the first health network texas hcn termination report · the first health network texas hcn...

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The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID 2 CHEROKEE CRITICAL CARE MEDICINE CUNNINGHAM LAURENCE W 203 NACOGDOCHES ST 170 JACKSONVILLE TX 75766 (903)586-2441 68715 2 CHEROKEE PULMONARY DISEASE CUNNINGHAM LAURENCE W 203 NACOGDOCHES ST 170 JACKSONVILLE TX 75766 (903)586-2441 68715 2 CHEROKEE OPTOMETRY CUNNINGHAM MICHELLE 1400 W SIXTH ST RUSK TX 75785 (903)683-4973 5607566 2 CHEROKEE PEDIATRICS GOEL SATISH 203 NACOGDOCHES ST 275 JACKSONVILLE TX 75766 (903)586-2261 2156848 2 CHEROKEE PATHOLOGY HARKINS JIMMY B 501 S RAGSDALE ST JACKSONVILLE TX 75766 (903)541-5155 1415558 2 CHEROKEE ANESTHESIOLOGY HOBUS PAUL A 501 S RAGSDALE ST JACKSONVILLE TX 75766 (903)586-6566 1935200 2 CHEROKEE EMERGENCY MEDICINE MILLER TROY L 2026 S JACKSON ST JACKSONVILLE TX 75766 (903)589-5760 5124055 2 CHEROKEE PODIATRIC SURGERY STIRNEMAN GREGORY M 2011 S JACKSON ST JACKSONVILLE TX 75766 (903)586-7979 1039481 2 COLLIN CARDIOVASCULAR DISEASE AKHTAR ASIF 1105 N CENTRAL EXPY 2230B ALLEN TX 75013 (972)542-9723 1069762 2 COLLIN CARDIOVASCULAR DISEASE AKHTAR ASIF 1601 W UNIVERSITY DR D MCKINNEY TX 75069 (972)542-9723 1069762 2 COLLIN FAMILY PRACTICE AKINS HEATHER L 4001 W 15TH ST 290 PLANO TX 75093 (972)599-2567 2092499 2 COLLIN OBSTETRICS & GYNECOLOGY ALLEN JENNIFER E 4510 MEDICAL CENTER DR 202 MCKINNEY TX 75069 (972)542-8884 2093179 2 COLLIN SURGERY ANGLIN BETH V 4001 W 15TH ST 180 PLANO TX 75093 (214)619-5225 1639104 2 COLLIN SURGERY ANGLIN BETH V 4401 COIT RD 313 FRISCO TX 75035 (214)619-5225 1639104 2 COLLIN INTERNAL MEDICINE AZIZ SYED M 4201 MEDICAL CENTER DR 300 MCKINNEY TX 75069 (214)544-2828 5609864 2 COLLIN INTERNAL MEDICINE BAKHTARI LADAN 3801 W 15TH ST 360 PLANO TX 75075 (972)758-4455 1641018 2 COLLIN INTERNAL MEDICINE BALDWIN JOHN C 1441 N REDBUD BLVD 111 MCKINNEY TX 75069 (972)542-2683 2119595 2 COLLIN SURGERY BALDWIN JOHN C 1441 N REDBUD BLVD 111 MCKINNEY TX 75069 (972)542-2683 2119595 2 COLLIN FAMILY PRACTICE BECKER DAVID L 6124 W PARKER RD 436 PLANO TX 75093 (972)378-5250 1985087 2 COLLIN ORAL AND MAXILLOFACIAL SURGERY BELL WILLIAM H 4100 W 15TH ST 104 PLANO TX 75093 (972)596-0312 694028 2 COLLIN PEDIATRICS BERRY MARCY L 2109 W SPRING CREEK PKWY 300 PLANO TX 75023 (972)208-8668 1234492 2 COLLIN FAMILY PRACTICE BORING JR BILLY R 1441 N REDBUD BLVD 111 MCKINNEY TX 75069 (972)542-2683 42101 2 COLLIN CARDIOVASCULAR DISEASE BROWN DAVID L 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 40170 2 COLLIN INTERNAL MEDICINE BROWN DAVID L 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 40170 2 COLLIN COLON & RECTAL SURGERY BURLESON JR DALE D 4001 W 15TH ST 280 PLANO TX 75093 (972)985-7988 928936 2 COLLIN FAMILY PRACTICE CHACKO MONA 8200 STONEBROOK PKWY 100 FRISCO TX 75034 (972)712-1911 2198699 2 COLLIN FAMILY PRACTICE CHEN PHILIP K 1600 COIT RD 308 PLANO TX 75075 (972)985-8500 1950451 2 COLLIN PEDIATRICS CHRISTIAN ANNE L 1111 RAINTREE CIR 240 ALLEN TX 75013 (972)747-7667 1175184 2 COLLIN SURGERY CIONE DEAN A 4708 ALLIANCE BLVD 240 PLANO TX 75093 (972)665-4700 1048124 2 COLLIN MEDICAL ONCOLOGY CONNOR CHARLES K 4461 COIT RD 100 FRISCO TX 75035 (972)987-1975 1728706 2 