownMedical ClinicBoard Certifications:ANP/CERT/CLNPLanguage: SpanishHall, Herbert J APNGender: MaleNPI: 1700893484

♿113 W Main St(830) 583-0612Clinic Affiliation: GoliadFamily Practice; KenedyFamily Practice; ParksideFamily ClinicBoard Certifications:ANP/CERT/CLNPLanguage: SpanishKalmus, Ashley H APNGender: FemaleNPI: 1679013783

♿113 W Main St(830) 583-0612Clinic Affiliation: CueroMedical Clinic; GoliadFamily Practice; KenedyFamily Practice; ParksideFamily Clinic; YorktownMedical ClinicBoard Certifications:NoneLanguage: SpanishLaake, Summer M APNGender: FemaleNPI: 1063793123

♿113 W Main St(830) 583-0612Clinic Affiliation: CueroMedical Clinic; GoliadFamily Practice; KenedyFamily Practice; ParksideFamily Clinic; YorktownMedical ClinicBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 HOUSTON

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KENEDY (continued)

ANP/CERT/CLNP(continued)Moody, Mary G APNGender: FemaleNPI: 1487697660113 W Main St(830) 583-0612Clinic Affiliation: CueroMedical Clinic; GoliadFamily Practice; ParksideFamily ClinicBoard Certifications:NoneLanguage: Spanish

CARDIOVASCULARDISEASE

u Paudel, Rajiv MDGender: MaleNPI: 10232401323349 S Highway 181Ste A(210) 585-4267Hospital Affiliations:Baptist Health SystemClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Cardiovascular Disease

u Pollono, Eduardo N MDGender: FemaleNPI: 10030468063349 S Highway 181Ste A(210) 585-4267Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:Cardiovascular Disease;Internal Medicine

EMERGENCY MEDICINEAddison, Bruce DOGender: MaleNPI: 1629094552

43349 S Hwy 181(800) 962-3303Hospital Affiliations:Christus Spohn HospitalKleberg; Otto KaiserMemorial Hospital; CorpusChristi Medical Center;Christus Spohn Hos CctxShoreline; McCameyHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: SpanishAlprin, Clifford N MDGender: MaleNPI: 1568504835

43349 S Highway 181(281) 363-3156Hospital Affiliations: OttoKaiser Memorial Hospital;Cuero Regional Hospital;Northeast Baptist Hospital;Uvalde Memorial Hospital;North Central BaptistHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: Spanish

u Arkangel, Carmelito MDGender: MaleNPI: 1689684060

43349 S Highway 181(800) 962-3303Hospital Affiliations:University Health System;Otto Kaiser MemorialHospital; Cuero RegionalHospital; Citizens MedicalCenter; Methodist Spec &Transplant Hosp; UvaldeMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency Medicine

Bailey, Tennessee MDGender: FemaleNPI: 1790218246

43349 S Highway 181(830) 583-3401Hospital Affiliations:Lavaca Medical Center; StDavids Medical Center;Otto Kaiser MemorialHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneBeckum, Orlando K MDGender: MaleNPI: 1134149016

43349 S Hwy 181(800) 962-3303Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Otto Kaiser MemorialHospital; Lavaca MedicalCenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneBerney, Joseph P MDGender: MaleNPI: 1578591434

43349 S Highway 181(830) 583-3401Hospital Affiliations:Sagecrest HospitalCarrollton; Otto KaiserMemorial Hospital; StJoseph Regional HealthCenter; Freestone MedicalCenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneBrancker, Christopher SMDGender: MaleNPI: 1679928576

43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

Brocker, Jason A MDGender: MaleNPI: 1952564395

43349 S Highway 181(281) 363-3156Hospital Affiliations:South Texas HealthSystem; Otto KaiserMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneBrown, Justin R DOGender: MaleNPI: 1740504695

43349 S Highway 181(281) 363-3156Hospital Affiliations:Uvalde Memorial Hospital;Otto Kaiser MemorialHospital; El CampoMemorial Hospital;Northeast MethodistHospital; Cuero RegionalHospital; Santa RosaMedical CenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneCabrera, Ernest E MDGender: MaleNPI: 1568443323

43349 S Highway 181(281) 363-3156Hospital Affiliations:Uvalde Memorial Hospital;Dimmit Regional Hospital;Otto Kaiser MemorialHospital; Doctors Hospitalof Laredo; South TexasHealth System; StarrCounty Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KENEDY 01/19/2021

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KENEDY (continued)

EMERGENCY MEDICINE(continued)Chechani, Ryan R MDGender: MaleNPI: 1285169524

43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial Hospital;University Health SystemClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneCisneroz, Arnulfo MDGender: MaleNPI: 1417930595

43349 S Hwy 181(800) 962-3303Hospital Affiliations:Memorial Hosp Sievers &Waelder; Otto KaiserMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneCoats, Rebecca A MDGender: FemaleNPI: 1528048030

43349 S Hwy 181(281) 363-3156Hospital Affiliations: OttoKaiser Memorial Hospital;St Davids N Austin MedicalCtr; St Davids GeorgetownHospital; Cuero RegionalHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

u Davis, Susan R MDGender: FemaleNPI: 1265403182

43349 S Hwy 181(830) 583-3401Hospital Affiliations:University Medical Center;Palo Pinto GeneralHospital; Covenant HealthSystem; Lamb HealthcareCenter; Muleshoe AreaMedical CenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency MedicineDemchur, Nora J MDGender: FemaleNPI: 1194222331

♿43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneDiamond, Michael J MDGender: MaleNPI: 1679735625

43349 S Hwy 181(800) 962-3303Hospital Affiliations:Uvalde Memorial Hospital;Liberty Dayton RegionalMedical; Northwest HillsSurgical Hospital; CueroRegional Hospital; OttoKaiser Memorial Hospital;Northeast MethodistHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

Dix Emperador, Lisa MMDGender: FemaleNPI: 1568410975

43349 S Hwy Ste 181(800) 962-3303Hospital Affiliations:Heart Hospital of Austin;East Texas Medical Center;John Peter Smith Hospital;St Davids Medical Center;St Davids GeorgetownHospital; StephensMemorial Hospital; UvaldeMemorial Hospital; CueroRegional Hospital; BaptistHealth SystemClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: SpanishDunlap, Donald C MDGender: MaleNPI: 1518995752

43349 S Highway 181(281) 363-3156Hospital Affiliations: OttoKaiser Memorial Hospital;Bs&w Surgical HospitalFort Worth; HaskellMemorial Hospital; KindredHospital MansfieldClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: SpanishEscobedo, John A MDGender: MaleNPI: 1134583628

43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

u Fajardo, Arthur B MDGender: MaleNPI: 1841324902

43349 S Highway 181(281) 363-3156Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency MedicineFamilua, Oluwamayowa FMDGender: MaleNPI: 1063714970

43349 S Highway 181(281) 363-3156Hospital Affiliations: DelSol Camp Lpdsh; JacksonHealthcare Center; Hospsof Providence SierraCampus; Otto KaiserMemorial Hospital;Metropolitan MethodistHospital; Kindred HospitalHouston Medical; HospsProvidence MemorialCampus; PalestineRegional Medical Center;Frio Regional Hospital;Paris Regional MedicalCenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: YorubaFannell, Matthew W MDGender: MaleNPI: 1790044683

43349 S Hwy 181(800) 962-3303Hospital Affiliations: OttoKaiser Memorial Hospital;Frio Regional Hospital;Bs&w Medical CenterTempleClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KENEDY

189

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

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KENEDY (continued)

EMERGENCY MEDICINE(continued)

u Fehr, Gregory B MDGender: MaleNPI: 1306812250

43349 S Highway 181(830) 583-3401Hospital Affiliations:Knapp Medical Center;Wilson N Jones RegionalMed Ctr; South TexasHealth System; Otto KaiserMemorial Hospital; ValVerde Regional MedicalCenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency Medicine

u Flanagan, John R MDGender: MaleNPI: 1730159823

43349 S Hwy 181(800) 962-3303Hospital Affiliations:Christus Santa Rosa NewBraunfels; GuadalupeRegional Medical Center;Otto Kaiser MemorialHospital; Rollins BrookCommunity Hospital;Uvalde Memorial Hospital;Seton Medical Ctr HarkerHeightsClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency MedicineGarfield, Herbert I MDGender: MaleNPI: 1215938626

43349 S Hwy 181(800) 962-3303Hospital Affiliations: FrioRegional Hospital; ValVerde Regional MedicalCenter; Otto KaiserMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: Spanish

Garrett, William E MDGender: MaleNPI: 1669441606

43349 S Highway 181(281) 363-3156Hospital Affiliations: HcaHouston HealthcareSoutheast; Tyler CountyHospital; The PhysiciansCentre; Bellville MedicalCenter; Otto KaiserMemorial Hospital;Shannon Medical Center;Cuero Regional HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneGarza, Rene DOGender: MaleNPI: 1982698395

43349 S Hwy 181(281) 363-3156Hospital Affiliations:Ascension Seton Edgar BDavis; Rollins BrookCommunity Hospital;Peterson Regional MedicalCenter; Otto KaiserMemorial Hospital; GrimesSt Joseph Health CenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneHammeke, Margarita GDOGender: FemaleNPI: 1164479523

43349 S Highway 181(281) 363-3156Hospital Affiliations: GlenRose Medical Center; OttoKaiser Memorial Hospital;Northeast MethodistHospital; Uvalde MemorialHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

Hathaway, Katharina MDGender: FemaleNPI: 1346224094

43349 S Highway 181(281) 363-3156Hospital Affiliations: OttoKaiser Memorial Hospital;Northwest Hills SurgicalHospital; St Davids MedicalCenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

u Hilliard, Rudyard L MDGender: MaleNPI: 1407830979

43349 S Highway 181(281) 363-3156Hospital Affiliations:Cuero Regional Hospital;Methodist Hospital;Jackson HealthcareCenter; Legent Hospital;Otto Kaiser MemorialHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency MedicineLanguage: Spanish

u Hood, Howard H MDGender: MaleNPI: 1881630218

43349 S Highway 181(281) 363-3156Hospital Affiliations:Palestine Regional MedicalCenter; Detar HospitalNavarro; Otto KaiserMemorial Hospital; ChristusJasper Memorial Hospital;Uvalde Memorial Hospital;Sagecrest HospitalCarrollton; St JosephRegional Health Center;Christus Hospital StElizabethClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency Medicine

Jackson, Phillip F MDGender: MaleNPI: 1023088895

43349 S Hwy 181(940) 325-7891Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneJones, William W DOGender: MaleNPI: 1861476335

43349 S Hwy 181(281) 363-3156Hospital Affiliations:Ennis Regional MedicalCenter; Uvalde MemorialHospital; Lillian MHudspeth Memorial Hosp;Limestone Medical Center;Medical City McKinney;Otto Kaiser MemorialHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

u Kizzart, Jerome D MDGender: MaleNPI: 1750329140

43349 S Highway 181(281) 363-3156Hospital Affiliations:Comanche County MedicalCenter; Otto KaiserMemorial Hospital; SouthTexas Spine & SurgicalHosp; Baptist HealthSystem; Connally MemorialMedical CenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency MedicineLanguage: SpanishLee, Rebekka A DOGender: FemaleNPI: 1528594199

43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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KENEDY (continued)

EMERGENCY MEDICINE(continued)Lorenz, Richard F DOGender: MaleNPI: 1457392284

4320 N Main St(806) 652-3373

43349 S Highway 181(800) 962-3303Hospital Affiliations:Jackson HealthcareCenter; Otto KaiserMemorial Hospital; JacksonHealthcare Center; GrimesSt Joseph Health Center;Otto Kaiser MemorialHospital; Grimes St JosephHealth CenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLoyola, David A MDGender: MaleNPI: 1174978142

43349 S Highway 181(830) 583-3401Hospital Affiliations:Doctors Hospital atRenaissance; Otto KaiserMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLuong, Ben MDGender: MaleNPI: 1770551103

43349 S Highway 181(281) 363-3156Hospital Affiliations: FrioRegional Hospital;Foundation Surgical SanAntonio; Otto KaiserMemorial Hospital; RollingPlains Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

Marin, James A MDGender: MaleNPI: 1992239966

43349 S Highway 181(830) 583-3401Hospital Affiliations:Uvalde Memorial Hospital;Otto Kaiser MemorialHospital; St Davids MedicalCenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneMcNeil, Kristin MDGender: FemaleNPI: 1356532741

43349 S Highway 181(281) 363-3156Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneMoza, Joseph MDGender: MaleNPI: 1356336127

43349 S Highway 181(281) 363-3156Hospital Affiliations: OttoKaiser Memorial Hospital;Sagecrest HospitalCarrollton; NacogdochesMemorial HealthClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneMunion, William M MDGender: MaleNPI: 1255829784

43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial Hospital;Refugio County MemorialHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

Neugebauer, Amber L DOGender: FemaleNPI: 1477040061

43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial Hospital;Refugio County MemorialHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneOhara, Sean M MDGender: MaleNPI: 1023429370

43349 S Highway 181(830) 583-3401Hospital Affiliations:Metropolitan MethodistHospital; NortheastMethodist Hospital;Methodist Hospital; OttoKaiser Memorial Hospital;Nacogdoches MedicalCenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneOkea, Remigius N MDGender: MaleNPI: 1235334624

43349 S Hwy 181(800) 962-3303Hospital Affiliations: FrioRegional Hospital; OttoKaiser Memorial Hospital;Laredo Medical Center;Dimmit Regional HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: Portuguese;Spanish

Ombaba, Jackson M MDGender: MaleNPI: 1285731521

43349 S Hwy 181(800) 962-3303Hospital Affiliations:Nacogdoches MemorialHealth; Paris RegionalMedical Center; BaptistHealth System; HamiltonHospital; Frio RegionalHospital; Uvalde MemorialHospital; MetroplexHospital; Hill CountryMemorial Hospital; JacksonHealthcare Center; DimmitRegional HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: SpanishOnishi, Tomifumi MDGender: MaleNPI: 1861680399

43349 S Hwy 181(281) 363-3156Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

u Padron, Sebastian T MDGender: MaleNPI: 1396883575

43349 S Highway 181(281) 363-3156Hospital Affiliations:Peterson Regional MedicalCenter; Ascension SetonEdgar B Davis; DimmitRegional Hospital;Ascension Seton MedCenter Austin; Otto KaiserMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency Medicine

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KENEDY

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

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KENEDY (continued)

EMERGENCY MEDICINE(continued)Ponder, Melissa MDGender: FemaleNPI: 1053832170

43349 S Highway 181(830) 583-3401Hospital Affiliations:Refugio County MemorialHospital; Otto KaiserMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneRamirez, Ramiro MDGender: MaleNPI: 1174562474

43349 S Highway 181(281) 363-3156Hospital Affiliations: FrioRegional Hospital; OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneRequa, Spencer DOGender: MaleNPI: 1538692819

43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial Hospital;Ascension Seton MedCenter Austin; RefugioCounty Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneRicks, Alfred MDGender: MaleNPI: 1750352563

43349 S Highway 181(281) 363-3156Hospital Affiliations:Sweeny CommunityHospital; Bellville MedicalCenter; El CampoMemorial Hospital; OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

Ripsin, Cynthia M MDGender: FemaleNPI: 1457328296

43349 S Highway 181(281) 363-3156Hospital Affiliations:Navarro Regional Hospital;UTMB Health Galveston;Ascension Seton MedCenter Austin; Otto KaiserMemorial Hospital; DoctorsHospital Parkway Tidwell;Memorial Hermann SEHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: SpanishRojas Walsson, RomeoMDGender: MaleNPI: 1881694008

43349 S Highway 181(281) 363-3156Hospital Affiliations:Santa Rosa MedicalCenter; Frio RegionalHospital; Otto KaiserMemorial Hospital; HoustonMethodist Hospital;Sagecrest HospitalCarrolltonClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneRollo, Robert O MDGender: MaleNPI: 1194766311

43349 S Highway 181(281) 363-3156Hospital Affiliations:Christus Hospital StElizabeth; MemorialHospital; Chi St JosephHlth Burleson Hosp; FirstTexas Hospital; Otto KaiserMemorial Hospital;Sagecrest HospitalCarrolltonClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

u Salyer, Rena DOGender: FemaleNPI: 1285676775

43349 S Hwy 181(800) 962-3303Hospital Affiliations: OttoKaiser Memorial Hospital;Metroplex HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency MedicineSasin, Edwin J MDGender: MaleNPI: 1790704997

43349 S Highway 181(800) 962-3303Hospital Affiliations: OttoKaiser Memorial Hospital;University Medical Center;Permian Regional MedicalCenter; Muleshoe AreaMedical Center; Chi StLukes Hlth Baylor Coll MedClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneSchaner, Patrick J MDGender: MaleNPI: 1710913496

43349 S Hwy 181(800) 962-3303Hospital Affiliations:Dimmit Regional Hospital;Metropolitan MethodistHospital; Otto KaiserMemorial Hospital; ElCampo Memorial Hospital;Frio Regional Hospital;Baptist Health System;Memorial Medical Center;Methodist Hospital; NorthCentral Baptist Hospital;Santa Rosa Medical CenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: Spanish

Seaton, Cole MDGender: MaleNPI: 1205331170

43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial Hospital;Refugio County MemorialHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneSheide, Marshall DOGender: MaleNPI: 1952898108

43349 S Highway 181(830) 583-3401Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneShenouda, Rouchdy S MDGender: MaleNPI: 1992781306

43349 S Hwy 181(800) 962-3303Hospital Affiliations: OttoKaiser Memorial Hospital;Citizens Medical Center;Detar Hospital Navarro;Warm Springs SpecialtyHospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneSolis, Steven P MDGender: MaleNPI: 1982831665

43349 S Hwy 181(281) 363-3156Hospital Affiliations:University Health System;Otto Kaiser MemorialHospital; Baptist HealthSystem; Methodist StoneOak Hospital; PetersonRegional Medical Center;Methodist HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KENEDY 01/19/2021

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KENEDY (continued)

EMERGENCY MEDICINE(continued)Soza, Noe MDGender: MaleNPI: 1952399172

43349 S Hwy 181(800) 962-3303Hospital Affiliations: OttoKaiser Memorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneStoneking, Carrie M DOGender: FemaleNPI: 1568432375

43349 S Highway 181(281) 363-3156Hospital Affiliations:Bellville Medical Center;University Health System;Cuero Regional Hospital;Jackson HealthcareCenter; Ascension SetonEdgar B Davis; Otto KaiserMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: SpanishTrevino, Jaime MDGender: MaleNPI: 1811926306

43349 S Highway 181(281) 363-3156Hospital Affiliations: RioGrande Regional Hospital;Val Verde RegionalMedical Center; Otto KaiserMemorial Hospital; VlyBaptist Med CtrBrownsville; ValleyRegional Medical Center;Grimes St Joseph HealthCenter; Lillian M HudspethMemorial Hosp; DoctorsHospital at RenaissanceClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

Ukegbu, Ibidunni O MDGender: FemaleNPI: 1447213194

43349 S Hwy 181(281) 363-3156Hospital Affiliations:Christus Mother FrancesTyler; United Regional HlthCare System; Christus StMichael Health System;Otto Kaiser MemorialHospital; MethodistMansfield Medical Ctr;Covenant HospitalPlainview; TX Hlth HarrisMethodist Cleburne;Methodist Charlton MedicalCenter; Methodist DallasMedical CenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

u Van Burkleo, William BDOGender: MaleNPI: 1992781140

43349 S Highway 181(281) 363-3156Hospital Affiliations:Palestine Regional MedicalCenter; Otto KaiserMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency Medicine

Vu, Hang T MDGender: FemaleNPI: 1730140476

43349 S Hwy 181(281) 363-3156Hospital Affiliations:United Regional Hlth CareSystem; Otto KaiserMemorial Hospital; MedicalCity Dallas; Hca HoustonHealthcare Tomball; JohnPeter Smith Hospital; HcaHouston HealthcareNorthwest; MidlandMemorial Hospital;Encompass HealthRehabilitation H; MedicalCenter Hospital; MemorialHermann NE HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneWhite, Toni I MDGender: FemaleNPI: 1841418910

43349 S Hwy 181(800) 962-3303Hospital Affiliations:Hosps of Providence SierraCampus; Uvalde MemorialHospital; Otto KaiserMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: Afar

Woodward, Harold L MDGender: MaleNPI: 1932123254

43349 S Highway 181(830) 583-3401Hospital Affiliations: W JMangold MemorialHospital; Val VerdeRegional Medical Center;Frio Regional Hospital; ChiSt Lukes Mem SanAugustine; MemorialMedical Center; GoldenPlains Community Hospital;Stonewall MemorialHospital; JacksonHealthcare Center; LegentHospital; ComancheCounty Medical CenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:None

u Yoganandan, PrameelaMDGender: FemaleNPI: 1811949290

43349 S Hwy 181(800) 962-3303Hospital Affiliations:Connally Memorial MedicalCenter; Ascension SetonHays; Cuero RegionalHospital; Otto KaiserMemorial Hospital;Ascension Seton HighlandLakes; Ward MemorialHospital; Lavaca MedicalCenter; Houston MethodistSugar Land Hosp; UvaldeMemorial Hospital; GoldenPlains Community HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:Emergency MedicineLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KENEDY

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4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.

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KENEDY (continued)

EMERGENCY MEDICINE(continued)Young, Michael R DOGender: MaleNPI: 1568550515

43349 S Highway 181(830) 583-3401Hospital Affiliations:Jackson HealthcareCenter; Limestone MedicalCenter; Lillian M HudspethMemorial Hosp; MuleshoeArea Medical Center; ChiSt Lukes Health Memorial;Parkview Hospital;Woodland Heights MedicalCenter; W J MangoldMemorial HospitalClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: SpanishYousuf, Almas MDGender: FemaleNPI: 1396757647

43349 S Hwy 181(800) 962-3303Hospital Affiliations: OttoKaiser Memorial Hospital;Christus Santa Rosa SanMarcosClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: Arabic; Hindi;Punjabi; Urdu

Zawislak, Walter J MDGender: MaleNPI: 1992787568

43349 S Hwy 181(281) 363-3156Hospital Affiliations:Muleshoe Area MedicalCenter; Otto KaiserMemorial Hospital;Limestone Medical Center;Nacogdoches MedicalCenter; Fisher CountyHospital District; LambHealthcare CenterClinic Affiliation: ConcordMedical Group PLLCBoard Certifications:NoneLanguage: Spanish

FAMILY PRACTICEMoody, Mary G APNGender: FemaleNPI: 1487697660113 W Main St(830) 583-0612Clinic Affiliation: KenedyFamily Practice; YorktownMedical ClinicBoard Certifications:NoneLanguage: Spanish

INTERNAL MEDICINEu Pollono, Eduardo N MDGender: FemaleNPI: 10030468063349 S Highway 181Ste A(210) 585-4267Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:Cardiovascular Disease;Internal Medicine

NEPHROLOGYu Kobert, John E DOGender: MaleNPI: 1376528810

♿3349 S Hwy 181(830) 216-2606Hospital Affiliations: OttoKaiser Memorial Hospital;Connally Memorial MedicalCenter; Methodist HospitalSouth; Methodist Hospital;Peterson Regional MedicalCenter; Santa RosaMedical Center; HillCountry Memorial HospitalClinic Affiliation: SanAntonio Kidney DiseaseCenter Phys Grp PLLCBoard Certifications:NephrologyLanguage: Spanish

OPHTHALMOLOGYu Hager, Aaron C MDGender: MaleNPI: 13667493433313 S Highway 181Ste 8(210) 930-2015Clinic Affiliation: RiverCity Eye Associates PLLCBoard Certifications:Ophthalmology

PATHOLOGYNortheast PathologyGroup PAGender: FemaleNPI: 1881772283

43349 S Highway 181(361) 575-1111Hospital Affiliations: DellSeton Medical Center atUT; Citizens MedicalCenter; University HealthSystemClinic Affiliation:Northeast Pathology GroupPABoard Certifications:None

Schwab, Chet L MDGender: MaleNPI: 1679892798

43349 S Hwy 181(361) 575-1111Hospital Affiliations:Citizens Medical Center; StDavids N Austin MedicalCtr; Bay Area HoustonEndoscopy Center;Citizens Medical Center; StDavids N Austin MedicalCtr; Bay Area HoustonEndoscopy CenterClinic Affiliation:Northeast Pathology GroupPA; Regional PathologyAssociatesBoard Certifications:NoneValasek, Mark A MDGender: MaleNPI: 1588808448

43349 S Highway 181(361) 575-1111Hospital Affiliations: BayArea Houston EndoscopyCenter; Citizens MedicalCenterClinic Affiliation:Northeast Pathology GroupPA; Regional PathologyAssociatesBoard Certifications:None

u Walters, Leslie L MDGender: MaleNPI: 1164453486

43349 S Highway 181(361) 575-1111Hospital Affiliations:Medical City Dallas;Citizens Medical Center;Medical City DallasClinic Affiliation:Northeast Pathology GroupPA; Regional PathologyAssociatesBoard Certifications:Pathology

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KENEDY 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.

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KENEDY (continued)

PHYSICIAN ASSISTANTEdwards, Valerie T PAGender: FemaleNPI: 1992177273

♿3349 S Hwy 181Ste 3(830) 583-9355Clinic Affiliation: KaiserFamily PracticeBoard Certifications:NoneHuber, Nelda PAGender: FemaleNPI: 1265473771

♿113 W Main St(830) 583-0627Clinic Affiliation: KenedyFamily PracticeBoard Certifications:NoneLanguage: SpanishMartin, Allison L PAGender: FemaleNPI: 11545672123349 S Highway 181Ste 6(210) 829-5180Clinic Affiliation: TexasDermatology & LaserSpecialBoard Certifications:NoneMims, Susan L PAGender: FemaleNPI: 1124473616

♿113 W Main St(830) 583-0612Clinic Affiliation: CueroMedical Clinic; GoliadFamily Practice; KenedyFamily Practice; ParksideFamily ClinicBoard Certifications:NoneLanguage: Spanish

PODIATRYu Cheleuitte, Elias R DPMGender: MaleNPI: 1972594455

♿3349 S Highway 181(210) 227-4164Hospital Affiliations:Baptist Health System;Metropolitan MethodistHospitalClinic Affiliation: ThePodiatry Group of SouthTexas PABoard Certifications:PodiatryLanguage: Spanish

KINGSVILLE

ANESTHESIOLOGYu Brady, Kevin M MDGender: MaleNPI: 1528002045

41311 E General CavazosBlvd(361) 595-1661Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline; PaloPinto General HospitalClinic Affiliation:Emergenchealth LLCBoard Certifications:AnesthesiologyHeinrich, Michael S MDGender: MaleNPI: 1710930938

41311 E General CavazosBlvd(361) 595-1661Hospital Affiliations: ChiSt Lukes Hlth MemLivingston; NacogdochesMedical Center; FortDuncan Medical Center LP;Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx ShorelineClinic Affiliation:Emergenchealth LLCBoard Certifications:None

u Jung, Harry H MDGender: MaleNPI: 1740224674

41311 E General CavazosBlvd(361) 595-1661Hospital Affiliations: StDavids GeorgetownHospital; Chi St Lukes HlthMem Livingston; ChristusSpohn Hos Cctx Shoreline;Ascension Seton MedCenter Austin; UTMBHealth Galveston; DellSeton Medical Center atUT; St Davids MedicalCenter; Hosps ProvidenceMemorial Campus;Woodland Heights MedicalCenter; Bs&w MedicalCenter TaylorClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

u Lemons, Mark F MDGender: MaleNPI: 1548225717

41311 E General CavazosBlvd(361) 595-1661Hospital Affiliations:Knapp Medical Center;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx MemorialClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

u Rubio, Jose A MDGender: MaleNPI: 1225281645

41311 E General CavazosBlvd(361) 595-1661Hospital Affiliations:Medical City Dallas;Christus Spohn Hos CctxShoreline; South TexasHealth SystemClinic Affiliation:Emergenchealth LLCBoard Certifications:Anesthesiology

u Tom, Timothy D MDGender: MaleNPI: 1801882444

41311 General Cavazos Blvd(800) 277-8151Hospital Affiliations:Christus Spohn Hos CctxShoreline; Chi St LukesHealth MemorialClinic Affiliation: TimothyTom MD PABoard Certifications:Anesthesiology

ANP/CERT/CLNPAizon, Bernice J APNGender: FemaleNPI: 1083177984

U401 E King Ave(361) 221-2943Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneAquino, Cherrie A APNGender: FemaleNPI: 1922404375401 E King AveSte B(361) 884-2904Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneAyarzagoitia, Patrick APNGender: MaleNPI: 1649568239

U500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:NoneBuchanan, Dana X APNGender: FemaleNPI: 11545185461000 S 14th StSte 1022b(361) 595-1875Clinic Affiliation: Womensand Mens Health ServicesOBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KENEDY

195

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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KINGSVILLE(continued)

ANP/CERT/CLNP(continued)Byrom, Shelby L APNGender: FemaleNPI: 19023460341311 E General CavazosBlvd Ste 305(361) 592-22231311 General Cavazos BlvdSte 305(361) 592-2223Clinic Affiliation: ChristusPhysician Group; TrinityClinicBoard Certifications:NoneCabano, Sara N APNGender: FemaleNPI: 15285882251000 S 14th St Ste 1022b(361) 885-9107Clinic Affiliation: Womensand Mens Health ServicesOBoard Certifications:NoneCapupus, Juan APNGender: MaleNPI: 1891168597500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:None

u Castaneda, Ernest APNGender: MaleNPI: 1295183200

U500 E Caesar Ave(361) 516-0800♿U914 E Fordyce AveSte A(361) 221-2461Clinic Affiliation:Castaneda Quick CarePLLC; Statcare MinorEmergency ClinicBoard Certifications:ANP/CERT/CLNPLanguage: Spanish

Culver, Tracy L APNGender: FemaleNPI: 1194233411

U401 E King Ave(361) 884-2904Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneDeleon, Rudolfo C APNGender: MaleNPI: 1881821692

U401 E King Ave(361) 884-2904Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneLanguage: SpanishDematt, Christopher LAPNGender: MaleNPI: 1134737158

♿U401 E King Ave(361) 221-2943Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneEvans, Johanna D APNGender: FemaleNPI: 1568019958

U914 E Fordyce AveSte A(361) 221-2461Clinic Affiliation:Castaneda Quick CarePLLCBoard Certifications:None

u Francis, William R APNGender: MaleNPI: 1457994436500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:ANP/CERT/CLNP

Garza, Elizabeth B APNGender: FemaleNPI: 12557466401601 S US Highway 77 BypUnit 7(361) 592-8531Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneGonzales, Melissa A APNGender: FemaleNPI: 13264952011000 S 14th StSte 1022b(361) 595-1875Clinic Affiliation: Womensand Mens Health ServicesOBoard Certifications:NoneLanguage: Arabic;Burmese; Cantonese;Farsi; FrenchHubert, Kelli M APNGender: FemaleNPI: 1124383245

U401 E King Ave(361) 221-2943Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneKing, Kevin A APNGender: MaleNPI: 1760025977

U401 E King Ave(361) 221-2943Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneLucio, Kristin D APNGender: FemaleNPI: 1639609167401 E King Ave(361) 884-2904Clinic Affiliation: AccessTotal Care LLCBoard Certifications:None

Martinez, Rosa A APNGender: FemaleNPI: 1588006308

U601 E Kleberg(361) 221-9345Clinic Affiliation:Paraclete Primary CareClinic LLCBoard Certifications:NoneLanguage: SpanishMason, Traci S APNGender: FemaleNPI: 1497127831

U500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:NoneMidyett, Ronald W APNGender: MaleNPI: 1013401488

U401 E King Ave(361) 221-2943Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneRabagos, Katherine CAPNGender: FemaleNPI: 1134415631

U500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:NoneLanguage: Spanish;TagalogRogers, Petina L APNGender: FemaleNPI: 1801443916

U500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KINGSVILLE 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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KINGSVILLE(continued)

ANP/CERT/CLNP(continued)

u Salinas, Cynthia G APNGender: FemaleNPI: 1265865307500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:ANP/CERT/CLNPSanchez, Ruviola APNGender: FemaleNPI: 1205392594

U401 E King Ave(361) 221-2943Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneSvatek, Maegan J APNGender: FemaleNPI: 1639670250500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:None

CARDIACELECTROPHYSIOLOGY

u Choucair, Wassim K MDGender: MaleNPI: 1962496620

♿1311 General CavazosBlvd Ste 203(361) 595-5303Hospital Affiliations:Christus Spohn HospitalKleberg; St Lukes BaptistHospital; Christus SpohnHospital Beeville; MethodistHospital; Corpus ChristiMedical Center; MethodistStone Oak Hospital;Christus Spohn Hos CctxShoreline; Baptist HealthSystem; Methodist TexsanHospitalClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Arabic; French;Spanish

u Shuraih, Mossaab MDGender: MaleNPI: 11443182701311 E General CavazosBlvd Ste B(361) 888-8271Hospital Affiliations:Memorial Hermann SWHospital; MemorialHermann SE Hospital; ChiSt Lukes Hlth Baylor CollMedClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Cardiac Electrophysiology

u Toth, Zoltan K MDGender: MaleNPI: 1093719882

♿1311 General CavazosBlvd Ste 203(361) 888-8271Hospital Affiliations:Christus Spohn HospitalKleberg; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South;Ascension Seton MedCenter Austin; South TexasSurgical Hospital; HeartHospital of Austin; StDavids GeorgetownHospital; St Davids MedicalCenter; Ascension SetonHaysClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Hungarian;Spanish

CARDIOVASCULARDISEASE

u Beato, Milton A MDGender: MaleNPI: 17705774391311 General Cavazos BlvdSte 201(361) 595-1522Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalKleberg; South TexasSurgical HospitalClinic Affiliation:Kingsville CardiovascularClinicBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Choucair, Wassim K MDGender: MaleNPI: 1962496620

♿1311 General CavazosBlvd Ste 203(361) 595-5303Hospital Affiliations:Christus Spohn HospitalKleberg; St Lukes BaptistHospital; Christus SpohnHospital Beeville; MethodistHospital; Corpus ChristiMedical Center; MethodistStone Oak Hospital;Christus Spohn Hos CctxShoreline; Baptist HealthSystem; Methodist TexsanHospitalClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Arabic; French;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KINGSVILLE

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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KINGSVILLE(continued)

CARDIOVASCULARDISEASE (continued)

u Coutin, Rafael F MDGender: MaleNPI: 16795742301311 E General CavazosBlvdBlvd Ste B(361) 888-8271♿1311 General CavazosBlvd Ste 203(361) 888-8271Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; ChristusSpohn Hospital Beeville;Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalKleberg; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalKleberg; Christus SpohnHosp Cctx South; ChristusSpohn Hosp CctxMemorial; Corpus ChristiMedical Center; ChristusSpohn Hospital Beeville;South Texas SurgicalHospital; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Madry, Robert W MDGender: MaleNPI: 1285635342

♿1311 General CavazosBlvd Ste 2(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular DiseaseLanguage: SpanishMartinez Quinonez,Carlos E MDGender: MaleNPI: 15684639411311 E General CavazosBlvdSte B(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; ChristusSpohn Hospital Kleberg;South Texas SurgicalHospital; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouthClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLanguage: Spanish

McKinstry, Scott W MDGender: MaleNPI: 17402813021311 E General CavazosBlvdSte B(361) 888-8271♿1311 General CavazosBlvd Ste 203(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; South TexasSurgical Hospital; ChristusSpohn Hospital Kleberg;Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Christus Spohn HospitalKleberg; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalBeeville; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:NoneLanguage: Spanish

u Ormand, Jackson E MDGender: MaleNPI: 1790786168

♿1311 General CavazosBlvd Ste 203(361) 595-5303Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx Memorial;Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

Pappas, John D MDGender: MaleNPI: 1033110234

♿1311 E General CavazosBlvd Ste 203(361) 595-53031311 E General CavazosBlvd Ste B(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; ChristusSpohn Hospital Beeville;Christus Spohn Hosp CctxSouth; South TexasSurgical Hospital; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalBeeville; South TexasSurgical Hospital; ChristusSpohn Hosp Cctx South;Christus Spohn HospitalKleberg; Corpus ChristiMedical Center; ChristusSpohn Hospital KlebergClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KINGSVILLE 01/19/2021

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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KINGSVILLE(continued)

CARDIOVASCULARDISEASE (continued)

u Rodriguez, Mike E MDGender: MaleNPI: 1306847504

♿1311 E General CavazosBlvd Ste 203(361) 888-82711311 E General CavazosBlvd Ste B(361) 888-8271Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalKleberg; Christus SpohnHospital Beeville; SouthTexas Surgical Hospital;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Corpus Christi MedicalCenter; Christus SpohnHospital KlebergClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Szalai, Gabor MDGender: MaleNPI: 11949928181311 E General CavazosBlvd Ste B(361) 888-8271♿1311 General CavazosBlvd Ste 203(361) 595-5303Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; HoustonMethodist Hospital; CorpusChristi Medical Center;Christus Spohn HospitalKleberg; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Houston MethodistHospital; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx SouthClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Toth, Zoltan K MDGender: MaleNPI: 1093719882

♿1311 General CavazosBlvd Ste 203(361) 888-8271Hospital Affiliations:Christus Spohn HospitalKleberg; Christus SpohnHosp Cctx Memorial;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South;Ascension Seton MedCenter Austin; South TexasSurgical Hospital; HeartHospital of Austin; StDavids GeorgetownHospital; St Davids MedicalCenter; Ascension SetonHaysClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Hungarian;SpanishUpmanyu, Sant K MDGender: MaleNPI: 1609860931

♿1311 General CavazosBlvd Ste 2(361) 595-5303Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx Shoreline;Driscoll Childrens HospitalClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

u Venkatachalam, SridharMDGender: MaleNPI: 16595099901311 Gerneral CazalosBlvd Ste 203(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease

CHIROPRACTICBecton, James M DCGender: MaleNPI: 1154815538426 E King Ave(361) 516-0751Clinic Affiliation: CalallenChiropracticBoard Certifications:NoneHornsby, Charles H DCGender: MaleNPI: 1285775080425 E King Ave(361) 767-3300Clinic Affiliation: CalallenChiropracticBoard Certifications:NoneLanguage: SpanishMcArthur, Derek W DCGender: MaleNPI: 1679519177

♿425 E King Ave(361) 516-0751Clinic Affiliation: CalallenChiropracticBoard Certifications:NoneLanguage: SpanishSuarez, Jose J DCGender: MaleNPI: 1366553646

♿1400 South 14th Street(361) 592-7702Board Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KINGSVILLE

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♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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KINGSVILLE(continued)

GENERAL SURGERYFlores, Luis F MDGender: MaleNPI: 13069227941311 General CavazosBlvd(361) 720-30031311 General CavazosBlvd Ste O(361) 595-1843Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: LuisFelipe Flores MD PLLCBoard Certifications:NoneLanguage: SpanishSubnani, Raj MDGender: MaleNPI: 1992707848

♿1300 General CavazosBlvd(361) 668-0055Hospital Affiliations:Christus Spohn HospitalKleberg; Christus SpohnHospital AliceBoard Certifications:NoneLanguage: Gujarati; Hindi;Marathi; Sindhi

INTERVENTIONALCARDIOLOGYMcKinstry, Scott W MDGender: MaleNPI: 1740281302

♿1311 General CavazosBlvd Ste 203(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Christus Spohn HospitalKleberg; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: SpanishPappas, John D MDGender: MaleNPI: 1033110234

♿1311 E General CavazosBlvd Ste 203(361) 595-5303Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; SouthTexas Surgical Hospital;Christus Spohn Hosp CctxSouth; Christus SpohnHospital Kleberg; CorpusChristi Medical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

u Rodriguez, Mike E MDGender: MaleNPI: 1306847504

♿1311 E General CavazosBlvd Ste 203(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHospital Kleberg; ChristusSpohn Hospital Beeville;South Texas SurgicalHospital; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Szalai, Gabor MDGender: MaleNPI: 1194992818

♿1311 General CavazosBlvd Ste 203(361) 595-5303Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHospital Kleberg; ChristusSpohn Hosp Cctx South;Houston MethodistHospital; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalBeevilleClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

NUTRITION & DIETETICSu Deyhim, Farzad RDGender: MaleNPI: 1669648440

♿1311 E General CavazosBlvd Ste 303 C(361) 592-3237♿1621 E Corral Ave(361) 592-6481Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Nutrition & DieteticsLanguage: American Sign;Spanish; American Sign;Spanish

OBSTETRICS-GYNECOLOGYAdhyaru, Harsh Y MDGender: MaleNPI: 15283121211311 E General CavazosBlvd Ste 305(361) 592-2223Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneBoyd, Martin A MDGender: MaleNPI: 1669517769

♿1311 General CavazosBlvd Ste 305(361) 592-2223Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KINGSVILLE 01/19/2021

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KINGSVILLE(continued)

OCCUPATIONALTHERAPYHernandez, Rosa M OTGender: FemaleNPI: 1750597225

♿1311 E General CavazosBlvd Ste 303 C(361) 592-3237♿1621 E Corral Ave(361) 592-6481Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;SpanishRobertson, Michael J OTGender: MaleNPI: 1710085436

♿1311 E General CavazosBlvd Ste 303c(261) 592-3237♿1621 E Corral Ave(361) 592-64811724 S Brahma BlvdSte 105(361) 592-0041Clinic Affiliation:Community Action SouthTexashealth Clinic; KidzRehab Center IncBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;Spanish; American Sign;Spanish

OPHTHALMOLOGYu Moore, Jacob J MDGender: MaleNPI: 1144249277

♿1126 S 14th St Ste A(361) 592-6141Hospital Affiliations:Corpus Christi MedicalCenter; Christus-SpohnSurgicare of Corpu; ValleyBaptist Medical Center;Christus Spohn HospitalKleberg; Christus SpohnHos Cctx ShorelineClinic Affiliation: CoastalBend Eye Center PABoard Certifications:OphthalmologyLanguage: Spanish

OPTOMETRYEchevarria, Jose H ODGender: MaleNPI: 1972586261

♿219 W Kleberg Ave(361) 592-6443Clinic Affiliation: J & AVision ClinicBoard Certifications:NoneLanguage: SpanishGonzalez, Angelica M ODGender: FemaleNPI: 1699758615219 W Kleberg Ave(361) 592-6443Clinic Affiliation: J & AVision ClinicBoard Certifications:NoneLanguage: SpanishHarrison, Nancy A ODGender: FemaleNPI: 16796186071126 S 14th St(361) 882-2651Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:None

Prukop, Frank E ODGender: MaleNPI: 1780719146

♿U1133 E General Cavazos(361) 516-0888Board Certifications:NoneLanguage: SpanishRadaneata, Cristian ODGender: MaleNPI: 1992702864

♿1016 S 14th St(361) 592-4744Board Certifications:NoneLanguage: Romanian;Spanish

ORTHOPEDIC SURGERYu Del Gallo, Walter A MDGender: MaleNPI: 1780746644

♿1311 General CavazosSte 204(361) 595-5086Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; CorpusChristi Outpatient Surgery;Christus Spohn HospitalKlebergBoard Certifications:Orthopedic SurgeryLanguage: Spanish

PATHOLOGYu Simonsen, Randall L MDGender: MaleNPI: 1235261082

♿41311 General Cavazos Blvd(361) 595-1661Hospital Affiliations:Christus Spohn HospitalKleberg; Corpus ChristiMedical CenterBoard Certifications:Pathology

PHYSICAL THERAPYMcDowell, Pamela A LPTGender: FemaleNPI: 1235171141

♿U1020 G South 14th St(361) 443-2723Clinic Affiliation: PamelaA McDowell PCBoard Certifications:NoneLanguage: SpanishOaferina, Aleth H LPTGender: MaleNPI: 1235113754

♿1311 E General CavazosBlvdSte 303 C(361) 592-3237♿1621 E Corral Ave(361) 592-6481Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishOliver, Donald R LPTGender: MaleNPI: 1528083136

♿U1028 S 14th St(361) 488-6335Clinic Affiliation: OliverPhysical Therapy and SportBoard Certifications:NoneLanguage: English;SpanishSweigart, Chad E LPTGender: MaleNPI: 1265608046

♿1311 E General CavazosBlvd Ste 303c(361) 592-3237♿1621 E Corral Ave(361) 592-6481♿415 S Sixth St(361) 592-3237Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KINGSVILLE

201

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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KINGSVILLE(continued)

PHYSICIAN ASSISTANTArthur, Andrew A PAGender: MaleNPI: 17908242901218 N Armstrong Ave(361) 595-1929Clinic Affiliation: SouthTexas Family Planning &HeaBoard Certifications:NoneLanguage: SpanishBryant, Jerin D PAGender: FemaleNPI: 1881881274

♿510 E Caesar Ave(361) 592-8588Clinic Affiliation: QualityCare Medical Center of KiBoard Certifications:NoneLanguage: SpanishCapupus, Mari A PAGender: FemaleNPI: 1740517945500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:NoneFelhofer, Hannah M PAGender: FemaleNPI: 1801387220

U500 E Caesar Ave(361) 516-0800Clinic Affiliation: StatcareMinor Emergency ClinicBoard Certifications:None

SPEECH PATHOLOGYDe La Paz, Emma G SLPGender: FemaleNPI: 1861532251

♿1724 S Brahma BlvdSte 105(361) 592-0041Clinic Affiliation: KidzRehab Center IncBoard Certifications:NoneLanguage: Spanish

Dominguez, Olinda M SLPGender: FemaleNPI: 1215077631415 S Sixth St(361) 592-3237Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishGarcia, Sonia SLPGender: FemaleNPI: 1790949386

♿1311 E General CavazosBlvd Ste 303 C(361) 592-3237♿1621 E Corral Ave(361) 592-6481Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;SpanishHernandez Perez, LydiaSLPGender: FemaleNPI: 1407996655

♿1724 S Brahma BlvdSte 105(361) 592-0041Clinic Affiliation: KidzRehab Center IncBoard Certifications:NoneLanguage: SpanishLindsey, Kim M SLPGender: FemaleNPI: 13567302121311 E General CavazosBlvd Ste 303 C(361) 592-32371621 E Corral Ave(361) 592-6481Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:None

Ogando, Yvette G SLPGender: FemaleNPI: 1558589705

♿1311 E General CavazosBlvdSte 303 C(361) 592-3237♿1621 E Corral Ave(361) 592-6481Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish; American Sign;SpanishRegan, Elizabeth A SLPGender: FemaleNPI: 18819603181311 E General CavazosBlvdSte 303 C(361) 592-32371621 E Corral Ave(361) 592-6481Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneTamez Munson, Patricia VSLPGender: FemaleNPI: 16493269431311 E General CavazosBlvdSte 303 C(361) 592-32371621 E Corral Ave(361) 592-6481Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

THERAPEUTICOPTOMETRYEchevarria, Jose H ODGender: MaleNPI: 1972586261

♿219 W Kleberg Ave(361) 592-6443Clinic Affiliation: J & AVision ClinicBoard Certifications:NoneLanguage: SpanishGonzalez, Angelica M ODGender: FemaleNPI: 1699758615219 W Kleberg Ave(361) 592-6443Clinic Affiliation: J & AVision ClinicBoard Certifications:NoneLanguage: SpanishHarrison, Nancy A ODGender: FemaleNPI: 16796186071126 S 14th St(361) 882-2651Clinic Affiliation: CoastalBend Eye Center PABoard Certifications:NonePrukop, Frank E ODGender: MaleNPI: 1780719146

♿U1133 E General Cavazos(361) 516-0888Board Certifications:NoneLanguage: SpanishRadaneata, Cristian ODGender: MaleNPI: 1992702864

♿1016 S 14th St(361) 592-4744Board Certifications:NoneLanguage: Romanian;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KINGSVILLE 01/19/2021

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.

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KINGWOOD

PEDIATRICCARDIOLOGY

u Quinones, Jose A MDGender: MaleNPI: 168961137822999 US Hwy 59nSte 201(281) 554-430022999 US Hwy 59nSte 264(281) 554-4300Hospital Affiliations: TheWomans Hospital of Texas;Driscoll Childrens Hospital;Hca Houston HealthcareClear Lake; DriscollChildrens Hospital; HcaHouston Healthcare ClearLake; Houston MethodistHospital; The WomansHospital of TexasClinic Affiliation: HoustonPediatric Spcl Grp PLLCBoard Certifications:Pediatric CardiologyLanguage: Spanish

KOSSE

ANP/CERT/CLNPRoark, Wanda K APNGender: FemaleNPI: 1134332117

♿206 N Narcissus(254) 375-7001Clinic Affiliation: KosseCommunity Health Clinic ALimestone MedicalBoard Certifications:NoneLanguage: Spanish

LUBBOCK

CHIROPRACTICPartain, Joshua L DCGender: MaleNPI: 1750336947

♿U4019 112th St(806) 272-4000Clinic Affiliation: PartainChiropractic Wellness CenBoard Certifications:NoneLanguage: Spanish

MATHIS

ANP/CERT/CLNPGroff, Donna K APNGender: FemaleNPI: 15988296811205 E San Patricio Ave(361) 678-4461Clinic Affiliation: MathisHealth ClinicBoard Certifications:None

NUTRITION & DIETETICSu Deyhim, Farzad RDGender: MaleNPI: 1669648440

♿502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Nutrition & DieteticsLanguage: American Sign;Spanish

OCCUPATIONALTHERAPYHernandez, Rosa M OTGender: FemaleNPI: 1750597225

♿502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish

Robertson, Michael J OTGender: MaleNPI: 1710085436

♿502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish

PHYSICAL THERAPYOaferina, Aleth H LPTGender: MaleNPI: 1235113754

♿502 E San Patricio Ave(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishSweigart, Chad E LPTGender: MaleNPI: 1265608046

♿502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SPEECH PATHOLOGYDominguez, Olinda M SLPGender: FemaleNPI: 1215077631502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

Garcia, Sonia SLPGender: FemaleNPI: 1790949386

♿502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishLindsey, Kim M SLPGender: FemaleNPI: 1356730212502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneOgando, Yvette G SLPGender: FemaleNPI: 1558589705

♿502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishRegan, Elizabeth A SLPGender: FemaleNPI: 1881960318502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneTamez Munson, Patricia VSLPGender: FemaleNPI: 1649326943502 E San Patricio(361) 547-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KINGWOOD

203

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NEW BRAUNFELS

ANP/CERT/CLNPSteitle, Russell W APNGender: MaleNPI: 1942764832

U1761 S State Highway 46Ste 104(830) 433-7816Hospital Affiliations:Ascension Seton MedCenter AustinClinic Affiliation:Guadalupe RegionalMedical GroupBoard Certifications:None

PHYSICIAN ASSISTANTPowell, Jason M PAGender: MaleNPI: 1043361702

U1761 S State Highway 46Ste 104(830) 433-7816Clinic Affiliation:Guadalupe RegionalMedical GroupBoard Certifications:NoneLanguage: Spanish

NORMANNA

ANP/CERT/CLNPBlack, Barbara APNGender: FemaleNPI: 1104337336

U624 Main St(361) 937-3782Clinic Affiliation: DayPrimary Care PLLCBoard Certifications:NoneDay, Cristi L APNGender: FemaleNPI: 1376799221624 Main(361) 876-9669Clinic Affiliation: DayPrimary Care PLLCBoard Certifications:None

ORANGE GROVE

PHYSICIAN ASSISTANTAlvillar, Michael F PAGender: MaleNPI: 1932765757101 S Eugenia St(361) 382-2024Clinic Affiliation:Hometown Healthcare LLCBoard Certifications:NoneThompson, Will D PAGender: MaleNPI: 1659310175

♿101 Eugenia St(361) 382-2024Clinic Affiliation:Hometown Healthcare LLCBoard Certifications:NoneLanguage: Spanish

PEARLAND

RHEUMATOLOGYSalvady, Hema MDGender: FemaleNPI: 160996288511555 Magnolia PkwySte 110(281) 957-9127Hospital Affiliations:Houston Methodist ClearLake Hosp; KindredHospital Clear Lake; Chi StLukes Hlth Baylor CollMed; Hca HoustonHealthcare Clear LakeClinic Affiliation:Prashanth R SunkureddiMD PABoard Certifications:None

PORT ARANSAS

ANP/CERT/CLNPRussell, Janie C APNGender: FemaleNPI: 1144411026

♿600 Cut Off RdSte 14(361) 749-1930Clinic Affiliation: Bruce LRussell MD PLLCBoard Certifications:None

PORTER

OBSTETRICS-GYNECOLOGYTracy, Tiffany N MDGender: FemaleNPI: 161922625525553 US Hwy 59(713) 442-0427Hospital Affiliations: StLukes The WoodlandsHospitalClinic Affiliation: KelseySeybold Medical GroupPLLCBoard Certifications:None

PORTLAND

ANP/CERT/CLNPAizon, Bernice J APNGender: FemaleNPI: 1083177984

U1700 Wildcat DrSte B(361) 704-6368Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneAquino, Cherrie A APNGender: FemaleNPI: 19224043751700 Wildcat Dr(361) 704-6368Clinic Affiliation: AccessTotal Care LLCBoard Certifications:None

Culver, Tracy L APNGender: FemaleNPI: 1194233411

U1700 Wildcat DrSte B(361) 704-6368Clinic Affiliation: AccessTotal Care LLCBoard Certifications:None

u Deleon, Rudolfo C APNGender: MaleNPI: 1881821692

♿U1700 Wildcat Dr Ste B(361) 589-4068Clinic Affiliation: AccessTotal Care LLC; Sun andSurf Medical Clinic PCBoard Certifications:ANP/CERT/CLNPLanguage: SpanishDematt, Christopher LAPNGender: MaleNPI: 1134737158

♿U1700 Wildcat DrSte B(361) 704-6368Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneGarza, Mayra APNGender: FemaleNPI: 1154702447311 Buddy Ganem Ste A(361) 777-0500Clinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneHubert, Kelli M APNGender: FemaleNPI: 1124383245

U1700 Wildcat DrSte B(361) 704-6368Clinic Affiliation: AccessTotal Care LLCBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

NEW BRAUNFELS 01/19/2021

204

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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PORTLAND(continued)

ANP/CERT/CLNP(continued)King, Kevin A APNGender: MaleNPI: 1760025977

U1700 Wildcat Dr Ste B(361) 704-6368Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneLewis, Sarah E APNGender: FemaleNPI: 12658267131700 Wildcat Dr Ste BSte 207(361) 704-6368Clinic Affiliation: Sun andSurf Medical Clinic PCBoard Certifications:NoneLucio, Kristin D APNGender: FemaleNPI: 16396091671700 Wildcat DrSte B(361) 704-6368Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneMidyett, Ronald W APNGender: MaleNPI: 1013401488

U1700 Wildcat DrSte B(361) 704-6570Clinic Affiliation: AccessTotal Care LLCBoard Certifications:NoneSanchez, Ruviola APNGender: FemaleNPI: 1205392594

U1700 Wildcat DrSte B(361) 704-6368Clinic Affiliation: AccessTotal Care LLCBoard Certifications:None

Vela, Bernadette B APNGender: FemaleNPI: 1033510847311 Buddy GanemSte A(361) 777-0500Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

CHIROPRACTICKubecka, Dwayne A DCGender: MaleNPI: 1386835122

♿1500 Wildcat DrSte G(361) 777-0030Clinic Affiliation: TexasSpine & Rehab CenterBoard Certifications:NoneSmith, Grant E DCGender: MaleNPI: 1760981690

4

U1702 US Hwy 181 N Ste A3(361) 767-3300Clinic Affiliation: CalallenChiropracticBoard Certifications:None

DERMATOLOGYu Desai, Alpesh D DOGender: MaleNPI: 1386696904

♿277 Buddy GanemSte B(361) 229-7400Hospital Affiliations:Ascension Seton MedCenter Austin; MemorialHermann Greater Heights;Christus Santa Rosa SanMarcosClinic Affiliation: Alpesh DDesai DO PLLCBoard Certifications:DermatologyLanguage: Gujarati; Hindi;Spanish

u Desai, Tejas D DOGender: MaleNPI: 1902981533277 Buddy Ganem DrSte B(361) 229-7400Hospital Affiliations:Memorial Hermann GreaterHeightsClinic Affiliation: Alpesh DDesai DO PLLCBoard Certifications:DermatologyLanguage: Spanish

DIAG RADIOLOGYGershon, Ruth K MDGender: FemaleNPI: 1033475827

4

U1776 Billy G Webb(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

u O Connor, Brendon D MDGender: MaleNPI: 1861457582

♿4115 Northshore Blvd(361) 906-0969Hospital Affiliations:Laredo Medical Center;Christus Spohn HospitalBeevilleClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications: DiagRadiology; RadiologySchapman, Steven J DOGender: MaleNPI: 1144285875

♿4115 Northshore Blvd(361) 906-0969Hospital Affiliations:Laredo Medical Center;Christus Spohn HospitalKlebergClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:Radiology

Turner, Jennifer E MDGender: FemaleNPI: 1669466256

U1776 Billy G Webb(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

NEPHROLOGYu Ramirez, Roberto R MDGender: MaleNPI: 1295761013

♿115 North Shore Blvd(361) 704-6608Hospital Affiliations:Christus Spohn Hos CctxShoreline; Mem HermannThe Woodlands Med Ctr;Corpus Christi MedicalCenter; Christus SpohnHospital AliceClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish

u Saleem, Zakaria N MDGender: MaleNPI: 1275758278

♿115 North Shore Blvd(361) 704-6608Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 PORTLAND

205

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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PORTLAND(continued)

NEPHROLOGY(continued)

u Salloum, Cynthia G MDGender: FemaleNPI: 1407897838

♿115 North Shore Blvd(361) 704-6608Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx Memorial;Corpus Christi MedicalCenterClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish;Tagalog

u Vazquez, Jorge L MDGender: MaleNPI: 1942245295115 North Shore Blvd(361) 704-6608Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; Christus SpohnHospital Alice; CorpusChristi Medical CenterClinic Affiliation: BayArea Kidney DiseasePhysiciansBoard Certifications:NephrologyLanguage: Spanish

NUTRITION & DIETETICSBednorz, Kristina I RDGender: FemaleNPI: 10436469531201 Sacramento(855) 383-1240Clinic Affiliation:American HealthAssessments LLCBoard Certifications:None

OBSTETRICS-GYNECOLOGYWeathersby, Maryjoy AMDGender: FemaleNPI: 1629054010311 Buddy Ganem(361) 994-5454Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHosp Cctx South; SouthTexas Surgical HospitalClinic Affiliation: OB GynAssociates of CorpusChristi LLPBoard Certifications:None

OPHTHALMOLOGYDietze, Thomas R MDGender: MaleNPI: 1417938713

♿1700 Wildcat DrSte C(361) 992-9400Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation: SouthTexas Eye ConsultantsBoard Certifications:NoneLanguage: Spanish

u Ghoghawala, Shahed YMDGender: MaleNPI: 1871768051

♿1700 Wildcat DrSte C(361) 992-9400Hospital Affiliations:South Texas SurgicalHospital; Corpus ChristiMedical CenterClinic Affiliation: SouthTexas Eye ConsultantsBoard Certifications:OphthalmologyLanguage: Spanish

OPTOMETRYBarton, Robert M ODGender: MaleNPI: 1326029406

♿1540 Wildcat Dr(361) 643-1516Board Certifications:NoneLanguage: SpanishNguyen, Hai H ODGender: MaleNPI: 1518270396

♿U120 North Shore BlvdSte A(361) 777-2020Clinic Affiliation:Wavefront Eyecare &Optical PABoard Certifications:NoneLanguage: Spanish;Vietnamese

ORTHOPEDIC SURGERYTucker, William A DOGender: MaleNPI: 1922088095311 Buddy GanemSte A(361) 777-0500Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

PHYSICAL THERAPYAlaniz, Bryan A LPTGender: MaleNPI: 1336625037114 Lang Rd Ste A(361) 643-8243Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:None

Chapman, Kristi L LPTGender: FemaleNPI: 1851426001

♿U114 Lang Rd Ste A(361) 643-8243Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishChavez, Maria E LPTGender: FemaleNPI: 1588960314

♿U114 Lang Rd Ste A(361) 643-8243Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishCronkhite, Phillip J LPTGender: MaleNPI: 1801918479

♿U114 Lang Rd(361) 643-8243Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishHesseltine, Mandy C LPTGender: FemaleNPI: 1780718627

♿U114 Lang Rd(361) 643-8243Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishHumpal, Scott A LPTGender: MaleNPI: 1255344230

♿U114 Lang Rd(361) 643-8243Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

PORTLAND 01/19/2021

206

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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PORTLAND(continued)

PHYSICAL THERAPY(continued)McElwee, Kaycee L LPTGender: FemaleNPI: 1003329764203 Cedar Dr(361) 729-8668Clinic Affiliation: SouthTexas Sports Medicine IncBoard Certifications:NoneRamirez, Yvonne A LPTGender: FemaleNPI: 1306098736

♿U114 Lang Rd(361) 643-8243Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Czech;SpanishSchep, Peter H LPTGender: MaleNPI: 1255406419

♿509 Houston St(361) 879-0920Clinic Affiliation: WymerPhysical TherapyBoard Certifications:NoneLanguage: Dutch; SpanishShelton, Kristen LPTGender: FemaleNPI: 1457880734114 Lang Rd Ste A(361) 643-8243Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneSteckler, Kristan LPTGender: FemaleNPI: 1508298480203 Cedar Dr(361) 643-3993Clinic Affiliation: SouthTexas Sports Medicine IncBoard Certifications:None

Wilson Pimentel,Elizabeth A LPTGender: FemaleNPI: 1508293341

♿U114 Lang RdSte A(361) 643-8243Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishWymer, Richard D LPTGender: MaleNPI: 1831261106

♿509 Houston St(361) 879-0920Clinic Affiliation: WymerPhysical TherapyBoard Certifications:NoneLanguage: Spanish

PHYSICIAN ASSISTANTDocis, Paul T PAGender: MaleNPI: 1790804946277 Buddy Ganem DrSuite B(713) 864-2659Hospital Affiliations:Houston MethodistBaytown HospClinic Affiliation: Alpesh DDesai DO PLLCBoard Certifications:None

u Vaclavik, Celia M PAGender: FemaleNPI: 1164703393277 Buddy Ganem DrSuite B(713) 864-2659Clinic Affiliation: Alpesh DDesai DO PLLCBoard Certifications:Physician AssistantLanguage: Spanish

Wimberley, Lisa L PAGender: FemaleNPI: 1871731463311 Buddy GanemSuite A(361) 777-0500Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

RADIOLOGYGershon, Ruth K MDGender: FemaleNPI: 1033475827

4

U1776 Billy G Webb(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

u Menendez, Isabel C MDGender: FemaleNPI: 1376508168

♿4115 Northshore Blvd(361) 906-0969Hospital Affiliations:Christus Spohn HospitalKleberg; Christus SpohnHospital Beeville; LaredoMedical CenterClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:RadiologyLanguage: Spanish

u O Connor, Brendon D MDGender: MaleNPI: 1861457582

♿4115 Northshore Blvd(361) 906-0969Hospital Affiliations:Laredo Medical Center;Christus Spohn HospitalBeevilleClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications: DiagRadiology; Radiology

u Schapman, Steven J DOGender: MaleNPI: 1144285875

♿4115 Northshore Blvd(361) 906-0969Hospital Affiliations:Laredo Medical Center;Christus Spohn HospitalKlebergClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:Radiology

u Truong, Vi Q DOGender: MaleNPI: 1295799088

♿4115 Northshore Blvd(361) 358-7166Hospital Affiliations:University Medical Center;Laredo Medical Center;Christus Spohn HospitalAliceClinic Affiliation: MedicalImaging DiagnosticAssociationBoard Certifications:RadiologyLanguage: SpanishTurner, Jennifer E MDGender: FemaleNPI: 1669466256

U1776 Billy G Webb(361) 887-7000Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:None

SPEECH PATHOLOGYHopkins, Margot O SLPGender: FemaleNPI: 1215039581

♿523 Elm St(361) 643-6828Clinic Affiliation: MargotHopkins Speech TherapySerBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 PORTLAND

207

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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PORTLAND(continued)

THERAPEUTICOPTOMETRYBarton, Robert M ODGender: MaleNPI: 1326029406

♿1540 Wildcat Dr(361) 643-1516Board Certifications:NoneLanguage: SpanishNguyen, Hai H ODGender: MaleNPI: 1518270396

♿U120 North Shore BlvdSte A(361) 777-2020Clinic Affiliation:Wavefront Eyecare &Optical PABoard Certifications:NoneLanguage: Spanish;Vietnamese

PREMONT

NUTRITION & DIETETICSBalakrishnan, Jyosna RDGender: FemaleNPI: 1669874616302 S Agnes(361) 346-2575Clinic Affiliation:Renaissance MedicalFoundationBoard Certifications:None

REFUGIO

ANP/CERT/CLNPu Bludau, Jeremy E APNGender: MaleNPI: 1558746875114 Swift Rd(361) 526-1513Clinic Affiliation: CitizensMedical ProfessionalBoard Certifications:ANP/CERT/CLNP

u Bludau, Rhonda D APNGender: FemaleNPI: 1700109105114 Swift Rd(361) 526-1513Clinic Affiliation: CitizensMedical ProfessionalBoard Certifications:ANP/CERT/CLNP

u Oldmixon, Donna M APNGender: FemaleNPI: 1154705713

♿114 Swift Road(361) 526-1513Clinic Affiliation: CitizensMedical ProfessionalBoard Certifications:ANP/CERT/CLNPLanguage: Spanish

u Schmidt, David M APNGender: MaleNPI: 1083126205

♿114 Swift Road(361) 526-1513Clinic Affiliation: CitizensMedical ProfessionalBoard Certifications:ANP/CERT/CLNPTemple, Kevin D APNGender: MaleNPI: 1790152346114 Swift St(361) 526-1513Clinic Affiliation: CitizensMedical ProfessionalBoard Certifications:None

CARDIOVASCULARDISEASE

u Krueger, Kurtis R MDGender: MaleNPI: 1366465858114 Swift Rd(361) 526-1513Hospital Affiliations:Lavaca Medical Center;Refugio County MemorialHospital; YoakumCommunity Hosptal;Citizens Medical CenterClinic Affiliation: CitizensMedical ProfessionalBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Oakley, Robert F MDGender: MaleNPI: 1932120748114 Swift Rd(361) 526-1513Hospital Affiliations:Lavaca Medical Center;Yoakum CommunityHosptal; Refugio CountyMemorial Hospital; CitizensMedical CenterClinic Affiliation: CitizensMedical ProfessionalBoard Certifications:Cardiovascular DiseaseLanguage: SpanishRamoutar, Darren R DOGender: MaleNPI: 1578706172114 Swift St(361) 523-1513Hospital Affiliations:Lavaca Medical CenterClinic Affiliation: CitizensMedical ProfessionalBoard Certifications:None

u Scruggs, Corey J MDGender: MaleNPI: 1356359053114 Swift Rd(361) 526-1513Hospital Affiliations:Lavaca Medical Center;Citizens Medical CenterClinic Affiliation: CitizensMedical ProfessionalBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Tillman, Tywaun K MDGender: MaleNPI: 1710915012

4114 Swift Rd(361) 526-1513Hospital Affiliations:Yoakum CommunityHosptal; Citizens MedicalCenter; JacksonHealthcare Center; LavacaMedical Center; RefugioCounty Memorial HospitalClinic Affiliation: CitizensMedical ProfessionalBoard Certifications:Cardiovascular DiseaseLanguage: American Sign;Spanish

EMERGENCY MEDICINEBarker, Samuel F MDGender: MaleNPI: 1972941375

4107 Swift St(361) 526-2321Hospital Affiliations:Jackson HealthcareCenter; Refugio CountyMemorial Hospital; JacksonHealthcare Center; PaloPinto General Hospital;Bs&w Medical Ctr CollegeStation; Refugio CountyMemorial Hospital; Bs&wMedical Ctr CollegeStation; Covenant HealthSystem; Palo Pinto GeneralHospital; Covenant HealthSystemClinic Affiliation: JacksonCounty Hospital PhysicianGroup; Refugio CountyMemorial Hospital DistrictBoard Certifications:NoneBennington, Michael J MDGender: MaleNPI: 1053375139

4107 Swift St(361) 526-2321Hospital Affiliations: FrioRegional Hospital; PaloPinto General Hospital;Methodist RichardsonMedical Ctr; RefugioCounty Memorial HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneBorucki, Simon MDGender: MaleNPI: 1942350079

4107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospital; JacksonHealthcare CenterClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

PORTLAND 01/19/2021

208

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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REFUGIO (continued)

EMERGENCY MEDICINE(continued)Cambron, John D DOGender: MaleNPI: 1376077321

4

U107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneCarroll, John R MDGender: MaleNPI: 1992792881

4107 Swift St(361) 526-2321Hospital Affiliations:Christus Spohn Hos CctxShoreline; Palo PintoGeneral Hospital; ChristusSpohn Hosp CctxMemorial; Refugio CountyMemorial HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneColvin, James MDGender: MaleNPI: 1891114948

4107 Swift St(361) 526-2321Hospital Affiliations:Memorial HermannCypress Hospital; JacksonHealthcare Center; RefugioCounty Memorial Hospital;Memorial Hermann SWHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

Crawford, Cadyn A MDGender: FemaleNPI: 1487159372

4

U107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneEwbank, Jordyn DOGender: FemaleNPI: 1437656410

4

U107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneFleischer, Richard D MDGender: MaleNPI: 1801282728

4107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneGilmore, Scott M MDGender: MaleNPI: 1457705642

4

U107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

Gonzales, Albert MDGender: MaleNPI: 1902223217

4107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospital; MatagordaRegional Medical Center;Tyler County HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneGuillermo, Patrick G MDGender: MaleNPI: 1174934301

4107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospital; JacksonHealthcare Center; DimmitRegional HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneHassanin, Salsabeal S DOGender: FemaleNPI: 1790162295

4107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospital; Corpus ChristiMedical Center; SantaRosa Medical Center;Christus Spohn HospitalBeevilleClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

Hill, Monica R MDGender: FemaleNPI: 1891782330

4107 Swift St(361) 526-2321Hospital Affiliations:Hamilton Hospital;Childrens Hospital SanAntonio; Refugio CountyMemorial Hospital; SouthTexas Spine & SurgicalHospClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneLanguage: Spanish

u Ireton, Elmer S MDGender: MaleNPI: 1316007347

4107 Swift St(361) 526-2321Hospital Affiliations: ElCampo Memorial Hospital;Baptist Health System;Jackson HealthcareCenter; Christus SpohnHos Cctx Shoreline; RankinCounty Hospital District;Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:Emergency MedicineLanguage: SpanishJoseph, Ryan DOGender: MaleNPI: 1619354776

4107 Swift St(361) 526-2321Hospital Affiliations:University Health System;Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 REFUGIO

209

4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.

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REFUGIO (continued)

EMERGENCY MEDICINE(continued)Kingsley, Benjamin K MDGender: MaleNPI: 1760879845

4107 Swift St(361) 526-2321Hospital Affiliations: PaloPinto General Hospital;Refugio County MemorialHospital; Medical CityLewisvilleClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneLockwood, Nicholas G DOGender: MaleNPI: 1275066854

4

U107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneMadarang, Eric L DOGender: MaleNPI: 1336438878

4107 Swift St(361) 526-2321Hospital Affiliations:Legent Hospital; RefugioCounty Memorial Hospital;Christus Spohn Hos CctxShoreline; Palo PintoGeneral HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

McGrath, Laura MDGender: FemaleNPI: 1699209874

4

U107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneMunion, William M MDGender: MaleNPI: 1255829784

4107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospital; Otto KaiserMemorial HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneNeedleman, Louis J MDGender: MaleNPI: 1043299225

4107 Swift St(512) 526-2321Hospital Affiliations:Heart of Texas MemorialHospital; Ascension SetonSouthwest; El CampoMemorial Hospital; PaloPinto General Hospital;Ascension Seton HighlandLakes; Cuero RegionalHospital; Hamilton Hospital;Memorial Medical Center;Uvalde Memorial Hospital;Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

Neugebauer, Amber L DOGender: FemaleNPI: 1477040061

4

U107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospital; Otto KaiserMemorial HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneNguyen, Vinh Quang DDOGender: MaleNPI: 1639530173

4107 Swift St(361) 526-2321Hospital Affiliations:Dimmit Regional Hospital;Refugio County MemorialHospital; Christus SpohnHosp Cctx Memorial; PaloPinto General HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NonePalafox, Maria D MDGender: FemaleNPI: 1699740951

4107 Swift St(361) 526-2321Hospital Affiliations:Baptist Health System; HcaHouston HealthcareSoutheast; Palo PintoGeneral Hospital;Foundation Surgical SanAntonio; Refugio CountyMemorial HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneLanguage: Spanish

Parsoneault, Amber N MDGender: FemaleNPI: 1710410774

4

U107 Swift St(361) 526-2321Hospital Affiliations: PaloPinto General Hospital;Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NonePeterson, Michael W MDGender: MaleNPI: 1124110127

♿4

U

107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospital; Bellville MedicalCenter; Ochiltree GeneralHospital; Falls CommunityHospital & Clinic; Lillian MHudspeth Memorial Hosp;Val Verde RegionalMedical Center; JacksonCounty Home HealthClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NonePhilip, James DOGender: MaleNPI: 1144617358

4107 Swift St(361) 526-2321Hospital Affiliations:Jackson HealthcareCenter; Palo Pinto GeneralHospital; Refugio CountyMemorial HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

REFUGIO 01/19/2021

210

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.UThis Provider Has Extended Hours.

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REFUGIO (continued)

EMERGENCY MEDICINE(continued)Ponder, Melissa MDGender: FemaleNPI: 1053832170

♿4

U

107 Swift St(361) 526-2321Hospital Affiliations: OttoKaiser Memorial Hospital;Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneRemme, Lindsey C DOGender: FemaleNPI: 1588906838

4107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospital; Medical CityLewisvilleClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneRequa, Spencer DOGender: MaleNPI: 1538692819

4

U107 Swift St(361) 526-2321Hospital Affiliations:Ascension Seton MedCenter Austin; Otto KaiserMemorial Hospital; RefugioCounty Memorial HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

Seaton, Cole MDGender: MaleNPI: 1205331170

4

U107 Swift St(361) 526-2321Hospital Affiliations: OttoKaiser Memorial Hospital;Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneStrawn, Matthew MDGender: MaleNPI: 1386030393

4107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneWelsh, John V MDGender: MaleNPI: 1518225424

4107 Swift St(361) 526-2321Hospital Affiliations:Refugio County MemorialHospital; Legent HospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

GENERAL SURGERYStafford, Michael T MDGender: MaleNPI: 1285784298

4

U107 Swift St(361) 526-2321Hospital Affiliations: ChiSt Lukes HealthBrazosport; Refugio CountyMemorial Hospital;Sagecrest HospitalCarrollton; ChristusHospital St Elizabeth; ChiSt Joseph Hlth BurlesonHospClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:None

INTERNAL MEDICINEMascarenhas, Russell AMDGender: MaleNPI: 1497863906

♿U107 1/2 Swift Street(361) 526-5328Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneLanguage: SpanishRamoutar, Darren R DOGender: MaleNPI: 1578706172114 Swift St(361) 523-1513Hospital Affiliations:Lavaca Medical CenterClinic Affiliation: CitizensMedical ProfessionalBoard Certifications:None

INTERVENTIONALCARDIOLOGY

u Krueger, Kurtis R MDGender: MaleNPI: 1366465858114 Swift Rd(361) 526-1513Hospital Affiliations:Lavaca Medical Center;Refugio County MemorialHospital; YoakumCommunity Hosptal;Citizens Medical CenterClinic Affiliation: CitizensMedical ProfessionalBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: SpanishTillman, Tywaun K MDGender: MaleNPI: 1710915012

4114 Swift Rd(361) 526-1513Hospital Affiliations:Yoakum CommunityHosptal; Citizens MedicalCenter; JacksonHealthcare Center; LavacaMedical Center; RefugioCounty Memorial HospitalClinic Affiliation: CitizensMedical ProfessionalBoard Certifications:Cardiovascular DiseaseLanguage: American Sign;Spanish

ORTHOPEDIC SURGERYu Breech, Donald W MDGender: MaleNPI: 1184713513114 Swift St(361) 578-2911Hospital Affiliations:Memorial Medical Center;Detar Hospital Navarro;Citizens Medical Center;Yoakum CommunityHosptalClinic Affiliation: RegionalEmployee AssistanceBoard Certifications:Orthopedic SurgeryLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 REFUGIO

211

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REFUGIO (continued)

PATHOLOGYNortheast PathologyGroup PAGender: FemaleNPI: 1881772283

4107 Swift St(361) 575-1111Hospital Affiliations:University Health System;Dell Seton Medical Centerat UT; Citizens MedicalCenterClinic Affiliation:Northeast Pathology GroupPABoard Certifications:NoneSchwab, Chet L MDGender: MaleNPI: 1679892798

4107 Swift St(361) 575-1111Hospital Affiliations:Citizens Medical Center; StDavids N Austin MedicalCtr; Bay Area HoustonEndoscopy Center;Citizens Medical CenterClinic Affiliation:Northeast Pathology GroupPA; Regional PathologyAssociatesBoard Certifications:NoneValasek, Mark A MDGender: MaleNPI: 1588808448

4107 Swift St(361) 575-1111Hospital Affiliations: BayArea Houston EndoscopyCenter; Citizens MedicalCenter; Bay Area HoustonEndoscopy Center;Citizens Medical CenterClinic Affiliation:Northeast Pathology GroupPA; Regional PathologyAssociatesBoard Certifications:None

u Walters, Leslie L MDGender: MaleNPI: 1164453486

4107 Swift St(361) 575-1111Hospital Affiliations:Medical City Dallas;Citizens Medical CenterClinic Affiliation: RegionalPathology AssociatesBoard Certifications:Pathology

u Northeast PathologyGroup PAGender: MaleNPI: 1164453486

4107 Swift St(361) 575-1111Hospital Affiliations:Medical City Dallas;Citizens Medical CenterClinic Affiliation:Northeast Pathology GroupPABoard Certifications:Pathology

ROBSTOWN

CHIROPRACTICFilla, James M DCGender: MaleNPI: 1821076621

♿800 E Main Ave(361) 387-1716Clinic Affiliation: FillaChiropractic CenterBoard Certifications:NoneLanguage: SpanishGordon, Samuel L DCGender: MaleNPI: 1508160334

♿U15406 Northwest BlvdSte A(361) 241-7451Clinic Affiliation: FivePoints ChiropracticBoard Certifications:None

GENERAL SURGERYu Owsley, Jimie D MDGender: FemaleNPI: 1730115270403 East Main(361) 767-1200Hospital Affiliations:Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx MemorialClinic Affiliation: SpohnHealth SystemBoard Certifications:General Surgery

OBSTETRICS-GYNECOLOGYAdhyaru, Harsh Y MDGender: MaleNPI: 15283121211038 Texas Yes Blvd(361) 767-1200Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneBoyd, Martin A MDGender: MaleNPI: 1669517769

♿1038 Texas Yes Blvd(361) 767-1200Hospital Affiliations:Christus Spohn HospitalKlebergClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

PHYSICIAN ASSISTANTArthur, Andrew A PAGender: MaleNPI: 1790824290515 Pat Shutter BlvdUnit 121(361) 387-6996Clinic Affiliation: SouthTexas Family Planning &HeaBoard Certifications:NoneLanguage: Spanish

Heine, Peggy A PAGender: FemaleNPI: 11848316381038 Texas Yes Blvd(361) 767-1200Clinic Affiliation: ChristusPhysician GroupBoard Certifications:None

SPEECH PATHOLOGYGill, Logan R SLPGender: FemaleNPI: 12950985495501 Sunset Trl(361) 390-5672Clinic Affiliation: Big LittleWords Pediatric TherapyBoard Certifications:None

ROCKPORT

ANP/CERT/CLNPAcosta, Kathy A APNGender: FemaleNPI: 10537519331004 Ibis Dr(361) 450-0721Clinic Affiliation: Here OrThere Healthcare PLLCBoard Certifications:NoneBaker, Kerrie H APNGender: FemaleNPI: 13264310241202 FM 3036(361) 729-0133Clinic Affiliation: WellmedMedical Group PABoard Certifications:None

u Cisneros, Maria P APNGender: FemaleNPI: 17204514612011 Highway 35 N(361) 729-2225Clinic Affiliation: RockportPhysical Medicine PABoard Certifications:ANP/CERT/CLNP

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

REFUGIO 01/19/2021

212

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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ROCKPORT(continued)

ANP/CERT/CLNP(continued)Darnold, Stacey L APNGender: FemaleNPI: 13669323522011 Highway 35 N(361) 729-2225Clinic Affiliation: RockportPhysical Medicine PABoard Certifications:NoneFlores, Frederick N APNGender: MaleNPI: 10539735291004 Ibis Dr(361) 298-2460Clinic Affiliation: Here OrThere Healthcare PLLCBoard Certifications:NonePillar, Kerri A APNGender: FemaleNPI: 16194065922011 Highway 35 N(361) 729-2225Clinic Affiliation: RockportPhysical Medicine PABoard Certifications:NoneRodriguez, Angela K APNGender: FemaleNPI: 17709175932851 Highway 35 N(361) 450-8383Clinic Affiliation:Hometown HealthBoard Certifications:NoneStacy, Alma D APNGender: FemaleNPI: 17306841681004 Ibis Dr(361) 450-0721Clinic Affiliation: Here OrThere Healthcare PLLCBoard Certifications:None

Vasquez, Jennifer R APNGender: FemaleNPI: 14577298812011 Highway 35 N(361) 729-2225Clinic Affiliation: RockportPhysical Medicine PABoard Certifications:None

CARDIACELECTROPHYSIOLOGY

u Choucair, Wassim K MDGender: MaleNPI: 1962496620

♿2600 Lakeview Dr(361) 729-4040Hospital Affiliations:Methodist Texsan Hospital;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; St LukesBaptist Hospital; BaptistHealth System; CorpusChristi Medical Center;Methodist Hospital;Methodist Stone OakHospital; Christus SpohnHospital KlebergClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Arabic; French;Spanish

u Shuraih, Mossaab MDGender: MaleNPI: 11443182702600 Lakeview Dr(361) 888-8271Hospital Affiliations:Memorial Hermann SWHospital; MemorialHermann SE Hospital; ChiSt Lukes Hlth Baylor CollMedClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:Cardiac Electrophysiology

u Toth, Zoltan K MDGender: MaleNPI: 1093719882

♿2600 Lakeview Dr(361) 888-8271Hospital Affiliations:Christus Spohn Hosp CctxSouth; Heart Hospital ofAustin; St DavidsGeorgetown Hospital;Ascension Seton MedCenter Austin; South TexasSurgical Hospital; StDavids Medical Center;Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalKleberg; Ascension SetonHaysClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Hungarian;Spanish

CARDIAC THORACICSURGERYSamberson, Randall R MDGender: MaleNPI: 1588677801

♿1121 Hwy 35 N(361) 226-3436Hospital Affiliations:Northwest TexasHealthcare System; BSAHospital LLCBoard Certifications:General Surgery

CARDIOVASCULARDISEASE

u Brenner, Lawrence D MDGender: MaleNPI: 1225010317700 E Minosa St(361) 883-3962Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Hindi; Spanish

u Choucair, Wassim K MDGender: MaleNPI: 1962496620

♿2600 Lakeview Dr(361) 729-4040Hospital Affiliations:Methodist Texsan Hospital;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; St LukesBaptist Hospital; BaptistHealth System; CorpusChristi Medical Center;Methodist Hospital;Methodist Stone OakHospital; Christus SpohnHospital KlebergClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Arabic; French;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ROCKPORT

213

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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ROCKPORT(continued)

CARDIOVASCULARDISEASE (continued)

u Coutin, Rafael F MDGender: MaleNPI: 1679574230

♿2600 Lakeview Dr(361) 888-8271Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalBeeville; Christus SpohnHospital Kleberg; ChristusSpohn Hosp CctxMemorial; Christus SpohnHosp Cctx South; CorpusChristi Medical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

u Madry, Robert W MDGender: MaleNPI: 1285635342

♿2600 Lakeview Dr(361) 888-8271Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular DiseaseLanguage: Spanish

Martinez Quin, Carlos EMDGender: MaleNPI: 1568463941

♿2600 Lakeview Dr(361) 888-8271♿400 Enterprise Blvd(361) 888-8271♿One Fulton Beach Plaza2600 Lakeview Dr(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Christus Spohn HospitalBeeville; Christus SpohnHospital Kleberg; ChristusSpohn Hos Cctx Shoreline;South Texas SurgicalHospital; Christus SpohnHospital Kleberg; ChristusSpohn Hosp Cctx South;South Texas SurgicalHospital; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShorelineClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

Martinez Quinonez,Carlos E MDGender: MaleNPI: 15684639412600 Lakeview Dr(361) 888-8271Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; ChristusSpohn Hosp Cctx South;Christus Spohn HospitalKlebergClinic Affiliation:Cardiovascular CareProviders IncBoard Certifications:NoneLanguage: SpanishMcKinstry, Scott W MDGender: MaleNPI: 17402813022600 Lakeview Dr(361) 888-8271Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Christus SpohnHosp Cctx South; SouthTexas Surgical Hospital;Christus Spohn HospitalBeeville; Corpus ChristiMedical Center; ChristusSpohn Hospital Beeville;Christus Spohn HospitalKleberg; Christus SpohnHos Cctx ShorelineClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:NoneLanguage: Spanish

Pappas, John D MDGender: MaleNPI: 1033110234

♿2600 Lakeview Dr(361) 729-40402600 Lakeview Drive(361) 888-8271Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus SpohnHospital Beeville; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalBeeville; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; South TexasSurgical Hospital; ChristusSpohn Hosp Cctx South;Christus Spohn HospitalKleberg; South TexasSurgical Hospital; ChristusSpohn Hospital Kleberg;Corpus Christi MedicalCenterClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ROCKPORT 01/19/2021

214

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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ROCKPORT(continued)

CARDIOVASCULARDISEASE (continued)

u Rodriguez, Mike E MDGender: MaleNPI: 13068475042600 Lake View Dr(361) 888-8271♿2600 Lakeview Dr(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; Christus SpohnHos Cctx Shoreline;Corpus Christi MedicalCenter; South TexasSurgical Hospital; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Christus SpohnHospital Beeville; SouthTexas Surgical Hospital;Christus Spohn HospitalKleberg; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Szalai, Gabor MDGender: MaleNPI: 1194992818

♿2600 Lakeview Dr(361) 729-4040Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hosp Cctx South;Christus Spohn HospitalKleberg; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx Shoreline;Christus Spohn HospitalBeeville; HoustonMethodist Hospital; CorpusChristi Medical Center;Christus Spohn HospitalBeeville; Christus SpohnHospital Kleberg; HoustonMethodist HospitalClinic Affiliation:Cardiology Associates ofCorpus; CardiovascularCare Providers IncBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Toth, Zoltan K MDGender: MaleNPI: 1093719882

♿2600 Lakeview Dr(361) 888-8271Hospital Affiliations:Christus Spohn Hosp CctxSouth; Heart Hospital ofAustin; St DavidsGeorgetown Hospital;Ascension Seton MedCenter Austin; South TexasSurgical Hospital; StDavids Medical Center;Christus Spohn Hosp CctxMemorial; Christus SpohnHos Cctx Shoreline;Christus Spohn HospitalKleberg; Ascension SetonHaysClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Hungarian;Spanish

Upmanyu, Sant K MDGender: MaleNPI: 1609860931

♿2600 Lakeview Dr(361) 729-4040Hospital Affiliations:Corpus Christi MedicalCenter; Driscoll ChildrensHospital; Christus SpohnHos Cctx ShorelineClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

u Venkatachalam, SridharMDGender: MaleNPI: 16595099902600 Lakeview(361) 888-8271Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease

CHIROPRACTICHawkins, Brad W DCGender: MaleNPI: 1275638629

♿2011 Highway 35 N(361) 729-2225Clinic Affiliation: HawkinsChiropractic Center PABoard Certifications:NoneLanguage: Spanish

GENERAL SURGERYu Samberson, Randall R MDGender: MaleNPI: 1588677801

♿1121 Hwy 35 N(361) 226-3436Hospital Affiliations:Northwest TexasHealthcare System; BSAHospital LLCBoard Certifications:General Surgery

HEMATOLOGY-ONCOLOGYMahmood, Aftab MDGender: MaleNPI: 1952305591

♿2600 Lakeview Dr(361) 729-4040Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CancerSpecialists of South TexasPABoard Certifications:NoneLanguage: American Sign;French; Spanish; Urdu

INTERNAL MEDICINEu Brenner, Lawrence D MDGender: MaleNPI: 1225010317700 E Minosa St(361) 883-3962Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Heart Clinic PLLCBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Hindi; Spanish

u Bruce, Ronald W DOGender: MaleNPI: 1922145168

♿1121 Highway 35 N(361) 729-5388Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: InternalMedicine AssociatesBoard Certifications:Internal MedicineLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ROCKPORT

215

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.