COLLIN MEDICAL ONCOLOGY CONNOR CHARLES K 3705 W 15TH ST PLANO TX 75075 (972)867-3577 1728706 2 COLLIN MEDICAL ONCOLOGY CONNOR CHARLES K 4708 ALLIANCE BLVD 150 PLANO TX 75093 (972)596-7801 1728706 2 COLLIN INTERNAL MEDICINE CORBETT EDWARD R 3801 W 15TH ST 360 PLANO TX 75075 (972)758-4455 5641629 2 COLLIN OBSTETRICS & GYNECOLOGY DAVOLIO JULIE A 1600 COIT RD 202 PLANO TX 75075 (972)596-2470 1066389 2 COLLIN SURGERY DEVILLENEUVE SCOTT A 4510 MEDICAL CENTER DR 108 MCKINNEY TX 75069 (972)562-5999 2272297 2 COLLIN PEDIATRICS DUGOPOLSKI SUZANNE M 2720 VIRGINIA PKWY 200 MC KINNEY TX 75071 (972)569-9904 1974759 2 COLLIN OBSTETRICS & GYNECOLOGY DUNCAN GARY W 3801 W 15TH ST BLDG A 110 PLANO TX 75075 (972)867-8181 60803 2 COLLIN PEDIATRICS EASTMAN III GEORGE L 3700 W 15TH ST 130A PLANO TX 75075 (972)596-1111 54181 2 COLLIN CARDIOVASCULAR/THORACIC SURGERY EDGERTON JAMES R 4708 ALLIANCE BLVD 700 PLANO TX 75093 (972)943-0442 720479 2 COLLIN CARDIOVASCULAR DISEASE EICHHORN ERIC J 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 2001562 2 COLLIN RADIATION ONCOLOGY ENGLEMAN MARK A 4708 ALLIANCE BLVD 150 PLANO TX 75093 (972)596-7801 2243445 2 COLLIN RADIATION ONCOLOGY ENGLEMAN MARK A 3705 W 15TH ST PLANO TX 75075 (972)867-3577 2243445 2 COLLIN PLASTIC SURGERY ENGLISH JAMES 6124 W PARKER RD 430 PLANO TX 75093 (214)368-8844 646742 2 COLLIN FAMILY PRACTICE EPPICH KEITH R 5501 INDEPENDENCE PKWY 203 PLANO TX 75023 (972)596-9511 2020187 2 COLLIN INTERNAL MEDICINE FARIDI AMIR A 4461 COIT RD 100 FRISCO TX 75035 (972)987-1975 1947923 2 COLLIN INTERNAL MEDICINE FARIDI AMIR A 4510 MEDICAL CENTER DR 215 MCKINNEY TX 75069 (972)542-8609 1947923 2 COLLIN PODIATRIC SURGERY FEIGENBAUM MONA I 161 W SPRING CREEK PKWY 605 PLANO TX 75023 (972)517-9922 49024 2 COLLIN GYNECOLOGIC ONCOLOGY FINE BRUCE A 4708 ALLIANCE BLVD 150 PLANO TX 75093 (972)596-7801 1637466 2 COLLIN OBSTETRICS & GYNECOLOGY FINE BRUCE A 4708 ALLIANCE BLVD 150 PLANO TX 75093 (972)596-7801 1637466 2 COLLIN FAMILY PRACTICE FLAMING DANIEL T 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 2065947 2 COLLIN NEUROLOGY FLAVILL PAUL 1441 N REDBUD BLVD 231 MCKINNEY TX 75069 (972)562-6206 87023 2 COLLIN OBSTETRICS & GYNECOLOGY FLEMING BERRY A 6124 W PARKER RD 532 PLANO TX 75093 (972)981-8175 78729 2 COLLIN PULMONARY DISEASE GAMMON ROBERT B 1220 COIL RD 106 PLANO TX 75075 (972)680-0666 921327 2 COLLIN RHEUMATOLOGY GANGASANI SUREKHA R 2414 W UNIVERSITY DR 112 MCKINNEY TX 75070 (972)547-9700 890878 2 COLLIN RHEUMATOLOGY GANGASANI SUREKHA R 100 MEMORIAL MCKINNEY TX 75070 (972)547-9700 890878 2 COLLIN INTERNAL MEDICINE GARZA DAVID E 3801 W 15TH ST 360 PLANO TX 75075 (972)758-4455 916414 2 COLLIN FAMILY PRACTICE GATES W B 6124 W PARKER RD 436 PLANO TX 75093 (972)378-5250 5517392 2 COLLIN FAMILY PRACTICE GEORGE JEFFREY A 4510 MEDICAL CENTER DR 104 MCKINNEY TX 75069 (972)548-1717 2138310 2 COLLIN INTERNAL MEDICINE GIBSON GARY M 1441 N REDBUD BLVD 211 MCKINNEY TX 75069 (972)542-3364 41897 2 COLLIN INTERNAL MEDICINE GIEP SON 6300 W PARKER RD 220 PLANO TX 75093 (818)753-7183 1895650 2 COLLIN INTERNAL MEDICINE GIEP SON 6300 W PARKER RD 220 PLANO TX 75093 (972)981-8215 1895650 2 COLLIN DERMATOLOGY GOLDEN MICHAEL P 4100 W 15TH ST 212 PLANO TX 75093 (972)596-4121 78731 Report Date: Jan07 1 of 64