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ROCKPORT(continued)

INTERNAL MEDICINE(continued)Low, Robert R DOGender: MaleNPI: 1881761989

♿1121 Hwy 35 North(361) 729-5388Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: InternalMedicine AssociatesBoard Certifications:NoneLanguage: SpanishMahmood, Aftab MDGender: MaleNPI: 1952305591

♿2600 Lakeview Dr(361) 729-4040Hospital Affiliations:Christus Spohn Hosp CctxSouth; Corpus ChristiMedical Center; ChristusSpohn Hos Cctx ShorelineClinic Affiliation: CancerSpecialists of South TexasPABoard Certifications:NoneLanguage: American Sign;French; Spanish; Urdu

INTERVENTIONALCARDIOLOGYMcKinstry, Scott W MDGender: MaleNPI: 1740281302

♿2600 Lakeview Dr(361) 888-8271Hospital Affiliations:Christus Spohn HospitalKleberg; Christus SpohnHos Cctx Shoreline;Christus Spohn Hosp CctxSouth; South TexasSurgical Hospital; ChristusSpohn Hospital Beeville;Corpus Christi MedicalCenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: SpanishPappas, John D MDGender: MaleNPI: 1033110234

♿2600 Lakeview Dr(361) 729-4040Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; ChristusSpohn Hospital Beeville;Corpus Christi MedicalCenter; South TexasSurgical Hospital; ChristusSpohn Hospital KlebergClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:NoneLanguage: Spanish

u Rodriguez, Mike E MDGender: MaleNPI: 1306847504

♿2600 Lakeview Dr(361) 888-8271Hospital Affiliations:Christus Spohn HospitalBeeville; South TexasSurgical Hospital; ChristusSpohn Hospital Kleberg;Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

u Szalai, Gabor MDGender: MaleNPI: 1194992818

♿2600 Lakeview Dr(361) 729-4040Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; HoustonMethodist Hospital; CorpusChristi Medical Center;Christus Spohn HospitalBeeville; Christus SpohnHospital KlebergClinic Affiliation:Cardiology Associates ofCorpusBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish

OBSTETRICS-GYNECOLOGY

u Eubank, Dale C MDGender: MaleNPI: 1750347084

♿700 E Mimosa(361) 729-7709Hospital Affiliations:South Texas SurgicalHospital; Christus SpohnHosp Cctx South; CorpusChristi Medical CenterClinic Affiliation: CharlesDale Eubank MDBoard Certifications:Obstetrics-GynecologyLanguage: Spanish

OCCUPATIONALTHERAPYAlexander, Monica OTGender: FemaleNPI: 1649783028

♿U1004 E Main St Ste D(361) 450-0800Clinic Affiliation: RockportTherapy Clinic LLCBoard Certifications:None

OPTOMETRYEby, Anthony G ODGender: MaleNPI: 1568461762101 N Magnolia St(361) 729-2020Clinic Affiliation: RockportEye Associates 20 20 OPTBoard Certifications:NoneLanguage: SpanishSoto, Nichole Q ODGender: FemaleNPI: 1932240256101 N Magnolia St(361) 729-2020Clinic Affiliation: RockportEye Associates 20 20 OPTBoard Certifications:None

ORTHOPEDIC SURGERYTucker, William A DOGender: MaleNPI: 19220880952726 Highway 35 N(361) 729-9710Hospital Affiliations:Christus Spohn Hosp CctxSouth; Christus Spohn HosCctx Shoreline; CorpusChristi Medical CenterClinic Affiliation: ChristusPhysician GroupBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ROCKPORT 01/19/2021

216

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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ROCKPORT(continued)

PHYSICAL THERAPYAlaniz, Bryan A LPTGender: MaleNPI: 13366250371811 Broadway(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneChapman, Kristi L LPTGender: FemaleNPI: 1851426001

♿U1811 Broadway St(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishChavez, Maria E LPTGender: FemaleNPI: 1588960314

♿U1811 Broadway St(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishCronkhite, Phillip J LPTGender: MaleNPI: 1801918479

♿U1811 Broadway St(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

Hesseltine, Mandy C LPTGender: FemaleNPI: 1780718627

♿U1811 Broadway St(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishHopkins, Robert L LPTGender: MaleNPI: 1144506817

♿1004 E Main St Ste D(361) 450-0800Clinic Affiliation: RockportTherapy Clinic LLCBoard Certifications:NoneHumpal, Scott A LPTGender: MaleNPI: 1255344230

♿U1811 Broadway St(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: SpanishKlare, Kenneth W LPTGender: MaleNPI: 1861491961

♿702 E Mimosa St(361) 729-8838Clinic Affiliation: KlarePhysical Therapy PCBoard Certifications:NoneLanguage: SpanishKuykendall, Cassie A LPTGender: FemaleNPI: 1568741585

U1811 Broadway St(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

McAdams, Bryan LPTGender: MaleNPI: 19021535472011 Highway 35 N(361) 729-2225Clinic Affiliation: RockportPhysical Medicine PABoard Certifications:NoneMcNally, Jed S LPTGender: MaleNPI: 11240517272011 Highway 35 N(361) 729-2225Clinic Affiliation: RockportPhysical Medicine PABoard Certifications:NoneLanguage: SpanishRamirez, Yvonne A LPTGender: FemaleNPI: 1306098736

♿U1811 Broadway St(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Czech;SpanishShelton, Kristen LPTGender: FemaleNPI: 14578807341811 Broadway(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneShull, Walter G LPTGender: MaleNPI: 10836913232011 Highway 35 N(361) 729-2225Clinic Affiliation: RockportPhysical Medicine PABoard Certifications:NoneLanguage: Spanish

Wilson Pimentel,Elizabeth A LPTGender: FemaleNPI: 1508293341

♿U1811 Broadway Ave(361) 729-8777Clinic Affiliation: HumpalPhysical Therapy andSports Medicine CtrBoard Certifications:NoneLanguage: Spanish

PHYSICIAN ASSISTANTBingham, Randy D PAGender: MaleNPI: 1083721518

♿1704 Jenkins(361) 790-9047Clinic Affiliation: CoastalMedical Clinic LLCBoard Certifications:NoneLanguage: Spanish

THERAPEUTICOPTOMETRYEby, Anthony G ODGender: MaleNPI: 1568461762101 N Magnolia St(361) 729-2020Clinic Affiliation: RockportEye Associates 20 20 OPTBoard Certifications:NoneLanguage: SpanishSoto, Nichole Q ODGender: FemaleNPI: 1932240256101 N Magnolia St(361) 729-2020Clinic Affiliation: RockportEye Associates 20 20 OPTBoard Certifications:None

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ROCKPORT

217

♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.

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ROCKPORT(continued)

UROLOGYu Naismith, Robert A MDGender: MaleNPI: 1013903624

♿700 E Mimosa St(361) 884-6381Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation: CorpusChristi Urology Group LLPBoard Certifications:UrologyLanguage: Spanish

VASCULAR SURGERYSamberson, Randall R MDGender: MaleNPI: 1588677801

♿1121 Hwy 35 N(361) 226-3436Hospital Affiliations:Northwest TexasHealthcare System; BSAHospital LLCBoard Certifications:General Surgery

SAN ANGELO

UROLOGYCrenshaw, Rebecca S MDGender: FemaleNPI: 1205899622350 Executive Dr(325) 245-4171Hospital Affiliations:Shannon Medical CenterClinic Affiliation: ShannonClinicBoard Certifications:NoneLanguage: Spanish

SAN ANTONIO

NEUROLOGYRomero, Rebecca S MDGender: FemaleNPI: 1538344429

♿4502 Medical 10th Floor Dr(210) 743-0670Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:None

OBSTETRICS-GYNECOLOGYGutierrez, Christina E MDGender: FemaleNPI: 15684875027931 Floyd Curl Dr(210) 297-5000Hospital Affiliations:Metropolitan MethodistHospital; St Lukes BaptistHospitalClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish

SAN DIEGO

FAMILY PRACTICEAcosta, Kathy A APNGender: FemaleNPI: 1053751933102 E King Ave(361) 279-8207Clinic Affiliation:Physicians Express PLLCBoard Certifications:None

SINTON

NUTRITION & DIETETICSu Deyhim, Farzad RDGender: MaleNPI: 1669648440

♿621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Nutrition & DieteticsLanguage: American Sign;Spanish

OCCUPATIONALTHERAPYHernandez, Rosa M OTGender: FemaleNPI: 1750597225

♿621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishRobertson, Michael J OTGender: MaleNPI: 1710085436

♿621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish

PHYSICAL THERAPYOaferina, Aleth H LPTGender: MaleNPI: 1235113754

♿621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

Sweigart, Chad E LPTGender: MaleNPI: 1265608046

♿621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SPEECH PATHOLOGYDominguez, Olinda M SLPGender: FemaleNPI: 1215077631621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishGarcia, Sonia SLPGender: FemaleNPI: 1790949386

♿621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishLindsey, Kim M SLPGender: FemaleNPI: 1356730212621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneOgando, Yvette G SLPGender: FemaleNPI: 1558589705

♿621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ROCKPORT 01/19/2021

218

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SINTON (continued)

SPEECH PATHOLOGY(continued)Regan, Elizabeth A SLPGender: FemaleNPI: 1881960318621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneTamez Munson, Patricia VSLPGender: FemaleNPI: 1649326943621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SPRING BRANCH

OPTOMETRYEvans, Pamela A ODGender: FemaleNPI: 1316951056

U20630 TX 46 Ste 120(830) 980-3306Clinic Affiliation: AegTexas Professional PLLCBoard Certifications:NoneLanguage: Spanish

THERAPEUTICOPTOMETRYEvans, Pamela A ODGender: FemaleNPI: 1316951056

U20630 TX 46 Ste 120(830) 980-3306Clinic Affiliation: AegTexas Professional PLLCBoard Certifications:NoneLanguage: Spanish

SUGARLAND

HAND SURGERYu Budoff, Jeffrey E MDGender: MaleNPI: 1437239860

♿1350 Creek Way Drive(713) 800-1120Hospital Affiliations:Houston Methodist ClearLake Hosp; Ben TaubGeneral Hospital; HoustonMethodist Hospital; Chi StLukes Hlth Baylor Coll MedClinic Affiliation:Southwest OrthopedicGroup LLPBoard Certifications:Hand SurgeryLanguage: Spanish

TAFT

NUTRITION & DIETETICSu Deyhim, Farzad RDGender: MaleNPI: 1669648440

♿201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:Nutrition & DieteticsLanguage: American Sign;Spanish

OCCUPATIONALTHERAPYHernandez, Rosa M OTGender: FemaleNPI: 1750597225

♿201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish

Robertson, Michael J OTGender: MaleNPI: 1710085436

♿201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;Spanish

PHYSICAL THERAPYOaferina, Aleth H LPTGender: MaleNPI: 1235113754

♿201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishPolasek, Kim A LPTGender: FemaleNPI: 1871570119

♿202 Green Ave(361) 528-3018Clinic Affiliation: PhysicalTherapy ClinicBoard Certifications:NoneLanguage: SpanishSweigart, Chad E LPTGender: MaleNPI: 1265608046

♿201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SPEECH PATHOLOGYGarcia, Sonia SLPGender: FemaleNPI: 1790949386

♿201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishLindsey, Kim M SLPGender: FemaleNPI: 1356730212201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneOgando, Yvette G SLPGender: FemaleNPI: 1558589705

♿201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: American Sign;SpanishRegan, Elizabeth A SLPGender: FemaleNPI: 1881960318201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneTamez Munson, Patricia VSLPGender: FemaleNPI: 1649326943201 Root Ave(361) 528-4516Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 SINTON

219

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.

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THREE RIVERS

ANP/CERT/CLNPHolder, Brittany A APNGender: FemaleNPI: 1740827310

U105 E Thornton(361) 786-3618Clinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneMeans, Jeremy A APNGender: MaleNPI: 1043795495

U105 E Thornton(361) 786-3618Clinic Affiliation:Atascosa Health Center IncBoard Certifications:NonePawelek, Jochelle D APNGender: FemaleNPI: 1215436142105 E Thornton(361) 786-3618Clinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneRichter, Meredyth E APNGender: FemaleNPI: 1275937559105 E Thornton(361) 786-3618Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

OBSTETRICS-GYNECOLOGYNayar, Scheel S DOGender: MaleNPI: 1104841873

♿105 E Thornton(361) 786-3618Hospital Affiliations:Memorial Hosp Sievers &Waelder; ChildrensHospital San Antonio;Metropolitan MethodistHospital; Baptist HealthSystem; SouthwestGeneral Hospital;Ascension SetonSmithville; North CentralBaptist Hospital; SantaRosa Medical Center;Methodist HospitalClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: Spanish;Swahili

PHYSICAL THERAPYSoliz, Dusty LPTGender: FemaleNPI: 1407980535

♿305 W Thornton St(361) 786-3001Clinic Affiliation:Momentum PhysicalTherapyBoard Certifications:NoneLanguage: Spanish

TILDEN

ANP/CERT/CLNPHolder, Brittany A APNGender: FemaleNPI: 1740827310203 Hackberry St(361) 274-3690Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

Pawelek, Jochelle D APNGender: FemaleNPI: 1215436142203 Hackberry St(361) 274-3690Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

u Rainer, Holly C APNGender: FemaleNPI: 1649532029203 Hackberry St(361) 274-3690Clinic Affiliation:Atascosa Health Center IncBoard Certifications:ANP/CERT/CLNPRichter, Meredyth E APNGender: FemaleNPI: 1275937559203 Hackberry St(361) 274-3690Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

CHIROPRACTICCizek, Alexander J DCGender: MaleNPI: 1679076061501 River St(800) 404-6050Clinic Affiliation: AirrostiRehab Center LLCBoard Certifications:None

OBSTETRICS-GYNECOLOGYNayar, Scheel S DOGender: MaleNPI: 1104841873

♿203 Hackberry St(361) 274-3690Hospital Affiliations:Childrens Hospital SanAntonio; MetropolitanMethodist Hospital; NorthCentral Baptist Hospital;Baptist Health System;Memorial Hosp Sievers &Waelder; Ascension SetonSmithville; MethodistHospital; SouthwestGeneral Hospital; SantaRosa Medical CenterClinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: Spanish;Swahili

TIVOLI

INTERNAL MEDICINEMascarenhas, Russell AMDGender: MaleNPI: 1497863906

♿106 W Wilson(361) 286-0115Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

THREE RIVERS 01/19/2021

220

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WOODSBORO

INTERNAL MEDICINEMascarenhas, Russell AMDGender: MaleNPI: 1497863906

♿120 Wood Ave(361) 543-5414Hospital Affiliations:Refugio County MemorialHospitalClinic Affiliation: RefugioCounty Memorial HospitalDistrictBoard Certifications:NoneLanguage: Spanish

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 WOODSBORO

221

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ALICE

ANP/CERT/CLNPAbrego, Hope APN2500 E Main St3rd Flr(361) 737-0600Diaz, Annie M APN1008 Medical Center Blvd(361) 668-4728Dillon, Kristin L APN2510 E Main Ste 102(361) 664-4445Guerra, Maricela APN1008 Medical Center Blvd(361) 668-4278Pattillo, Tammy J APN2510 E MainSte 102(361) 664-4445Perdue, Judy APN

♿2510 E Main St Ste 106(361) 661-8370Requenez, Ricardo J APN2510 E Main Ste102(361) 664-4445Sosa, Kristen A APN2510 E Main StSte 106(361) 661-8370Stewart, Dovie J APN779 N Texas Blvd(361) 688-0919White, Kendell R APN700 Flournoy RdSte 2a(361) 664-1417Williams, Jeremiah J APN

4317 E 1st St(361) 664-0202

PHYSICIAN ASSISTANTKubena, Brittany K PA2510 E Main Ste 102(361) 664-4445Tewell, Katdidia M PA

4317 E 1st St(361) 664-0202

ARANSAS PASS

ANP/CERT/CLNPAkpunku, Livina C APN1711 W Wheeler AveSte 2(361) 887-9600Bayardo, Rodolfo APN1711 W Wheeler Ave Ste 2(361) 887-9600Cisneros, Maria P APN1711 W Wheeler Ste 3(361) 717-1661Engledowl, Lone P APN

♿1711 W Wheeler Ave Ste 2(361) 887-9600Koepsel, Peggy Jo S APN

♿1711 W Wheeler Ave Ste 2(361) 887-9600Prater, Rodney A APN

♿1711 W Wheeler Ave Ste 2(361) 887-9600Rice, Rebecca R APN201 W Wilson Ave(361) 758-2799Vela, Bernadette B APN1711 W Wheeler Ave(361) 717-1661

PHYSICIAN ASSISTANTJackson, James R PA1711 W Wheeler Ave Ste 2(361) 887-9600Richardson, Kristopher LPA1711 W Wheeler Ave Ste 2(361) 887-9600

BAY CITY

ANP/CERT/CLNPPalermo, Kaitlin A APN111 Ave F North(979) 245-2008

BEEVILLE

ANP/CERT/CLNPAizon, Bernice J APN301 S Hillside Dr Ste 4(316) 226-1126

Flynn, Mercedita N APN301 S Hillside Dr Ste 4(361) 226-1126600 South HillsideDr(972) 447-9800Menager, Katherine FAPN1406 E Houston StSte B(361) 542-8186Santos, Adela R APN

♿311 S Hillside Dr Ste 9(361) 993-4835Tudor, Jennifer M APN1602 E Houston StSte C(361) 358-9200301 S Hiilside Dr Ste 4(361) 226-1126Watts, Hatira APN301 S Hillside Dr Ste 9(361) 993-4835

PHYSICIAN ASSISTANTArthur, Andrew A PA1400 W Corpus Christi StSte 4(361) 358-2974Campbell, Christina E PA1209 N Saint Marys St(361) 993-8510Meineke, Terrance L PA

♿407 N Adams St(361) 358-4242

COMFORT

ANP/CERT/CLNPPardi, Kelle J APN815 Front St(830) 995-5633

COPPERAS COVE

ANP/CERT/CLNPWebb, Donald D APN3010 E Highway 190Ste 254(254) 519-1900

CORPUS CHRISTI

ANP/CERT/CLNPAbrego, Hope APN1415 Santa Fe St(861) 737-0600Acebo, Jose A APN5945 Saratoga Blvd(361) 694-1500Acosta, Kathy A APN1015 Santa Fe St(361) 450-0721Ahern, Camille E APN13725 Northwest BlveSte A(361) 387-9413Aizon, Bernice J APN14254 Spid DrSte 207(361) 589-4068Akpunku, Livina C APN1315 Santa Fe(361) 887-9600Aleman, Kristy M APN2922 Morgan Ave(361) 887-66015846 Wooldridge Rd(361) 994-897914254 South PadreIsland Dr Ste 207(361) 589-4068Alizadeh, Paresa H APN7101 S Staples StSte 101(281) 888-8999Alvarez, Lillian M APN5826 Esplanade DrSte 304b(361) 205-1024Antoni, Lorraine A APN4455 S Padre Island DrSte 13(361) 851-0545Aquino, Cherrie A APN14254 Spid DrSte 207(361) 589-4068Ashley, Melissa F APN

♿3434 Saratoga Blvd(361) 985-9355

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ALICE 01/19/2021

222

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)Avila, Ashton S APN7121 South Padre IslandDrive Ste 118(361) 694-60547121 SpidSte 118(361) 694-60547121 SpidSte 118(361) 694-60545920 Saratoga BlvdSte 635(361) 694-60545920 Saratoga BlvdSte 635(361) 694-6054Ayarzagoitia, Patrick APN4042 River Hill Dr(361) 933-51876646 S Staples StSte 122(361) 334-2023Baney, Jason J APN5734 Spohn Dr(361) 882-4452Bangalore, Deepa R APN2634 GolliharSte C(361) 853-3995Bannon, Kathleen M APN718 Elizabeth StThird Floor(361) 884-2858Barganski, Natalie E APN3533 S Alameda St(361) 694-4700♿3533 S Alameda StSte 302(361) 694-4700Bayardo, Rodolfo APN3240 Fort Worth StSte 120(361) 985-11157121 Spid DrSte 300(361) 696-6200

Bellamy, Virginia E APN5633 S Staples Ste 700(361) 814-2001Bell, Eva M APN

♿1315 Santa Fe St(361) 887-9600Belyeu, Danielle N APN7121 S Padre Island DrSte 300(361) 696-62005920 Saratoga BlvdSte 510(361) 288-2222Benavidez, Madeline DAPN7101 Williams Dr(361) 561-0145Benitez, Ramiro APN

♿601 Texan TrailSte 300(361) 854-0811Bernal, Telisha APN3240 Fort Worth StSte 120(361) 985-11151625 Rodd Field RdSte 200(361) 985-2273Black, Barbara APN5633 S Staples StSte 700(361) 814-2001Bray, Lindsay D APN1625 Rodd Field RdSte 200(361) 985-2273Brozo, Kristen A APN3536 Holly Rd(361) 855-91074410 Dillon LnSte 1(361) 855-9107Buchanan, Dana X APN3536 Holly Rd(361) 855-91074410 Dillon Ln Ste 1(361) 857-0101Cabano, Sara N APN3536 Holly Road(361) 855-91074410 Dillon Lane Ste 1(361) 855-9107

Cantu, Jennifer E APN5920 Saratoga BlvdSte 425(361) 287-0100Capupus, Juan APN4042 River Hill Dr(361) 933-5187Carlson, Michelle L APN2922 Morgan Ave(361) 887-6601Carr, Jenny APN3533 S Alameda St(361) 694-6691Castaneda, Ernest APN4042 River Hill Dr(361) 933-5188Castaneda, Rosalie MAPN2120 Baldwin Blvd(361) 500-00965945 Saratoga Blvd(361) 694-15001504 Waldron Rd(361) 937-5311Cavazos, Dina A APN

44444 Corona DrSte 130(361) 992-4500Cazares, Beatriz I APN6182 Dunbarton Oak StSte B(361) 452-9320Cervantes, Abel P APN7121 S Padre Island DrSte 300(361) 696-6200Chipman, Melanie R APN7121 S Padre Island DrSte 300(361) 696-6200Cisneros, Maria P APN2606 Hospital Blvd4 West(361) 902-61002606 Hospital BlvdSte F(361) 902-6100Clack, Kendrick T APN5633 S Staples St Ste 700(361) 814-2001Clifton, Erin L APN1533 S Brownlee BlvdSte 100(361) 884-2242

Cottle, David L APN1660 S Staples Ste 150(361) 800-8155Coulthirst, Aunella O APN4101 S Staples St(316) 883-8001Cudd, Lacey M APN13310 Leopard StSte 27(361) 242-33555817 Patton St Ste 101(361) 992-9383Culver, Tracy L APN14254 Spid DrSte 207(361) 884-2904Curtiss, Victoria J APN5920 Saratoga BlvdSte 300(361) 442-2442De Cordova, Marilyn AAPN6625 Wooldridge RdSte 101(361) 356-6441De Leon, Elsie Y APN4617 Greenwood Dr(361) 857-294614202 S Padre Island Dr(361) 949-766014725 S Padre Island Dr(361) 902-6170Deering, Leta R APN2634 GolliharSte C(361) 853-3995Deleon, Rudolfo C APN

♿14254 S Padre Island DrSte 207(361) 589-406814254 Spid Dr Ste 207(361) 589-4068Delua Ruiz, Nedia N APN6625 Wooldridge RdSte 101(361) 356-6441Dematt, Christopher LAPN

♿14254 S Padre Island DrSte 207(361) 589-4068Dillon, Kristin L APN14725 Compass St(361) 929-1122

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)Dodson, Jami L APN

45710 Esplanade Dr(361) 991-8000Elevazo, Jhoanne C APN7101 S Staples St(281) 888-8999Escamilla, Jackie L APN3533 S Alameda St(361) 694-4445Fernando, Ophelia L APN5945 Saratoga Blvd(361) 694-1500Flores, Frederick N APN1011 Santa Fe St(361) 993-10831015 Santa Fe St(361) 450-0721Foster, Christina APN3536 Holly Rd(361) 855-9107Frago, Susan M APN7121 S Padre Island DrSuite 300(361) 696-6200Rabagos Health Care4042 River Hill Dr(361) 933-51876646 S Staples StSte 122(361) 334-2023Fray, Sasha M APN7101 S Staples St(281) 888-8999Garcia, Aracele APN1660 S Staples(361) 694-149813725 Northwest BlvdSte A(361) 387-9413Garcia, Juan A APN1202 Third St(361) 883-3962Glover, Julianne S APN805 Morgan Ave(361) 371-3710

Goehring, Rose M APN7101 S Staples StSte 101(281) 888-8999Gomez, Sanida M APN2922 Morgan Ave(361) 887-6601Gonzales, Laura A APN5945 Saratoga Blvd(361) 694-1500Gonzales, Melissa A APN3536 Holly Rd(361) 855-91074410 Dillon Ln Ste 1(361) 857-0101Gonzalez, Mary C APN4042 River Hill Dr(361) 933-51876646 S Staples StSte 12(361) 334-2023Goode, Celia P APN5826 Esplanade DrSte 201(361) 986-0404Gorbet, Melissa D APN1533 5th(361) 371-55441533 5th St(806) 712-1096Gordon, Cheryl D APN2606 Hospital BlvdSte B(361) 902-4789Grantham, Daniella D APN

♿7121 S Padre IslandDr Ste 200(361) 993-6000♿7121 S Padre Island DrSte 100(361) 993-6000♿7121 S Padre Island DrSte 206(361) 993-6000Grunberg, Christi G APN

♿601 Texan TrilSte 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Guajardo, Hazel J APN1533 S Brownlee BlvdSte 100(361) 884-2242

Guerrero, Thelma B APN1660 S Staples StSte 160(361) 694-1498Guico, Haidee M APN3533 S Alameda StFurman Bldg Ste 202(631) 694-6691Hearn, Melissa L APN4234 Weber Rd(361) 883-3831Hernandez, Crystal A APN

♿3533 S Alameda St(361) 694-5057Hernandez, Diana J APN1533 S Brownlee BlvdSte 100(361) 884-2242Hernandez, Steve APN5950 Saratoga Blvd(321) 917-9263Hobbs, Susan M APN

♿601 Texan Trail Ste 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Hubert, Kelli M APN14254 Spid DrSte 207(361) 589-4068Huerta, Irene R APN7121 S Padre Island DrSte 100(361) 993-6000Irigoyen, Eliana A APN10838 Leopard St(361) 387-9496Jazul, Noel C APN5714 Spohn Dr(361) 906-0900Johnson, Sally M APN7101 S Staples St(281) 888-8999Koepsel, Peggy Jo S APN

♿5440 Old Brownsville Rd(361) 452-1151Kostoff, Heather A APN2701 Morgan Ave Ste 400(832) 998-15102727 Morgan Ave Ste 400(361) 883-88883240 Fort Worth Ste 120(361) 985-1115

Kugelmann, Colin APN7101 S Staples St(281) 888-8999Lewis, Sarah E APN14254 S Padre Island DrSte 207(361) 589-4068Lopez Briseno, Maria CAPN7121 S Padre Island DrSte 300(361) 696-6200Lucio, Kristin D APN14254 Spid DrSte 207(361) 589-4068Maher, Janet E APN7121 S Padre Island DrSte 300(361) 696-6200Martinez, Rosa A APN1533 5th St(361) 737-1554Mason, Traci S APN4042 River Hill Dr(361) 933-51876646 S Staples StSte 122(361) 933-5188McLaughlin, Jennifer LAPN1202 Third St(361) 883-3962Medley, Samantha J APN5826 Esplanade DrSte 102(361) 500-2998Meza, Sonia M APN7101 S Staples StSte 101(281) 888-8999Midyett, Ronald W APN14254 Spid Dr Ste 207(361) 589-4068Miller, Emily A APN2606 Hospital BlvdSte F(361) 902-61002606 Hospital Blvd 4 W(361) 902-6100

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

224

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)Miller, Melissa M APN

♿3533 S AlamedaSte 301(361) 694-47003533 S Alameda StSte 301(361) 694-4700Mims, Hollie M APN601 Texan TrailSte 300(361) 854-0811Mitchell, Ellen J APN4141 S Staples StSte 300(361) 882-5560Mondesir, Danielle APN7101 S Staples St(281) 888-8999Montgomery, Katie M APN7502 S Padre Island Dr(361) 500-4184Mora, Collen S APN1533 5th St(361) 371-5544Moreno, Laura APN

♿3533 S Alameda StSte 501 Bldg Furman(361) 694-5778Moreno, Yamily APN3765 S Alameda St(361) 850-8300Moschitto, Carrie M APN1202 3rd St(512) 807-3150Moy, Misty M APN3533 S Alameda StSte 302(361) 694-4700Naranjo, Liza M APN7121 S Padre Island DrSte 300(361) 696-6200♿3536 Holly Rd(361) 855-9107♿4410 Dillon LnSte 1(361) 855-9107

Norwood, Armie D APN3533 S Alameda St(361) 694-4864Nwosu, Inemesit M APN7121 S Padre Island DrSte 206(361) 993-6000Ocampo, Alvaro APN7101 S Staples St(281) 888-8999Olivarez, Jennifer APN3533 S Alameda St(361) 694-4986Olvera, Rhonda J APN5945 Saratoga Blvd(361) 694-1500Padilla, Anita R APN4444 Corona DrSte 242(361) 452-1151Padilla, Viviana APN3533 S Alameda StFurman Bldg Ste 501(361) 694-5778Paris, Alyson M APN3533 S Alameda St(361) 694-5311Parris, Velma I APN3301 S Almadeda Ste 201(361) 857-2900Pattillo, Tammy J APN2033 Airline RdSte H1(361) 442-207314725 Compass St(361) 929-1122Petty, Cindy S APN4710 Everhart RdSte 100(361) 857-2273Platt, Adrienne M APN5945 Saratoga Blvd(361) 694-1500Prater, Rodney A APN

♿1630 South Brownlee(361) 886-6900Price, Kimberly R APN1533 S Brownlee BlvdSte 100(361) 884-2242Pulido, Jennifer APN13725 Northwest BlvdSte A(361) 387-9413

Rabagos, Katherine CAPN4042 River Hill Dr(361) 933-51876646 S Staples St Ste 122(713) 893-6214Ramsden, Melissa APN1533 5th St(361) 371-5544600 Elizabeth St(361) 881-3223Reese, Karen A APN1533 5th St(361) 371-55447121 S Padre Island DrSte 300(361) 696-6200Requenez, Ricardo J APN14725 Compass St(361) 929-1122Reyes, Ilaria M APN1415 Santa Fe St(361) 861-97603434 Saratoga Blvd(361) 985-9355Reyna, Laura N APN3533 S Alameda StFurman Bldg Ste 202(361) 694-6691Robles, Tiffani M APN5945 Saratoga Blvd(361) 694-1500Rock, Melissa L APN2033 Airline Rd Ste H1(361) 442-20735846 Wooldridge Rd(361) 994-8979Rodriguez, Angela M APN7121 S Padre Island DrSte 300(361) 696-6200Rodriguez, Heather AAPN3533 S Alameda StFurman Bldg Ste 202(361) 694-6691Rodriguez, Stephanie MAPN7121 S Padre Island DrSte 300(361) 696-6200

Salinas, Cynthia G APN4042 River Hill Dr(361) 933-51876646 S Staples StSte 122(361) 334-2023Sanchez, Ruviola APN14254 Spid DrSte 207(361) 589-4068Santo, Gabrielle APN

♿3536 Holly Rd(361) 855-9107♿4410 Dillon LnSte 1(361) 855-9107Santos, Adela R APN

♿6000 S Staples StSte 406(361) 993-48356182 Dunbarton Oak StSte B(361) 452-93205440 Old Brownsville Rd(361) 452-1151Schoolcraft, Mary K APN1533 S Brownlee BlvdSte 100(361) 884-2242601 Texan TrailSte 300(361) 854-0811Schroll, Misti L APN

♿5734 Spohn Dr(361) 882-4452Shafiei, Shiva APN

♿6182 Dunbarton Oak StSte B(361) 452-9320Siros, Kalin N APN7121 S Padre Island DrSte 300(361) 696-62006002 S Staples St(361) 334-26255721 Esplanade Dr(361) 334-2625Squires, Patricia APN2606 Hospital Blvd 4 W(361) 902-6100

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

ANP/CERT/CLNP(continued)Stacy, Alma D APN1011 Santa Fe St(361) 933-10831015 Santa Fe St(361) 450-0721Svatek, Maegan J APN4042 River Hill Dr(361) 933-51876646 S Staples St Ste 122(361) 933-5187Trevino, Perla J APN7121 S Padre Island DrSte 300(361) 696-6200Trombley, Dina D APN4617 Greenwood Dr(361) 857-2872Turner, Amy L APN5714 Spohn Dr(361) 445-3008Turner, Weldon R APN2922 Morgan Ave(361) 887-6601Urban, Jennifer A APN1415 Santa Fe(361) 887-4521Uzoigwe, Georgina C APN3126 Road Field Rd(361) 452-6897Valverde, Caitlin D APN7101 S Staples StSte 101(281) 888-8999Vasquez, Jennifer R APN5950 Saratoga Blvd(321) 917-9263Vela, Bernadette B APN2606 Hospital BlvdSte 4 West(361) 902-61003817 S Padre Island Dr(361) 857-0178Wagner, Anna APN7121 S Padre Island DrSte 300(361) 696-6200

Walker, Patricia A APN3533 S Alameda StFurman Bldg Ste 202(361) 694-6691Watkins, Karen C APN2202 Morgan Ave(361) 884-3966Watts, Hatira APN6000 S Staples St Ste 406(361) 993-48353126 Rodd Field Rd(361) 452-6886West, Elodie V APN718 Elizabeth St Fl 3(361) 884-2858Whitehurst, Elizabeth AAPN1533 S Brownlee BlvdSte 100(361) 884-2242Wilcox, Mary M APN1521 S Staples Ste 510(361) 882-40005633 S Staples StSte 700(361) 814-2001Williams, Jeremiah J APN

45710 Esplanade Dr(361) 991-8000Williams, Sharon M APN1533 5th St(361) 371-5544Willis, Julie D APN2120 Baldwin Blvd(361) 500-0096Wilson, Jessica P APN4455 S Padre Island DrSte 106(361) 937-1010Yepez, Marissa M APN

♿13310 Leopard StSte 27(361) 242-3355♿5817 Patton StSte 101(361) 992-9383Ynostroza, Jaime R APN1533 S Brownlee BlvdSte 100(361) 884-2242Zey, Edward B APN

♿6118 Parkway(361) 883-2000

PHYSICIAN ASSISTANTAndoh Baidoo, RosemarieA PA613 Elizabeth Ste 804(361) 881-3351Arthur, Andrew A PA4455 Spid Ste 30(361) 883-0619Barrow Russell, MelindaPA2922 Morgan Ave(361) 887-6601Boostrom, William PA1406 Martin LutherKing Dr(361) 887-88111406 Martin Luther KingDr(361) 887-88111406 Martin Luther KingDr(361) 887-8811Buddenbaum, Carley PA

♿3533 S Alameda St(361) 694-6691Campbell, Christina E PA5540 Saratoga BlvdSte 200(361) 993-85105826 Esplanade DrSte 304(361) 998-9934Capupus, Mari A PA4042 River Hill Dr(361) 993-51876646 S Staples StSte 122(361) 993-5188Chimbunde, Barbara N PA3533 S Alameda St(361) 694-4700Coates, Jacquelyn A PA

♿601 Texan TrailSte 300(361) 854-0811Coates, Mark A PA1660 S Staples Ste 150(361) 800-81555920 Saratoga BlvdSte 475(361) 654-2064

Davidson, Julie M PA♿601 Texan TrlSte 100(361) 884-6381♿5134 Carroll Ln(361) 884-6381Deardorf, Erika G PA1227 Third St(361) 883-43233240 Fort Worth StSte 104(361) 857-3556Docis, Paul T PA5756 South StaplesSuite J-1(713) 864-2659Ettinger, David C PA

♿3533 S Alameda St(361) 694-4444Evans, Oksana PA5920 Saratoga BlvdSte 540(361) 985-1221Flores, Alana N PA601 Texan TrailSte 300(361) 854-0811Garcia, Jazlene PA5802 Saratoga BlvdSte 130(361) 986-4660Garza, Jesus E PA2922 Morgan Ave(361) 887-66015846 Wooldridge Rd(361) 994-8979Giacontiere, Kevin J PA

♿4141 S Staples StSte 300(361) 882-5560Harms, Christine PA5920 Saratoga BlvdSte 475(361) 654-20646182 Dunbarton Oak StSte B(361) 452-9320Heath, Mallory L PA4141 S Staples Ste 300(361) 882-5560

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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CORPUS CHRISTI(continued)

PHYSICIAN ASSISTANT(continued)Jackson, James R PA1315 Santa FeSte 201(361) 887-96005440 Old Brownsville Rd(361) 452-1151Johnson, Desiree L PA2606 Hospital BlvdSte E(361) 902-4766Kubena, Brittany K PA14725 Compass St(361) 929-1122Kuepper, Caroline PA

♿2922 Morgan Ave(361) 887-6601Lemaster, Meagan E PA5920 Saratoga BlvdSte 300(361) 442-2442Lopez, Veronica H PA

♿5802 Saratoga BlvdSte 150(361) 985-1888♿5802 Saratoga BlvdSuite 150(361) 986-4600Martinez, Veronica A PA

♿13725 Northwest BlvdSte A(361) 387-9413Montemayor, Eduardo DPA5540 SaratogaSte 200(361) 993-8510Parker, Padgett A PA14120 Northwest Blvd(361) 241-2626Parks, Tamaryn PA613 Elizabeth Ste 804(361) 881-3351Perez, Raymond S PA1227 Third St(361) 883-4323Peterson, Amber C PA2401 Morgan Ave(361) 887-6601

Petrila, Kimberly A PA5920 Saratoga BlvdSte 600a(361) 994-1166Phenix, Courtney PA4141 S Staples StSte 300(361) 882-5560Pillen, Todd J PA4141 S Staples Ste 300(361) 882-5560Piotrowski, Jonathan PPA1227 Third St(361) 883-4323600 Elizabeth St(361) 881-3223Recio, Jose R PA

♿601 Texan TrlSte 300(361) 854-0811Richman, Jessica PA6226 Saratoga Blvd(830) 643-6205Sims, Kaylee M PA

♿601 Texan TrailSte 300(361) 854-0811Sparks, Cori A PA601 Texan TrlSte 300(361) 854-0811Springer, Stephen PA

♿601 Texan Trail Ste 300(361) 854-08115734 Spohn Dr(361) 882-4452Steele, Leeanna E MD3533 S Alameda St(361) 694-4700Tewell, Katdidia M PA1227 Third St(361) 883-4323Thapa, Nishan PA4141 S Staples StSte 300(361) 882-5560Vaclavik, Celia M PA5756 South StaplesSuite J-1(713) 864-2654

Wall, Tammy R PA3301 S Alameda StSte 201(361) 857-2900Welsh, Kelsey PA613 Elizabeth Ste 804(361) 881-3351Whitfield, Joseph E PA

♿5440 Old Brownsville Rd(361) 452-1151

FALFURRIAS

ANP/CERT/CLNPAlvarez, Natalia V APN1400 S St Marys St(361) 325-1910Coleman, Richard APN

♿221 W Potts St(361) 325-1910Vela, Raquel G APN1302 S St Marys StSte A B D(361) 325-9404

GEORGE WEST

ANP/CERT/CLNPTudor, Jennifer M APN504a Houston St(713) 893-6214

PHYSICIAN ASSISTANTMeineke, Terrance L PA

♿801 Houston St(361) 449-1947

HOUSTON

ANP/CERT/CLNPQuinn, Lucy E APN2627 S Loop WSte 265(512) 575-8029

PHYSICIAN ASSISTANTRasheed, Teressa PA4635 Southwest Fwy Ste635(713) 850-0049

KARNES CITY

ANP/CERT/CLNPHolder, Brittany A APN302 N Butler St(830) 780-3100757 S Panna Maria Ave(830) 780-3100Pawelek, Jochelle D APN302 N Butler(830) 781-3100757 S Panna Maria Ave(830) 780-3100Rainer, Holly C APN302 N Butler(830) 780-3100Richter, Meredyth E APN302 N Butler St(830) 780-3100

KENEDY

ANP/CERT/CLNPAdamek, Laura B APN

♿113 W Main St(830) 583-0627Brown, Laura R APN

♿113 W Main St(830) 583-06123349 S Hwy 181Ste 3(830) 583-3401Fitts, Hermelinda A APN

♿113 W Main St(830) 583-0612Hall, Herbert J APN

♿113 W Main St(830) 583-0612Kalmus, Ashley H APN

♿113 W Main St(830) 583-0612Laake, Summer M APN

♿113 W Main St(830) 583-0612Moody, Mary G APN113 W Main St(830) 583-0612

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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KENEDY (continued)

PHYSICIAN ASSISTANTEdwards, Valerie T PA

♿3349 S Hwy 181Ste 3(830) 583-9355Huber, Nelda PA

♿113 W Main St(830) 583-0627Martin, Allison L PA3349 S Highway 181Ste 6(210) 829-5180Mims, Susan L PA

♿113 W Main St(830) 583-0612

KINGSVILLE

ANP/CERT/CLNPAizon, Bernice J APN401 E King Ave(361) 221-2943Aquino, Cherrie A APN401 E King AveSte B(361) 884-2904Ayarzagoitia, Patrick APN500 E Caesar Ave(361) 516-0800Buchanan, Dana X APN1000 S 14th StSte 1022b(361) 595-1875Byrom, Shelby L APN1311 E General CavazosBlvd Ste 305(361) 592-22231311 General Cavazos BlvdSte 305(361) 592-2223Cabano, Sara N APN1000 S 14th St Ste 1022b(361) 885-9107Capupus, Juan APN500 E Caesar Ave(361) 516-0800

Castaneda, Ernest APN500 E Caesar Ave(361) 516-0800♿914 E Fordyce AveSte A(361) 221-2461Culver, Tracy L APN401 E King Ave(361) 884-2904Deleon, Rudolfo C APN401 E King Ave(361) 884-2904Dematt, Christopher LAPN

♿401 E King Ave(361) 221-2943Evans, Johanna D APN914 E Fordyce AveSte A(361) 221-2461Francis, William R APN500 E Caesar Ave(361) 516-0800Garza, Elizabeth B APN1601 S US Highway 77 BypUnit 7(361) 592-8531Gonzales, Melissa A APN1000 S 14th StSte 1022b(361) 595-1875Hubert, Kelli M APN401 E King Ave(361) 221-2943King, Kevin A APN401 E King Ave(361) 221-2943Lucio, Kristin D APN401 E King Ave(361) 884-2904Martinez, Rosa A APN601 E Kleberg(361) 221-9345Mason, Traci S APN500 E Caesar Ave(361) 516-0800Midyett, Ronald W APN401 E King Ave(361) 221-2943Rabagos, Katherine CAPN500 E Caesar Ave(361) 516-0800

Rogers, Petina L APN500 E Caesar Ave(361) 516-0800Salinas, Cynthia G APN500 E Caesar Ave(361) 516-0800Sanchez, Ruviola APN401 E King Ave(361) 221-2943Svatek, Maegan J APN500 E Caesar Ave(361) 516-0800

PHYSICIAN ASSISTANTArthur, Andrew A PA1218 N Armstrong Ave(361) 595-1929Bryant, Jerin D PA

♿510 E Caesar Ave(361) 592-8588Capupus, Mari A PA500 E Caesar Ave(361) 516-0800Felhofer, Hannah M PA500 E Caesar Ave(361) 516-0800

KOSSE

ANP/CERT/CLNPRoark, Wanda K APN

♿206 N Narcissus(254) 375-7001

MATHIS

ANP/CERT/CLNPGroff, Donna K APN1205 E San Patricio Ave(361) 678-4461

NEW BRAUNFELS

ANP/CERT/CLNPSteitle, Russell W APN1761 S State Highway 46Ste 104(830) 433-7816

PHYSICIAN ASSISTANTPowell, Jason M PA1761 S State Highway 46Ste 104(830) 433-7816

NORMANNA

ANP/CERT/CLNPBlack, Barbara APN624 Main St(361) 937-3782Day, Cristi L APN624 Main(361) 876-9669

ORANGE GROVE

PHYSICIAN ASSISTANTAlvillar, Michael F PA101 S Eugenia St(361) 382-2024Thompson, Will D PA

♿101 Eugenia St(361) 382-2024

PORT ARANSAS

ANP/CERT/CLNPRussell, Janie C APN

♿600 Cut Off RdSte 14(361) 749-1930

PORTLAND

ANP/CERT/CLNPAizon, Bernice J APN1700 Wildcat DrSte B(361) 704-6368Aquino, Cherrie A APN1700 Wildcat Dr(361) 704-6368Culver, Tracy L APN1700 Wildcat DrSte B(361) 704-6368Deleon, Rudolfo C APN

♿1700 Wildcat Dr Ste B(361) 589-4068

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KENEDY 01/19/2021

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PORTLAND(continued)

ANP/CERT/CLNP(continued)Dematt, Christopher LAPN

♿1700 Wildcat DrSte B(361) 704-6368Garza, Mayra APN311 Buddy Ganem Ste A(361) 777-0500Hubert, Kelli M APN1700 Wildcat DrSte B(361) 704-6368King, Kevin A APN1700 Wildcat Dr Ste B(361) 704-6368Lewis, Sarah E APN1700 Wildcat Dr Ste BSte 207(361) 704-6368Lucio, Kristin D APN1700 Wildcat DrSte B(361) 704-6368Midyett, Ronald W APN1700 Wildcat DrSte B(361) 704-6570Sanchez, Ruviola APN1700 Wildcat DrSte B(361) 704-6368Vela, Bernadette B APN311 Buddy GanemSte A(361) 777-0500

PHYSICIAN ASSISTANTDocis, Paul T PA277 Buddy Ganem DrSuite B(713) 864-2659Vaclavik, Celia M PA277 Buddy Ganem DrSuite B(713) 864-2659Wimberley, Lisa L PA311 Buddy GanemSuite A(361) 777-0500

REFUGIO

ANP/CERT/CLNPBludau, Jeremy E APN114 Swift Rd(361) 526-1513Bludau, Rhonda D APN114 Swift Rd(361) 526-1513Oldmixon, Donna M APN

♿114 Swift Road(361) 526-1513Schmidt, David M APN

♿114 Swift Road(361) 526-1513Temple, Kevin D APN114 Swift St(361) 526-1513

ROBSTOWN

PHYSICIAN ASSISTANTArthur, Andrew A PA515 Pat Shutter BlvdUnit 121(361) 387-6996Heine, Peggy A PA1038 Texas Yes Blvd(361) 767-1200

ROCKPORT

ANP/CERT/CLNPAcosta, Kathy A APN1004 Ibis Dr(361) 450-0721Baker, Kerrie H APN1202 FM 3036(361) 729-0133Cisneros, Maria P APN2011 Highway 35 N(361) 729-2225Darnold, Stacey L APN2011 Highway 35 N(361) 729-2225Flores, Frederick N APN1004 Ibis Dr(361) 298-2460Pillar, Kerri A APN2011 Highway 35 N(361) 729-2225

Rodriguez, Angela K APN2851 Highway 35 N(361) 450-8383Stacy, Alma D APN1004 Ibis Dr(361) 450-0721Vasquez, Jennifer R APN2011 Highway 35 N(361) 729-2225

PHYSICIAN ASSISTANTBingham, Randy D PA

♿1704 Jenkins(361) 790-9047

THREE RIVERS

ANP/CERT/CLNPHolder, Brittany A APN105 E Thornton(361) 786-3618Means, Jeremy A APN105 E Thornton(361) 786-3618Pawelek, Jochelle D APN105 E Thornton(361) 786-3618Richter, Meredyth E APN105 E Thornton(361) 786-3618

TILDEN

ANP/CERT/CLNPHolder, Brittany A APN203 Hackberry St(361) 274-3690Pawelek, Jochelle D APN203 Hackberry St(361) 274-3690Rainer, Holly C APN203 Hackberry St(361) 274-3690Richter, Meredyth E APN203 Hackberry St(361) 274-3690

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 PORTLAND

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CORPUS CHRISTICenikor Foundation5501 IH 37(361) 826-5350

Christus Spohn HospitalCorpus Christi Shorel♿600 Elizabeth Street(361) 881-3000

ER Physicians:Facility uses out-of-networkER physiciansChristus Spohn Hospital-Memorial2606 Hospital Blvd(361) 902-4000

Corpus Christi MedicalCenter13725 Northwest Blvd(361) 767-4400

ER Physicians:Facility uses out-of-networkER physiciansCorpus Christi MedicalCenter♿3315 South Alameda Street(361) 857-1400

ER Physicians:Facility uses out-of-networkER physiciansCorpus Christi MedicalCenter7002 Williams Dr(361) 761-1200

ER Physicians:Facility uses out-of-networkER physicians

TAFTShoreline Inc1220 Gregory St(361) 643-6643**Practice Information:10; 12; 14; 17; 599; 722

Shoreline Inc♿1220 Gregory Street(361) 528-3356**Practice Information:10; 12; 14; 17; 599; 722

Behavioral Health FacilitiesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health FacilitiesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. **See the Practice Information Appendix for Details.