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Page 1: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 CHEROKEE CRITICAL CARE MEDICINE CUNNINGHAM LAURENCE W 203 NACOGDOCHES ST 170 JACKSONVILLE TX 75766 (903)586-2441 687152 CHEROKEE PULMONARY DISEASE CUNNINGHAM LAURENCE W 203 NACOGDOCHES ST 170 JACKSONVILLE TX 75766 (903)586-2441 687152 CHEROKEE OPTOMETRY CUNNINGHAM MICHELLE 1400 W SIXTH ST RUSK TX 75785 (903)683-4973 56075662 CHEROKEE PEDIATRICS GOEL SATISH 203 NACOGDOCHES ST 275 JACKSONVILLE TX 75766 (903)586-2261 21568482 CHEROKEE PATHOLOGY HARKINS JIMMY B 501 S RAGSDALE ST JACKSONVILLE TX 75766 (903)541-5155 14155582 CHEROKEE ANESTHESIOLOGY HOBUS PAUL A 501 S RAGSDALE ST JACKSONVILLE TX 75766 (903)586-6566 1935200

2 CHEROKEE EMERGENCY MEDICINE MILLER TROY L 2026 S JACKSON ST JACKSONVILLE TX 75766 (903)589-5760 51240552 CHEROKEE PODIATRIC SURGERY STIRNEMAN GREGORY M 2011 S JACKSON ST JACKSONVILLE TX 75766 (903)586-7979 10394812 COLLIN CARDIOVASCULAR DISEASE AKHTAR ASIF 1105 N CENTRAL EXPY 2230B ALLEN TX 75013 (972)542-9723 10697622 COLLIN CARDIOVASCULAR DISEASE AKHTAR ASIF 1601 W UNIVERSITY DR D MCKINNEY TX 75069 (972)542-9723 10697622 COLLIN FAMILY PRACTICE AKINS HEATHER L 4001 W 15TH ST 290 PLANO TX 75093 (972)599-2567 2092499

2 COLLIN OBSTETRICS & GYNECOLOGY ALLEN JENNIFER E 4510 MEDICAL CENTER DR 202 MCKINNEY TX 75069 (972)542-8884 20931792 COLLIN SURGERY ANGLIN BETH V 4001 W 15TH ST 180 PLANO TX 75093 (214)619-5225 16391042 COLLIN SURGERY ANGLIN BETH V 4401 COIT RD 313 FRISCO TX 75035 (214)619-5225 16391042 COLLIN INTERNAL MEDICINE AZIZ SYED M 4201 MEDICAL CENTER DR 300 MCKINNEY TX 75069 (214)544-2828 56098642 COLLIN INTERNAL MEDICINE BAKHTARI LADAN 3801 W 15TH ST 360 PLANO TX 75075 (972)758-4455 16410182 COLLIN INTERNAL MEDICINE BALDWIN JOHN C 1441 N REDBUD BLVD 111 MCKINNEY TX 75069 (972)542-2683 2119595