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ALICE

ADDICTIONPSYCHIATRY

u Mangipudi, Murthy V MDGender: Male

♿614 W Front(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish

CHILD & ADOLESPSYCHIATRYMangipudi, Murthy V MDGender: Male

♿614 W Front(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish

CLINICALPSYCHOLOGYCuellar, Rafael PhDGender: Male

♿U171 Medical Center BlvdSte E(361) 664-4151Clinic Affiliation: Cuellarand Cuellar PLLCBoard Certifications:NoneLanguage: Spanish

Kraatz, Rebecca A PhDGender: Female614 W Front St(361) 664-9587Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:67; 108; 114; 157; 163;207; 214; 259; 266; 311Board Certifications:NoneLanguage: Spanish

LICENSEDPROFESSIONALCOUNSELORCruz, Sonia R LPCGender: Female700 Flournoy Rd Ste 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneFlores Tunchez, JoanneLPCGender: Female

♿1481 S Flournoy RdSte 105(361) 661-1379Clinic Affiliation:Counseling Resources ofSouth TX**Practice Information:40; 47; 60; 65; 67; 70; 87;112; 114; 117; 134; 140;161; 163; 166; 183; 189;212; 214; 217; 234; 240;264; 266; 269; 286; 292;316; 317; 318; 319; 320;394Board Certifications:NoneLanguage: SpanishGilpatrick Ochoa, MarissaLPCGender: Female

U113 N Reynolds(361) 444-3807Board Certifications:None

u Hill, Maurice LPCGender: Male

U171 Medical Center BlvdSte E(361) 664-4151Clinic Affiliation: Cuellarand Cuellar PLLCBoard Certifications:Licensed ProfessionalCounselorMoore, Sheryl LPCGender: Female700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneMorgan, Gwenneth T LPCGender: Female

♿700 Flournoy RdSte 2a(361) 664-1417Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishPerez, Kristina L LPCGender: Female

♿1481 S Flournoy RdSte 105(361) 661-1379Clinic Affiliation:Counseling Resources ofSouth TX**Practice Information:40; 47; 54; 60; 65; 70; 112;114; 117; 134; 161; 163;183; 212; 214; 217; 234;264; 266; 269; 286; 316;317; 318; 319; 320; 394Board Certifications:NoneLanguage: Spanish

NEUROLOGYMangipudi, Murthy V MDGender: Male614 W Front St(361) 664-9587Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

PSYCHIATRYCapitaine, Raul R MDGender: Male

♿2520 E Main StSte 200(361) 993-4835Hospital Affiliations:Corpus Christi MedicalCenter; Christus SpohnHos Cctx ShorelineClinic Affiliation: Raul RCapitaine MD PA**Practice Information:40; 43; 47; 50; 60; 63; 112;114; 115; 117; 118; 120;121; 127; 145; 152; 153;157; 160; 161; 163; 164;166; 167; 169; 176; 195;202; 203; 207; 210; 212;214; 215; 217; 218; 220;221; 227; 246; 253; 254;259; 262; 264; 266; 267;269; 270; 272; 273; 279;298; 305; 306; 311; 314;317; 318; 319; 320; 416Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ALICE

231

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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ALICE (continued)

PSYCHIATRY(continued)

u Mangipudi, Murthy V MDGender: Male

♿614 W Front(361) 857-2090614 W Front St(361) 664-9587Clinic Affiliation: CoastalPlains Community MHMRCtr; South TexasPsychiatric Associates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish;Hindi; Spanish

ARANSAS PASS

ADDICTIONPSYCHIATRY

u Rayasam, Krishnaia MDGender: Male

♿1010 S Commercial St(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish

CHILD & ADOLESPSYCHIATRYRayasam, Krishnaia MDGender: Male

♿1010 S Commercial St(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish

CLINICALPSYCHOLOGYKraatz, Rebecca A PhDGender: Female1711 W Wheeler Ave Ste(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServi**Practice Information:67; 108; 114; 157; 163;207; 214; 259; 266; 311Board Certifications:NoneLanguage: SpanishMorrice McBride, AmandaV PsyDGender: Female1711 W Wheeler Ste 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServi**Practice Information:65; 67; 70; 107; 112; 114;117; 156; 161; 163; 166;189; 206; 207; 212; 214;217; 240; 248; 258; 259;264; 266; 269; 292; 300;310; 311; 316; 317; 318;319; 320; 394Board Certifications:None

Smith, Heather L PhDGender: Female

♿1711 W Wheeler Ave Ste 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServi**Practice Information:214; 259; 266; 311; 318;320; 385Board Certifications:NoneLanguage: Spanish

GERIATRICPSYCHIATRY

u Praderio, Nestor H MDGender: Male

♿1711 W Wheeler Ave Ste 2(361) 887-9600Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Psychiatric ConsultingServi**Practice Information:47; 60; 212; 214; 217; 234;259; 264; 266; 269; 286;311; 318; 320; 385Board Certifications:Geriatric Psychiatry;PsychiatryLanguage: Spanish

LICENSEDPROFESSIONALCOUNSELORMickey, Danea D LPCGender: Female

U2051 W Wheeler Ste 2(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:33; 38; 39; 40; 42; 44; 45;46; 47; 49; 51; 52; 53; 54;59; 64; 65; 68; 69; 70; 72;74; 75; 78; 80; 81; 84; 85;86; 92; 94; 106; 112; 115;116; 117; 119; 120; 121;122; 125; 127; 128; 131;132; 133; 134; 139; 140;141; 142; 146; 153; 157;161; 162; 164; 165; 166;168; 169; 170; 171; 172;174; 176; 180; 181; 182;183; 188; 189; 190; 191;196; 202; 203; 204; 207;208; 209; 211; 212; 213;215; 217; 218; 219; 220;221; 222; 223; 224; 225;227; 231; 232; 233; 234;238; 239; 240; 241; 242;247; 253; 254; 255; 256;259; 260; 261; 263; 264;267; 269; 271; 273; 274;276; 277; 284; 285; 290;293; 294; 305; 306; 313;316; 317; 318; 319; 320;394; 595; 722Board Certifications:NoneLanguage: SpanishO'Neill Baker, Emilia LPCGender: Female1711 W Wheeler AveSte 2(361) 887-9600Clinic Affiliation:Psychiatric ConsultingServiBoard Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ALICE 01/19/2021

232

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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ARANSAS PASS(continued)

PSYCHIATRYu Praderio, Nestor H MDGender: Male

♿1711 W Wheeler Ave Ste 2(361) 887-9600Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical CenterClinic Affiliation:Psychiatric ConsultingServi**Practice Information:47; 60; 212; 214; 217; 234;259; 264; 266; 269; 286;311; 318; 320; 385Board Certifications:Geriatric Psychiatry;PsychiatryLanguage: Spanish

u Rayasam, Krishnaia MDGender: Male

♿1010 S Commercial St(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish

BEEVILLE

ADDICTIONPSYCHIATRYMaruvada, Umamakesw RMDGender: Male

♿U2808 Industrial LoopBlvd(361) 853-3424Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

CHILD & ADOLESPSYCHIATRYMaruvada,Umamaheswara R MDGender: Male2808 SE Industrial ParkBlvd(361) 358-8000Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

Maruvada, Umamakesw RMDGender: Male

♿U2808 Industrial LoopBlvd(361) 853-3424Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: SpanishRayasam, Krishnaiah MDGender: Male2808 SE Industrial ParkBlvd(361) 358-8000Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

CLINICALPSYCHOLOGYDubois, Keith E PhDGender: Male

♿201 C West Cleveland(361) 225-3944Clinic Affiliation: FamilyHlth Care Support Serv Inc**Practice Information:40; 47; 54; 60; 65; 67; 70;108; 112; 114; 117; 134;150; 156; 157; 161; 163;166; 183; 200; 206; 207;212; 214; 217; 234; 251;258; 259; 264; 266; 269;286; 303; 310; 311; 316;317; 318; 319; 320; 405Board Certifications:NoneLanguage: Spanish

Kraatz, Rebecca A PhDGender: Female2808 SE Industrial ParkBlvd(361) 358-8000Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:67; 108; 114; 157; 163;207; 214; 259; 266; 311Board Certifications:NoneLanguage: Spanish

LICENSEDPROFESSIONALCOUNSELORBond, Brenda S LPCGender: Female

♿119 W Bowie(361) 542-4798**Practice Information:65; 70; 112; 114; 117; 134;161; 163; 166; 183; 212;214; 217; 234; 264; 266;269; 286; 316; 317; 318;319; 320; 405Board Certifications:NoneLanguage: EnglishCox, Crystal R LPCGender: Female

U1004 N Washington St(361) 350-8088Clinic Affiliation: SerenityCounseling & Life CoachiBoard Certifications:NoneKnowlton, Karen A LPCGender: Female

U1004 N Washington St(361) 350-8088Clinic Affiliation: SerenityCounseling & Life Coachi**Practice Information:39; 47; 65; 66; 68; 70; 75;84; 112; 113; 115; 117;118; 120; 122; 131; 132;139; 161; 162; 164; 166;167; 170; 171; 176; 177;180; 181; 188; 189; 202;211; 212; 213; 215; 217;218; 221; 222; 224; 227;231; 232; 242; 253; 263;264; 274; 279; 294; 315;316; 317; 318; 319; 722Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 ARANSAS PASS

233

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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BEEVILLE(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Morales, Petra P LPCGender: Female

♿503 W Clare St(361) 354-4792**Practice Information:65; 67; 70; 112; 114; 117;161; 163; 166; 212; 214;217; 264; 266; 269; 316;317; 318; 319; 320; 394Board Certifications:NoneLanguage: SpanishMorgan, Gwenneth T LPCGender: Female

♿301 S Hillside DrSte 5 6 and 15(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: SpanishPalacios, Jose R LPCGender: Male301 S Hillside DrSte 5 6 15(361) 362-0307Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:None

LICENSEDPSYCHOLOGICALASSOCIATESublett, Debra S LPAGender: Female

♿U201c W Cleveland(361) 225-3944Clinic Affiliation: FamilyHlth Care Support Serv Inc**Practice Information:65; 67; 70; 108; 112; 114;117; 157; 161; 163; 166;207; 212; 214; 217; 259;264; 266; 311; 316; 317;318; 319; 320; 383Board Certifications:NoneLanguage: English

PSYCHIATRYMaruvada,Umamaheswara R MDGender: Male2808 SE Industrial ParkBlvd(361) 358-8000Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

Maruvada, Umamakesw RMDGender: Male

♿U2808 Industrial LoopBlvd(361) 853-3424Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

u Rayasam, Krishnaiah MDGender: Male2808 SE Industrial ParkBlvd(361) 358-8000Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

BENAVIDES

LICENSEDPROFESSIONALCOUNSELORMorgan, Gwenneth T LPCGender: Female

♿115 W Main St(361) 256-3663Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

CORPUS CHRISTI

ADDICTIONPSYCHIATRYChelebian, Jack MDGender: Male1546 S Brownlee Blvd(361) 886-6970Board Certifications:PsychiatryLanguage: Armenian;Spanish

u Mangipudi, Murthy V MDGender: Male

♿3301 S Alameda St Ste307(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; SpanishMaruvada, Umamakesw RMDGender: Male

♿4234 Weber Rd(361) 857-2090Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

BEEVILLE 01/19/2021

234

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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CORPUS CHRISTI(continued)

ADDICTIONPSYCHIATRY(continued)

u Rayasam, Krishnaia MDGender: Male

♿U3301 S Alameda St Ste 307(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish

BOARD CERTIFIEDBEHAVIOR ANALYSTAndrews, Rebecca MBCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneBaumann, Erica BCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None

u Blue, Robin P BCBAGender: Female

♿U3458 S Alameda St(361) 815-2433Clinic Affiliation: TherapyConnections of South TX**Practice Information:630Board Certifications:Board Certified BehaviorAnalyst

u Daugherty, Erin E BCBAGender: Female

♿710 Buffalo StSte 802(855) 832-6727Clinic Affiliation: PositiveBehavior Supports CorpBoard Certifications:Board Certified BehaviorAnalystGalvani, Jacqueline BCBAGender: Female

♿5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneLanguage: French;SpanishGarcia, Roxanne BCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related Disorde**Practice Information:69; 71; 116; 118; 595; 722Board Certifications:NoneGianotti, Megan BCBAGender: Female

♿3538 S Alameda St(361) 452-3909Clinic Affiliation: TheShape of Behavior Inc**Practice Information:67; 69; 70; 71; 73; 75; 81;100; 107; 114; 116; 117;118; 120; 122; 128; 147;156; 163; 165; 166; 167;169; 171; 177; 197; 206;595; 722Board Certifications:NoneGiboney, Katelyn A BCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None

Hernandez, Priscila ABCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneLanguage: SpanishHinojosa, Veronica BCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None

u Kite, Elizabeth A BCBAGender: Female710 Buffalo StSte 802(855) 832-6727Clinic Affiliation: PositiveBehavior Supports CorpBoard Certifications:Board Certified BehaviorAnalystLaw, Tabitha BCBAGender: Female745 Everhart RdSte B(361) 331-37436838 Everhard RdSte 1102(361) 331-3743Clinic Affiliation: TabithaJ Law MS BcbaBoard Certifications:NoneMontes, Alejandro BCBAGender: Male5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None

Nguyen, Michelle BCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related Disorde**Practice Information:69; 71; 81; 116; 118; 128;165; 167; 177; 216; 218;228; 268; 270; 280; 595;722Board Certifications:NoneSackrider, Aimee M BCBAGender: Female

♿5402 Holly Rd Ste 2102(361) 400-0277♿2230 Saratoga Blvd(361) 881-4788Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneLanguage: SpanishSmith, Jessica L BCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneSmith, Shannon BCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneTapia, Cecilia BCBAGender: Female5402 Holly Rd 2102(361) 400-02772230 Saratoga Blvd(361) 881-4788Clinic Affiliation: CenterFor Autism Related Disorde**Practice Information:69; 71; 81; 116; 118; 128;165; 167; 177; 216; 218;228; 595; 722Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

235

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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CORPUS CHRISTI(continued)

BOARD CERTIFIEDBEHAVIOR ANALYST(continued)Wagener, Jodie BCBAGender: Female5402 Holly Rd Ste 2102(361) 400-0277Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None

u Williams, Elizabeth BCBAGender: Female

U2230 Saratoga Blvd(361) 881-4788Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:Board Certified BehaviorAnalyst

u Williams, Erica BCBAGender: Female710 Buffalo StSte 802(855) 832-6727Clinic Affiliation: PositiveBehavior Supports CorpBoard Certifications:Board Certified BehaviorAnalyst

CHILD & ADOLESPSYCHIATRYBalaram, Manjunath MDGender: Male

U3533 S Alameda St(361) 694-4520Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Childrens PhysiciansServices of South TexasBoard Certifications:None

u Estrada, Carlos R MDGender: Male

♿5301 Ocean Dr(361) 993-8358Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: CoastalBend PsychiatricAssociates PA**Practice Information:34; 40; 47; 54; 60; 65; 67;70; 87; 108; 112; 114; 117;134; 157; 161; 163; 166;183; 207; 212; 214; 217;234; 259; 264; 266; 269;286; 311; 316; 317; 318;319; 320Board Certifications:Child & Adoles Psychiatry;PsychiatryLanguage: SpanishMangipudi, Murthy V MDGender: Male

♿3301 S Alameda St Ste307(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; SpanishMaruvada, Umamakesw RMDGender: Male

♿4234 Weber Rd(361) 857-2090Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

u Nollie, Devereaux L MDGender: Female

♿43533 S Alameda St(361) 694-4700Clinic Affiliation:Childrens PhysiciansServices of South Texas**Practice Information:40; 54; 67; 70; 108; 114;117; 134; 157; 163; 166;183; 207; 316; 317; 319;416; 627Board Certifications:Child & Adoles Psychiatry;PsychiatryLanguage: SpanishRayasam, Krishnaia MDGender: Male

♿U3301 S Alameda St Ste 307(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish

CLINICALPSYCHOLOGYBenavidez, Micaela EPsyDGender: Female

♿U13330 Leopard StSte 5(361) 504-4028Clinic Affiliation: AspireServices Group LLC**Practice Information:40; 47; 60; 161; 163; 164;171; 173; 176; 188; 189;190; 191; 193; 202; 203;208; 211; 212; 214; 215;222; 224; 227; 239; 240;241; 242; 244; 253; 254;260; 263; 264; 266; 267;274; 276; 279; 291; 292;293; 294; 296; 305; 306;312; 315; 317; 318; 320;375; 595; 722Board Certifications:None

Buttross, Leanne M PhDGender: Female

♿4646 Corona Dr Ste 258(361) 334-0256Board Certifications:NoneCramer, Robert C PsyDGender: Male

U4639 Corona Dr Ste 34(361) 442-4024

U4639 Corona Ste 37(361) 442-4024Clinic Affiliation: CoastalBend Psychological Asso**Practice Information:33; 34; 39; 40; 41; 44; 46;47; 48; 51; 53; 54; 59; 60;61; 64; 65; 67; 68; 69; 70;71; 73; 74; 75; 80; 81; 84;85; 86; 92; 94; 99; 107;112; 114; 115; 116; 117;118; 120; 121; 122; 127;128; 131; 132; 133; 139;141; 142; 146; 156; 161;163; 164; 166; 167; 169;170; 171; 176; 177; 180;181; 182; 188; 190; 191;196; 203; 206; 207; 209;212; 214; 215; 217; 218;220; 221; 222; 224; 227;231; 232; 233; 238; 239;241; 242; 247; 254; 258;259; 261; 264; 266; 267;269; 270; 272; 273; 274;276; 279; 283; 284; 285;290; 291; 293; 294; 299;306; 310; 311; 313; 316;317; 318; 319; 320Board Certifications:NoneLanguage: SpanishDubois, Keith E PhDGender: Male

♿6000 S Staples Ste 200(361) 225-3944Clinic Affiliation: FamilyHlth Care Support Serv Inc**Practice Information:40; 47; 54; 60; 65; 67; 70;108; 112; 114; 117; 134;150; 156; 157; 161; 163;166; 183; 200; 206; 207;212; 214; 217; 234; 251;258; 259; 264; 266; 269;286; 303; 310; 311; 316;317; 318; 319; 320; 405Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

236

♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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CORPUS CHRISTI(continued)

CLINICALPSYCHOLOGY(continued)Fisher Kittay, Lynn E PhDGender: Female

♿U5402 Holly Rd Ste 104(361) 992-3388**Practice Information:40; 47; 67; 70; 107; 112;114; 117; 156; 161; 163;166; 206; 212; 214; 217;240; 258; 264; 266; 310;316; 317; 318; 319; 320;405Board Certifications:NoneLanguage: SpanishFisher, Alan T PhDGender: Male

♿5402 S Staples St Ste 200(361) 992-9624Clinic Affiliation: Alan TFisher PHD PC**Practice Information:67; 70; 107; 112; 114; 117;134; 156; 161; 163; 166;183; 206; 212; 214; 217;234; 258; 316; 317; 318;319; 416Board Certifications:NoneLanguage: Spanish

Hasan, Nadia T PhDGender: Female

♿U5337 Yorktown BlvdSte 4 A1(361) 500-9382Clinic Affiliation: SouthTexas Counseling ServicesP**Practice Information:38; 39; 40; 44; 45; 46; 47;48; 49; 51; 52; 53; 54; 58;59; 60; 61; 62; 64; 112;113; 114; 115; 117; 118;120; 121; 122; 123; 124;125; 126; 127; 128; 131;132; 139; 141; 142; 145;153; 156; 161; 162; 163;164; 165; 166; 167; 169;170; 171; 172; 173; 174;175; 176; 177; 180; 181;182; 188; 189; 190; 191;192; 195; 196; 203; 204;205; 206; 211; 212; 213;214; 215; 216; 217; 218;219; 220; 221; 222; 223;224; 225; 226; 227; 228;231; 232; 233; 238; 239;240; 241; 242; 243; 244;245; 246; 247; 248; 251;253; 254; 255; 256; 257;258; 260; 262; 263; 264;265; 266; 267; 268; 269;270; 271; 272; 273; 274;275; 276; 277; 278; 279;280; 283; 284; 285; 290;291; 292; 293; 294; 295;296; 297; 298; 299; 300;303; 305; 306; 307; 308;309; 310; 312; 314; 315;317; 318; 319; 320; 595;722Board Certifications:None

Hirschman, David PhDGender: Male

♿45262 S Staples RdSte 265(361) 960-6513**Practice Information:32; 33; 34; 36; 38; 39; 40;42; 44; 45; 46; 47; 49; 51;52; 53; 54; 56; 58; 59; 60;62; 64; 65; 66; 67; 68; 69;70; 71; 72; 73; 74; 75; 76;78; 79; 80; 81; 82; 84; 85;86; 93; 97; 98; 103; 106;107; 109; 110; 111; 112;113; 114; 115; 116; 117;118; 119; 120; 121; 122;123; 125; 126; 127; 128;129; 131; 132; 133; 140;144; 145; 150; 153; 156;158; 159; 160; 161; 162;163; 164; 165; 166; 167;168; 169; 170; 171; 172;174; 175; 176; 177; 178;180; 181; 182; 189; 193;194; 195; 200; 203; 204;205; 206; 208; 209; 210;211; 212; 213; 214; 215;216; 217; 218; 219; 220;221; 222; 223; 225; 226;227; 228; 229; 231; 232;233; 240; 244; 245; 246;251; 254; 255; 256; 257;258; 260; 261; 262; 263;264; 265; 266; 267; 268;269; 270; 271; 272; 273;274; 275; 277; 278; 279;280; 281; 283; 284; 285;292; 296; 297; 298; 303;306; 307; 308; 309; 310;312; 313; 314; 315; 316;317; 318; 319; 320; 595;722Board Certifications:NoneJordan, Traci L PsyDGender: Female

♿U4455 South Padre IslandDr Ste 104(361) 993-0505**Practice Information:65; 67; 70; 100; 107; 112;114; 117; 156; 161; 163;166; 189; 206; 212; 214;217; 240; 258; 266; 269;292; 310; 316; 317; 318;319; 320Board Certifications:None

Kasparek, Janet K PsyDGender: Female5866 S Staples St Ste 404(361) 334-1952Clinic Affiliation:Kasparek PsychologicalServices PBoard Certifications:NoneKinzel, Macy M PhDGender: Female3434 S Alameda(361) 855-2710**Practice Information:65; 67; 70; 87; 107; 112;114; 117; 134; 156; 161;163; 166; 183; 206; 212;214; 217; 234; 258; 316;317; 318; 319Board Certifications:NoneLanguage: SpanishKittay, Burton A PhDGender: Male

♿U5402 Holly Rd Ste 104(361) 992-2244**Practice Information:112; 114; 117; 140; 150;156; 161; 163; 166; 183;189; 200; 206; 212; 214;217; 234; 240; 251; 258;264; 266; 269; 292; 303;310; 317; 318; 319; 320;416Board Certifications:NoneLanguage: American Sign;SpanishMorrice McBride, AmandaV PsyDGender: Female101 N Shoreline BlvdSte 301(361) 883-1219Clinic Affiliation: AmandaMorrice McBride PSY D PC**Practice Information:65; 67; 70; 107; 112; 114;117; 156; 161; 163; 166;189; 206; 207; 212; 214;217; 240; 248; 258; 259;264; 266; 269; 292; 300;310; 311; 316; 317; 318;319; 320; 394Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.UThis Provider Has Extended Hours. **See the Practice Information Appendix for Details.

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CORPUS CHRISTI(continued)

CLINICALPSYCHOLOGY(continued)Rios, Robert J PhDGender: Male

♿4455 South Padre IslandSte 104(361) 334-6740**Practice Information:394Board Certifications:NoneRudolph, Susan E PhDGender: Female

♿U13330 Leopard St Ste 5(361) 504-4028Clinic Affiliation: AspireServices Group LLC**Practice Information:40; 47; 60; 161; 163; 166;189; 206; 207; 212; 214;217; 240; 248; 251; 258;259; 264; 266; 269; 292;300; 303; 310; 311; 317;318; 320Board Certifications:NoneLanguage: Spanish

LICENSED CHEMICALDEPENDENCYCOUNSELORArnold, Hollis M LPCGender: Female710 Buffalo St Ste 309(361) 886-0808Clinic Affiliation: MonarchProfessional Counseling P**Practice Information:39; 40; 47; 53; 65; 67; 68;70; 73; 92; 112; 114; 115;117; 120; 121; 122; 127;139; 141; 142; 161; 163;164; 166; 169; 171; 176;188; 190; 191; 212; 214;215; 217; 221; 222; 227;239; 241; 242; 316; 317;318; 319; 595Board Certifications:None

Sandoval, James E LCDCGender: Male

♿U1801 S Alameda StSte 150(361) 854-9199♿U1801 S Alameda Ste 150(361) 854-9199Clinic Affiliation: TheCouncil On Alcohol andDrug AbuseBoard Certifications:NoneLanguage: SpanishSmith, Michelle A LCDCGender: Female

♿U1801 S Alameda StSte 150(361) 854-9199Clinic Affiliation: TheCouncil On Alcohol andDrug Abuse**Practice Information:40; 47; 60; 381Board Certifications:NoneLanguage: Spanish

LICENSED CLINICALSOCIAL WORKERAlvarez, Doris LCSWGender: Female

♿U3833 S Staples StSte S203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:112; 117; 140; 161; 163;166; 189; 212; 214; 217;240; 259; 264; 266; 269;292; 311; 317; 318; 319;320Board Certifications:NoneLanguage: Spanish

Butler, William J LCSWGender: Male

♿U3440 S Alameda(361) 851-5111

U3440 S Alameda St(361) 851-5111Clinic Affiliation:Spectrum CounselingPLLC**Practice Information:40; 47; 54; 60; 65; 93; 112;114; 117; 134; 140; 161;163; 166; 183; 189; 207;212; 214; 217; 234; 240;259; 264; 266; 292; 311;316; 317; 318; 319; 320;416Board Certifications:NoneEhrmin, Mary C LCSWGender: Female

♿U6410 Weber RdSte 11a(361) 806-6658**Practice Information:45; 46; 51; 58; 59; 64; 186;212; 213; 214; 221; 222;227; 231; 232; 238; 240;241; 243; 245; 255; 256;257; 263; 264; 265; 266;273; 274; 279; 283; 284;289; 290; 292; 293; 295;297; 307; 308; 309; 315;318; 320; 595; 722Board Certifications:NoneFaulkner, Cynthia ALCSWGender: Female5866 S StaplesSte 102(606) 356-7094**Practice Information:46; 47; 50; 59; 60; 63; 112;113; 116; 117; 118; 128;139; 153; 213; 214; 215;216; 217; 219; 220; 222;224; 225; 226; 227; 228;231; 232; 239; 240; 241;247; 253; 254; 259; 262;263; 264; 265; 266; 267;268; 269; 271; 272; 273;274; 276; 278; 279; 283;284; 285; 291; 292; 293;299; 305; 306; 308; 311;314; 315; 318; 320; 595;722Board Certifications:None

Faulkner, Samuel S LCSWGender: Male5866 S Staples StSte 102(361) 222-6226**Practice Information:40; 45; 46; 47; 49; 50; 51;58; 59; 60; 62; 63; 64; 180;188; 191; 212; 213; 214;215; 220; 221; 222; 223;224; 227; 231; 232; 238;239; 241; 242; 244; 246;247; 251; 252; 253; 254;259; 264; 265; 266; 267;272; 273; 274; 275; 276;279; 283; 284; 290; 291;293; 294; 296; 298; 299;303; 304; 305; 306; 311;318; 320; 595; 722Board Certifications:NoneKetchum, Christina LLCSWGender: Female5866 S Staples StSte 102(361) 332-6551♿7326 S Staples St(361) 332-6551Clinic Affiliation: LifeBranch Inc**Practice Information:32; 38; 42; 45; 49; 52; 58;62; 65; 66; 67; 72; 73; 74;75; 80; 85; 91; 94; 95; 112;113; 114; 118; 119; 120;121; 122; 127; 132; 138;141; 142; 161; 162; 163;164; 166; 167; 168; 169;170; 171; 173; 176; 177;180; 181; 183; 186; 187;188; 189; 190; 191; 194;200; 202; 203; 204; 205;207; 208; 210; 211; 212;213; 214; 215; 217; 218;219; 220; 221; 222; 224;227; 228; 231; 232; 234;237; 238; 239; 240; 241;242; 245; 251; 253; 254;255; 256; 257; 259; 260;262; 263; 264; 265; 266;267; 269; 270; 271; 272;273; 274; 276; 279; 280;283; 284; 286; 289; 290;291; 292; 293; 294; 297;303; 305; 306; 307; 308;309; 311; 312; 314; 315;317; 318; 320; 595; 722Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

LICENSED CLINICALSOCIAL WORKER(continued)Kizerian, Gerald D LCSWGender: Male5866 S Staples Ste 320(361) 991-4101**Practice Information:40; 47; 60; 108; 114; 117;134; 156; 157; 163; 166;183; 200; 206; 207; 214;217; 234; 251; 258; 259;266; 303; 311; 317; 318;319; 320Board Certifications:NoneLanguage: SpanishLazarte, Debra J LCSWGender: Female

♿5440 Old Brownsville Rd(361) 779-2890**Practice Information:40; 47; 60; 65; 67; 70; 112;114; 117; 134; 157; 161;163; 166; 183; 189; 207;212; 214; 217; 234; 240;259; 264; 266; 286; 311;316; 317; 318; 319; 320;405Board Certifications:NoneMcCaig, David L LCSWGender: Male

♿U5151 Flynn PkwySte 624(361) 855-3133**Practice Information:40; 47; 54; 60; 112; 114;161; 163; 212; 214; 264;266; 317; 318; 319; 320;449Board Certifications:NoneLanguage: Spanish

Ortiz, Aurora M LCSWGender: Female

♿U3833 S Staples StSte S-203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:112; 161; 212; 240; 264Board Certifications:NoneLanguage: English;SpanishPfeiffer, James B LCSWGender: Male

♿U4455 Spid Dr Ste 101(361) 814-2273Clinic Affiliation: AaverleeClinical Associates**Practice Information:67; 70; 114; 117; 150; 163;166; 200; 214; 217; 251;266; 269; 303; 316; 317;318; 319; 320; 372Board Certifications:NonePichardo, Claudia LCSWGender: Female

U3833 S Staples Ste S 203(361) 852-9665Clinic Affiliation: FamilyCounseling ServiceBoard Certifications:NoneLanguage: SpanishSoliz, Marta LCSWGender: Female321 Texas Trail Ste 220(361) 402-0803**Practice Information:39; 46; 53; 59; 65; 85; 94;112; 115; 117; 118; 120;121; 122; 127; 131; 132;139; 141; 142; 152; 153;157; 161; 163; 164; 166;167; 169; 170; 171; 176;180; 181; 188; 190; 191;202; 203; 207; 212; 214;215; 220; 221; 222; 223;224; 226; 227; 231; 232;239; 241; 242; 253; 254;259; 264; 266; 267; 272;273; 274; 275; 276; 278;279; 284; 291; 293; 294;305; 306; 311; 317; 318;319; 320; 595; 722Board Certifications:None

Turner, Kathleen A LCSWGender: Female

U14646 Compass StSte 10(361) 852-0988Clinic Affiliation: CoastalSynergy AssociatesBoard Certifications:None

LICENSEDMARRIAGE/FAMILYTHERAPYPfeiffer, James B LCSWGender: Male

♿U4455 Spid Dr Ste 101(361) 814-2273**Practice Information:67; 70; 114; 117; 150; 163;166; 200; 214; 217; 251;266; 269; 303; 316; 317;318; 319; 320; 372Board Certifications:NonePhillips, Kristi A LMFTGender: Female

♿U3833 S Staples StSte S-203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:112; 114; 115; 117; 120;122; 127; 131; 139; 141;161; 163; 164; 166; 169;171; 176; 180; 188; 190;211; 212; 214; 215; 222;224; 227; 231; 232; 239;241; 263; 266; 267; 274;276; 279; 283; 284; 291;293; 315; 317; 318; 319;320; 595; 722Board Certifications:None

LICENSEDPROFESSIONALCOUNSELORAbernethy, Catherine CLPCGender: Female

♿U5151 Flynn PkwySte 506(361) 906-4004**Practice Information:39; 46; 65; 66; 67; 68; 70;73; 80; 85; 94; 106; 112;113; 114; 115; 117; 120;122; 127; 132; 141; 153;161; 162; 163; 164; 166;169; 171; 176; 181; 190;203; 211; 212; 214; 215;220; 222; 227; 232; 241;254; 263; 315; 316; 317;318; 319; 405; 595; 722Board Certifications:NoneAdler, Vicky L LPCGender: Female

♿U6000 S StaplesSte 402(361) 980-8005**Practice Information:65; 67; 70; 93; 108; 112;114; 117; 140; 157; 161;163; 166; 189; 207; 212;214; 217; 240; 259; 264;266; 292; 311; 316; 317;318; 319; 320Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Agiriga, Amaka O LPCGender: Female

U5409 Crossgate Dr S(361) 587-6062**Practice Information:33; 34; 36; 39; 40; 42; 46;47; 49; 53; 54; 56; 59; 60;62; 65; 66; 67; 68; 70; 71;73; 74; 75; 76; 78; 79; 80;81; 84; 85; 87; 91; 92; 93;94; 95; 99; 105; 106; 108;112; 113; 114; 115; 117;118; 120; 121; 122; 123;125; 126; 127; 128; 131;132; 134; 138; 139; 140;141; 142; 146; 152; 153;157; 161; 162; 163; 164;166; 167; 169; 170; 171;172; 174; 175; 176; 177;180; 181; 183; 187; 188;189; 190; 191; 196; 202;203; 207; 212; 213; 214;215; 217; 218; 220; 221;222; 223; 225; 226; 227;228; 231; 232; 234; 238;239; 240; 241; 242; 247;253; 254; 259; 264; 265;266; 267; 269; 270; 272;273; 274; 275; 277; 278;279; 280; 283; 284; 286;290; 291; 292; 293; 294;299; 305; 306; 311; 316;317; 318; 319; 320Board Certifications:NoneAlford, Richard LPCGender: Male801 Ayers St(361) 906-0676**Practice Information:40; 47; 60; 161; 164; 166;169; 212; 215; 217; 220;221; 222; 224; 227; 232;233; 264; 267; 318Board Certifications:None

Alvarez, Mary F LPCGender: Female

U3833 S Staples Ste S 203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:394Board Certifications:NoneLanguage: SpanishArmstrong, Cathy LPCGender: Female

♿U5934 S Staples St Ste 206(361) 688-8200**Practice Information:40; 47; 70; 117; 166; 183;217; 234; 251; 252; 317;318; 319; 372Board Certifications:NoneArnold, Hollis M LPCGender: Female710 Buffalo St Ste 309(361) 886-0808Clinic Affiliation: MonarchProfessional Counseling P**Practice Information:39; 40; 47; 53; 65; 67; 68;70; 73; 92; 112; 114; 115;117; 120; 121; 122; 127;139; 141; 142; 161; 163;164; 166; 169; 171; 176;188; 190; 191; 212; 214;215; 217; 221; 222; 227;239; 241; 242; 316; 317;318; 319; 595Board Certifications:NoneAsmussen, Jerri L LPCGender: Female

♿U5151 Flynn PkwySte 412a(361) 299-4971Clinic Affiliation:Sondermind ProviderNetwork LLC**Practice Information:381Board Certifications:None

Benedict, Kimberly J LPCGender: Female

U4639 Corona Dr Ste 34(361) 442-4024

U2909 Masterson Dr(361) 442-4024Clinic Affiliation: CoastalBend Psychological Asso**Practice Information:44; 51; 64; 66; 68; 69; 70;71; 73; 74; 75; 80; 81; 84;92; 94; 95; 105; 106; 108;109; 110; 112; 113; 114;115; 116; 117; 118; 120;121; 122; 127; 128; 131;139; 141; 142; 152; 153;157; 158; 159; 161; 162;163; 164; 165; 166; 167;169; 170; 171; 176; 177;180; 181; 188; 190; 191;202; 203; 204; 207; 208;209; 211; 212; 213; 214;215; 217; 220; 221; 222;224; 227; 231; 232; 239;241; 242; 253; 254; 256;259; 260; 261; 263; 264;265; 266; 267; 269; 272;273; 274; 276; 279; 283;284; 291; 293; 294; 305;306; 308; 311; 312; 313;315; 316; 317; 318; 319;320; 595; 722Board Certifications:NoneBlanpied, Gail L LPCGender: Female

♿U2727 Morgan Ave Ste 200(361) 549-3925**Practice Information:112; 114; 161; 163; 189;200; 207; 212; 214; 240;251; 259; 264; 266; 292;303; 311; 317; 318; 319;320; 449Board Certifications:NoneLanguage: SpanishBonifer, Cynthia L LPCGender: Female

U14646 Compass StSte 10(361) 852-0988Clinic Affiliation: CoastalSynergy AssociatesBoard Certifications:None

Boswell, Bruce LPCGender: Male

U4925 Everhart RdSte 103(361) 806-2600Clinic Affiliation: Bruce JBoswell LPC PCBoard Certifications:NoneBradley, Frances A LPCGender: Female

♿U374 Mora Road(361) 939-9577**Practice Information:40; 47; 60; 65; 70; 112;117; 161; 212; 217; 264;316; 317; 318; 319; 320;394Board Certifications:NoneBraswell, Peggy J LPCGender: Female

U3833 S Staples StSte S-203(361) 852-9665Clinic Affiliation: FamilyCounseling ServiceBoard Certifications:NoneLanguage: English;SpanishBrennan, Sara F LPCGender: Female3833 S StaplesSte N202(361) 589-10273833 S Staples StSte N202(361) 589-1027Clinic Affiliation: CenterFor Individual and Family**Practice Information:416Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Bru, Tracy K LPCGender: Female

♿U3833 S Staples StSte S203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:40; 47; 65; 70; 112; 114;117; 134; 161; 163; 166;183; 189; 207; 212; 214;217; 234; 240; 259; 264;266; 317; 318; 319; 320;416Board Certifications:NoneBuckley, Elizabeth C LPCGender: Female

♿U3833 S Staples StSte N202(361) 779-4373Clinic Affiliation: CenterFor Individual and Family**Practice Information:46; 53; 59; 75; 115; 117;120; 122; 127; 131; 163;164; 166; 169; 171; 176;180; 214; 215; 217; 220;222; 227; 231; 266; 267;274; 279; 283; 373; 383Board Certifications:NoneBurda, Lilo M LPCGender: Female

U321 Texan Trl Ste 220(844) 888-9355Clinic Affiliation:Sondermind ProviderNetwork LLC**Practice Information:114; 115; 117; 121; 127;137; 138; 163; 164; 166;170; 176; 186; 187; 214;215; 217; 221; 227; 237;238; 317; 318; 319; 595;722Board Certifications:None

Burnett, Julie A LPCGender: Female

♿3833 S Staples StSte N202(361) 334-2811**Practice Information:39; 46; 59; 65; 66; 70; 73;79; 81; 84; 85; 92; 94; 112;113; 115; 117; 120; 122;126; 128; 131; 132; 139;141; 161; 162; 164; 166;169; 171; 175; 176; 177;180; 181; 188; 190; 204;205; 211; 212; 213; 215;220; 222; 224; 226; 227;231; 232; 239; 241; 245;256; 263; 264; 265; 272;274; 276; 278; 279; 283;284; 291; 293; 315; 317;318; 595; 722Board Certifications:NoneCramer, Baylea W LPCGender: Female4639 Corona Dr Ste 34(361) 442-4024Clinic Affiliation: CoastalBend Psychological AssoBoard Certifications:NoneCramer, Robert C LPCGender: Male

♿U4639 Corona Ste 37(361) 442-4024**Practice Information:33; 34; 39; 40; 41; 44; 46;47; 48; 51; 53; 54; 59; 60;61; 64; 65; 67; 68; 69; 70;71; 73; 74; 75; 80; 81; 84;85; 86; 92; 94; 99; 107;112; 114; 115; 116; 117;118; 120; 121; 122; 127;128; 131; 132; 133; 139;141; 142; 146; 156; 161;163; 164; 166; 167; 169;170; 171; 176; 177; 180;181; 182; 188; 190; 191;196; 203; 206; 207; 209;212; 214; 215; 217; 218;220; 221; 222; 224; 227;231; 232; 233; 238; 239;241; 242; 247; 254; 258;259; 261; 264; 266; 267;269; 270; 272; 273; 274;276; 279; 283; 284; 285;290; 291; 293; 294; 299;306; 310; 311; 313; 316;317; 318; 319; 320Board Certifications:None

Cueva, Catherine LPCGender: Female4444 CoronaSte 118(361) 249-1180**Practice Information:45; 46; 214; 217; 220; 221;222; 227; 228; 233; 244;263; 318; 595; 722Board Certifications:NoneCurry, Thomas P LPCGender: Male

U3833 S Staples StSte S213(361) 558-3858**Practice Information:39; 46; 47; 59; 60; 161;162; 163; 171; 174; 175;176; 180; 181; 212; 213;214; 215; 219; 222; 223;225; 226; 227; 231; 232;264; 265; 266; 267; 271;274; 276; 277; 278; 279;283; 284; 317; 318; 320Board Certifications:NoneLanguage: SpanishDavenport, Diana LPCGender: Female

U9708 SpidSte A 104(361) 852-0988Clinic Affiliation: CoastalSynergy AssociatesBoard Certifications:None

Demontegnac, Alicia VLPCGender: Female

U1231 Agnes RdSte B1(361) 452-84935926 S Staples StSte D 9(269) 240-4631Clinic Affiliation: OptimalCounseling Services PLLC**Practice Information:112; 113; 115; 117; 118;121; 126; 127; 128; 131;132; 139; 142; 161; 162;164; 166; 167; 170; 175;176; 177; 180; 181; 188;191; 192; 212; 214; 215;217; 218; 221; 224; 226;227; 228; 232; 233; 239;242; 243; 253; 254; 255;256; 257; 259; 263; 290;317; 318; 319; 595; 722Board Certifications:NoneDiaz, Mary L LPCGender: Female4642 Oso Pkwy(361) 992-77806410 Weber RdSte 11a(361) 334-1136**Practice Information:46; 47; 59; 60; 212; 215;222; 224; 225; 226; 227;231; 232; 237; 239; 241;242; 255; 263; 264; 267;274; 276; 277; 278; 279;283; 284; 289; 291; 293;294; 307; 315; 595; 614;722Board Certifications:NoneDietrich, Kenda J LPCGender: Female

♿5440 Old Brownsville Rd(361) 906-0166**Practice Information:112; 114; 117; 157; 161;163; 166; 207; 212; 214;217; 259; 317; 318; 319Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Difrancesca, Jillayne LPCGender: Female1001 Ayers St(361) 888-8834Clinic Affiliation: A S & JCounseling & Consulting I**Practice Information:39; 46; 51; 161; 163; 164;169; 170; 175; 176; 180;182; 188; 190; 191; 202;203; 211; 212; 214; 215;220; 221; 224; 226; 227;231; 233; 239; 241; 242;253; 254; 255; 256; 263;317; 318; 595; 722Board Certifications:NoneDolan, Erica D LPCGender: Female

♿U3765 S Alameda StSte 422(361) 857-5870♿3765 South Alameda StSte 422(361) 857-5870Clinic Affiliation:Behavioral HealthAssociates of T**Practice Information:405Board Certifications:NoneDonohue, Molly R LPCGender: Female3833 S Staples Ste S 203(361) 852-9665Clinic Affiliation: FamilyCounseling ServiceBoard Certifications:NoneLanguage: Spanish

Eger, Scott R LPCGender: Male5402 Holly RdSte 104(361) 992-77805633 S Staples Ste 700(361) 814-2001Clinic Affiliation: CoastalBend Aids Foundation IncBoard Certifications:NoneGarcia Devlin, Donna LPCGender: Female

♿U15037 S Padre IslandDr Ste A 1(361) 728-4954**Practice Information:40; 47; 60; 161; 163; 166;189; 201; 207; 212; 214;217; 240; 252; 259; 264;266; 269; 292; 304; 311;317; 318; 320; 378Board Certifications:NoneGarcia, Erica T LPCGender: Female

U6000 S StaplesSte 200(361) 225-3944

U9708 S Padre Island DrSte A 103(361) 236-7634Clinic Affiliation: FamilyHlth Care Support Serv Inc**Practice Information:44; 46; 51; 161; 163; 164;167; 170; 171; 175; 176;177; 181; 188; 190; 191;201; 211; 212; 214; 215;217; 218; 221; 222; 224;226; 227; 228; 231; 232;239; 241; 242; 252; 263;317; 318; 595; 722Board Certifications:None

u Garcia, Guadalupe LPCGender: Male4639 Corona Dr Ste 34(361) 442-4024Clinic Affiliation: CoastalBend Psychological Asso**Practice Information:44; 51; 64; 92; 112; 113;115; 117; 118; 120; 121;122; 127; 131; 132; 139;141; 153; 161; 162; 164;166; 167; 169; 170; 171;173; 176; 180; 181; 188;190; 203; 212; 213; 215;217; 218; 220; 221; 222;224; 227; 231; 232; 239;241; 254; 264; 265; 267;269; 270; 272; 273; 274;276; 279; 283; 284; 291;293; 306; 317; 318; 319;320; 595; 722Board Certifications:Licensed ProfessionalCounselorGarcia, Lisa A LPCGender: Female1001 Ayers St(361) 888-8834Clinic Affiliation: A S & JCounseling & Consulting IBoard Certifications:NoneGarcia, Victor E LPCGender: Male

U3833 S Staples StSte 203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:394Board Certifications:NoneGarwood, John W LPCGender: Male

♿U5262 S Staples St Ste 300(361) 779-8628**Practice Information:40; 47; 54; 65; 67; 70; 108;112; 114; 117; 140; 157;161; 163; 166; 189; 207;212; 214; 217; 240; 259;316; 317; 318; 319; 449Board Certifications:NoneLanguage: SignLanguage; Spanish

Garza, Christina LPCGender: Female4646 Corona DrSte 140(361) 946-2256Clinic Affiliation: SavingHope Counseling**Practice Information:33; 39; 44; 46; 51; 59; 64;65; 68; 73; 74; 77; 80; 84;85; 86; 92; 94; 112; 115;120; 121; 124; 127; 131;132; 133; 139; 141; 161;164; 169; 170; 173; 176;180; 181; 182; 186; 188;190; 212; 215; 220; 221;224; 227; 231; 232; 233;237; 239; 241; 264; 267;272; 273; 276; 279; 283;284; 285; 289; 291; 293;316; 317; 318; 319; 320;595; 722Board Certifications:NoneGarza, Marisol LPCGender: Female

U14646 Compass StSte 10(361) 852-0988Clinic Affiliation: CoastalSynergy AssociatesBoard Certifications:NoneGilkerson, Tommie LPCGender: Female

♿U3833 S Staples StSte S 203(361) 852-9665Clinic Affiliation: FamilyCounseling ServiceBoard Certifications:NoneGodines, Ann M LPCGender: Female

♿U4949 Everhart Rd Ste 108(361) 442-2211Clinic Affiliation: BecauseThe Family MattersBoard Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Gonzalez, Anique M LPCGender: Female

U13330 Leopard StSte 34(361) 446-6460Clinic Affiliation:Lovecare Counseling PLLC**Practice Information:46; 84; 112; 115; 122; 131;161; 163; 164; 169; 170;171; 176; 180; 190; 195;207; 212; 214; 215; 220;221; 222; 227; 232; 241;246; 253; 259; 317; 318;595; 722Board Certifications:NoneGonzalez, Helica G LPCGender: Female

♿U5402 Holly RdSte 104(361) 992-7780**Practice Information:48; 61; 215; 224; 226; 227;231; 232; 238; 240; 241;244; 256; 259; 263; 267;276; 278; 279; 283; 284;290; 292; 293; 296; 308;311; 315; 318; 320; 381Board Certifications:NoneLanguage: Spanish

Graciano, Maria A LPCGender: Female

♿U3833 S Staples Ste S-203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:33; 39; 40; 46; 47; 51; 53;59; 60; 64; 65; 68; 70; 73;74; 79; 80; 84; 85; 86; 92;93; 94; 95; 112; 115; 117;120; 121; 126; 127; 131;132; 133; 139; 140; 141;142; 161; 164; 166; 169;170; 171; 175; 176; 180;181; 182; 188; 189; 190;191; 195; 200; 202; 207;211; 212; 215; 220; 221;222; 223; 224; 226; 227;231; 232; 233; 239; 240;241; 242; 244; 246; 251;253; 256; 257; 259; 263;264; 267; 272; 273; 274;275; 276; 278; 279; 283;284; 285; 291; 292; 293;294; 296; 298; 303; 305;308; 309; 311; 315; 317;318; 319; 320Board Certifications:NoneLanguage: SpanishGuerra, Sally E LPCGender: Female

♿6625 Wooldridge RdSte 101(361) 510-3000**Practice Information:40; 47; 54; 60; 65; 67; 70;112; 114; 117; 140; 157;161; 163; 166; 189; 207;212; 214; 217; 240; 259;264; 266; 269; 286; 292;311; 316; 317; 318; 319;320; 383Board Certifications:NoneLanguage: Abkhazian;Oromo

Herrero, Diane LPCGender: Female

U1533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center I**Practice Information:33; 39; 40; 46; 47; 49; 53;65; 69; 70; 71; 73; 75; 81;84; 85; 95; 107; 112; 114;115; 116; 117; 118; 120;122; 126; 127; 128; 131;132; 142; 156; 161; 163;164; 165; 166; 167; 169;170; 171; 175; 176; 177;180; 181; 188; 191; 202;206; 210; 212; 214; 215;217; 220; 221; 222; 224;226; 227; 231; 232; 234;239; 242; 253; 258; 259;262; 264; 266; 274; 284;310; 317; 318; 319; 320;595; 722Board Certifications:NoneLanguage: Spanish

Heuston, Peggy J LPCGender: Female

♿U14141 Whitecap Blvd(361) 563-2522**Practice Information:32; 33; 38; 39; 40; 42; 44;45; 46; 47; 49; 51; 52; 53;54; 65; 66; 67; 68; 69; 70;71; 73; 75; 79; 80; 81; 84;85; 86; 87; 90; 92; 94; 95;97; 99; 106; 111; 112; 113;114; 115; 116; 117; 118;119; 120; 121; 122; 126;127; 128; 129; 131; 132;133; 134; 137; 139; 140;141; 142; 144; 146; 150;153; 157; 160; 161; 162;163; 164; 166; 167; 168;169; 170; 171; 172; 174;175; 176; 178; 180; 181;182; 183; 186; 188; 189;190; 191; 193; 196; 200;202; 203; 204; 205; 207;208; 209; 210; 211; 212;214; 215; 217; 219; 220;221; 222; 223; 224; 225;226; 227; 228; 229; 231;232; 233; 234; 237; 238;239; 240; 241; 242; 244;245; 247; 251; 253; 254;255; 256; 257; 259; 260;261; 262; 263; 290; 293;296; 316; 317; 318; 319Board Certifications:NoneHinojosa, Jessica M LPCGender: Female

♿U13330 Leopard StSte 34(361) 446-6460Clinic Affiliation:Lovecare Counseling PLLC**Practice Information:59; 64; 115; 120; 122; 126;127; 128; 131; 132; 153;264; 265; 266; 267; 269;272; 273; 274; 278; 279;283; 284; 286; 290; 291;293; 305; 306; 308; 309;311; 314; 315; 319; 320;595; 614; 722Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Hisaw, Shana A LPCGender: Female14646 Compass St Ste 10(361) 852-0988Clinic Affiliation: CoastalSynergy Associates**Practice Information:32; 38; 45; 52; 58; 65; 66;67; 68; 73; 74; 75; 77; 80;81; 84; 85; 91; 92; 94; 95;100; 103; 105; 106; 107;108; 109; 111; 112; 113;114; 115; 120; 121; 122;124; 127; 128; 131; 132;138; 139; 141; 142; 147;150; 152; 153; 156; 157;158; 160; 161; 162; 163;164; 169; 170; 171; 173;176; 177; 180; 181; 187;188; 190; 191; 194; 197;200; 202; 203; 204; 205;206; 207; 208; 210; 211;212; 213; 214; 215; 220;221; 222; 224; 227; 228;231; 232; 238; 239; 241;242; 245; 248; 251; 253;254; 255; 256; 257; 258;259; 260; 262; 263; 264;265; 266; 267; 272; 273;274; 276; 279; 280; 283;284; 290; 291; 293; 294;297; 300; 303; 305; 306;307; 308; 309; 310; 312;314; 315; 316; 317; 318;319; 320; 595; 722Board Certifications:NoneHodges, Teri L LPCGender: Female1001 Ayers St(361) 888-8834Clinic Affiliation: A S & JCounseling & Consulting IBoard Certifications:NoneLanguage: American Sign;Spanish

Hoffman, Laurie J LPCGender: Female

♿U4818 Everhart Rd(361) 779-4373Clinic Affiliation: CenterFor Individual and Family**Practice Information:47; 215; 220; 222; 224;227; 239; 241; 427Board Certifications:NoneLanguage: SpanishHolt, Amy H LPCGender: Female

♿3833 S Staples StSte N202(361) 549-3782**Practice Information:38; 39; 45; 46; 58; 59; 162;163; 164; 169; 171; 173;176; 180; 181; 183; 188;190; 191; 194; 204; 205;211; 213; 214; 215; 220;222; 224; 227; 231; 232;234; 239; 241; 242; 245;256; 257; 263; 265; 266;267; 272; 274; 276; 279;283; 284; 286; 291; 293;294; 297; 308; 309; 315;317; 318; 320; 595; 722Board Certifications:NoneHuddleston, Michael DLPCGender: Male

♿U5959 S StaplesSte 210(361) 991-3001**Practice Information:18; 33; 39; 40; 44; 46; 47;51; 53; 59; 64; 67; 68; 70;73; 74; 75; 77; 80; 112;114; 115; 117; 120; 121;122; 124; 127; 131; 139;141; 142; 161; 163; 164;166; 169; 170; 171; 173;176; 180; 188; 190; 191;207; 212; 214; 215; 217;220; 221; 222; 224; 227;231; 239; 241; 242; 259;264; 266; 267; 269; 272;273; 274; 276; 279; 291;293; 294; 311; 316; 317;318; 319; 320; 472; 521;567Board Certifications:None

Hudson, Patricia O LPCGender: Female

♿3038 Santa Fe St(361) 884-0003**Practice Information:212; 214; 234; 240; 251;266; 303; 318; 379Board Certifications:NoneHumfleet, Pamela D LPCGender: Female

U3742 Lynda Lee Dr(361) 239-6490Board Certifications:NoneHunter, James A LPCGender: Male

U209 Riviera Dr(361) 446-0192**Practice Information:114; 115; 121; 127; 137;138; 163; 164; 170; 176;186; 187; 214; 215; 221;227; 237; 238; 317; 318;319; 595; 722Board Certifications:NoneJensen, Marilyn J LPCGender: Female

♿U5934 S Staples StSte 206(361) 215-3189**Practice Information:40; 47; 161; 163; 166; 212;214; 217; 317; 318Board Certifications:None

Jimenez, Monica A LPCGender: Female4639 Corona Dr Ste 34(361) 442-40244639 Corona Ste 37(361) 442-4024Clinic Affiliation: CoastalBend Psychological Asso**Practice Information:33; 39; 46; 53; 59; 67; 68;69; 70; 71; 73; 75; 77; 79;80; 81; 92; 95; 114; 115;116; 117; 118; 120; 122;124; 126; 127; 128; 139;142; 163; 164; 165; 166;167; 169; 171; 173; 175;176; 177; 188; 191; 211;214; 215; 216; 218; 220;222; 224; 226; 227; 228;239; 242; 263; 266; 267;268; 270; 272; 274; 276;278; 279; 280; 291; 294;315; 595; 722Board Certifications:NoneLanguage: SpanishJones Trebato, KathleenLPCGender: Female

♿6000 S StaplesSte 200(361) 225-3944Clinic Affiliation: FamilyHlth Care Support Serv Inc**Practice Information:40; 47; 65; 103; 112; 114;117; 150; 161; 163; 166;183; 189; 200; 207; 212;214; 234; 240; 251; 259;303; 316; 317; 318; 319;320; 405Board Certifications:NoneLanguage: SpanishJones-Trebatoski,Kathleen LPCGender: Female

♿15481 S Padre Island DrSte 203(361) 537-7299**Practice Information:40; 47; 65; 103; 112; 114;117; 150; 161; 163; 166;183; 189; 200; 207; 212;214; 234; 240; 251; 259;303; 316; 317; 318; 319;320; 405Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Kinner, Donald R LPCGender: Male

♿U700 Everhart Road #D-21(361) 814-4488Board Certifications:NoneKitchen, Crystal S LPCGender: Female

U13330 Leopard StSte 34(361) 446-6460Clinic Affiliation:Lovecare Counseling PLLCBoard Certifications:NoneLee, Linda H LPCGender: Female4444 Corona DrSte 106(361) 557-1577**Practice Information:65; 67; 70; 93; 112; 114;117; 140; 161; 163; 166;189; 212; 214; 217; 240;264; 266; 269; 292; 316;317; 318; 319; 320Board Certifications:NoneLewis, Jason J LPCGender: Male9708 SpidSte 202 A(361) 489-6510Board Certifications:None

Lilly, Bonnie LPCGender: Female

♿U13330 Leopard StSte 34(361) 446-6460Clinic Affiliation:Lovecare Counseling PLLC**Practice Information:46; 51; 112; 115; 117; 120;122; 127; 141; 161; 164;169; 170; 171; 176; 190;211; 212; 214; 215; 220;221; 222; 224; 227; 241;252; 253; 263; 317; 318;319; 595Board Certifications:NoneLuna, Ruth LPCGender: Female5633 S Staples StSte 700(361) 814-2001Clinic Affiliation: CoastalBend Aids Foundation Inc**Practice Information:40; 47; 60; 161; 163; 164;166; 169; 171; 176; 212;214; 215; 217; 220; 221;222; 227; 240; 244; 253;264; 266; 267; 269; 272;273; 274; 279; 292; 296;305; 317; 318; 320; 595;722Board Certifications:NoneMalherek, Michelle L LPCGender: Female

U4646 Corona DrSte 140(361) 946-2256Clinic Affiliation: SavingHope Counseling**Practice Information:38; 39; 45; 46; 52; 53; 58;59; 112; 114; 115; 120;127; 131; 141; 153; 161;163; 164; 169; 176; 180;190; 203; 204; 211; 212;214; 215; 220; 227; 231;232; 241; 254; 256; 263;264; 266; 267; 272; 279;283; 284; 293; 306; 308;315; 317; 318; 319; 320;595; 722Board Certifications:None

Martin, Ashley LPCGender: Female

U14646 Compass StSte A 10(361) 852-0988Clinic Affiliation: CoastalSynergy AssociatesBoard Certifications:NoneMartinez, Yvette L LPCGender: Female3765 S AlamedaSte 322(361) 244-05693833 S Staples StSte N117(361) 244-0569Clinic Affiliation: CenterFor Individual and Family**Practice Information:39; 40; 47; 60; 65; 73; 84;94; 112; 120; 121; 127;141; 169; 176; 180; 190;191; 207; 220; 221; 227;231; 239; 241; 259; 263;279; 290; 293; 311; 394Board Certifications:NoneLanguage: SpanishMatamoros, Angelica YLPCGender: Female6000 S Staples Ste 200(361) 225-3944Clinic Affiliation: FamilyHlth Care Support Serv Inc**Practice Information:38; 39; 42; 45; 46; 49; 53;56; 58; 59; 61; 65; 68; 70;73; 75; 80; 94; 95; 106;107; 112; 113; 115; 117;120; 122; 126; 127; 131;132; 141; 142; 153; 156;161; 162; 164; 166; 169;170; 171; 175; 176; 180;181; 189; 190; 191; 194;203; 206; 211; 212; 215;217; 219; 220; 221; 222;226; 227; 231; 232; 238;240; 241; 242; 245; 251;254; 258; 263; 264; 267;271; 272; 273; 274; 278;279; 284; 290; 293; 294;297; 303; 306; 310; 315;316; 317; 318; 319; 320;595; 722Board Certifications:NoneLanguage: Spanish

Matosky, Janice H LPCGender: Female

U5151 Flynn PkwySte 412e(361) 215-5877Clinic Affiliation:Counseling & Care PC**Practice Information:65; 67; 70; 103; 108; 112;114; 117; 150; 157; 161;163; 166; 200; 207; 212;214; 217; 251; 259; 264;266; 269; 303; 311; 316;317; 318; 319; 320; 394Board Certifications:NoneLanguage: SpanishMcCallister, Larry C LPCGender: Male

U3833 S Staples Ste S 203(361) 852-96654639 Corona Dr Ste 34(361) 442-4024Clinic Affiliation: CoastalBend Psychological Asso;Family Counseling ServiceBoard Certifications:NoneLanguage: SpanishMcDaniel, Jeffrey N LPCGender: Male

♿U3833 S Staples StSte S203(361) 852-96654444 Corona DrSte 238(361) 960-8010Clinic Affiliation: FamilyCounseling Service**Practice Information:40; 47; 161; 163; 166; 212;214; 217; 317; 318; 374Board Certifications:NoneLanguage: SpanishMcDonald, Jordan D LPCGender: Female5151 Flynn PkwySte 506(361) 688-2896Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Mickey, Danea D LPCGender: Female

U3833 S Staples StSte S 203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:33; 38; 39; 40; 42; 44; 45;46; 47; 49; 51; 52; 53; 54;59; 64; 65; 68; 69; 70; 72;74; 75; 78; 80; 81; 84; 85;86; 92; 94; 106; 112; 115;116; 117; 119; 120; 121;122; 125; 127; 128; 131;132; 133; 134; 139; 140;141; 142; 146; 153; 157;161; 162; 164; 165; 166;168; 169; 170; 171; 172;174; 176; 180; 181; 182;183; 188; 189; 190; 191;196; 202; 203; 204; 207;208; 209; 211; 212; 213;215; 217; 218; 219; 220;221; 222; 223; 224; 225;227; 231; 232; 233; 234;238; 239; 240; 241; 242;247; 253; 254; 255; 256;259; 260; 261; 263; 264;267; 269; 271; 273; 274;276; 277; 284; 285; 290;293; 294; 305; 306; 313;316; 317; 318; 319; 320;394; 595; 722Board Certifications:NoneLanguage: Spanish

Montelongo, Dorothy VLPCGender: Female

U4639 Corona Dr Ste 34(361) 442-40245025 Maylands Dr(361) 688-7366Clinic Affiliation: CoastalBend Psychological Asso**Practice Information:70; 71; 73; 74; 79; 80; 82;92; 105; 117; 118; 120;121; 126; 127; 129; 139;152; 166; 167; 169; 170;175; 176; 178; 188; 202;217; 218; 220; 221; 226;227; 229; 239; 253; 269;270; 272; 273; 278; 279;281; 291; 305; 316; 317;318; 319; 320; 595; 722Board Certifications:NoneMontez, Anthony P LPCGender: Male

♿6262 Weber RdSte 210(361) 991-2214**Practice Information:40; 47; 117; 161; 163; 166;183; 207; 212; 214; 217;234; 259; 317; 318; 319;427Board Certifications:NoneLanguage: Spanish

Morales, Heather LPCGender: Female

♿U5934 S Staples StSte 206d(325) 947-5021**Practice Information:39; 40; 44; 46; 47; 51; 53;54; 112; 113; 114; 115;117; 120; 121; 122; 125;127; 128; 129; 132; 133;134; 138; 139; 141; 142;151; 152; 153; 160; 161;162; 163; 164; 166; 169;170; 171; 174; 176; 177;178; 181; 182; 183; 187;188; 190; 191; 201; 202;203; 210; 211; 212; 213;214; 215; 217; 220; 221;222; 224; 225; 227; 228;229; 232; 233; 238; 239;241; 242; 252; 253; 254;262; 263; 312; 317; 318;319; 416; 595; 722Board Certifications:NoneLanguage: SpanishMorales, Laura A LPCGender: Female1001 Ayers St(361) 888-8834Clinic Affiliation: A S & JCounseling & Consulting IBoard Certifications:NoneMorgan, Ronald S LPCGender: Male4832 Holly Rd Ste B(361) 443-7538**Practice Information:40; 47; 54; 65; 112; 157;161; 207; 212; 259; 316;317; 318; 319; 383Board Certifications:NoneNavarrete, Rosalba LPCGender: Female

U3833 S Staples Ste S 203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:66; 67; 70; 71; 81; 169;178; 183; 203; 220; 221;224; 227; 229; 231; 232;239; 241; 254; 263; 595;722Board Certifications:NoneLanguage: Spanish

Ochoa, Jodi M LPCGender: Female1001 Ayers St(361) 888-8834♿226 S Enterprize PkwySte 120(361) 563-4111Clinic Affiliation: A S & JCounseling & Consulting IBoard Certifications:NoneOlson, Brenda W LPCGender: Female114 Lake Shore Dr(361) 548-7400**Practice Information:18; 39; 44; 46; 51; 64; 65;92; 112; 126; 127; 131;132; 139; 141; 142; 152;161; 164; 170; 171; 173;175; 176; 180; 181; 188;190; 191; 202; 207; 211;212; 215; 221; 222; 224;226; 227; 231; 232; 239;241; 242; 253; 255; 259;263; 264; 278; 279; 283;284; 291; 293; 294; 305;311; 315; 317; 318; 595;722Board Certifications:NonePrado, Lindsey M LPCGender: Female

U1231 Agnes St Ste A9(210) 410-68085633 S Staples Ste 700(351) 814-2001Clinic Affiliation: CoastalBend Aids Foundation Inc**Practice Information:48; 171; 173; 174; 180;181; 189; 190; 211; 222;223; 224; 225; 231; 232;233; 240; 241; 256; 257;263; 317; 318; 375; 595;722Board Certifications:NonePurdy, Vickie L LPCGender: Female3151 Reid Dr(210) 883-5335Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Ramos, Dennis J LPCGender: Male

♿U5525 S Staples StSte B1(361) 814-5100**Practice Information:40; 47; 54; 60; 65; 67; 70;103; 112; 114; 117; 140;150; 157; 161; 163; 166;183; 189; 200; 207; 212;214; 217; 234; 240; 251;259; 264; 266; 269; 286;292; 303; 311; 316; 317;318; 319; 320; 372Board Certifications:NoneLanguage: SpanishRhyne, Aaron R LPCGender: Male

♿1001 Ayers St(361) 888-8834Clinic Affiliation: A S & JCounseling & Consulting I**Practice Information:112; 113; 114; 115; 117;120; 121; 122; 124; 127;131; 132; 139; 141; 153;161; 162; 163; 164; 166;169; 170; 171; 173; 176;180; 181; 188; 190; 203;212; 213; 214; 215; 217;220; 221; 222; 224; 227;231; 232; 239; 241; 254;317; 318; 319; 373; 595;722Board Certifications:NoneRobbins, Laura LPCGender: Female

U3833 S Staples Ste S 203(361) 852-9665Clinic Affiliation: FamilyCounseling ServiceBoard Certifications:None

Robertson, Tamara R LPCGender: Female

♿6000 S Staples Ste 200(361) 225-3944Clinic Affiliation: FamilyHlth Care Support Serv Inc**Practice Information:40; 47; 54; 65; 67; 70; 112;114; 117; 157; 161; 163;166; 183; 207; 212; 214;217; 234; 259; 316; 317;318; 319Board Certifications:NoneRollins, Melissa K LPCGender: Female

U3833 S Staples StSte N202(361) 563-9293**Practice Information:115; 122; 124; 127; 129;132; 139; 164; 171; 173;176; 178; 181; 188; 215;222; 224; 227; 229; 232;239; 595; 722Board Certifications:NoneSalinas, Tina L LPCGender: Female

♿U6000 S StaplesSte 404(361) 444-5545**Practice Information:47; 117; 161; 163; 166;201; 212; 214; 240; 252;264; 266; 292; 304; 317;318; 320; 438Board Certifications:NoneLanguage: SpanishSchmidt, Claudia A LPCGender: Female

♿U4639 Corona Dr Ste 34(361) 442-4024Clinic Affiliation: CoastalBend Psychological Asso**Practice Information:65; 70; 71; 74; 80; 92; 94;112; 117; 118; 121; 127;139; 141; 161; 166; 167;170; 176; 188; 190; 212;217; 218; 221; 227; 239;241; 264; 269; 270; 273;279; 291; 293; 316; 317;318; 319; 320; 372; 595;722Board Certifications:NoneLanguage: Spanish

Schroll, David A LPCGender: Male

U3833 S Staples StSte S-203(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:112; 114; 117; 157; 161;163; 166; 207; 212; 214;217; 259; 264; 266; 269;311; 317; 318; 319; 320;427Board Certifications:NoneLanguage: SpanishSchuette, Stephanie DLPCGender: Female

U4639 Corona Dr Ste 34(361) 442-4024Clinic Affiliation: CoastalBend Psychological AssoBoard Certifications:NoneSelby, Gena E LPCGender: Female

U526 Brawner Pkwy(512) 944-3314Board Certifications:None

Sharron, Sonya M LPCGender: Female5315 Everhart Rd 4b(361) 852-09889708 S Padre Island DrSte 108(361) 944-9145Clinic Affiliation: CoastalSynergy Associates**Practice Information:39; 44; 46; 53; 59; 112;113; 114; 115; 117; 118;120; 121; 122; 126; 127;128; 131; 132; 138; 139;140; 141; 142; 152; 153;161; 162; 163; 164; 166;167; 169; 170; 171; 175;176; 177; 180; 181; 187;188; 189; 190; 191; 202;203; 211; 212; 213; 214;215; 217; 218; 220; 221;222; 226; 227; 228; 231;232; 238; 239; 240; 241;242; 253; 254; 263; 264;265; 266; 267; 269; 270;272; 273; 274; 278; 279;280; 283; 284; 290; 291;292; 293; 294; 305; 306;315; 317; 318; 319; 320;595; 722Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Smith, Wayne D LPCGender: Male

♿U5959 S Staples StSte 232(361) 488-41306000 S StaplesSte 200(361) 225-3944Clinic Affiliation: FamilyHlth Care Support Serv Inc**Practice Information:39; 40; 41; 42; 44; 46; 47;48; 49; 51; 53; 59; 115;117; 118; 122; 139; 142;146; 156; 161; 163; 164;166; 167; 169; 170; 171;173; 175; 176; 180; 181;188; 189; 190; 191; 196;197; 203; 206; 207; 208;209; 210; 211; 212; 214;215; 217; 218; 221; 222;224; 226; 227; 231; 232;239; 240; 241; 242; 247;248; 253; 254; 255; 258;259; 260; 261; 262; 263;276; 278; 291; 310; 313;317; 318; 722Board Certifications:NoneSweetman, Kandice FLPCGender: Female

♿U3833 S Staples St Ste 202(361) 779-1921Board Certifications:NoneTate, Timothy C LPCGender: Male

♿6625 Wooldridge RdSte 101(361) 876-0019**Practice Information:39; 46; 59; 73; 120; 122;127; 161; 164; 166; 169;170; 171; 176; 212; 215;217; 220; 221; 222; 227;264; 267; 269; 272; 273;274; 279; 317; 318; 320;595; 722Board Certifications:None

Thigpen, Julie M LPCGender: Female

U3833 S Staples StSte N202(361) 779-4373♿U4444 Corona DrSte 118(361) 334-11615151 Flynn Pkwy Ste 506(361) 334-1161Clinic Affiliation: CenterFor Individual and Family;Family Enrichment andPlay TherapBoard Certifications:NoneTorres, Johanna LPCGender: Female

U3833 South Staples StSte North 202(361) 356-7390Board Certifications:NoneLanguage: SpanishVandever, Chari D LPCGender: Female

♿U5262 S StaplesSte 329(361) 653-3010**Practice Information:131; 161; 163; 169; 170;171; 176; 180; 181; 188;190; 202; 203; 204; 207;211; 212; 214; 220; 221;222; 224; 227; 231; 232;239; 241; 245; 253; 254;256; 258; 260; 263; 264;266; 272; 273; 274; 276;279; 283; 284; 290; 291;293; 305; 306; 311; 312;315; 317; 318; 320; 427Board Certifications:None

Vela, Franscina M LPCGender: Female

U6010 S Alameda St(361) 944-4936**Practice Information:33; 39; 40; 42; 46; 47; 49;53; 60; 70; 73; 80; 84; 91;92; 94; 95; 112; 114; 115;117; 118; 120; 122; 126;127; 131; 133; 138; 139;141; 142; 161; 163; 164;166; 169; 170; 171; 175;176; 180; 181; 182; 187;188; 189; 190; 191; 204;205; 207; 211; 212; 214;215; 217; 221; 222; 224;226; 227; 231; 232; 233;238; 239; 240; 241; 242;253; 256; 257; 259; 263;266; 269; 274; 279; 284;290; 291; 317; 318; 319;320; 595; 722Board Certifications:NoneViveros, Veronica V LPCGender: Female

♿U4639 Corona Dr Ste 34(361) 442-4024♿U5014 Queens Court(361) 442-4024Clinic Affiliation: CoastalBend Psychological Asso**Practice Information:39; 46; 120; 127; 163; 164;169; 176; 190; 214; 215;220; 224; 227; 241; 254;263; 317; 318; 319Board Certifications:NoneLanguage: Spanish

Ward, Richard L LPCGender: Male

♿U9708 SpidSte A 103(361) 563-8720**Practice Information:18; 65; 67; 68; 70; 75; 77;80; 82; 84; 85; 90; 92; 94;101; 103; 104; 105; 107;109; 112; 114; 115; 117;122; 124; 127; 129; 131;132; 137; 139; 141; 148;150; 151; 152; 156; 158;161; 163; 164; 166; 171;173; 176; 178; 180; 181;186; 188; 190; 198; 200;201; 202; 206; 208; 212;214; 215; 217; 222; 224;227; 229; 231; 232; 237;239; 241; 249; 251; 252;253; 258; 260; 264; 266;269; 304; 310; 316; 317;318; 319; 320; 372Board Certifications:NoneLanguage: SpanishWest, Deborah S LPCGender: Female

♿101 N Shoreline BlvdSte 301(361) 883-1219**Practice Information:40; 47; 54; 60; 65; 67; 70;93; 108; 112; 114; 117;134; 140; 157; 161; 163;166; 183; 189; 207; 212;214; 217; 234; 240; 259;264; 266; 269; 286; 292;311; 316; 317; 318; 319;320; 372Board Certifications:NoneLanguage: English

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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CORPUS CHRISTI(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)White Roberson, BrandonK LPCGender: Female

U5926 S Staples St Ste D8(361) 510-8403**Practice Information:40; 44; 46; 47; 51; 59; 64;112; 113; 114; 116; 117;121; 122; 127; 131; 141;153; 161; 162; 163; 164;165; 166; 170; 171; 172;176; 180; 181; 188; 189;190; 202; 203; 204; 205;211; 212; 213; 214; 215;216; 217; 221; 222; 223;224; 227; 231; 232; 233;239; 240; 241; 253; 254;256; 257; 263; 264; 265;268; 269; 273; 276; 279;283; 284; 285; 291; 293;305; 306; 308; 315; 317;318; 319; 595; 614; 722Board Certifications:NoneLanguage: American Sign;SpanishWigginton, Evette C LPCGender: Female

U1533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center I**Practice Information:39; 46; 47; 59; 60; 166;169; 171; 176; 212; 214;215; 220; 221; 222; 227;238; 241; 242; 263; 266;273; 274; 279; 290; 293;294; 318; 320; 595; 722Board Certifications:None

Williams, Carroll A LPCGender: Female

U5151 Flynn Pkwy Ste 412e(361) 960-4273♿U6000 S Staples Ste 200(361) 225-3944Clinic Affiliation: FamilyHlth Care Support Serv Inc**Practice Information:40; 47; 54; 60; 65; 67; 70;112; 114; 117; 134; 140;161; 163; 166; 183; 189;207; 212; 214; 217; 234;240; 259; 316; 317; 318;319; 383Board Certifications:None

PSYCHIATRYAbbott Rhodes, Rachel MDOGender: Female6629 Wooldridge Rd(361) 986-8200Hospital Affiliations:Bs&w Medical CenterTempleClinic Affiliation: CorpusChristi Psychiatric Specia**Practice Information:316; 317; 318; 319; 320;339Board Certifications:NoneBadea Mic, Daniela MDGender: Female

♿1630 S Brownlee Blvd(361) 886-69003765 S AlamedaSte 250(361) 850-8300Clinic Affiliation: DanielaBadea Mic MD PA; NuecesCounty MHMR Comm Ctr**Practice Information:47; 212; 214; 217; 234;259; 318Board Certifications:NoneLanguage: French;Romanian; Spanish;French; Romanian;Spanish

Balaram, Manjunath MDGender: Male

U3533 S Alameda St(361) 694-45206629 Wooldridge Rd(361) 986-8200Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation:Childrens PhysiciansServices of South Texas;Corpus Christi PsychiatricSpeciaBoard Certifications:None

u Chelebian, Jack MDGender: Male1546 S Brownlee Blvd(361) 886-69701630 S Brownlee Blvd(361) 886-1091Clinic Affiliation: NuecesCounty MHMR Comm CtrBoard Certifications:PsychiatryLanguage: Armenian;Spanish; Armenian

u Estrada, Carlos R MDGender: Male

♿5301 Ocean Dr(361) 993-8358Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: CoastalBend PsychiatricAssociates PA**Practice Information:34; 40; 47; 54; 60; 65; 67;70; 87; 108; 112; 114; 117;134; 157; 161; 163; 166;183; 207; 212; 214; 217;234; 259; 264; 266; 269;286; 311; 316; 317; 318;319; 320Board Certifications:Child & Adoles Psychiatry;PsychiatryLanguage: Spanish

u Falls, Lisa L MDGender: Female

♿3533 S Alameda St(361) 694-1550Hospital Affiliations:UTMB Health GalvestonClinic Affiliation:Childrens PhysiciansServices of South Texas**Practice Information:65; 67; 68; 70; 71; 74; 80;81; 96; 98; 108; 112; 114;115; 117; 118; 121; 127;128; 143; 145; 157; 161;163; 164; 166; 167; 170;176; 177; 192; 195; 207;212; 214; 215; 217; 218;221; 227; 228; 243; 246;259; 264; 266; 267; 269;270; 273; 279; 280; 295;298; 311; 317; 318; 319;320; 595; 614; 722Board Certifications:PsychiatryLanguage: Spanish

u Hernandez, Michael A MDGender: Male

♿45440 Old Brownsville Rd(361) 906-0166Clinic Affiliation: MHernandez MD PLLC**Practice Information:47; 163; 166; 207; 214;217; 259; 317; 318; 376Board Certifications:PsychiatryLopez Lira, Thelma MDGender: Female

♿4525 S Staples St(361) 980-1201Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: ThelmaLopez-Lira MD PA**Practice Information:40; 47; 60; 70; 114; 117;134; 157; 163; 166; 207;212; 214; 217; 259; 264;266; 269; 311; 320; 427Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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CORPUS CHRISTI(continued)

PSYCHIATRY(continued)

u Lusins, John O MDGender: Male1630 S Brownlee Blvd(361) 886-10915633 S Staples Ste 700(361) 814-20013126 Rodd Field Rd(361) 452-68986625 Wooldridge RdSte 101(361) 356-6441Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: CoastalBend Aids Foundation Inc;Gulf Coast BehavioralClinic LLC; Nueces CountyMHMR Comm Ctr; SouthTexas Mental HealthAssociaBoard Certifications:Psychiatry

u Mangipudi, Murthy V MDGender: Male1630 S Brownlee Blvd(361) 886-6900♿3301 S Alameda St Ste307(361) 857-2090Clinic Affiliation: NuecesCounty MHMR Comm Ctr;South Texas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish;Hindi; Spanish

Maruvada,Umamaheswara R MDGender: Male1630 S Brownlee Blvd(361) 886-6900Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: NuecesCounty MHMR Comm Ctr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: SpanishMaruvada, Umamakesw RMDGender: Male

♿4234 Weber Rd(361) 857-2090Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: SpanishMay, James M MDGender: Male6625 Wooldridge RdSte 402(361) 992-5525Clinic Affiliation: James MMay MD PA**Practice Information:47; 60; 212; 214; 217; 234;240; 259; 264; 266; 269;286; 292; 311; 318; 320;381Board Certifications:None

u McClung, Robert E MDGender: Male

♿4

U

4646 Corona Ste 255(361) 851-8598Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center**Practice Information:47; 60; 212; 214; 217; 259;264; 266; 269; 311; 318;320Board Certifications:PsychiatryLanguage: SpanishMontgomery, Lyle B MDGender: Female

♿1630 S Brownlee Blvd(361) 886-6900Clinic Affiliation: NuecesCounty MHMR Comm CtrBoard Certifications:None

u Nollie, Devereaux L MDGender: Female

♿43533 S Alameda St(361) 694-4700Clinic Affiliation:Childrens PhysiciansServices of South Texas**Practice Information:40; 54; 67; 70; 108; 114;117; 134; 157; 163; 166;183; 207; 316; 317; 319;416; 627Board Certifications:Child & Adoles Psychiatry;PsychiatryLanguage: SpanishPagan, Jose E MDGender: Male

♿5934 S Staples StSte 230(361) 993-1640**Practice Information:40; 47; 54; 60; 65; 112;114; 117; 134; 157; 161;163; 166; 183; 207; 212;214; 217; 234; 259; 264;266; 269; 286; 311; 317;318; 319; 320; 427Board Certifications:NoneLanguage: Spanish

u Rayasam, Krishnaia MDGender: Male

♿U3301 S Alameda St Ste 307(361) 857-2090Clinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:Addiction Psychiatry;PsychiatryLanguage: Hindi; Spanish

u Rayasam, Krishnaiah MDGender: Male1630 S Brownlee Blvd(361) 886-6900Clinic Affiliation: NuecesCounty MHMR Comm Ctr**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

u Smith, Ryan C MDGender: Male1315 Santa Fe StSte 201(361) 887-9600Hospital Affiliations:Christus Spohn Hos CctxShorelineClinic Affiliation:Psychiatric ConsultingServi**Practice Information:212; 214; 217; 218; 221;227; 246; 253; 254; 259;262; 264; 266; 269; 270;273; 279; 298; 305; 306;311; 314; 318; 320; 381;595; 722Board Certifications:Psychiatry

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

CORPUS CHRISTI 01/19/2021

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♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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CORPUS CHRISTI(continued)

PSYCHIATRY(continued)Talley, Megan E MDGender: Female6625 Wooldridge RdSte 101(361) 356-6441Clinic Affiliation: SouthTexas Mental HealthAssociaBoard Certifications:None

u Vela, Lisa M MDGender: Female1533 S Brownlee BlvdSte 100(361) 884-2242Clinic Affiliation: AmistadCommunity Health Center I**Practice Information:317; 318Board Certifications:Psychiatry

u Zink, Susan MDGender: Female1542 S Brownlee Blvd(361) 886-6900Clinic Affiliation: NuecesCounty MHMR Comm Ctr**Practice Information:47; 60; 212; 214; 221; 227;246; 256; 257; 259; 263;264; 266; 273; 279; 298;311; 315; 318; 320; 381Board Certifications:Psychiatry

PSYCHIATRY &NEUROLOGYLusins, John O MDGender: Male5633 S Staples Ste 700(361) 814-2001Hospital Affiliations:Corpus Christi MedicalCenterClinic Affiliation: CoastalBend Aids Foundation IncBoard Certifications:Psychiatry

FALFURRIAS

CLINICALPSYCHOLOGYKraatz, Rebecca A PhDGender: Female101 W Potts(361) 325-9776Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:67; 108; 114; 157; 163;207; 214; 259; 266; 311Board Certifications:NoneLanguage: Spanish

LICENSEDPROFESSIONALCOUNSELORMorgan, Gwenneth T LPCGender: Female

♿1302 S St Marys StSte A B D(361) 325-6404Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

INGLESIDE

CLINICALPSYCHOLOGYKraatz, Rebecca A PhDGender: Female

♿U2713 Main St(361) 643-1263Clinic Affiliation: RebeccaKraatz PLLC**Practice Information:67; 108; 114; 157; 163;207; 214; 259; 266; 311Board Certifications:NoneLanguage: Spanish

LICENSED CLINICALSOCIAL WORKERLicona, Patti J LCSWGender: Female

♿U95 Bayshore Dr(361) 775-0270**Practice Information:40; 47; 60; 65; 67; 70; 108;112; 114; 117; 134; 157;161; 163; 166; 183; 189;200; 207; 212; 214; 217;234; 240; 251; 259; 264;266; 269; 286; 292; 303;311; 316; 317; 318; 319;320; 383Board Certifications:NoneLanguage: Spanish

KARNES CITY

LICENSED CLINICALSOCIAL WORKERLaurel, Noel F LCSWGender: Male

♿U302 N Butler St(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:NoneLanguage: American Sign;Spanish; Vietnamese

LICENSEDPROFESSIONALCOUNSELORRivera, Mary LPCGender: Female

U302 N Butler(830) 780-3100Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

Tofani Garcia, Elizabeth ALPCGender: Female

U302 N Butler(830) 780-3100757 S Panna Maria Ave(830) 780-3100Clinic Affiliation:Atascosa Health Center Inc**Practice Information:32; 33; 34; 38; 39; 40; 42;43; 44; 45; 46; 47; 49; 50;51; 52; 53; 54; 58; 59; 60;62; 63; 64; 65; 66; 67; 68;70; 71; 72; 73; 74; 75; 77;78; 79; 80; 81; 84; 85; 86;87; 91; 92; 94; 95; 97; 98;99; 103; 105; 106; 112;113; 114; 115; 117; 118;119; 120; 121; 122; 124;125; 126; 127; 128; 131;132; 133; 134; 138; 139;141; 142; 144; 145; 146;150; 152; 153; 161; 162;163; 164; 166; 167; 168;169; 170; 171; 173; 174;175; 176; 177; 180; 181;182; 183; 187; 188; 190;191; 193; 194; 195; 196;200; 202; 203; 204; 205;207; 210; 211; 212; 213;214; 215; 217; 218; 219;220; 221; 222; 224; 225;226; 227; 228; 231; 232;233; 234; 238; 239; 241;242; 244; 245; 246; 247;251; 253; 254; 255; 256;257; 259; 262; 263; 264;265; 266; 267; 269; 270;271; 272; 273; 274; 276;277; 278; 279; 280; 283;284; 285; 286; 290; 291;293; 294; 296; 297; 298;299; 303; 305; 306; 307;308; 309; 311; 314; 315;316; 317; 318; 319; 320;722Board Certifications:NoneWitte Hubbard, Kristin NLPCGender: Female607 N Esplanade St(325) 660-6960**Practice Information:427Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 CORPUS CHRISTI

251

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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KENEDY

CLINICALPSYCHOLOGYHensley, David B PhDGender: Male

♿3349 S Hwy 181(830) 583-3401**Practice Information:34; 40; 47; 54; 65; 67; 70;87; 100; 107; 108; 112;114; 117; 134; 147; 150;156; 161; 163; 166; 183;197; 200; 206; 207; 212;214; 217; 234; 248; 251;258; 259; 264; 266; 300;303; 310; 311; 316; 317;318; 319; 320; 383Board Certifications:NoneLanguage: Spanish

LICENSEDPROFESSIONALCOUNSELOROrtiz, Lorenzo LPCGender: Male113 S Sunset Strip Dr(830) 583-9776Clinic Affiliation: CaminoReal Community Services**Practice Information:40; 47; 112; 114; 117; 161;163; 183; 189; 212; 214;234; 240; 251; 259; 264;266; 303; 317; 318; 319;320; 394Board Certifications:NoneLanguage: Spanish

St John Hartsfield, PricillaD LPCGender: Female129 Robinhood Dr(830) 534-2298**Practice Information:33; 34; 39; 40; 46; 47; 53;54; 66; 68; 73; 74; 75; 77;80; 84; 85; 92; 94; 95; 105;112; 113; 115; 120; 121;122; 124; 127; 131; 132;139; 141; 142; 152; 161;162; 164; 169; 170; 171;173; 176; 180; 181; 188;190; 191; 202; 211; 212;213; 215; 220; 221; 222;224; 227; 231; 232; 239;241; 242; 253; 263; 316;317; 318; 319; 722Board Certifications:None

PSYCHIATRYu Bui, Theresa D DOGender: Female322 W Main St Ste 104(830) 583-9777Clinic Affiliation: CaminoReal Community Services**Practice Information:47; 214; 217; 218; 221;227; 246; 253; 254; 256;257; 259; 263; 318; 394Board Certifications:PsychiatryFishkind, Avrim B MDGender: Male113 S Sunset Strip St(210) 357-0300Clinic Affiliation: CaminoReal Community Services**Practice Information:44; 51; 71; 74; 80; 108;112; 118; 121; 127; 157;161; 162; 166; 170; 176;207; 212; 213; 217; 221;227; 259; 317; 318; 381Board Certifications:NoneLanguage: Spanish

St Hill, Ronald G MDGender: Male113 South Sunset StripDrive(830) 583-9777Clinic Affiliation: CaminoReal Community Services**Practice Information:381Board Certifications:None

KINGSVILLE

ADDICTIONPSYCHIATRYMaruvada, Umamakesw RMDGender: Male

♿U1621 East CorralAve(361) 857-2090Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

CHILD & ADOLESPSYCHIATRYMaruvada, Umamakesw RMDGender: Male

♿U1621 East CorralAve(361) 857-2090Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

CLINICALPSYCHOLOGYKraatz, Rebecca A PhDGender: Female914 E Fordyce(361) 592-6481Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:67; 108; 114; 157; 163;207; 214; 259; 266; 311Board Certifications:NoneLanguage: Spanish

LICENSEDPROFESSIONALCOUNSELORBru, Tracy K LPCGender: Female

♿U603 E Kleberg(361) 852-9665Clinic Affiliation: FamilyCounseling Service**Practice Information:40; 47; 65; 70; 112; 114;117; 134; 161; 163; 166;183; 189; 207; 212; 214;217; 234; 240; 259; 264;266; 317; 318; 319; 320;416Board Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

KENEDY 01/19/2021

252

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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KINGSVILLE(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Chisolm, Delcia M LPCGender: Female

U635 E King Ave(361) 228-2038**Practice Information:46; 53; 112; 114; 117; 121;123; 127; 141; 161; 163;166; 170; 172; 176; 190;211; 212; 214; 217; 221;223; 224; 227; 231; 239;241; 263; 264; 266; 273;275; 279; 317; 318; 319;320Board Certifications:NoneLanguage: SpanishMorgan, Gwenneth T LPCGender: Female

♿1311 E General CavazosBlvd Ste 303 C(361) 592-3237Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

Payne Tyson, Justice LPCGender: Male

U603 E Kleberg(361) 334-1139

U635 E King AveSte 103(844) 888-9355Clinic Affiliation: FamilyCounseling Service;Sondermind ProviderNetwork LLC**Practice Information:33; 39; 44; 46; 51; 53; 59;64; 65; 66; 67; 68; 70; 73;74; 75; 76; 77; 79; 80; 92;94; 112; 113; 114; 115;117; 120; 121; 122; 123;124; 126; 127; 131; 132;139; 141; 142; 153; 161;162; 163; 164; 166; 169;170; 171; 172; 173; 175;176; 180; 181; 188; 190;191; 203; 212; 213; 214;215; 217; 220; 221; 222;223; 224; 226; 227; 231;232; 239; 241; 242; 254;255; 264; 265; 266; 267;269; 272; 273; 274; 275;276; 279; 280; 283; 284;291; 293; 294; 306; 307;316; 317; 318; 319; 320Board Certifications:NoneRosenbaum, Lorena ALPCGender: Female635 E King Ste 120(956) 459-9838**Practice Information:33; 39; 46; 53; 59; 65; 67;68; 70; 73; 75; 77; 79; 80;92; 94; 95; 112; 114; 115;117; 120; 122; 124; 126;127; 139; 141; 142; 161;163; 164; 166; 169; 171;173; 175; 176; 188; 190;191; 204; 211; 212; 214;215; 217; 220; 222; 224;226; 227; 239; 241; 242;256; 263; 264; 266; 267;269; 272; 274; 276; 278;279; 291; 293; 294; 308;315; 316; 317; 318; 319;320; 722Board Certifications:NoneLanguage: Spanish

PSYCHIATRYMaruvada, Umamakesw RMDGender: Male

♿U1621 East CorralAve(361) 857-2090Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: SouthTexas PsychiatricAssociates PA**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

MATHIS

LICENSEDPROFESSIONALCOUNSELORMorgan, Gwenneth T LPCGender: Female

♿213 S Duval St(361) 574-4121Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

ODEM

LICENSEDPROFESSIONALCOUNSELORPowell, Jinnelle V LPCGender: Female14729 County Road 1470(361) 945-3084Board Certifications:None

PORT ARANSAS

BOARD CERTIFIEDBEHAVIOR ANALYST-DOCTORALLittle, Amanda BCBADGender: Female

U127 Fish Hook Ln(785) 760-4948Clinic Affiliation: LittleBehavior Consulting OnTheBoard Certifications:None

CLINICALPSYCHOLOGYReichert, Andrew D PhDGender: Male900 N Station StreetSte B7(210) 708-5909Clinic Affiliation: AndrewD Reichert PHD PLLCBoard Certifications:None

PORTLAND

CHILD & ADOLESPSYCHIATRYMaruvada,Umamaheswara R MDGender: Male200 Marriott Dr(361) 664-9587Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 KINGSVILLE

253

♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

Page 254: Corpus Christi - Blue Cross Blue Shield Association · Corpus Christi Medical Center NPI: 1508810573 7002 Williams Dr (361) 761-1200 ER Physicians: Facility uses out-of-network ER

PORTLAND(continued)

CHILD & ADOLESPSYCHIATRY(continued)Rayasam, Krishnaiah MDGender: Male200 Marriott Dr(361) 528-4516Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

CLINICALPSYCHOLOGYGansle, Mary A PhDGender: Female

♿1700 Wildcat DrSte D(361) 445-4080Clinic Affiliation: GulfCoast Psychology LLCBoard Certifications:NoneKraatz, Rebecca A PhDGender: Female200 Marriott Dr(361) 777-3991Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:67; 108; 114; 157; 163;207; 214; 259; 266; 311Board Certifications:NoneLanguage: Spanish

LICENSED CHEMICALDEPENDENCYCOUNSELORDominguez, Jorge LCDCGender: Female1700 Wildcat Dr Ste D(361) 445-4080Clinic Affiliation: GulfCoast Psychology LLCBoard Certifications:NoneLanguage: Spanish

LICENSEDPROFESSIONALCOUNSELORAndry, Kimberly K LPCGender: Female

U1129 Santa Catalina St(512) 924-6433**Practice Information:112; 115; 117; 161; 163;164; 166; 212; 214; 215;217; 264; 266; 267; 317;318; 319; 320Board Certifications:NoneDominguez, Jorge LCDCGender: Female

♿1700 Wildcat DrSte D(361) 445-40801700 Wildcat Dr Ste D(361) 445-4080Clinic Affiliation: GulfCoast Psychology LLCBoard Certifications:NoneLanguage: Spanish

u Easley, Erin M LPCGender: Female

U1700 Wildcat Drive Ste D(361) 445-4080**Practice Information:65; 80; 87; 94; 112; 127;134; 141; 161; 176; 183;190; 212; 227; 234; 241;255; 264; 279; 286; 293;307; 316; 317; 318; 319;320Board Certifications:Licensed ProfessionalCounselor

Johnson, Mary A LPCGender: Female

♿200 Marriott Dr(361) 777-3991Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:114; 150; 157; 163; 200;207; 214; 251; 259; 266;303; 311; 405Board Certifications:NoneLanguage: SpanishOconnell, Janice L LPCGender: Female1700 Wildcat Dr Ste D(361) 249-7629**Practice Information:39; 42; 44; 46; 49; 51; 59;62; 64; 65; 66; 68; 84; 85;112; 113; 115; 126; 127;131; 132; 141; 161; 162;164; 171; 175; 176; 180;181; 187; 188; 190; 204;205; 211; 212; 213; 215;222; 224; 226; 227; 231;232; 238; 239; 241; 242;245; 256; 257; 263; 264;265; 267; 274; 276; 278;279; 283; 284; 290; 291;293; 294; 308; 309; 315;316; 317; 318; 319; 320;595; 722Board Certifications:NoneSelby, Gena E LPCGender: Female1700 Wildcat DrSte D(361) 445-4080Clinic Affiliation: GulfCoast Psychology LLCBoard Certifications:None

NEUROLOGYMangipudi, Murthy V MDGender: Male200 Marriott Dr(361) 664-9587Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

PSYCHIATRYu Mangipudi, Murthy V MDGender: Male200 Marriott Dr(361) 664-9587Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:PsychiatryLanguage: Hindi; SpanishMaruvada,Umamaheswara R MDGender: Male200 Marriott Dr(361) 664-9587Hospital Affiliations:Methodist Spec &Transplant HospClinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 365; 394; 544Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

PORTLAND 01/19/2021

254

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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PORTLAND(continued)

PSYCHIATRY(continued)

u Rayasam, Krishnaiah MDGender: Male200 Marriott Dr(361) 528-4516Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

ROBSTOWN

LICENSEDPROFESSIONALCOUNSELORGarcia, Erica T LPCGender: Female

U403 E Main Ave(361) 236-7634**Practice Information:44; 46; 51; 161; 163; 164;167; 170; 171; 175; 176;177; 181; 188; 190; 191;201; 211; 212; 214; 215;217; 218; 221; 222; 224;226; 227; 228; 231; 232;239; 241; 242; 252; 263;317; 318; 595; 722Board Certifications:None

PSYCHIATRYu Hernandez, Michael A MDGender: Male1038 Texas Yes Blvd(361) 886-1445Clinic Affiliation: NuecesCounty MHMR Comm Ctr**Practice Information:47; 163; 166; 207; 214;217; 259; 317; 318; 376Board Certifications:Psychiatry

ROCKPORT

CLINICALPSYCHOLOGYBarnes, Ashley D PhDGender: Female621 S Fulton Beach RdSte 110(512) 807-8457Clinic Affiliation: GreatOaks Counseling Center**Practice Information:379Board Certifications:NoneKraatz, Rebecca A PhDGender: Female620 E Concho(361) 727-0988Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:67; 108; 114; 157; 163;207; 214; 259; 266; 311Board Certifications:NoneLanguage: SpanishWalls, Alison R PsyDGender: Female

♿U2808 Traylor Blvd(719) 244-1942**Practice Information:18; 38; 41; 45; 47; 48; 52;60; 61; 65; 67; 70; 71; 74;79; 100; 112; 114; 117;118; 125; 126; 127; 128;132; 138; 141; 144; 152;157; 161; 163; 176; 177;186; 187; 190; 193; 197;202; 206; 207; 210; 211;214; 217; 218; 221; 222;225; 226; 227; 228; 232;237; 238; 239; 241; 248;253; 255; 258; 259; 262;263; 264; 266; 269; 273;274; 277; 279; 289; 290;293; 300; 307; 310; 316;317; 318; 320; 472; 567Board Certifications:None

LICENSEDPROFESSIONALCOUNSELORJohnson, Mary A LPCGender: Female2726 Hwy 35 N(361) 729-5357**Practice Information:114; 150; 157; 163; 200;207; 214; 251; 259; 266;303; 311; 405Board Certifications:NoneLanguage: SpanishLee, Linda H LPCGender: Female

♿901 E Main St(361) 729-0633Clinic Affiliation: AccessInc**Practice Information:65; 67; 70; 93; 112; 114;117; 140; 161; 163; 166;189; 212; 214; 217; 240;264; 266; 269; 292; 316;317; 318; 319; 320Board Certifications:NoneMacisaac, Linda L LPCGender: Female

U810 Henderson St Bldg CSte 5(361) 238-0431**Practice Information:39; 46; 47; 60; 114; 117;120; 122; 127; 131; 132;141; 163; 166; 169; 171;176; 180; 181; 190; 212;214; 215; 217; 220; 221;222; 224; 227; 231; 232;241; 262; 263; 264; 266;274; 276; 279; 284; 293;317; 318; 319; 320; 722Board Certifications:None

Mickey, Danea D LPCGender: Female828 S Doughty St(361) 215-5209**Practice Information:33; 38; 39; 40; 42; 44; 45;46; 47; 49; 51; 52; 53; 54;59; 64; 65; 68; 69; 70; 72;74; 75; 78; 80; 81; 84; 85;86; 92; 94; 106; 112; 115;116; 117; 119; 120; 121;122; 125; 127; 128; 131;132; 133; 134; 139; 140;141; 142; 146; 153; 157;161; 162; 164; 165; 166;168; 169; 170; 171; 172;174; 176; 180; 181; 182;183; 188; 189; 190; 191;196; 202; 203; 204; 207;208; 209; 211; 212; 213;215; 217; 218; 219; 220;221; 222; 223; 224; 225;227; 231; 232; 233; 234;238; 239; 240; 241; 242;247; 253; 254; 255; 256;259; 260; 261; 263; 264;267; 269; 271; 273; 274;276; 277; 284; 285; 290;293; 294; 305; 306; 313;316; 317; 318; 319; 320;394; 595; 722Board Certifications:NoneMourtaja, Anne R LPCGender: Female901 E Main St(361) 729-0633Clinic Affiliation: AccessInc**Practice Information:39; 46; 53; 59; 65; 66; 68;73; 75; 112; 113; 114; 115;117; 120; 122; 126; 127;141; 161; 162; 163; 164;166; 169; 170; 171; 175;176; 190; 212; 213; 214;215; 217; 220; 221; 222;224; 226; 227; 241; 264;267; 269; 272; 273; 274;276; 278; 279; 293; 317;318; 319; 320; 595; 722Board Certifications:NoneLanguage: Spanish

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 PORTLAND

255

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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ROCKPORT(continued)

LICENSEDPROFESSIONALCOUNSELOR(continued)Stroud, Kimberly J LPCGender: Female102 Alma Ln(972) 672-9345**Practice Information:65; 68; 70; 75; 80; 84; 94;106; 112; 115; 117; 122;127; 131; 141; 153; 161;164; 166; 171; 176; 180;190; 203; 317; 319; 595;627; 722Board Certifications:None

NEUROLOGYMangipudi, Murthy V MDGender: Male620 Concho(361) 727-0988Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

PSYCHIATRYu Hopper, John J MDGender: Male

♿2726 Highway 35 N(361) 729-5357Clinic Affiliation: John JHopper MD PLLC**Practice Information:65; 67; 70; 100; 104; 107;108; 112; 114; 117; 147;151; 156; 157; 161; 163;166; 183; 197; 201; 206;207; 212; 214; 217; 234;248; 252; 258; 259; 264;266; 286; 300; 304; 310;316; 317; 318; 319; 320Board Certifications:PsychiatryLanguage: Spanish

u Mangipudi, Murthy V MDGender: Male620 Concho(361) 727-0988Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 67; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 316; 317; 318;319; 320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

SINTON

LICENSEDPROFESSIONALCOUNSELORJohnson, Mary A LPCGender: Female415 W Sinton(361) 364-0265**Practice Information:114; 150; 157; 163; 200;207; 214; 251; 259; 266;303; 311; 405Board Certifications:NoneLanguage: Spanish

Morgan, Gwenneth T LPCGender: Female

♿621 E Sinton St(361) 364-4486Clinic Affiliation:Community Action SouthTexashealth ClinicBoard Certifications:NoneLanguage: Spanish

TAFT

CHILD & ADOLESPSYCHIATRYRayasam, Krishnaiah MDGender: Male200 Roots Ave(361) 528-4516Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

CLINICALPSYCHOLOGYKraatz, Rebecca A PhDGender: Female201 Roots Ave(361) 528-4516Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:67; 108; 114; 157; 163;207; 214; 259; 266; 311Board Certifications:NoneLanguage: Spanish

LICENSEDPROFESSIONALCOUNSELORJohnson, Mary A LPCGender: Female

♿201 Roots Ave(361) 777-3991Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:114; 150; 157; 163; 200;207; 214; 251; 259; 266;303; 311; 405Board Certifications:NoneLanguage: Spanish

PSYCHIATRYu Rayasam, Krishnaiah MDGender: Male200 Roots Ave(361) 528-4516Clinic Affiliation: CoastalPlains Community MHMRCtr**Practice Information:40; 47; 54; 60; 70; 108;114; 117; 157; 163; 166;207; 214; 217; 259; 266;269; 311; 317; 318; 319;320; 394Board Certifications:PsychiatryLanguage: Hindi; Spanish

THREE RIVERS

LICENSEDPROFESSIONALCOUNSELORRivera, Mary LPCGender: Female

U105 E Thornton(361) 783-3618Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

ROCKPORT 01/19/2021

256

♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.

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TILDEN

LICENSEDPROFESSIONALCOUNSELORRivera, Mary LPCGender: Female

U203 Hackberry St(361) 274-3690Clinic Affiliation:Atascosa Health Center IncBoard Certifications:None

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.

01/19/2021 TILDEN

257

UThis Provider Has Extended Hours.

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Practice Information AppendixPractice Information Appendix

258

1 18 years and under by referral only2 Abdominal Surgery Only3 Accepting Newborns Only4 Accepts newborns only5 Accepts Newborns, existing patientsonly6 Accepts siblings of existing patients7 Active Duty Only8 Adolescent9 Adolescent Inpatient (IP)10 Adolescent Inpatient (IP) -Substance Use11 Adolescent Intensive OutpatientProgram (IOP)12 Adolescent Intensive OutpatientProgram (IOP) - Substance Use13 Adolescent Partial HospitalPlacement (PHP)14 Adolescent Partial HospitalPlacement (PHP) - Substance Use15 Adolescent Psychiatry16 Adolescent Residential TreatmentCenter (RTC)17 Adolescent Residential TreatmentCenter (RTC) - Substance Use18 Adult19 Adult Cardiology only20 Adult Detoxification - SubstanceUse21 Adult Inpatient (IP)22 Adult Inpatient (IP) - SubstanceUse23 Adult Intensive Outpatient Program(IOP)24 Adult Intensive Outpatient Program(IOP) - Substance Use25 Adult Otho & Major Joints, no back26 Adult Partial Hospital Placement(PHP)27 Adult Partial Hospital Placement(PHP) - Substance Use28 Adult patients with Epilepsy29 Adult Residential Treatment Center(RTC)30 Adult Residential Treatment Center(RTC) - Substance Use31 Adult Spine Surgery & Jointreplacement32 Age 0-5 Behavioral Healthcare forMedical Condition33 Age 0-5 Brief Solution FocusedTherapy34 Age 0-5 ChemicalDependency/Chemical DependencyAssessment35 Age 0-5 Forensic Psychiatry36 Age 0-5 GenderRealignment/Transition37 Age 0-5 Medication AssistedTreatment (MAT)38 Age 13-17 Behavioral Healthcarefor Medical Condition39 Age 13-17 Brief Solution FocusedTherapy40 Age 13-17 ChemicalDependency/Chemical DependencyAssessment

41 Age 13-17 Forensic Psychiatry42 Age 13-17 GenderRealignment/Transition43 Age 13-17 Medication AssistedTreatment (MAT)44 Age 13-17 Men's Issues45 Age 18-64 Behavioral Healthcarefor Medical Condition46 Age 18-64 Brief Solution FocusedTherapy47 Age 18-64 ChemicalDependency/Chemical DependencyAssessment48 Age 18-64 Forensic Psychiatry49 Age 18-64 GenderRealignment/Transition50 Age 18-64 Medication AssistedTreatment (MAT)51 Age 18-64 Men's Issues52 Age 6-12 Behavioral Healthcare forMedical Condition53 Age 6-12 Brief Solution FocusedTherapy54 Age 6-12 ChemicalDependency/Chemical DependencyAssessment55 Age 6-12 Forensic Psychiatry56 Age 6-12 GenderRealignment/Transition57 Age 6-12 Medication AssistedTreatment (MAT)58 Age 65+ Behavioral Healthcare forMedical Condition59 Age 65+ Brief Solution FocusedTherapy60 Age 65+ ChemicalDependency/Chemical DependencyAssessment61 Age 65+ Forensic Psychiatry62 Age 65+ GenderRealignment/Transition63 Age 65+ Medication AssistedTreatment (MAT)64 Age 65+ Men's Issues65 Ages 0-5 Abuse (Physical and/orSexual)66 Ages 0-5 Adoption Issues67 Ages 0-5 Affective Mood Disorders68 Ages 0-5 Anger Management69 Ages 0-5 Applied BehaviorAnalysis (ABA)70 Ages 0-5 Attention DeficitDisorders71 Ages 0-5 Autism SpectrumDisorders72 Ages 0-5 Bariatric Assessment73 Ages 0-5 Behavior Modification74 Ages 0-5 Bipolar Disorders/ManicDepressive Illness75 Ages 0-5 Cognitive BehaviorTherapy76 Ages 0-5 Compulsive Gambling77 Ages 0-5 Couples/MarriageTherapy78 Ages 0-5 Critical Incident StressDebrief (CISD)79 Ages 0-5 Cultural/Ethnic Issues

80 Ages 0-5 Depression81 Ages 0-5 Developmental Disorders82 Ages 0-5 Dialectical BehaviorTherapy83 Ages 0-5 Dissociative Disorders84 Ages 0-5 Divorce/Blended FamilyIssues85 Ages 0-5 Domestic Violence86 Ages 0-5 EAP General87 Ages 0-5 Eating Disorders88 Ages 0-5 ElectroconvulsiveTherapy IP89 Ages 0-5 ElectroconvulsiveTherapy OP90 Ages 0-5 EMDR91 Ages 0-5 End of Life Issues92 Ages 0-5 Family Therapy93 Ages 0-5 Gay/Lesbian Issues94 Ages 0-5 Grief/Bereavement95 Ages 0-5 Group Therapy96 Ages 0-5 Hearing Impaired97 Ages 0-5 HIV/AIDS/ARC RelatedIssues98 Ages 0-5 Medication Management99 Ages 0-5 Multi-Systemic Therapy(MST)100 Ages 0-5 NeuropsychologicalTesting101 Ages 0-5 Obsessive CompulsiveDisorder102 Ages 0-5 Organic Disorders103 Ages 0-5 Pain Management104 Ages 0-5 Pastoral Counseling105 Ages 0-5 Personality Disorders106 Ages 0-5 Phobias107 Ages 0-5 Psychological Testing108 Ages 0-5 Schizophrenia andother Psychotic Disorders109 Ages 0-5 Sexual Disfunction110 Ages 0-5 Sexual OffenderTreatment111 Ages 0-5 Somatoform Disorders112 Ages 6-12 Abuse (Physicaland/or Sexual)113 Ages 6-12 Adoption Issues114 Ages 6-12 Affective MoodDisorders115 Ages 6-12 Anger Management116 Ages 6-12 Applied BehaviorAnalysis (ABA)117 Ages 6-12 Attention DeficitDisorders118 Ages 6-12 Autism SpectrumDisorders119 Ages 6-12 Bariatric Assessment120 Ages 6-12 Behavior Modification121 Ages 6-12 BipolarDisorders/Manic Depressive Illness122 Ages 6-12 Cognitive BehaviorTherapy123 Ages 6-12 Compulsive Gambling124 Ages 6-12 Couples/MarriageTherapy125 Ages 6-12 Critical Incident StressDebrief (CISD)126 Ages 6-12 Cultural/Ethnic Issues127 Ages 6-12 Depression

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Practice Information AppendixPractice Information Appendix

259

128 Ages 6-12 DevelopmentalDisorders129 Ages 6-12 Dialectical BehaviorTherapy130 Ages 6-12 Dissociative Disorders131 Ages 6-12 Divorce/BlendedFamily Issues132 Ages 6-12 Domestic Violence133 Ages 6-12 EAP General134 Ages 6-12 Eating Disorders135 Ages 6-12 ElectroconvulsiveTherapy IP136 Ages 6-12 ElectroconvulsiveTherapy OP137 Ages 6-12 EMDR138 Ages 6-12 End of Life Issues139 Ages 6-12 Family Therapy140 Ages 6-12 Gay/Lesbian Issues141 Ages 6-12 Grief/Bereavement142 Ages 6-12 Group Therapy143 Ages 6-12 Hearing Impaired144 Ages 6-12 HIV/AIDS/ARCRelated Issues145 Ages 6-12 MedicationManagement146 Ages 6-12 Multi-SystemicTherapy (MST)147 Ages 6-12 NeuropsychologicalTesting148 Ages 6-12 ObsessiveCompulsive Disorder149 Ages 6-12 Organic Disorders150 Ages 6-12 Pain Management151 Ages 6-12 Pastoral Counseling152 Ages 6-12 Personality Disorders153 Ages 6-12 Phobias154 Ages 6-12 Postpartum Issues155 Ages 6-12 Prenatal Issues156 Ages 6-12 Psychological Testing157 Ages 6-12 Schizophrenia & otherPsych Disorders158 Ages 6-12 Sexual Disfunction159 Ages 6-12 Sexual OffenderTreatment160 Ages 6-12 Somatoform Disorders161 Ages 13-17 Abuse (Physicaland/or Sexual)162 Ages 13-17 Adoption Issues163 Ages 13-17 Affective MoodDisorders164 Ages 13-17 Anger Management165 Ages 13-17 Applied BehaviorAnalysis (ABA)166 Ages 13-17 Attention DeficitDisorders167 Ages 13-17 Autism SpectrumDisorders168 Ages 13-17 Bariatric Assessment169 Ages 13-17 Behavior Modification170 Ages 13-17 BipolarDisorders/Manic Depressive Illness171 Ages 13-17 Cognitive BehaviorTherapy172 Ages 13-17 Compulsive Gambling173 Ages 13-17 Couples/MarriageTherapy

174 Ages 13-17 Critical IncidentStress Debrief (CISD)175 Ages 13-17 Cultural/Ethnic Issues176 Ages 13-17 Depression177 Ages 13-17 DevelopmentalDisorders178 Ages 13-17 Dialectical BehaviorTherapy179 Ages 13-17 DissociativeDisorders180 Ages 13-17 Divorce/BlendedFamily Issues181 Ages 13-17 Domestic Violence182 Ages 13-17 EAP General183 Ages 13-17 Eating Disorders184 Ages 13-17 ElectroconvulsiveTherapy IP185 Ages 13-17 ElectroconvulsiveTherapy OP186 Ages 13-17 EMDR187 Ages 13-17 End of Life Issues188 Ages 13-17 Family Therapy189 Ages 13-17 Gay/Lesbian Issues190 Ages 13-17 Grief/Bereavement191 Ages 13-17 Group Therapy192 Ages 13-17 Hearing Impaired193 Ages 13-17 HIV/AIDS/ARCRelated Issues194 Ages 13-17 Infertility195 Ages 13-17 MedicationManagement196 Ages 13-17 Multi-SystemicTherapy (MST)197 Ages 13-17 NeuropsychologicalTesting198 Ages 13-17 ObsessiveCompulsive Disorder199 Ages 13-17 Organic Disorders200 Ages 13-17 Pain Management201 Ages 13-17 Pastoral Counseling202 Ages 13-17 Personality Disorders203 Ages 13-17 Phobias204 Ages 13-17 Postpartum Issues205 Ages 13-17 Prenatal Issues206 Ages 13-17 Psychological Testing207 Ages 13-17 Schizophrenia & otherPsych Disorders208 Ages 13-17 Sexual Disfunction209 Ages 13-17 Sexual OffenderTreatment210 Ages 13-17 SomatoformDisorders211 Ages 13-17 Women's Issues212 Ages 18-64 Abuse (Physicaland/or Sexual)213 Ages 18-64 Adoption Issues214 Ages 18-64 Affective MoodDisorders215 Ages 18-64 Anger Management216 Ages 18-64 Applied BehaviorAnalysis (ABA)217 Ages 18-64 Attention DeficitDisorders218 Ages 18-64 Autism SpectrumDisorders219 Ages 18-64 Bariatric Assessment220 Ages 18-64 Behavior Modification

221 Ages 18-64 BipolarDisorders/Manic Depressive Illness222 Ages 18-64 Cognitive BehaviorTherapy223 Ages 18-64 Compulsive Gambling224 Ages 18-64 Couples/MarriageTherapy225 Ages 18-64 Critical IncidentStress Debrief (CISD)226 Ages 18-64 Cultural/Ethnic Issues227 Ages 18-64 Depression228 Ages 18-64 DevelopmentalDisorders229 Ages 18-64 Dialectical BehaviorTherapy230 Ages 18-64 DissociativeDisorders231 Ages 18-64 Divorce/BlendedFamily Issues232 Ages 18-64 Domestic Violence233 Ages 18-64 EAP General234 Ages 18-64 Eating Disorders235 Ages 18-64 ElectroconvulsiveTherapy IP236 Ages 18-64 ElectroconvulsiveTherapy OP237 Ages 18-64 EMDR238 Ages 18-64 End of Life Issues239 Ages 18-64 Family Therapy240 Ages 18-64 Gay/Lesbian Issues241 Ages 18-64 Grief/Bereavement242 Ages 18-64 Group Therapy243 Ages 18-64 Hearing Impaired244 Ages 18-64 HIV/AIDS/ARCRelated Issues245 Ages 18-64 Infertility246 Ages 18-64 MedicationManagement247 Ages 18-64 Multi-SystemicTherapy (MST)248 Ages 18-64 NeuropsychologicalTesting249 Ages 18-64 ObsessiveCompulsive Disorder250 Ages 18-64 Organic Disorders251 Ages 18-64 Pain Management252 Ages 18-64 Pastoral Counseling253 Ages 18-64 Personality Disorders254 Ages 18-64 Phobias255 Ages 18-64 Police/Fire FighterIssues256 Ages 18-64 Postpartum Issues257 Ages 18-64 Prenatal Issues258 Ages 18-64 Psychological Testing259 Ages 18-64 Schizophrenia & otherPsych Disorders260 Ages 18-64 Sexual Disfunction261 Ages 18-64 Sexual OffenderTreatment262 Ages 18-64 SomatoformDisorders263 Ages 18-64 Women's Issues264 Ages 65+ Abuse (Physical and/orSexual)265 Ages 65+ Adoption Issues266 Ages 65+ Affective MoodDisorders

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267 Ages 65+ Anger Management268 Ages 65+ Applied BehaviorAnalysis (ABA)269 Ages 65+ Attention DeficitDisorders270 Ages 65+ Autism SpectrumDisorders271 Ages 65+ Bariatric Assessment272 Ages 65+ Behavior Modification273 Ages 65+ Bipolar Disorders/ManicDepressive Illness274 Ages 65+ Cognitive BehaviorTherapy275 Ages 65+ Compulsive Gambling276 Ages 65+ Couples/MarriageTherapy277 Ages 65+ Critical Incident StressDebrief (CISD)278 Ages 65+ Cultural/Ethnic Issues279 Ages 65+ Depression280 Ages 65+ DevelopmentalDisorders281 Ages 65+ Dialectical BehaviorTherapy282 Ages 65+ Dissociative Disorders283 Ages 65+ Divorce/Blended FamilyIssues284 Ages 65+ Domestic Violence285 Ages 65+ EAP General286 Ages 65+ Eating Disorders287 Ages 65+ ElectroconvulsiveTherapy IP288 Ages 65+ ElectroconvulsiveTherapy OP289 Ages 65+ EMDR290 Ages 65+ End of Life Issues291 Ages 65+ Family Therapy292 Ages 65+ Gay/Lesbian Issues293 Ages 65+ Grief/Bereavement294 Ages 65+ Group Therapy295 Ages 65+ Hearing Impaired296 Ages 65+ HIV/AIDS/ARC RelatedIssues297 Ages 65+ Infertility298 Ages 65+ MedicationManagement299 Ages 65+ Multi-Systemic Therapy(MST)300 Ages 65+ NeuropsychologicalTesting301 Ages 65+ Obsessive CompulsiveDisorder302 Ages 65+ Organic Disorders303 Ages 65+ Pain Management304 Ages 65+ Pastoral Counseling305 Ages 65+ Personality Disorders306 Ages 65+ Phobias307 Ages 65+ Police/Fire FighterIssues308 Ages 65+ Postpartum Issues309 Ages 65+ Prenatal Issues310 Ages 65+ Psychological Testing311 Ages 65+ Schizophrenia andother Psychotic Disorders312 Ages 65+ Sexual Disfunction313 Ages 65+ Sexual OffenderTreatment

314 Ages 65+ Somatoform Disorders315 Ages 65+ Women's Issues316 Behavioral Healthcare Age 0-5Anxiety and Panic Disorders317 Behavioral Healthcare Age 13-17Anxiety and Panic Disorders318 Behavioral Healthcare Age 18-64Anxiety and Panic Disorders319 Behavioral Healthcare Age 6-12Anxiety and Panic Disorders320 Behavioral Healthcare Age 65+Anxiety and Panic Disorders321 Behavioral Problems322 BH Distant Site323 BH Hospital Based Physician324 BH OP Opioid Treatment325 BH Originating Site326 Breast Disease Only327 By Referral Only328 Call for new patient availability329 Child Detoxification - SubstanceUse330 Child Inpatient (IP)331 Child Inpatient (IP) - SubstanceUse332 Child Intensive OutpatientProgram (IOP)333 Child Partial Hospital Placement(PHP)334 Child Partial Hospital Placement(PHP) - Substance Use335 Child Psychiatry336 Child Residential TreatmentCenter (RTC)337 Child Residential TreatmentCenter (RTC) - Substance Use338 Children339 Clinic charge will apply; mayincrease your costs340 Current University/Collegestudents only341 Development Delay or Disability342 Developmental Disorders only343 Diabetic Educ Prog344 Diagnostic Radiology only345 ED Adolescent Inpatient346 ED Adolescent IntensiveOutpatient Program347 ED Adolescent Outpatient348 ED Adolescent Partial349 ED Adolescent Residential350 ED Adult Inpatient351 ED Adult Intensive OutpatientProgram352 ED Adult Outpatient353 ED Adult Partial354 ED Adult Residential355 ED Child Inpatient356 ED Child Intensive OutpatientProgram357 ED Child Outpatient358 ED Child Partial359 ED Child Residential360 ED Geriatric Inpatient361 ED Geriatric Intensive OutpatientProgram362 ED Geriatric Outpatient

363 ED Geriatric Partial364 ED Geriatric Residential365 Established Patients only366 Eye Movement Desensitization &Reprocessing (EMDR)367 Female Patients only368 Female Sex369 Foot and Ankle surgery only370 From Age371 From Age 0372 From Age 1373 From Age 10374 From Age 11375 From Age 12376 From Age 13377 From Age 14378 From Age 15379 From Age 16380 From Age 17381 From Age 18382 From Age 19383 From Age 2384 From Age 20385 From Age 21386 From Age 22387 From Age 23388 From Age 24389 From Age 25390 From Age 26391 From Age 27392 From Age 28393 From Age 29394 From Age 3395 From Age 30396 From Age 31397 From Age 32398 From Age 33399 From Age 34400 From Age 35401 From Age 36402 From Age 37403 From Age 38404 From Age 39405 From Age 4406 From Age 40407 From Age 41408 From Age 42409 From Age 43410 From Age 44411 From Age 45412 From Age 46413 From Age 47414 From Age 48415 From Age 49416 From Age 5417 From Age 50418 From Age 51419 From Age 52420 From Age 53421 From Age 54422 From Age 55423 From Age 56424 From Age 57425 From Age 58426 From Age 59427 From Age 6428 From Age 60

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429 From Age 61430 From Age 62431 From Age 63432 From Age 64433 From Age 65434 From Age 66435 From Age 67436 From Age 68437 From Age 69438 From Age 7439 From Age 70440 From Age 71441 From Age 72442 From Age 73443 From Age 74444 From Age 75445 From Age 76446 From Age 77447 From Age 78448 From Age 79449 From Age 8450 From Age 80451 From Age 81452 From Age 82453 From Age 83454 From Age 84455 From Age 85456 From Age 86457 From Age 87458 From Age 88459 From Age 89460 From Age 9461 From Age 90462 From Age 91463 From Age 92464 From Age 93465 From Age 94466 From Age 95467 From Age 96468 From Age 97469 From Age 98470 From Age 99471 Gender Identity Affirmation472 Geriatric473 Geriatric Detoxification -Substance Use474 Geriatric Inpatient (IP)475 Geriatric Inpatient (IP) -Substance Use476 Geriatric Intensive OutpatientProgram (IOP)477 Geriatric Intensive OutpatientProgram (IOP) - Substance Use478 Geriatric Partial HospitalPlacement (PHP)479 Geriatric Partial HospitalPlacement (PHP) - Substance Use480 Geriatric Psychiatry481 Geriatric Residential TreatmentCenter (RTC)482 Geriatric Residential TreatmentCenter (RTC) - Substance Use483 Gynecologic Oncology only484 Gynecology and Infertility485 Hematology/Oncology only486 HIV Patients only487 Home Visits Only

488 Hospice Visits Only489 Hospital Based Only490 Hyperbaric Medicine491 Includes Cardiatric Electrophys492 Includes Critical Care Medicine493 Includes General VascularSurgery494 Includes Infectious Diseases495 Includes Neonatal - Perinatal Med496 Includes Open Heart Surgery497 Includes Oral Surgery498 Includes Pain Management499 Includes PediatricAllergy/Immunology500 Includes Pediatric Cardiology501 Includes Pediatric Endocrinology502 Includes ReproductiveEndocrinology503 Infectious Disease only504 Inpatient505 Intensive Out Patient506 Limited to Child & Adolescent507 Limited to Crisis & Trauma508 Limited to Marriage-FamilyCounselor509 Limited to Pain Management510 Limited to Pediatric Psychiatry511 Limited to Sleep Disorders512 Male Patients Only513 Male Sex514 Medication Assisted Treatment(MAT - e.g.Suboxone/Burprenorphine/NaltrexoneTreatment)515 MH Adolescent Outpatient516 MH Adult ECT517 MH Adult Outpatient518 MH Child Outpatient519 MH Geriatric ECT520 MH Geriatric Outpatient521 New Patients by Referral only522 No Facial surgery523 No Geriatric patients524 No Hemorrhoid Treatment525 No infants under 6 months old526 No Medicaid527 No Medicare528 No Medicare/Medicaid patients529 No Neck or Back surgery530 No Neck patients531 No Obstetrical532 No Obstetrics533 No Obstetrics or major surgery534 No patients under 18 months535 No patients under 2 months536 No patients under 3 months537 No patients under 50 years old538 No patients under 9 years oldunless diabetic539 No pediatrics540 No Primary Care541 No Surgical Cases542 No TMJ surgery543 No Vascular Surgery544 No workers comp patients545 None

546 Noninvasive, preventative adultcardiology547 Nursing Home Visits Only548 OB Services only549 Only adult patients in hospital550 Only referred Pediatric patients551 Orthopedics Spine Only552 Other553 Outpatient554 Palliative and Hospice Care Only555 Parenting556 Partial Day557 Partial Hospital Placement (PHP)558 Patients 55 and older559 Ped Individual case by case only560 Pediatric and Adult MRI561 Pediatric Nuerology (birth to 21yrs)562 Pediatric Radiology Only563 Practice includes A.D.D.564 Practice includes Adolescents565 Practice includes Breast Disease566 Practice includes children567 Practice includes Geriatrics568 Practice includes Hematology569 Practice includes MOHS Surgery570 Practice includes Obstetrics571 Practice includes Retinal surgery572 Practice includes Sleep Disorder573 Practice includes substanceabuse574 Practice Limitation to ChildhoodObesity575 Practice limited internal medicine576 Practice Limited to AddictionTherapy577 Practice limited to Cardiology578 Practice Limited to Dermatology579 Practice Limited to Endocrinology580 Practice Limited to Geriatrics581 Practice Limited to Gynecology582 Practice Limited to Hematology583 Practice Limited to Immunology584 Practice Limited to Males over 40585 Practice Limited to Neonatology586 Practice limited to nursing homepatients587 Practice Limited to Obstetrics588 Practice Limited to Oncology589 Practice Limited to Surgery590 Practice Nuclear Card591 Preschool592 Psychoanalysis593 Psychological Testing Only594 Psychopharmacology595 Public Transportation Access596 Rehabilitation - Substance Use597 Rehabilitiation - Inpatient598 SA Adolescent Detox599 SA Adolescent Outpatient600 SA Adult Outpatient601 SA Child Outpatient602 SA Geriatric Outpatient603 Sex604 Sign Language605 Skin Cancer Referrals606 Skin Cancer Referrals only

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607 Sleep Medicine Only608 SNF Visits Only609 Specialized in Pediatrics610 Specializing in Glaucoma611 Specializing in Transplant Surgery612 Specializing in Wound Care613 Substance Use Disorders (Alcoholand Drugs)614 TDD Capacity615 To Age616 To Age 0617 To Age 1618 To Age 10619 To Age 100620 To Age 11621 To Age 12622 To Age 13623 To Age 14624 To Age 15625 To Age 16626 To Age 17627 To Age 18628 To Age 19629 To Age 2630 To Age 20631 To Age 21632 To Age 22633 To Age 23634 To Age 24635 To Age 25636 To Age 26637 To Age 27638 To Age 28639 To Age 29640 To Age 3641 To Age 30642 To Age 31643 To Age 32644 To Age 33645 To Age 34646 To Age 35647 To Age 36648 To Age 37649 To Age 38650 To Age 39651 To Age 4652 To Age 40653 To Age 41654 To Age 42655 To Age 43656 To Age 44657 To Age 45658 To Age 46659 To Age 47660 To Age 48661 To Age 49662 To Age 5663 To Age 50664 To Age 51665 To Age 52666 To Age 53667 To Age 54668 To Age 55669 To Age 56670 To Age 57671 To Age 58672 To Age 59

673 To Age 6674 To Age 60675 To Age 61676 To Age 62677 To Age 63678 To Age 64679 To Age 65680 To Age 66681 To Age 67682 To Age 68683 To Age 69684 To Age 7685 To Age 70686 To Age 71687 To Age 72688 To Age 73689 To Age 74690 To Age 75691 To Age 76692 To Age 77693 To Age 78694 To Age 79695 To Age 8696 To Age 80697 To Age 81698 To Age 82699 To Age 83700 To Age 84701 To Age 85702 To Age 86703 To Age 87704 To Age 88705 To Age 89706 To Age 9707 To Age 90708 To Age 91709 To Age 92710 To Age 93711 To Age 94712 To Age 95713 To Age 96714 To Age 97715 To Age 98716 To Age 99717 Urban Indian718 Urgent Care/Extended Hours719 Vascular Surgery only720 Veterans Issues721 Walk in Only722 Wheelchair Accessibility723 Work Place Visits Only

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263

ASee Page

..........................A B C Pediatrics PA 52........Abbott Rhodes, Rachel M DO 249

..........Abernethy, Catherine C LPC 239...........Abrego, Hope APN 69, 103, 222

....................Acebo, Francisco A MD 39................Acebo, Jose A APN 103, 222

....................Acebo, Raymond B MD 48.........Acevedo-Gracia, Jessica I MD 51

......................Acosta Jr, Daniel MD 127....Acosta, Kathy A APN 103, 126, 212,

218, 222, 229.....................Acuna, Rene R DO 61, 66

...................Adame, Nicholas L DC 120

...........Adamek, Laura B APN 187, 227....................Addison, Brandi M DO 126

...................Addison, Bruce DO 23, 188............Adhyaru, Harsh Y MD 200, 212.....................Adjetey, Adikuor O MD 51

..........................Adler, Vicky L LPC 239.......................Agarwal, Sanjay MD 147

...................Agiriga, Amaka O LPC 240..............................Agu, Ngozi C MD 51

............Ahern, Camille E APN 103, 222.........................Ahmad, Anwar MD 135

......Aizon, Bernice J APN 80, 103, 195,204, 222, 228

....Akpunku, Livina C APN 77, 103, 222............................Akram, Yasir MD 114

..................Al Akash, Samhar I MD 161............................Alagoz, Aysun MD 50

..Alaniz, Bryan A LPT 74, 78, 164, 206,217

........Alanmanou, Euleche A MD 21, 90.........................Albarado, Billy J DO 39

.....Albustamy, Abdulrahman M MD 184.......Aleman Weinmann, Ann M MD 48,

132.....................Aleman, Heather C OT 72

............Aleman, Kristy M APN 103, 222...............Alexander, Mathew T MD 140

....................Alexander, Monica OT 216..........Alexander, Thomas MD 115, 132

........................Alford, Richard LPC 240..............Alhabshan, Rashed N MD 184

..............Ali, Mohammed M DO 13, 124........Alizadeh, Paresa H APN 103, 222

............................Allen, David E MD 48....................Allen, John P OD 149, 178

.....................Almanza, Ruben J MD 39.................Almendarez, Valentin MD 72

....................Almond, Patrick S MD 163

...Almouie, Muhamad N MD 36, 51, 64,65

..................Alonso, Javier MD 114, 180.................Alprin, Clifford N MD 23, 188

..........................Alsop, Ernest C MD 65...................Alsup, Mary K OD 149, 178

.......................Alvarez, Adela R SLP 75......................Alvarez, Doris LCSW 238............Alvarez, Lillian M APN 103, 222

......................Alvarez, Mary F LPC 240..........Alvarez, Natalia V APN 183, 227

.............Alvillar, Michael F PA 204, 228.....Amaral Ramos, Jennifer M MD 160,

163......................Andaya, Alfredo R MD 61

................Anderson, Edward R MD 151...Andoh Baidoo, Rosemarie A PA 168,

226..........Andrews, Rebecca M BCBA 235

................Andrews, Seth M AUDIO 112...................Andry, Kimberly K LPC 254

.....................Anjum, Humayun MD 172............Annamalai, Palam MD 173, 182..................Ansari, Mukhtar A MD 9, 74..........Antoni, Lorraine A APN 103, 222

.........Antwi Boasiako, Sharon S MD 51...................Aounallah, Nabil MD 16, 90

...............Apostol, Melecio F MD 58, 66....................Aquino, Alfonso MD 16, 90

..Aquino, Cherrie A APN 103, 195, 204,222, 228

....................Arciniega, Juan C MD 184.................Argyelan, Gyorgy MD 16, 90.......................Aririguzo, Jude M MD 48

...........Arkangel, Carmelito MD 23, 188...................Armstrong, Cathy LPC 240....................Armstrong, Luis A MD 127

................Arnaud, Hilary M AUDIO 113................Arnold, Allister D MD 22, 173..............Arnold, Hollis M LPC 238, 240..................Arnold, James A MD 10, 90

..........................Arroyo, Joe A LPT 164...............Arroyo, Stephanie A SLP 177

.......Arthur, Andrew A PA 87, 168, 202,212, 222, 226, 228, 229

..........................Asatrian, Asmik MD 39...........Ashley, Melissa F APN 103, 222

......................Asif, Muhammad MD 139...................Asmussen, Jerri L LPC 240

..Atascosa Health Center Inc 58, 67, 68.................................Au, Kin W MD 172

.........................Avet, Patrick P MD 147..........................Avila, Antonio LPT 164

...............Avila, Ashton S APN 103, 223

...............Avila, Catalina L OD 149, 178

...................Avila, Richard OD 149, 178.....Ayarzagoitia, Patrick APN 104, 195,

223, 228

BSee Page

....................Baber, Elena D MD 51, 64........Baczinskas, Kazimieras J DC 120

..................Badea Mic, Daniela MD 249.......Badruddin Mawji, Shamim MD 115

....................Baggerman, Eric W MD 51...................Bailey, Kathleen M MD 142....................Bailey, Lawrence R MD 37

.........Bailey, Michael E MD 14, 20, 157......................Bailey, Randa R LPT 164.......................Bailey, Shane M MD 122

.............Bailey, Tennessee MD 23, 188.............................Baker, Carri D SP 88

..............Baker, Kerrie H APN 212, 229..................Baker, Stephanie C MD 151

...............Balakrishnan, Jyosna RD 208.........Balaram, Manjunath MD 236, 249...............Banerjee, Arindam M MD 135

..............Baney, Jason J APN 104, 223......Bangalore, Deepa R APN 104, 223......Bannon, Kathleen M APN 104, 223

....................Baradaran, Jalil M LAC 89......Barganski, Natalie E APN 104, 223

...............Barker, Samuel F MD 27, 208....................Barnes, Ashley D PhD 255

......................Barnes, Clemit D MD 147..............Barnett, Gary S MD 10, 16, 91.......................Barrera, Vilma G OT 145

...Barrow Russell, Melinda PA 168, 226.........................Barth, Gordon H DO 59.......................Barth, Stephen H MD 39..............Barton, Robert M OD 206, 208

...........Bassiouny, Mohamed A MD 122.................Baucum, Nicholas S DC 120

...................Baumann, Erica BCBA 235

....Bayardo, Rodolfo APN 77, 104, 222,223

..................Beams, Shari L AUDIO 113.....Beasley, Karole L MD 37, 57, 60, 66

.........................Beato, Milton A MD 197

.........................Becker, Amy M MD 161.......................Becker, Emily M MD 123

............Beckum, Orlando K MD 23, 188.....................Becton, James M DC 199....................Bednorz, Kristina I RD 206

.....................Bell, Eva M APN 104, 223.........Bellamy, Virginia E APN 104, 223.........Belyeu, Danielle N APN 104, 223

........................Benamu, Jose E MD 48....................Benavidez, George MD 39

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264

..Benavidez, Madeline D APN 104, 223...........Benavidez, Micaela E PsyD 236

...............Benedict, Kimberly J LPC 240.............Benitez, Ramiro APN 104, 223

.......Bennington, Michael J MD 27, 208...................Benson, Clayne MD 17, 91

..........Berastain, Miguel A MD 151, 152......Berio Muniz, Rafael L MD 115, 132

...............Bernal, Telisha APN 104, 223..............Berney, Joseph P MD 23, 188

................................Best, Max E MD 62........................Bhakta, Hetul D DC 120...............Bhakta, Samir R OD 149, 178

...........Bhandari, Angelina D MD 21, 91................Bhatia, Sanjeev MD 132, 176...............Bhatti, Zagum A MD 123, 173

....................Bhayana, Suverta MD 139.....................Bielefeld, Mark R MD 180

......................Biery, Diane R MD 10, 91...................Bijak, Gregory J MD 17, 91

.............Bindingnavele, Vijay K MD 170...........Bingham, Randy D PA 217, 229

.................Bishop, John E MD 147, 162................Bivona, Charles L MD 10, 91

......Black, Barbara APN 104, 204, 223,228

...........................Black, Jason B DO 89................................Blair, Lisa J MD 40

....Blankenship, Brooke N OD 149, 178......................Blanpied, Gail L LPC 240

......................Blow, Osbert MD 13, 128...........Bludau, Jeremy E APN 208, 229..........Bludau, Rhonda D APN 208, 229

.......................Blue, Robin P BCBA 235........................Bolster, Robert J MD 40......................Bond, Brenda S LPC 233......................Bond, Richard M MD 147

.....................Bonelli, Andres MD 47, 48...................Bonifer, Cynthia L LPC 240

.............Boostrom, William PA 168, 226............................Booth, Ada L MD 120

.............Borchard, Edward L MD 51, 65..............Borges Aldana, Marisol OT 73

...................Borgfeld, Nathan W MD 59........................Boriack, Leroy A MD 40

...........Borkowski, John M MD 152, 178...................Borucki, Simon MD 27, 208...........................Bost, Cheryl L SLP 75

................Boston, Catherine W MD 161........................Boswell, Bruce LPC 240

.................Boswell, James L MD 10, 91.......Bouchra Hanna, Hani K MD 10, 91

......................Bowen, Ronald W DO 40................................Boyd, Frank DO 61

...........Boyd, Martin A MD 60, 200, 212....................Boynton, Gerard W MD 40

.......................Brackett, Fred B MD 122......................Bradford, Jason C MD 72

.................Bradley, Frances A LPC 240...Brady, Kevin M MD 9, 10, 17, 25, 26,

69, 80, 91, 195....Brancker, Christopher S MD 23, 188

...................Braswell, Peggy J LPC 240..............Bray, Lindsay D APN 104, 223

.........Breckenridge, Charles W MD 152..............Breech, Donald W MD 86, 211....................Breeling, Charles L MD 40

.....................Brehm, Norbert C MD 181

.....................Brennan, Sara F LPC 240......Brenner, Lawrence D MD 115, 132,

213, 215.................Brociner, Ronald L MD 9, 75

...............Brocker, Jason A MD 23, 188..................Brown, Justin R DO 23, 188..............Brown, Laura R APN 187, 227

...........Browning, David C OD 149, 178............Brownlee, John R MD 158, 163.............Brozo, Kristen A APN 104, 223

...................Bru, Tracy K LPC 241, 252................Bruce, Ronald W DO 66, 215

...................Brusco, Osvaldo A MD 126..................Bryant, Jerin D PA 202, 228

........Buchanan, Dana X APN 104, 195,223, 228

.............................Buck, Alexis T OT 73..............Buckley, Elizabeth C LPC 241

.........Buckley, Michael A DO 10, 17, 91........Buddenbaum, Carley PA 168, 226

......................Budoff, Jeffrey E MD 219..........................Bugay, Glenn L MD 48

.........................Bui, Theresa D DO 252..........................Burda, Lilo M LPC 241

.......................Burnett, Julie A LPC 241............................Burns, Travis MD 152

...........Busenlehner, Bryce J MD 10, 91...................Buser, Raquel T MD 21, 92

.................Bussieres, Catherine MD 40.......................Butchko, Gary J MD 158

..................Butler, William J LCSW 238................Buttross, Leanne M PhD 236

.............Byrom, Shelby L APN 196, 228

CSee Page

....Cabano, Sara N APN 104, 196, 223,228

...Cabrera Goncalves, Agustin J MD 51..............Cabrera, Ernest E MD 23, 188

......................Cadena, Linda A OD 149

............................Caine, Sean P MD 48....................Calica, Francisco J MD 37

..............Callegari Pue, Bruna F MD 51...............Cambron, John D DO 27, 209

..........Campbell, Charles H MD 86, 147........Campbell, Christina E PA 87, 168,

222, 226................Campbell, Morgan S MD 141...........Campos, Napoleon A MD 17, 92...............Campos-Valls, Crystal MD 40

......................Canales, Lynae S MD 52......................Canby, Robert C MD 122................Cancemi, Mario T MD 10, 92

.......................Candas, Ali F MD 52, 64.............Cano Rivera, Manuel R MD 52............Canterbury, Christine L MD 142

...........Cantu, Jennifer E APN 105, 223........................Cantu, Patricia A MD 40

.................Cantu, Rogelio OD 185, 186..........................Cantu, Sergio S MD 36

............Cao, Mailan M MD 20, 124, 173................Capezzuto, Samantha OT 73

.....................Capitaine, Raul R MD 231......Capupus, Juan APN 105, 196, 223,

228......Capupus, Mari A PA 168, 202, 226,

228...........Cardenas, Catherine T LPT 164

.......Carlson, Mark D MD 10, 16, 17, 92........Carlson, Michelle L APN 105, 223

........................Caro, Amanda R DO 40...................Caro, Robert E MD 40, 126

...............................Carr, Jean J MD 41....................Carr, Jenny APN 105, 223...............................Carr, Lana B MD 48

....................Carreno, Fernando MD 40.......Carroll, John R MD 26, 27, 41, 209

.......................Cary, Adam B DO 10, 92........Castaneda, Ernest APN 105, 196,

223, 228................Castaneda, Hope E LPT 165

....Castaneda, Rosalie M APN 105, 223....Castro Maldonado, Carlos A OD 149

.......Castro Vasquez, Bertha A DO 136...................Castro, Angelica M SLP 75

.......Cattanach, Marie Lys I AUDIO 113............Cavazos, Dina A APN 105, 223..........Cazares, Beatriz I APN 105, 223..........Cervantes, Abel P APN 105, 223

................Cervantes, Miguel MD 17, 92.................Chagoya, Diana AUDIO 113............Chahadeh, Hassan MD 92, 156

.............Chakilam, Ramakrishna MD 79............................Chan, Lisa MD 17, 92

................Chao, Ju Hsien DO 132, 146

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265

......................Chap, Kevin S MD 17, 92.........................Chapa, Dalia M SLP 75

......Chapman, Kristi L LPT 74, 78, 165,206, 217

.....................Charba, Deane S MD 139................................Chase, C C MD 36

...................Chau, Chuong J MD 10, 92..............Chauvin, Dean P MD 173, 182........Chavez, Maria E LPT 74, 78, 165,

206, 217..............Chechani, Ryan R MD 23, 189..................Cheema, Zulfiqar F MD 130

....Chekuri, Kasi V MD 78, 81, 115, 133...............Chelebian, Jack MD 234, 249

.................Cheleuitte, Elias R DPM 195...........................Chen, Connie RD 141

.................................Chen, Helo DO 41.......................Chen, Jackson C MD 41

.............Chepey, Richard P MD 20, 173..........................Chiang, Eric P MD 176

................Chiasson, Melissa A MD 142.......Childrens Physicians Services 136

.....Chimbunde, Barbara N PA 168, 226................Chin, Arthur K MD 37, 41, 47

............Chinnery, Martha S MD 22, 173......Chipman, Melanie R APN 105, 223

..................Chisolm, Delcia M LPC 253...............................Chitrit, Isaac MD 48

..........................Cho, Parina G MD 173.................................Cho, Unam MD 61

......Chong, Euming MD 15, 20, 22, 138.Choucair, Wassim K MD 81, 113, 116,

197, 213.................Choudhri, Ajay MD 173, 182

.........Christensen, Deborah P LPT 165..........................Chua, Eireen H MD 52

..............Cigarroa, Francisco G MD 163...................Cintron, C A MD 10, 17, 93

...Cisneros, Maria P APN 77, 105, 212,222, 223, 229

...............Cisneroz, Arnulfo MD 23, 189...........Cizek, Alexander J DC 120, 220...........Clack, Kendrick T APN 105, 223

.....................Claflin, Yvonne MD 17, 93.......................Clark, Charles S MD 152.....................Clark, Pamela D APN 187

.......................Clark, William D MD 154.............Clendeninn, Dallis J MD 17, 93

.................Clifton, Erin L APN 105, 223.........Coates, Jacquelyn A PA 168, 226

.................Coates, Mark A PA 168, 226..............Coats, Rebecca A MD 23, 189

.......................Cohn, Aaron I MD 16, 93..........Cohn, Jacqueline E MD 126, 133

.......................Cohn, Joseph M MD 152

....................Cole, Jacquelyn F DC 120..........Coleman, Richard APN 184, 227

.........................Collins, Darryl D MD 62....................Colvin, James MD 27, 209

............Comstock, Christoph P MD 162.............................Cone, John R MD 41

.........Cook, Kenneth R MD 16, 20, 173...............Cordell, Davin D MD 152, 178

...................Cornelius, Caren F OT 145..................Corrada, Romulo G MD 142

.......Cortes, Edgar L MD 13, 20, 22, 52,125

...................Cortes, Edgar R MD 52, 64........................Cortese, Jack L MD 139

....................Corum, Bryan G DPM 171...............Cottle, David L APN 105, 223

......Coulthirst, Aunella O APN 105, 223...Coutin, Rafael F MD 70, 81, 198, 214

..............Covarrubias, Baldemar MD 41........................Cox, Crystal R LPC 233

.............................Cox, Rudy D DC 120.......................Crabb, Norman T DO 58......Craft, Alexander J DO 20, 124, 173

..................Cramer, Baylea W LPC 241...................Cramer, Robert C LPC 241.................Cramer, Robert C PsyD 236

............Crawford, Cadyn A MD 27, 209.....Crawford, Jerry A MD 10, 16, 17, 93....................Creamean, Troy L DO 154

.............Crenshaw, Rebecca S MD 218............Crespo Velez, Wilfredo MD 180

.....Cronkhite, Phillip J LPT 74, 78, 165,206, 217

.....................Cruz Zeno, Elvin J MD 93.........................Cruz, Sonia R LPC 231

...............Cudd, Lacey M APN 105, 223........................Cuellar, Rafael PhD 231

...................Cueva, Catherine LPC 241...................Cuevas, Christel R MD 116

......Culver, Tracy L APN 105, 196, 204,223, 228

....................Curry, Thomas P LPC 241..........................Curtis, Brent A DC 120

........................Curtis, William G MD 41...........Curtiss, Victoria J APN 105, 223.....................Cuya, Francisco O MD 41

DSee Page

...........................Daher, Amine MD 162....................Dallas, Torijaun MD 17, 93

..Damaraju, Srikanth MD 116, 133, 135......................Dang, Dzung D DPM 171

.......................Dar, Urfan A MD 93, 156..........Darnold, Stacey L APN 213, 229

................Daugherty, Erin E BCBA 235...................Davenport, Diana LPC 241

.............Davidson, Julie M PA 168, 226...........Davis Guerrero, Erica N SLP 79

...........Davis, Cornelius A MD 114, 180.......................Davis, Nathan A MD 123

........................Davis, Susan R MD 189...........Davisson, Angelique N SLP 177

...................Day, Cristi L APN 204, 228...De Cordova, Marilyn A APN 105, 223

.............De La Chapa, Jorge A DO 148...............De La Paz, Emma G SLP 202

............De Leon, Elsie Y APN 106, 223......De Los Santos, Maria D MD 11, 17,

93..............Deardorf, Erika G PA 168, 226..............Deering, Leta R APN 106, 223

...............Dehnisch, Frank R MD 38, 65....................Del Castillo, Gil MD 14, 93

..........Del Gallo, Walter A MD 152, 201....Deleon, Miguel A MD 14, 15, 20, 22,

138.........Deleon, Rudolfo C APN 106, 196,

204, 223, 228........................Deline, Carol C MD 161

......Delua Ruiz, Nedia N APN 106, 223...Dematt, Christopher L APN 106, 196,

204, 223, 228, 229................Demchur, Nora J MD 23, 189

...........Demontegnac, Alicia V LPC 241.............................Dennis, Bill M MD 41

...............Desai, Alpesh D DO 123, 205.................Desai, Tejas D DO 123, 205.....Deyhim, Farzad RD 72, 85, 89, 184,

200, 203, 218, 219.........................Dhar, Pradip K MD 158

........................Dhar, Renu MD 49, 133................................Dial, Erin C LPT 87

...........Diamond, Michael J MD 23, 189...................Diaz, Annie M APN 69, 222

...........................Diaz, Mary L LPC 241.......Diaz, Roberto F MD 36, 49, 71, 75,

133, 177.............Dickson, Christian M DPM 171................Diclemente, Michael J MD 36

....................Dietrich, Kenda J LPC 241

............Dietze, Thomas R MD 148, 206..............Difrancesca, Jillayne LPC 242

.Dillon, Kristin L APN 69, 106, 222, 223...............Dimalanta, Valerie A LPT 165

...................Dimas, Vanessa D MD 170........................Dimtri, Francis N DO 65

.........................Din, Sabeeh U MD 139...............Dirksen, William H MD 52, 64

............Dix Emperador, Lisa M MD 189

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266

......................Dixon, Heather A DO 142....Docis, Paul T PA 168, 207, 226, 229

..............Dodson, Jami L APN 106, 224.......................Dohi, David F DO 52, 64

........................Dolan, Erica D LPC 242...............Dominguez, Jorge LCDC 254

..Dominguez, Olinda M SLP 75, 88, 89,185, 202, 203, 218

...................Donohue, Molly R LPC 242..................Driggs, Shane C MD 47, 66

..............Drozdowski, Witold J LPT 165...................Drysdale, Diane P LPT 165

...............Dubois, Keith E PhD 233, 236.........................Dugan, John T MD 148............................Dugi, Daniel D MD 59

...................Dulak, Catherine E MD 142........................Dulin, Rebecca A OT 73..............Dunlap, Donald C MD 24, 189

.................Dunn, Avegiyel E DO 38, 62...................Dunn, Michael A DO 38, 66

........................Durbin, Misty M DC 120...................Durham, George A DC 120

...........Dwyer, Michael J MD 11, 17, 93..Dye, James M MD 13, 15, 20, 23, 128

ESee Page

.................Early, Linda L MD 11, 17, 93........................Easley, Erin M LPC 254..........................Easley, Scott M MD 41.......Eby, Anthony G OD 149, 178, 216,

217..Echevarria, Jose H OD 149, 178, 201,

202......................Edge, Duwayne P DO 58...........Edwards, Valerie T PA 195, 228

................Edwardson, Delbert L MD 63....................Eftimescu, Dina F MD 142

..........................Eger, Scott R LPC 242...................Ehrmin, Mary C LCSW 238

.....................Ekeruo, Ijeoma A MD 114.......Elevazo, Jhoanne C APN 106, 224

...................Elizondo, Carlos MD 36, 41......................Elizondo, Marco A MD 65......................Elizondo, Rosa R SLP 76

....................Elkadi, Tarek S MD 17, 94

....................Elkon, Deborah MD 21, 94...........Elvin, Patrick K MD 20, 124, 174

.......Emran, Mohammad A MD 22, 128,163

..............Encalada, Santiago E MD 162....Engle, Mitchell P MD 11, 17, 94, 156

...........Engledowl, Lone P APN 77, 222................Enriquez, Jose L MD 22, 125.....................Ernst, Gregory P LPT 165

...............Escalea, Candice N DPM 171........Escamilla, Jackie L APN 106, 224

..............Escobedo, John A MD 24, 189..................Espada, Roberto A MD 142

..........................Espina, Eisen J MD 41.................Espiritu, Teofilo S MD 52, 64............Estrada, Carlos R MD 236, 249

..............Ettinger, David C PA 168, 226...............Etuknwa, Uduak T MD 53, 64

................Eubank, Dale C MD 142, 216..........Evans, Johanna D APN 196, 228

.................Evans, Oksana PA 168, 226.....................Evans, Pamela A OD 219

...........................Everett, Orel M MD 42.................Ewbank, Jordyn DO 27, 209.....Ewing, Michael J MD 13, 15, 20, 23,

128

FSee Page

.........................Fader, William A MD 53......................Fagan, Wayne A MD 123

..........................Fahey, Evin L SLP 177.......................Fairchild, Gary P OT 145...............Fajardo, Arthur B MD 24, 189

..............................Falls, Lisa L MD 249.Familua, Oluwamayowa F MD 24, 189

.........................Fan, Karl T MD 20, 174...........Fannell, Matthew W MD 24, 189

...............Farek, Paul E MD 13, 20, 128............Faulkner, Cynthia A LCSW 238............Faulkner, Samuel S LCSW 238

.................Fehr, Gregory B MD 24, 190..........Felhofer, Hannah M PA 202, 228

........................Fergie, Jaime E MD 161...Fernandez, Christopher L MD 11, 17,

94...............Fernandez, Robert A MD 171......Fernando, Ophelia L APN 106, 224

...................Ferrand, Amber R LPT 165.......Ficenec, Matthew J MD 13, 15, 23,

128..................Filla, James M DC 120, 212

..............Fisher Kittay, Lynn E PhD 237.........................Fisher, Alan T PhD 237

.....................Fisher, George H MD 155........................Fisher, Jason D DO 181

.........................Fisher, John F LPT 165.....................Fishkind, Avrim B MD 252

........Fitts, Hermelinda A APN 187, 227..............Flanagan, John R MD 24, 190

..........Fleischer, Richard D MD 27, 209...........................Flinn, Sara E LPT 186

.........Flores Rodriguez, Laura C MD 61.........Flores Tunchez, Joanne LPC 231

.................Flores, Alana N PA 168, 226.......Flores, Frederick N APN 106, 213,

224, 229.....................Flores, Luis F MD 26, 200

........................Flores, William C MD 42...........Flynn, Mercedita N APN 80, 222

.......................Fontenot, Ann M SLP 76

.....................Ford, Kimberly E SLP 177

.............Foster, Christina APN 106, 224........................Fowler, Justin T MD 152

.............Frago, Susan M APN 106, 224..........Francis, William R APN 196, 228

...................Franco, Rene MD 133, 172................Frankland, John T MD 17, 94....................Franklin, Carolyn R MD 60

.....................Franklin, George L DO 42.....................Franklin, William G MD 42

...........Fratila, Antonio B MD 11, 17, 94................Fray, Sasha M APN 106, 224

..............French, Kimberley G APN 163.....................Fritze, Danielle M MD 128

....................Fuentes, Dorothy E MD 53..............................Fuentes, Luis DO 42

..................Fuentes, Michael G MD 164.....................Fulmer, Robert P MD 155

.....................Fuqua, Burcham C MD 49

GSee Page

..............Galatzan, Steve J MD 14, 157...........Gallacher, Bernard P MD 17, 94

...................Gallagher, Brian J LPT 165..................Gallegos, Claudette LPT 74

.............Galvani, Jacqueline BCBA 235.............Gamez, Alyssa M OD 150, 178

.......................Gansle, Mary A PhD 254....................Garcia Blow, Nelly I DO 42

.............Garcia Devlin, Donna LPC 242..............Garcia, Aracele APN 106, 224

...............Garcia, Erica T LPC 242, 255.Garcia, Fernando MD 49, 53, 133, 163

.................Garcia, Guadalupe LPC 242.................Garcia, Jazlene PA 169, 226...............Garcia, Juan A APN 106, 224

.........................Garcia, Lisa A LPC 242..................Garcia, Marvin L MD 10, 83

..................Garcia, Roxanne BCBA 235.......Garcia, Sonia SLP 76, 88, 89, 185,

202, 203, 218, 219........................Garcia, Toribio R MD 53......................Garcia, Victor E LPC 242..............Garfield, Herbert I MD 24, 190...............Garrett, William E MD 24, 190

...................Garwood, John W LPC 242...................Garza, Alyssa C OD 73, 77

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267

.....................Garza, Christina LPC 242.................Garza, Edward OD 150, 179

.........Garza, Elizabeth B APN 196, 228.................................Garza, Erik MD 42

.................Garza, Jesus E PA 169, 226........................Garza, Marisol LPC 242

.................Garza, Mayra APN 204, 229..............Garza, Miroslava OD 185, 186

....................Garza, Pedro Y MD 14, 94..................Garza, Raymund OD 73, 77

.......................Garza, Rene DO 24, 190...............Gates, Robert C OD 150, 179.........Gayle, Everett L MD 20, 124, 174

..............Gellerman, Garrett C LPT 165.Gershon, Ruth K MD 9, 21, 26, 71, 75,

124, 174, 205, 207.................Ghabrial, Nabil W MD 17, 94

..................Ghaffary, Cameron MD 181...........Ghans, Wayne O MD 58, 67, 68

...Ghoghawala, Shahed Y MD 148, 206...Ghraowi, Mohamad A MD 71, 73, 78,

84, 85, 86, 131, 133, 138, 146.........Giacontiere, Kevin J PA 169, 226

...................Gianotti, Megan BCBA 235..............Giboney, Katelyn A BCBA 235

.......................Gibson, Bruce A MD 127..................Gibson, Samuel M LPT 165.................Gilkerson, Tommie LPC 242

.......................Gill, John T OD 150, 179...........................Gill, Logan R SLP 212

................Gilmore, Scott M MD 27, 209......Gilpatrick Ochoa, Marissa LPC 231

.........................Glass, Loraine D OT 73...............Glazener, Leighanne MD 143

...................Gleason, Patrick L MD 140..................Glebus, Geoffrey P DO 152..........Glover, Julianne S APN 106, 224

..........................Glover, Lee C LPT 165.................................Go, Celia A MD 53

......................Godines, Ann M LPC 242..........Goehring, Rose M APN 107, 224...................Gold, Cheryll A AUDIO 113

...............Gomes, Andrew MD 174, 182..........Gomez Perez, Jesus A DDS 151

..........Gomez, Sanida M APN 107, 224

....................Gonzales, Adrian K MD 42................Gonzales, Albert MD 27, 209

................Gonzales, John R MD 17, 95.........Gonzales, Laura A APN 107, 224

.....Gonzales, Melissa A APN 107, 196,224, 228

.....Gonzalez Bere, Alejandro A MD 53,64

.Gonzalez, Angelica M OD 73, 77, 150,179, 201, 202

...............Gonzalez, Anique M LPC 243....................Gonzalez, Anna B MD 137......................Gonzalez, Belinda MD 42

................Gonzalez, Helica G LPC 243....................Gonzalez, Kathryn OT 145

...................Gonzalez, Kristie N SLP 76..........Gonzalez, Mary C APN 107, 224

................Gonzalez, Vanessa C MD 53...................Gonzalez, Victor H MD 184

...............Goode, Celia P APN 107, 224..................Goolsby, Corey M DPM 171

.....................Gopal, Jegan MD 20, 128..........Gorbet, Melissa D APN 107, 224...........Gordon, Cheryl D APN 107, 224....................Gordon, Samuel L DC 212.............Gorsage, Daniel M MD 22, 174

.......................Gouin, John R DPM 171........Gover Mendez, Charles B MD 21,

124, 174.................Goya, Garbine MD 114, 159

..................Graciano, Maria A LPC 243.....................Graf, Raymond H MD 116

..............Graham, Camille S MD 21, 95....Grantham, Daniella D APN 107, 224

............................Gray, David C MD 36....................Gregory, Charles C DO 63

.......................Greishaw, Jaime SLP 76..........Grenier, Michelle A MD 116, 159

....Greydanus, Wesley K MD 11, 18, 95.....................Griffin, Cayce AUDIO 113

.........................Griffiths, Laura L RD 72.................Grimes, William J MD 21, 95

...............Groff, Donna K APN 203, 228.....................Grosser, Dawn M MD 153

................Grossman, Maurice S MD 49................Grothe, Melissa SLP 76, 177

..............Gruenebaum, Dane D DO 135........Grunberg, Christi G APN 107, 224

..........Guajardo, Hazel J APN 107, 224..............Guerra, Maricela APN 69, 222

.......................Guerra, Sally E LPC 243......................Guerrero, Isaac M MD 42

.....................Guerrero, Juan A MD 181...............Guerrero, Lauro OD 185, 186

.......Guerrero, Thelma B APN 107, 224....................Guevara, Ron J DO 42, 65

............Guico, Haidee M APN 107, 224.....................Guido, Ernesto H MD 141

...............Guido, Hugo E MD 59, 67, 68...........Guillermo, Patrick G MD 27, 209

...........Gulbronson, Maricela D MD 123....................Gulley, Robert B DDS 151

................Gunderson, Robert J DO 153.................Guo, Jie MD 15, 20, 22, 138

..........Gutierrez, Charles K MD 13, 128..............Gutierrez, Christina E MD 218

.......................Guzman, Antonio MD 49.................Gwartney, Donald E DC 120

HSee Page

.........................Haas, Michael E MD 62....Hagemeister, Brent B MD 11, 18, 95

........................Hager, Aaron C MD 194..............Hagler, Anna K MD 11, 18, 95

............................Hahn, Tara L MD 122...........................Halff, Glenn A MD 128......................Hall, Barrett C MD 11, 95

...................Hall, Christopher S MD 153................Hall, Herbert J APN 187, 227

......................Hallquist, April M MD 153.................Halpert, Michael MD 13, 128

..................Hamisch, Brandon T DO 42......Hammeke, Margarita G DO 24, 190

....................Hamoud, Naktal S MD 116............Hanfland, Robert A MD 22, 128

......................Hanna, Ashley K MD 141.................Hanus, Bryan D MD 21, 174

..........Hariharan, Ramesh MD 114, 116...............Harms, Christine PA 169, 226...............Harrell, Leslie M DO 124, 174

...................Harrington, Kendall SLP 76..............Harris, Andrea D MD 159, 163

.........................Harris, Curtis R DC 120...Harrison, Nancy A OD 73, 77, 86, 88,

150, 179, 201, 202......................Hart, Alicia D MD 22, 125

.........................Hart, Maurene E DO 42.......................Hartman, Emily A DO 53........................Hartman, John A DO 42

...................Hartman, Samuel C MD 42.................Hartquist, Cara M DO 36, 43

................Harvey, Aaron M MD 14, 157....................Harvey, Ryan J MD 11, 95

.......................Harvey, Sheryl M MD 59.....................Harvey, Thomas D MD 43

......................Hasan, Nadia T PhD 237...........Hassan, Mohamad C MD 38, 54

..Hassanin, Salsabeal S DO 16, 20, 23,26, 27, 125, 209

.........Hathaway, Katharina MD 24, 190...................Hatridge, John I MD 11, 95

...........................Haun, Edwin S DO 65......................Hawkins, Brad W DC 215............Hearn, Melissa L APN 107, 224...................Heath, Jacqueline SLP 177

...............Heath, Mallory L PA 169, 226..................Heath, Paul W MD 117, 133

.....................Heckrodt, Stanly B MD 43

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268

............................Heflin, Sheila OT 145.................Heine, Peggy A PA 212, 229

...Heinrich, Michael S MD 9, 10, 11, 14,25, 26, 69, 80, 95, 195

........................Held, Beverly L MD 123...................Hemmert, Jerome K MD 60...................Hendricks, Marian K DO 43

....................Hensley, David B PhD 252...............Hensley, Justin P MD 22, 125

.................Hensley, Katherine H MD 54........................Heredia, David L MD 63

.........Hernandez Perez, Lydia SLP 202.....Hernandez, Crystal A APN 107, 224

.......Hernandez, Diana J APN 107, 224.....Hernandez, Michael A MD 249, 255

..........Hernandez, Priscila A BCBA 235......Hernandez, Rosa M OT 73, 86, 89,

184, 201, 203, 218, 219..........Hernandez, Steve APN 107, 224

.......Herrera, Maximiliano J MD 43, 130........................Herrero, Diane LPC 243..................Herrick, John S DO 22, 125

..Hesseltine, Mandy C LPT 74, 79, 165,206, 217

.................Heusner Banks, Kyla MD 43...................Heuston, Peggy J LPC 243

...................Hicks, Russell J MD 18, 95................................Hill, David P DO 59............................Hill, Maurice LPC 231.....................Hill, Monica R MD 27, 209

............................Hiller, Jay M LPT 183.............Hilliard, Rudyard L MD 24, 190

................Hinojosa, Cassidy D MD 171...............Hinojosa, Jessica M LPC 243..............Hinojosa, Veronica BCBA 235

...................Hinojosa, Yvonne H MD 43.................Hirani, Zishan A MD 85, 143

..........Hirschfield, Gail T MD 59, 67, 68...................Hirschman, David PhD 237

......................Hisaw, Shana A LPC 244................................Hlaing, Kyin MD 49

............Hobbs, Susan M APN 108, 224........................Hodges, Teri L LPC 244

...................Hoffman, Laurie J LPC 244

..Holder, Brittany A APN 187, 220, 227,229

............................Holt, Amy H LPC 244

............................Holt, Grete C RD 141................Hood, Howard H MD 24, 190..................Hoover, Lance R MD 18, 96.....................Hopkins, Kevin S MD 171

..........Hopkins, Margot O SLP 177, 207...................Hopkins, Robert L LPT 217

...............Hopkins, Stephen M LPT 165........................Hopper, John J MD 256

...........................Horn, Erica N MD 143............Hornsby, Charles H DC 71, 199

....................Houck, Thomas L LPT 165..........................Howell, Scott W MD 49

...........................Hsiang, Jim Y MD 172.......................Huang, Ning MD 21, 174....................Huber, Nelda PA 195, 228

......Hubert, Kelli M APN 108, 196, 204,224, 228, 229

...........Huddleston, Michael D LPC 244......................Hudson, Julie K LDT 142

.................Hudson, Patricia O LPC 244..............Huerta, Irene R APN 108, 224

...............Humfleet, Pamela D LPC 244.Humpal, Scott A LPT 74, 79, 166, 206,

217....................Hunsaker, Jerry D MD 148.....................Hunter, James A LPC 244

............................Hyde, Mary J DO 143

ISee Page

....................Inman, Danielle A MD 143......................Iqbal, Maaz MD 174, 182

..Ireton, Elmer S MD 13, 23, 26, 27, 43,48, 125, 126, 131, 209

...........Irigoyen, Eliana A APN 108, 224...........................Islam, Shah F MD 139

....Iznaola Esquivel, Oscar A MD 84, 85

JSee Page

..........................Jaafar, Saleh N MD 68.....Jackson, James R PA 79, 169, 222,

227...............Jackson, Phillip F MD 24, 190......................Jaekle, Ronald K MD 137

...........................Jain, Ashok K MD 160..............Jakubowski, Wieslaw J MD 54

..................Jarrell, Waynette W OT 146..................Jazul, Noel C APN 108, 224

......................Jenkins, Joseph D DO 65.............Jensen, Lauren B OD 150, 179...................Jensen, Marilyn J LPC 244

....................Jevric, Nicholas MD 11, 96

..................Jiang, Hongmei MD 22, 125..................Jifi Bahlool, Haitham MD 49.................Jifi Bahlool, Samer I MD 139

....................Jimenez, Alejandro MD 44

..Jimenez, Joseph R MD 11, 16, 18, 96.................Jimenez, Monica A LPC 244

.............................Joe, Marie K OT 146....................Joglar, Javier E MD 21, 96

...............Johnson, David L MD 13, 129...........Johnson, Desiree L PA 169, 227

....Johnson, Mary A LPC 254, 255, 256............Johnson, Sally M APN 108, 224..............Johnson, Steven C MD 18, 96

............................Jolliffe, Mike P MD 96...........Jones Salaam, Imani S LPT 166

........Jones Trebato, Kathleen LPC 244......................Jones, Allison E LPT 166........................Jones, Brianna K DO 44.....................Jones, Jennifer H OT 146...............Jones, William W DO 24, 190

....Jones-Trebatoski, Kathleen LPC 244...............Jordan, Desha M MD 89, 163......................Jordan, Traci L PsyD 237

...................Joseph, Dominic K OT 187.....................Joseph, Ryan DO 27, 209

......Juan, Vicente M MD 13, 16, 20, 21,129

..........................Junaidi, Omer MD 127......Jung, Harry H MD 9, 11, 25, 69, 80,

96, 195................Jurica, Adam R OD 150, 179

KSee Page

.......................Kaden, Andreas MD 155

.......................Kaldas, Abeer A MD 139..................Kalies, Daksha K AUDIO 78

...........Kalmus, Ashley H APN 187, 227...........................Kamat, Suraj A MD 70

..Kamat, Vandana S MD 36, 38, 39, 58,60, 62, 66

.....................Kao, Gary MD 11, 96, 156............................Karia, Ravi A MD 153

.......................Karim, Shaheen MD 148Karrenbrock Blackloc, Nanette LPT166

.................Kashyap, Kapil K MD 18, 96................Kasparek, Janet K PsyD 237

...........Katsigiannis, Christos A MD 180.........................Kelley, Kayla R OT 186...................Kerek, David E DO 13, 129

...........Ketchum, Christina L LCSW 238.................Khan, Alamgir A MD 79, 172

...............Khan, Faisal N MD 38, 84, 85................Khan, Muhammad S MD 159................Khan, Muhammad U MD 117

............................Khatibi, Esther MD 44..................Khimani, Sultana A MD 143

...........................Killion, Shelby RD 142...................................Kim, Bo R MD 54.......................Kim, Jae D MD 127, 133

........................King, Jennifer M SLP 76.King, Kevin A APN 196, 205, 228, 229

.........Kingsley, Benjamin K MD 27, 210....................Kinner, Donald R LPC 245

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269

.......................Kinzel, Macy M PhD 237..................Kirkham, Charles R MD 143

...................Kitchen, Crystal S LPC 245..................Kite, Elizabeth A BCBA 235

.......................Kittay, Burton A PhD 237...............Kizerian, Gerald D LCSW 239

..............Kizzart, Jerome D MD 24, 190....................Klare, Kenneth W LPT 217

........................Kleppe, Scott K DO 162.....................Klimisch, Justin J MD 153

........................Kline, Albert C DPM 171

........................Knippa, Rose M DC 120..................Knowlton, Karen A LPC 233

.........................Kobert, John E DO 194........Koehler, Shannon M MD 129, 163

.......Koepsel, Peggy Jo S APN 77, 108,222, 224

..........Konkimalla, Sridevi MD 133, 139.............Koska, Adolph J MD 11, 21, 96

..........Kostoff, Heather A APN 108, 224.............Kozlowski, Mark A MD 21, 174

........Kraatz, Rebecca A PhD 231, 232,233, 251, 252, 254, 255, 256

..............................Krall, Scott P MD 49.................Kramer, Salomon D DO 125................Krishnan, Ravindera MD 148

.............Krueger, Kurtis R MD 208, 211.................Kubecka, Dwayne A DC 205

.....Kubena, Brittany K PA 75, 169, 222,227

.............Kuepper, Caroline PA 169, 227.......................Kuffel, Ronald R MD 148

...........Kugelmann, Colin APN 108, 224..............Kuykendall, Cassie A LPT 217

LSee Page

..........Laake, Summer M APN 187, 227.............Laibl Rogers, Vanessa MD 183............Landavazo, Imogene Y DC 120

......................Landry, Anayda G MD 54....................Larakers, Joseph A MD 38

................Larkin, Allyson C MD 44, 181.............Larkins, Christopher G MD 153

...............Larsen, Aaron R OD 150, 179...........Larsen, Stephen A OD 185, 186....................Larson, Lorentz M DC 120

.....................Laurel, Noel F LCSW 251........................Law, Tabitha BCBA 235

.............Lawrence, Bradley T DPM 171...........Lawson, Michael E OD 150, 179.................Lazarte, Debra J LCSW 239

...........Lazarte, Richard C OD 150, 179..................Leclear, Kirk L OD 150, 179

..................Lee Sang, Jerome A MD 63

......................Lee, Benjamin S MD 139.............................Lee, Kang S MD 164...................Lee, Linda H LPC 245, 255

.................Lee, Rebekka A DO 24, 190...........................Lee, Serei Y DPM 171...................Leeson, Ben A MD 22, 125

...............Leeson, Kimberly MD 22, 125.........................Legere, Henry J MD 90....................Lehman, Craig A MD 9, 75

.........................Leifer, David M MD 183........Lemaster, Meagan E PA 169, 227

.....................Lemley, Nicholas J DO 60..Lemons, Mark F MD 9, 10, 11, 14, 25,

26, 69, 80, 97, 195.........................Leshin, Harold L MD 54

......Lesperance, Richard N MD 14, 129........................Levine, Andrew MD 184........................Lewis, Jason J LPC 245.......................Lewis, Jeffrey W DC 120

......................Lewis, Joe A MD 14, 157.......................Lewis, Robert Q MD 153......Lewis, Sarah E APN 108, 205, 224,

229....................................Li, Chao MD 137

.....................Licona, Patti J LCSW 251........................Liles, Jerry B DO 36, 58............................Lilly, Bonnie LPC 245

.....................Limon, David T MD 21, 97..............................Lin, Vickie Y OT 146..............................Lin, Yu Hsin MD 122

......................Lindell, Nathan L DC 120....Lindsey, Kim M SLP 76, 88, 89, 177,

185, 202, 203, 218, 219.................Linsteadt, Joanna R MD 127

............................Lira, Ernesto L MD 54...............................Lira, Maria L MD 54

..................................Lira, Noe MD 143..........................Liras, George N DO 44

...................Little, Amanda BCBAD 253.........................Liu, Li Herng E MD 156

...................Lochner, Denise M MD 143.......Lockwood, Nicholas G DO 27, 210

.......................Loeffler, Paul W MD 155...................Longwell, Paxton J MD 141

.Lopez Briseno, Maria C APN 108, 224..................Lopez Lira, Thelma MD 249

........................Lopez, Alejandro MD 36........................Lopez, Eugene LPT 166

..Lopez, Gabriel MD 11, 14, 15, 16, 18,21, 97, 156

..........................Lopez, John M DC 121............Lopez, Veronica H PA 169, 227..............Lorenz, Richard F DO 24, 191

............................Louis, Elan D MD 183................Lovoi, Michael S MD 49, 134

........Low, Robert R DO 37, 66, 78, 216.......................Loyal, Sabine MD 21, 97

..................Loyola, David A MD 24, 191.........................Lozano, Jose M MD 58

..................Lucci, Christopher P MD 66...........Lucido Clay, Monica M LPT 166

......Lucio, Kristin D APN 108, 196, 205,224, 228, 229

..............................Luna, Ruth LPC 245........................Luong, Ben MD 24, 191

.................Lusins, John O MD 250, 251.......................Lutzker, Steven L MD 87

MSee Page

....Maawy, Ali A MD 14, 15, 20, 23, 129....................Macias, Melissa Y MD 141..................Macisaac, Linda L LPC 255

...Maclachlan, Andrew A MD 11, 18, 97...............Macrino, Sheri J MD 174, 182..........Madarang, Eric L DO 26, 27, 210

............Madore, Kassandra AUDIO 113.......Madry, Robert W MD 81, 117, 198,

214..........................Mahajan, Nitin MD 134

...............Maher, Janet E APN 108, 224.....Mahmood, Aftab MD 132, 134, 146,

215, 216...............Mai, Amy Luu Q OD 150, 179

...................Main, Ellis G DO 44, 65, 67...............Majka, Christopher P MD 148

......................Makai, Balazs MD 11, 97..............Malherek, Michelle L LPC 245

...................Malouf, John G DO 78, 148...Manalo, Yvonne S MD 131, 138, 146

................Mangalpally, Kiran K MD 135

.......Mangipudi, Murthy V MD 231, 232,234, 236, 250, 254, 256

.....................Mangla, Narain D MD 117.............Manoharan, Paulrajan MD 184

..................Marin, James A MD 24, 191

................Martin, Allison L PA 195, 228.........................Martin, Ashley LPC 245

.........Martin, Dan F MD 14, 15, 20, 129.........................Martin, Darryl L LPT 87

.....................Martin, Gordon H MD 130.....................Martin, Jonathan E MD 44.....................Martin, Kimberly B MD 54

....Martinez Quin, Carlos E MD 82, 117,214

....Martinez Quinonez, Carlos E MD 70,82, 117, 198, 214

..................Martinez, Adriana A SLP 76.................Martinez, Edgar I MD 18, 97......................Martinez, Frank E MD 44

..................Martinez, Jeffrey M MD 129

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.......................Martinez, Mario A MD 49.........................Martinez, Mary E SP 76

..................Martinez, Ricardo S DC 121..Martinez, Rosa A APN 108, 196, 224,

228........Martinez, Veronica A PA 169, 227

..................Martinez, Yvette L LPC 245...............Martini, Amanda R OD 78, 79

Maruvada, Umamaheswara R MD233, 234, 250, 253, 254

.....Maruvada, Umamakesw R MD 233,234, 236, 250, 252, 253

.....Mascarenhas, Russell A MD 65, 68,211, 220, 221

.....................Masciale, John P MD 153......Mason, Traci S APN 108, 196, 224,

228..........Matamoros, Angelica Y LPC 245

..Matar Enriquez, Raymundo G MD 12,18, 97

...........Matejka, Kenneth D MD 21, 174...........................Mathew, Sonia MD 54

..................Matosky, Janice H LPC 245........................Matthew, Earl B MD 132

...................Mauger, Michael A DC 121.............Maurer, Frederick S MD 15, 97

.........................May, James M MD 250..................................May, M B OT 146

..........................May, Robert A MD 181.................May, Stephen A MD 15, 157

...........................Mba, Nkechi I MD 161...........Mbadugha, Ifeanyi M MD 38, 54

....................McAdams, Bryan LPT 217.....McArthur, Derek W DC 71, 121, 199..................McCaig, David L LCSW 239................McCallister, Larry C LPC 245

.................McCloskey, Traci L LPT 166..................McClung, Robert E MD 250

..McCutchon, Michael D MD 12, 16, 18,98

................McDaniel, Alma D MD 44, 48

....................McDaniel, Brian D DO 129................McDaniel, Jeffrey N LPC 245...............McDonald, Jordan D LPC 245.......McDowell, Pamela A LPT 166, 201

.......McElwee, Kaycee L LPT 166, 186,207

..................McGrath, Laura MD 27, 210.............McIntosh, Robert W DO 12, 98

..............McIntyre, John R OD 150, 179...................McKeever, John D MD 153.......McKinstry, Scott W MD 70, 82, 84,

135, 198, 200, 214, 216...McLaughlin, Jennifer L APN 108, 224

................McLelland, Claude A MD 155...................McLemore, Kerrie R MD 44

................McManus, Cindy AUDIO 113..................McMillin, Reagan B MD 184

........................McNally, Jed S LPT 217.............McNamara, Katharine E DO 66

....................McNeil, Kristin MD 24, 191................McWhorter, Gregory MD 183................Meadows, Donald C MD 185

...........Means, Jeremy A APN 220, 229...................Medina, Ma Lucia C MD 55

......Medley, Samantha J APN 108, 224.................Mehta, Inder D MD 114, 180

................Mehta, Mrudula V MD 15, 98..Meineke, Terrance L PA 87, 186, 222,

227...Meisenheimer, Ben A MD 12, 16, 18,

98...................Melhem, Ayyash Y MD 135

......Menager, Katherine F APN 80, 222................Mendizabal, Jorge E MD 141

......Mendoza Paredes, Alberto MD 159..Menendez, Isabel C MD 9, 16, 26, 79,

174, 207............................Mertz, Bruce L MD 44

.............................Meyer, John J DC 83...............Meza, Sonia M APN 108, 224.......................Michael, Jerry T MD 159

.............Michell, Michael W MD 21, 175....Mickey, Danea D LPC 232, 246, 255

.........Midyett, Ronald W APN 108, 196,205, 224, 228, 229

...................Miller, Elizabeth S SLP 177................Miller, Emily A APN 108, 224.......................Miller, Glenn R DPM 172

............Miller, Melissa M APN 109, 225...........Milligan, Thomas W MD 22, 157

...............Mims, Hollie M APN 109, 225..................Mims, Susan L PA 195, 228

.......................Mintz, Michael L MD 155

.......................Miranda, Egbert MD 126....Miranda, Francisco J MD 38, 39, 58,

61, 62, 67....Misick, Lofton N MD 15, 20, 88, 129,

180........................Mistry, Kavita OD 86, 88

..............Mitchell, Ellen J APN 109, 225...Mitchell, Rayford B MD 59, 60, 67, 68

....................Mitchell, Robert S MD 127..............................Mittal, Bharat DO 44

..................Mizesko, Melissa C MD 162.......................Mobley, James A MD 63........................Modak, Arvind G MD 49...............Molina, Jurairat J MD 90, 164

.........Mondesir, Danielle APN 109, 225...........Montelongo, Dorothy V LPC 246..Montemayor, Eduardo D PA 169, 227

................Montes, Alejandro BCBA 235.................Montez, Anthony P LPC 246

.....Montgomery, Katie M APN 109, 225.................Montgomery, Lyle B MD 250

..........Montgomery, Michael W MD 178......Moody, Mary G APN 188, 194, 227

......................Moon, Aaron MD 21, 175....Moore, Jacob J MD 73, 86, 148, 201........................Moore, Justin T DC 121.........................Moore, Sheryl LPC 231...............Mora, Collen S APN 109, 225

..................Morales, Francisco J MD 87....................Morales, Heather LPC 246

......................Morales, John M MD 181....................Morales, Laura A LPC 246

.......................Morales, Mark J MD 181.....................Morales, Petra P LPC 234

.........................Morales, Robert MD 60......................Moreno, Devin M LAC 89.....................Moreno, Jaime P LPT 166

................Moreno, Laura APN 109, 225..............Moreno, Yamily APN 109, 225

.....Morgan, Gwenneth T LPC 231, 234,251, 253, 256

..................Morgan, Ronald S LPC 246Morrice McBride, Amanda V PsyD232, 237

........Moschitto, Carrie M APN 109, 225...................Mourtaja, Anne R LPC 255

..................Moy, Misty M APN 109, 225....................Moza, Joseph MD 24, 191

......................Mrazek, Carrie K OT 146....................Mukerji, Siddharth MD 122

Mukkara Siva, Rama Krishna R MD44

.........Mullins, James D MD 14, 15, 157...........Munguia Jovel, Valeria E MD 55

..Munion, William M MD 24, 25, 26, 27,191, 210

...................Murray, Jennifer L LPT 166.....................Musser, Hannah LPT 166.......................Mwansa, Pearl D MD 44

NSee Page

...........Naismith, Robert A MD 181, 218..............Naranjo, Liza M APN 109, 225..................Narcise, Maria V MD 55, 64.....................Narvaez, Adan L LPT 166

...............Nash, Michael E MD 131, 146...........Navar, John J MD 12, 16, 18, 98

................Navarrete, Rosalba LPC 246...............Nayar, Scheel S DO 187, 220

...........Needleman, Louis J MD 27, 210......................Neff, James M MD 48, 49

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271

............................Neff, Peter C MD 153.......................Nelson, David A DC 121

...........Nelson, Lawrence E DO 15, 129...Neugebauer, Amber L DO 24, 25, 27,

191, 210................Newberry, William C MD 148

......................Newton, Will B MD 12, 98.......Nguyen, Bao Phuong N MD 21, 98

..................Nguyen, Hai H OD 206, 208.................Nguyen, Michelle BCBA 235

.........................Nguyen, Minh V MD 50..........Nguyen, Nhung H MD 12, 18, 98

.......Nguyen, Vinh Quang D DO 26, 27,210

..............Nhlane, Ndina M MD 161, 164..........................Nisbet, Alan A MD 182

.......................Nisimblat, Andres MD 44............................Nisimblat, Erik MD 37

.......................Nisimblat, William MD 37.........Nollie, Devereaux L MD 236, 250.................Nooruddin, Karim N MD 140............Nordmeyer, Debra A MD 12, 98

.....................Noriega, Sandra I MD 143.....Northeast Pathology Group PA 194,

212..........Norwood, Armie D APN 109, 225.............Nouranifar, Rabin K MD 83, 87

...............Nwankwo, John I MD 14, 175........Nwosu, Inemesit M APN 109, 225

OSee Page

.......O Connor, Brendon D MD 26, 205,207

............O'Daniell, Estela M MD 22, 125...............O'Neill Baker, Emilia LPC 232

.Oaferina, Aleth H LPT 74, 87, 89, 185,201, 203, 218, 219

......................Oakley, Robert F MD 208.............Ocampo, Alvaro APN 109, 225

........................Ochoa, Jodi M LPC 246.......................Ochoa, Lyssa N MD 130

..................Oconnell, Janice L LPC 254

....................Odumusi, Kolawole MD 39........Ogando, Yvette G SLP 76, 88, 89,

185, 202, 203, 218, 219..............Ogbu, Chijioke E MD 134, 140

..................Ohara, Sean M MD 24, 191...................Ojadi, Vallier C MD 14, 138

..............Okea, Remigius N MD 24, 191.................Okonkwo, Kingsley C MD 55

....................Okpalo, Christian N MD 38...........................Okwu, Vera A MD 161

.......Oldmixon, Donna M APN 208, 229...........Olivarez, Jennifer APN 109, 225

.............Oliver, Donald R LPT 166, 201

........................Oloyo, Samuel D MD 50....................Olson, Brenda W LPC 246...........Olvera, Mauricio R MD 161, 164...........Olvera, Rhonda J APN 109, 225

................Ombaba, Jackson M MD 191...................Ommani, Sophia J MD 144..................Onger, Frederick A MD 125

................Onishi, Tomifumi MD 24, 191.............Ophthalmic Consultants of 184

...Ormand, Jackson E MD 82, 118, 198...........................Orozco, Aida M OT 73

.................Ortiz Garcia, Roberto MD 45....................Ortiz, Aurora M LCSW 239

.........................Ortiz, Lorenzo LPC 252............................Ortiz, Norami RD 142...Ortiz, Victor B MD 14, 15, 20, 23, 129....Oryan, Julio C MD 39, 58, 61, 62, 67

...................Oshman, Robert D MD 155....................Oshman, Stephen I MD 55..................Osterloh, Patricia O SP 177

......................Otah, Kenneth E MD 118...................Overstreet, Haley C MD 45

....Owsley, Jimie D MD 14, 15, 28, 129,212

.........................Ozcelik, Nazire MD 160

PSee Page

................Pacheco, Nestor M DPM 172..............Padilla, Anita R APN 109, 225..............Padilla, Viviana APN 109, 225

..........Padron, Sebastian T MD 24, 191............................Paez, Ana M MD 160

.........................Pagan, Jose E MD 250.....................Palacios, Jose R LPC 234

................Palafox, Maria D MD 27, 210............Palermo, Kaitlin A APN 79, 222

..Pallekonda, Vijay Anand R MD 15, 98...Palmero, Leonel R MD 12, 16, 18, 98

.......................Palreiro, Laura F SLP 76....Panapitiya, Narendra C MD 22, 124,

175.................Panati, Swetha MD 131, 147....Pappas, John D MD 70, 82, 84, 118,

135, 198, 200, 214, 216....................Pardi, Kelle J APN 89, 222

.............Parekh, Ketan P DDS 137, 151..............Paris, Alyson M APN 110, 225.............Parker, Padgett A PA 169, 227

................Parks, Tamaryn PA 169, 227.......................Parmar, Audrey L MD 55

...............Parris, Velma I APN 110, 225.......Parsoneault, Amber N MD 27, 210

.....................Partain, Joshua L DC 203.........................Patel, Anil C MD 57, 61

................Patel, Ashvinkumar A MD 55...........................Patel, Ayan DO 21, 99

............................Patel, Girish A MD 55.........................Patel, Haroon I MD 163

............................Patel, Jatin N DO 160..........................Patel, Nehal R MD 185

......................Patel, Nirupama P MD 37.............................Patel, Ruchita MD 45

..............Pathikonda, Meena G MD 144....................Patterson, Brian L MD 153....Pattillo, Tammy J APN 69, 110, 222,

225............................Paudel, Rajiv MD 188

......Pawelek, Jochelle D APN 187, 220,227, 229

.............Payne Tyson, Justice LPC 253.................Pearce, David E MD 15, 129

.............................Peck, Jerri A SLP 76................Pederson, William C MD 171

.........................Pedraza, Ruben MD 45....................Peeler, Shelby AUDIO 113

...........Peltier, Bradley G MD 12, 18, 99.............................Pena, Jaime MD 144

..................Pena, Janet M OD 150, 179

....................Perdue, Judy APN 69, 222............Perez Montes, Maria C MD 144

...........................Perez, Abimael MD 45...................Perez, Elizabeth OD 86, 88

............................Perez, Karla A MD 45.....................Perez, Kristina L LPC 231

...............................Perez, Mario DO 66...........Perez, Raymond S PA 169, 227

..........................Perez, Tessa V MD 55..................Perez, Victoria C OD 73, 77

.....................Peters, Carol L MD 72, 75

.........................Peters, Chad S DC 121...........Peterson, Amber C PA 169, 227

..........Peterson, Michael W MD 27, 210.............Peterson, Wylan C MD 14, 130

..............................Petri, Dragan OT 73............Petrila, Kimberly A PA 169, 227

........................Petros, David P MD 176

........Petty, Cindy S APN 110, 126, 225.................Pfeiffer, James B LCSW 239

................Pham, Kimberly Q OD 73, 77................Pham, Rosaly MD 12, 18, 99

..............Phenix, Courtney PA 169, 227....................Philbrick, Natalie W DO 50

......................Philip, James DO 27, 210................Phillips, Jacqueline M DO 50

....................Phillips, Kristi A LMFT 239................Pichardo, Claudia LCSW 239...............Pido Iledan, Jennifer LPT 166

.................Pierce, Catherine L LPT 166

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..................Pillar, Kerri A APN 213, 229....................Pillen, Todd J PA 170, 227

Pimentel Roman, Marilyn D AUDIO113

......................Pina, Daniel N MD 18, 99.....Piotrowski, Jonathan P PA 170, 227

..................Pittman, Bobby J OD 74, 77.........................Pizana, Paula L LPT 74.......................Pizarro, Maria A MD 144

...........Platt, Adrienne M APN 110, 225........................Polasek, Kim A LPT 219.......Pollard, Ester B MD 131, 132, 134,

147..........Pollono, Eduardo N MD 188, 194

............Ponce De Leon, Anne M MD 45....Ponder, Melissa MD 24, 25, 27, 192,

211......................Poole, Rebecca L MD 72

............Pop Moody, Adriana M MD 176.......................Posey, James H DC 121

.Potter, Ryan N MD 12, 15, 18, 99, 156...............Powell, Jason M PA 204, 228

...................Powell, Jinnelle V LPC 253....................Powell, Mandee M SLP 76

...................Prabhu, Varsha C LPT 166....................Praderio, Carolina MD 144...........Praderio, Nestor H MD 232, 233

...Prado, Alfonso M MD 15, 20, 22, 138...................Prado, Lindsey M LPC 246....Prater, Rodney A APN 77, 110, 222,

225.................Prescott, Jason A OD 74, 77...........Price, Kimberly R APN 110, 225

.........................Price, Michael D MD 99

.........................Propst, Mayra B MD 63

...............Prukop, Frank E OD 201, 202............................Pu, Glen A MD 83, 87

................Puente, Joseph P MD 38, 66.......Puentes, Jairo A MD 45, 127, 157,

164..............Pulido, Jennifer APN 110, 225.........................Purcell, Debra L MD 55.......................Purdy, Vickie L LPC 246

.............................Puyol, Franz I MD 37

QSee Page

.......................Qaisar, Adeel MD 18, 99................Quinn, Lucy E APN 186, 227

....................Quinones, Jose A MD 203.......................Quraishi, Rafath MD 175

...............Qureshi, Usman Q MD 70, 71

RSee Page

.............Rabagos Health Care 106, 224

...Rabagos, Katherine C APN 110, 196,225, 228

...............Racette, Guy J MD 36, 45, 63.........Radaneata, Cristian OD 201, 202

.................Rafael, Marita L MD 22, 125.......................Raglin, Michele B MD 50

......Rainer, Holly C APN 187, 220, 227,229

........Ramachandruni, Srikanth MD 132.....Ramakrishna, Mulukutla MD 37, 62,

67.....................Ramirez, David A OD 150.......................Ramirez, Jorge A DO 63................Ramirez, Ramiro MD 24, 192.......................Ramirez, Roberto MD 60

...Ramirez, Roberto R MD 72, 140, 205

....Ramirez, Yvonne A LPT 74, 79, 166,207, 217

................Ramos, Alvaro J MD 22, 175...................Ramos, Anthony C DC 187

....................Ramos, Dennis J LPC 247

......................Ramos, Enrique C DO 50.........Ramos, Heriberto D OD 150, 179.........Ramoutar, Darren R DO 208, 211.........Ramsden, Melissa APN 110, 225

.......................Randolph, Kelly LPT 166.............................Rani, Sabeen MD 56

.........................Rao, Gullapall K MD 80..................Rao, Sandeep MD 175, 182

.....................Raposo, Robert A PA 127............Rasheed, Teressa PA 187, 227

..........Rasmussen, Kathleen R MD 144..........Rasmusson, Mark D MD 50, 134

...............Ratcliff, Stephen L MD 18, 99........Rayasam, Krishnaia MD 232, 233,

235, 236, 250......Rayasam, Krishnaiah MD 233, 234,

250, 254, 255, 256...................Recio, Jose R PA 170, 227

.......................Reddy, Geeta P MD 140.........................Reddy, Sunil K MD 122

......................Reed, Ida R OD 185, 186..............Reese, Karen A APN 110, 225

...................Reese, Raymond R MD 60................Reeves, Aaron A MD 14, 138

......Regan, Elizabeth A SLP 76, 88, 89,185, 202, 203, 219

...............Regan, Tyce L MD 12, 19, 99................Reichert, Andrew D PhD 253

..................Reid, Branden M MD 12, 99............Remme, Lindsey C DO 27, 211

......Requa, Spencer DO 24, 25, 27, 28,192, 211

......Requenez, Ricardo J APN 69, 110,222, 225

...............Reyes, Ilaria M APN 110, 225

...Reyes, Michael J MD 14, 20, 23, 130...............Reyes-Acuna, Celia D MD 56

..............Reyna, Laura N APN 110, 225..............Rhodes, Cristina M DO 21, 99

......................Rhyne, Aaron R LPC 247..............Rice, Rebecca R APN 78, 222

....Richardson, Kristopher L PA 79, 222.............Richman, Jessica PA 170, 227......................Richter, Kadee D DC 121

......Richter, Meredyth E APN 187, 220,227, 229

................Rickards, Jeanny J DPM 172.......................Ricks, Alfred MD 24, 192

........................Rigonan, Alma S MD 56.................................Rios, Billy MD 160

.........................Rios, Robert J PhD 238...............Ripsin, Cynthia M MD 25, 192

.....................Rivera, Christine N MD 56.........................Rivera, Gary G DC 121

.......................Rivera, Guile G LPT 167...........Rivera, Mary LPC 251, 256, 257

.......................Rivero, Jesus R MD 182.............Roark, Wanda K APN 203, 228

.......................Robbins, Laura LPC 247.........................Roberts, Jon E MD 162

.....Robertson, Michael J OT 73, 86, 89,184, 201, 203, 218, 219

.............Robertson, Tamara R LPC 247............Robles, Tiffani M APN 110, 225

..............Rock, Melissa L APN 110, 225............Rodenhuis, Roger S MD 12, 99

....Rodman, Charles J MD 14, 130, 183................Rodrigues, Edison D MD 127

.........Rodriguez Capili, Cullen LPT 186......Rodriguez, Angela K APN 213, 229.....Rodriguez, Angela M APN 110, 225....Rodriguez, Heather A APN 110, 225

........Rodriguez, Jorge S MD 37, 62, 67........................Rodriguez, Leo MD 144

.....................Rodriguez, Lisa R SLP 76

........Rodriguez, Mike E MD 70, 82, 85,118, 136, 199, 200, 215, 216

.................Rodriguez, Octavio J MD 60.......Rodriguez, Stephanie M APN 110,

225............Rogers, Petina L APN 196, 228

........................Rogers, Ryan T MD 123.....Rojas Walsson, Romeo MD 25, 192

...................Rollins, Melissa K LPC 247..................Rollo, Robert O MD 25, 192...................Romero, Elena MD 23, 175

................Romero, Rebecca S MD 218.........................Roper, M L MD 19, 100...............................Rose, Cary MD 118

...................................Rose, J K MD 45

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273

..............Rose, James K MD 45, 47, 63..............................Rose, Keith J MD 45

...........Rosenbaum, Lorena A LPC 253..............Rostamizadeh, Mahdi MD 185

.....Rubio, Jose A MD 9, 10, 12, 25, 69,80, 100, 195

..................Rudolph, Susan E PhD 238.....................Ruiz, Stephanie A LPT 74....................Rurangirwa, Hellen MD 39

.........................Russell, Bruce L MD 62.............Russell, Janie C APN 204, 228

.Ryan Philpott, Karen A MD 37, 56, 64,65

SSee Page

.............Sackrider, Aimee M BCBA 235..............Saeed, Mohammad A MD 175

.......................Saenz, Leanna SLP 177.........................Sahadi, Jack A MD 149

.....................Saieh, Teodoro A MD 171...................Salamat, Mehrdad MD 160

.......................Salazar, Carlos E MD 59.................Salazar, Katrina MD 15, 157

......................Salazar, Laura M SLP 76.......................Salazar, Richard DC 121

.............................Saldana, Joel MD 60...........Saleem, Zakaria N MD 140, 205........Salinas, Cynthia G APN 111, 197,

225, 228..................Salinas, Fulgencio P MD 64

............Salinas, Guillermo MD 9, 71, 75.....................Salinas, Mark DC 71, 121

........................Salinas, Tina L LPC 247..........Salloum, Cynthia G MD 140, 206

.............Salloum, Emile C MD 131, 147........................Salvady, Hema MD 204

......................Salyer, Rena DO 25, 192....Samberson, Randall R MD 213, 215,

218..........Sanchez Jr, Jesus V MD 12, 100..................Sanchez, Darlene M DO 50

....................Sanchez, Julian A MD 118..Sanchez, Ruviola APN 111, 197, 205,

225, 228, 229..................Sanders, Bridget M MD 123...................Sanders, Charles C MD 45

..............Sandoval, James E LCDC 238.....................Santiago, Walter J MD 56

.............Santo, Gabrielle APN 111, 225

......Santos, Adela R APN 80, 111, 222,225

........................Santos, Erick M MD 154.................Santos, Juan F MD 141, 177

......................Saqib, Naveed U MD 130..............Sarkar, Deepak R MD 19, 100

............Sartori, Michele P MD 119, 136...................Sasin, Edwin J MD 25, 192

..................Satterlee, Arthur J MD 9, 75.....................Savage, Denise L SLP 76

.....................Savell, Van H MD 22, 157.................Sawyer, Ryan A AUDIO 113

..............Schaner, Patrick J MD 25, 192..Schapman, Steven J DO 26, 205, 207

.........Schebler Poulos, Allison K DO 46.......Schechter, Charles J MD 119, 136

...............Schep, Peter H LPT 167, 207.......................Scherrer, Philip E MD 65.......Schiller, Edward D MD 12, 19, 100..................Schiop, Michael J DPM 172

.......Schlimmer, Jeffrey R MD 154, 178......Schlotter, James W MD 84, 88, 130

.........Schmeling, Richard J AUDIO 113.................Schmidt, Claudia A LPC 247

...........Schmidt, David M APN 208, 229.........................Schmitt, Paul J MD 141.........................Scholz, Kyla M MD 144

........Schoolcraft, Mary K APN 111, 225......................Schroll, David A LPC 247

................Schroll, Misti L APN 111, 225...........Schuette, Stephanie D LPC 247

................Schultz, Donald A MD 83, 87.........................Schulze, John E MD 46

......................Schulze, Susan A MD 56...............Schwab, Chet L MD 194, 212

.....Schwirtlich, Lonnie R MD 47, 63, 66.....................Scruggs, Corey J MD 208

..Seaton, Cole MD 25, 27, 28, 192, 211....................Seger, Bernard M MD 154

.............Sehgal, Ajay MD 131, 134, 147................Selby, Gena E LPC 247, 254

.................Senguttuvan, Rajan MD 126.....................Serrao, Karl L MD 22, 100

...................Setterberg, Ashley OD 150................Shaffer, Gabrielle N LPT 167

.....................Shaffer, William L MD 140.................Shafiei, Shiva APN 111, 225

...................Shah, Mahendra D MD 161..........................Shah, Rakesh MD 136

............Shahan, Jared T MD 46, 60, 63................Sharma, Amit K MD 175, 182

..................Sharron, Sonya M LPC 247.......Shaughnessy, Paul J MD 131, 138

........................Shea, Daniel R LPT 167................Sheide, Marshall DO 25, 192

....................Shelton, Gabriel A DC 121.......Shelton, Kristen LPT 79, 167, 207,

217......................Shelton, Laura L MD 144

.......Shenouda, Rouchdy S MD 25, 192

.........................Sherani, Farha MD 161................Sherani, Khalid MD 134, 172

..................Sherron, Frederick R DO 46.....................Sherron, Serena R DO 56

...Shestopalov, Alexander MD 175, 182.......Shoemaker, Edward S MD 85, 144

.............Shull, James H MD 12, 19, 100.......................Shull, Victoria L LPT 167................Shull, Walter G LPT 167, 217

.......Shuraih, Mossaab MD 70, 81, 114,197, 213

....................Siebold, Tracey L SLP 177...........Sierra Hoffman, Miguel A MD 84

....................Sifuentes, Roger M MD 46...........................Silva, Jaime L MD 119

..................Silverman, Gregg L MD 119..........................Silvers, Stacy K MD 90

....................Simmons, Karen W MD 88..........Simonsen, Randall L MD 26, 201

.................Sims, Kaylee M PA 170, 227................Singh, Raghujit MD 127, 134.................Siros, Kalin N APN 111, 225

.........Skidmore, Kimberly L MD 12, 100...........Skoruppa, Jacob D LSA 14, 178

..........Skrobarczyk, Michelle L SLP 177......................Slater, Patrick W MD 155

........................Slavin, Tammi J OT 146.............Smith Harrison, Leon I MD 163

...........................Smith, Brent A LPT 74..........................Smith, Grant E DC 205

....................Smith, Heather L PhD 232..................Smith, Jessica L BCBA 235

.......................Smith, Matthew K MD 62.................Smith, Michelle A LCDC 238

........................Smith, Pamela K MD 50..........................Smith, Ryan C MD 250

...................Smith, Shannon BCBA 235.....................Smith, Wayne D LPC 248

...........................Sneed, Elsa G SLP 77....................Snowden, Philip E DC 121

.................Soares, Fernando A MD 138.................Soch, Kathleen R MD 46, 48

.......................Sohocki, John B MD 149.................Sokora, Catherine S OT 146

.............................Solano, Iliana MD 56

.............................Soler, Laura I MD 63.........................Soler, Michael J MD 63

..................Solis, Steven P MD 25, 192.............................Soliz, Dusty LPT 220

.........................Soliz, Marta LCSW 239................Somaiya, Anie V DO 22, 100......................Sonbol, Yassir A MD 136

.........................Sooda, Bhakti LPT 167.....................Sooda, Pallavi A LPT 167

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274

................Sosa, Kristen A APN 69, 222................Soto, Nichole Q OD 216, 217

................Souchick, Ann M MD 14, 157..........................Soza, Noe MD 25, 193

..................Sparks, Cori A PA 170, 227.......................Sparks, Kelly A SLP 177

...............................Speeg, K V MD 127.....................Spence, Cynthia G OT 73....................Spengler, Adam L MD 149

........................Spreen, Anita M OT 146.............Springer, Stephen PA 170, 227

...........Springmann, Kurt E MD 19, 100.............Squires, Patricia APN 111, 225

......................St Hill, Ronald G MD 252...St John Hartsfield, Pricilla D LPC 252

.......Stacy, Alma D APN 111, 213, 226,229

.............Stafford, Michael T MD 28, 211......................Steckler, Kristan LPT 207

................Steehler, Matthew K MD 155...........Steele, Leeanna E MD 170, 227

.......................Steele, Steven J MD 181..........Stegemann, Lloyd H MD 20, 130

.......................Stehn, Lorraine S DO 37...........Steitle, Russell W APN 204, 228

.................Stephens, Ronald D MD 132..........Stewart Richlen, Trevor LPT 167

...............Stewart, Dovie J APN 69, 222..................Stinson, Zachary S MD 154...........Stockstill, Randall D MD 15, 100...........Stoneking, Carrie M DO 25, 193

...................Stotts, Corey J MD 19, 100...........Strain, Bonnie B MD 12, 19, 101

............Stratton, Robert F MD 122, 138.........................Strauss, Mark G MD 50................Strawn, Matthew MD 28, 211

....Strong, David B MD 16, 21, 124, 175..................Stroud, Kimberly J LPC 256

........Strowbridge, Hendrika G LPT 167.........................Suarez, Jose J DC 199

.....................Sublett, Debra S LPA 234............Subnani, Raj MD 9, 26, 71, 200

........Sundarakumar, Dinesh K MD 175,183

.................Supnet, Benjamin D MD 145................Surani, Salim R MD 134, 172

...............Surnedi, Murali K MD 23, 175...........Sussman, Marian B MD 19, 101

.......................Sutphin, Terri L SLP 177...........................Sutter, David F MD 46

....................Sutton, Lisa M MD 22, 158................Suwan, Tariq Z MD 176, 183

.Svatek, Maegan J APN 111, 197, 226,228

............Sweetman, Kandice F LPC 248

.Sweigart, Chad E LPT 74, 87, 89, 185,201, 203, 218, 219

..............................Syal, Ashu S MD 57.......................Syed, Sabeen A MD 161

...............................Syed, Yunus MD 57........Szalai, Gabor MD 71, 83, 85, 136,

199, 200, 215, 216

TSee Page

.......Taboada, Libardo J MD 13, 16, 19,101

..........................Tagari, Fiona H MD 57.......................Talley, Megan E MD 251

......Tamez Munson, Patricia V SLP 77,88, 89, 185, 202, 203, 219

......................Tanner, James D DC 121.......................Tapia, Cecilia BCBA 235........................Tarango, Gabriel DO 62......................Tate, Timothy C LPC 248

...............Tavares, Sergio MD 114, 181................Taylor, Travis P MD 119, 134

...........Teenier, Thomas J MD 138, 151............Temple, Kevin D APN 208, 229

.......................Tessier, Darin D MD 183.....Tewell, Katdidia M PA 75, 170, 222,

227................Thangada, Praveen K MD 85

..................Thapa, Nishan PA 170, 227........Theriot, Eugene C MD 13, 19, 101

.....................Thigpen, Julie M LPC 248..........Thodeson, Drew M MD 141, 162

....................Thomas, Patrick J DC 121......................Thomas, Ryan B MD 154

..........Thompson, Anthony J DO 36, 50........Thompson, Christopher P MD 155

.................Thompson, Jason F MD 154.....Thompson, Shanel M MD 59, 67, 68

.................Thompson, Travis L MD 173.............Thompson, Will D PA 204, 228

..................Thong, Weng Y MD 19, 101....................Thorpe, Brooke T LPT 167...........Tillman, Tywaun K MD 208, 211

...............Timperlake, Roger W MD 162...................Tinana, Adrienne M MD 90

.......................Todd, Bret R DO 13, 101......Tofani Garcia, Elizabeth A LPC 251

........Tolentino, Hugo R MD 13, 19, 101.................Tom, Timothy D MD 25, 195

......................Tompkins, Kent E MD 46..............................Tomsa, Anca MD 57

................Torres, Carlos R MD 16, 101..................Torres, Fernando I LPT 167

.....................Torres, Johanna LPC 248.....................Torres, Josefina G MD 57

.......................Torres, Pedro P MD 123....................Torres, Waldemar MD 149

.....Toth, Zoltan K MD 81, 83, 197, 199,213, 215

......................Tou, Kevin M MD 19, 101...........................Tovar, Erica A DC 121

.......................Tower, Susan D MD 164..Townsend, Thomas M MD 14, 15, 20,

130........................Tracy, Tiffany N MD 204

.....Tran Nguyen, Jacklyn B MD 19, 101.............Travis, Eleanor MD 13, 23, 102

................................Treat, Eric MD 182.............Trevino, Christopher L OD 150

...................Trevino, Jaime MD 25, 193....Trevino, Jose J MD 13, 19, 102, 157

..............Trevino, Perla J APN 111, 226........................Tripathy, Uttam MD 181

...................Trolley, Gregory C MD 141

...........Trombley, Dina D APN 111, 226.......................Trotter, Robin E LPT 167

.........Truong, Vi Q DO 16, 26, 176, 207.....................Tschauner, Rob M MD 46

........Tschickardt, Michael E MD 13, 19,102, 157

.....Tucker, William A DO 154, 206, 216....Tudor, Jennifer M APN 80, 186, 222,

227.................Tunink, Bryan P MD 13, 102

................Turner, Amy L APN 111, 226.....Turner, Jennifer E MD 9, 21, 26, 71,

75, 124, 176, 205, 207..............Turner, Kathleen A LCSW 239

...........Turner, Stephen A MD 119, 134

.Turner, Thomas M MD 14, 15, 20, 158...........Turner, Weldon R APN 111, 226

........................Tyree, James B MD 182

USee Page

...........................Ugarte, Jose M MD 60..................Ugwuibe, Maurice N MD 50

............Ukegbu, Ibidunni O MD 25, 193......Upmanyu, Sant K MD 83, 119, 199,

215..................Upton, Aynn L OD 151, 179

...........Urban, Jennifer A APN 111, 226.............Urby, Rodolfo M MD 59, 67, 68

.....Uzoigwe, Georgina C APN 112, 226

VSee Page

.....Vaclavik, Celia M PA 170, 207, 227,229

.....................Vakil, Abhay MD 135, 172...............Valasek, Mark A MD 194, 212

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275

.....................Valdez, Marcos J MD 141...........Valenson, Arnold J MD 176, 183.........Valverde, Caitlin D APN 112, 226

......Van Burkleo, William B DO 25, 193...................Van Hazel, Kristina LPT 74

..............Vanderheiden, David L DO 46..................Vandever, Chari D LPC 248................Vanfrank, Timothy D MD 128

..........................Vara, Eileen W SP 177.........Vargas Whale, Raquel A MD 164

..............Varin, Richard C MD 123, 178...........Vasquez Aguilar, Mario L MD 58

..................Vasquez, Elizabeth RD 142......Vasquez, Jennifer R APN 112, 213,

226, 229.................Vasquez, Lindsey R MD 145

.........Vazquez Vicente, Jose O DO 145.......Vazquez, Jorge L MD 72, 140, 206......................Vega, Rolando E MD 145

..Vela, Bernadette B APN 78, 112, 205,222, 226, 229

..................Vela, Franscina M LPC 248.............................Vela, Lisa M MD 251

...............Vela, Raquel G APN 184, 227...................Vela, Robert C MD 13, 102

...............................Vela, Robert MD 50.Vela, Steven A MD 14, 15, 20, 23, 130

...............Velamasetti, Sarojini K MD 46..Velazquez, Wilson L MD 19, 102, 157.........Velleman, Kenneth R MD 22, 102

.............Venecia, David MD 13, 19, 102.....Venkatachalam, Sridhar MD 71, 83,

119, 199, 215...........................Vidal, Aileen M MD 46........................Viersen, Nikki L DC 121

...............Vijjeswarapu, Daniel V MD 57...............Villamil, Alfonso MD 132, 147

............Villanueva, Stephen R LPT 167....................Villegas, Cristian A LPT 74

......................Visintine, John F MD 137................Viveros, Veronica V LPC 248

.................Voigt, Kevin W OD 151, 179.....................Volling, Dwight C DPM 75.................Voorhees, Gerard J MD 173................Vreeland, Thomas H MD 183

.........................Vu, Hang T MD 25, 193....................Vuong, Julie T MD 15, 102

WSee Page

..........................Waer, Robert S MD 72...................Wagener, Jodie BCBA 236

................Wagner, Anna APN 112, 226..............................Wait, Eric S MD 162

...................Walker, Bradley S LPT 167

........................Walker, James S MD 46.....................Walker, Nathan D OD 151

..........Walker, Patricia A APN 112, 226.................Wall, Tammy R PA 170, 227

......................Walls, Alison R PsyD 255..........................Walston, Shaye DO 57..............Walters, Leslie L MD 194, 212

............................Walthall, Cody MD 60...............Walz, Timothy J OD 151, 179

............................Wang, William DO 50.....................Ward, Richard L LPC 248.......................Ware, Stephen H MD 47........................Warrick, Sarita A MD 47

...........Watkins, Karen C APN 112, 226....Watts, Hatira APN 80, 112, 222, 226

............................Way, Peter C MD 126....Weathersby, Maryjoy A MD 145, 206

...............Webb, Donald D APN 89, 222.....................Webster, Robert A MD 47...................Weinstein, Leslie N OT 146

.........................Weiss, Todd M MD 155..............Weissmann, Robert C MD 186

..........................Wells, Jed M DPM 172

....................Welsh, John V MD 28, 211...................Welsh, Kelsey PA 170, 227

..................Welty, Rebekah AUDIO 113....................West, Deborah S LPC 248

...............West, Elodie V APN 112, 226......................West, Kc J MD 59, 67, 68

.................White Cantu, Sarah L OT 73...White Roberson, Brandon K LPC 249

.............White, Johnny L MD 10, 80, 87..............White, Kendell R APN 69, 222

.......................White, Toni I MD 25, 193.........................Whitehall, Robin MD 57

..Whitehurst, Elizabeth A APN 112, 226...........Whitfield, Joseph E PA 170, 227

......Whitlock Morales, Autumn B MD 61............Whritenour, Kevin J AUDIO 113

................Wigginton, Evette C LPC 249..............Wilcox, Mary M APN 112, 226.....................Wilder, Thomas L MD 145.....................Willborn, Myriah G DO 47

...........................Willers, Gary P DO 60..................Williams, Carroll A LPC 249

.......Williams, David K MD 21, 124, 176..............Williams, Elizabeth BCBA 236

.....................Williams, Erica BCBA 236.......Williams, Jeremiah J APN 70, 112,

222, 226....................Williams, Kenneth DPM 87

...................Williams, Robert S MD 154........Williams, Sharon M APN 112, 226

......Williamson, David C MD 13, 16, 19,102

............Williamson, Gail L OD 151, 180..................Willis, Julie D APN 112, 226

...........Willis, Thomas J MD 13, 15, 102...Wilson Pimentel, Elizabeth A LPT 74,

79, 167, 207, 217.........Wilson, David D MD 21, 124, 176........................Wilson, James D MD 47

...........Wilson, Jessica P APN 112, 226.............Wilson, Mark S MD 13, 19, 102

.....................Wilson, William K MD 154

.............Wimberley, Lisa L PA 207, 229..........Wingard, Michael T OD 185, 186

......................Winnie, Michael G MD 47.........................Wiraszka, Adam MD 57

................Withycombe, Sarah E MD 57.................Witt, Vaughn P OD 151, 180

.........Witte Hubbard, Kristin N LPC 251.................Woodson, Ronald C MD 145................Woodward, Harold L MD 193

.......................Wright, Kathryn S MD 62..........Wymer, Richard D LPT 168, 207

YSee Page

...................Yancy, Kerry J MD 22, 126..............Yang, Robert MD 21, 124, 176

.....Yarrabolu, Tharakanatha R MD 160.............................Ye, Qilin MD 22, 126

............Yelderman, Mark L MD 19, 103

..........Yepez, Marissa M APN 112, 226........Ynostroza, Jaime R APN 112, 226

.....Yoganandan, Prameela MD 25, 193.....................Young, Michael R DO 194

....................Yousuf, Almas MD 25, 194

ZSee Page

.................Zablocki, Alan D MD 19, 103.................Zafra, Mildred P MD 57, 164

...............Zakhireh, Gholam R DDS 151

.................Zamora, Benjamin S SLP 77..............Zanchi, Michael A MD 19, 103

.......................Zane, Randall S MD 156..............Zapata, Syboney MD 156, 162

.............................Zarate, Luis A MD 86.................Zarghouni, Mehrzad MD 176

.....................Zarinetchi, Fariba MD 140..............Zawislak, Walter J MD 25, 194

...............Zey, Edward B APN 112, 226............................Zhao, Ying MD 83, 88.................................Zhu, Ningxi MD 90..............................Zink, Susan MD 251

............Zvavanjanja, Rodrick C MD 176

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