2 COLLIN SURGERY BALDWIN JOHN C 1441 N REDBUD BLVD 111 MCKINNEY TX 75069 (972)542-2683 21195952 COLLIN FAMILY PRACTICE BECKER DAVID L 6124 W PARKER RD 436 PLANO TX 75093 (972)378-5250 1985087

2 COLLINORAL AND MAXILLOFACIAL SURGERY BELL WILLIAM H 4100 W 15TH ST 104 PLANO TX 75093 (972)596-0312 694028

2 COLLIN PEDIATRICS BERRY MARCY L 2109 W SPRING CREEK PKWY 300 PLANO TX 75023 (972)208-8668 12344922 COLLIN FAMILY PRACTICE BORING JR BILLY R 1441 N REDBUD BLVD 111 MCKINNEY TX 75069 (972)542-2683 421012 COLLIN CARDIOVASCULAR DISEASE BROWN DAVID L 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 401702 COLLIN INTERNAL MEDICINE BROWN DAVID L 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 40170

2 COLLIN COLON & RECTAL SURGERY BURLESON JR DALE D 4001 W 15TH ST 280 PLANO TX 75093 (972)985-7988 9289362 COLLIN FAMILY PRACTICE CHACKO MONA 8200 STONEBROOK PKWY 100 FRISCO TX 75034 (972)712-1911 21986992 COLLIN FAMILY PRACTICE CHEN PHILIP K 1600 COIT RD 308 PLANO TX 75075 (972)985-8500 19504512 COLLIN PEDIATRICS CHRISTIAN ANNE L 1111 RAINTREE CIR 240 ALLEN TX 75013 (972)747-7667 11751842 COLLIN SURGERY CIONE DEAN A 4708 ALLIANCE BLVD 240 PLANO TX 75093 (972)665-4700 10481242 COLLIN MEDICAL ONCOLOGY CONNOR CHARLES K 4461 COIT RD 100 FRISCO TX 75035 (972)987-1975 17287062 COLLIN MEDICAL ONCOLOGY CONNOR CHARLES K 3705 W 15TH ST PLANO TX 75075 (972)867-3577 17287062 COLLIN MEDICAL ONCOLOGY CONNOR CHARLES K 4708 ALLIANCE BLVD 150 PLANO TX 75093 (972)596-7801 17287062 COLLIN INTERNAL MEDICINE CORBETT EDWARD R 3801 W 15TH ST 360 PLANO TX 75075 (972)758-4455 56416292 COLLIN OBSTETRICS & GYNECOLOGY DAVOLIO JULIE A 1600 COIT RD 202 PLANO TX 75075 (972)596-2470 1066389

2 COLLIN SURGERY DEVILLENEUVE SCOTT A 4510 MEDICAL CENTER DR 108 MCKINNEY TX 75069 (972)562-5999 22722972 COLLIN PEDIATRICS DUGOPOLSKI SUZANNE M 2720 VIRGINIA PKWY 200 MC KINNEY TX 75071 (972)569-9904 19747592 COLLIN OBSTETRICS & GYNECOLOGY DUNCAN GARY W 3801 W 15TH ST BLDG A 110 PLANO TX 75075 (972)867-8181 608032 COLLIN PEDIATRICS EASTMAN III GEORGE L 3700 W 15TH ST 130A PLANO TX 75075 (972)596-1111 54181

2 COLLINCARDIOVASCULAR/THORACIC SURGERY EDGERTON JAMES R 4708 ALLIANCE BLVD 700 PLANO TX 75093 (972)943-0442 720479

2 COLLIN CARDIOVASCULAR DISEASE EICHHORN ERIC J 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 20015622 COLLIN RADIATION ONCOLOGY ENGLEMAN MARK A 4708 ALLIANCE BLVD 150 PLANO TX 75093 (972)596-7801 22434452 COLLIN RADIATION ONCOLOGY ENGLEMAN MARK A 3705 W 15TH ST PLANO TX 75075 (972)867-3577 22434452 COLLIN PLASTIC SURGERY ENGLISH JAMES 6124 W PARKER RD 430 PLANO TX 75093 (214)368-8844 6467422 COLLIN FAMILY PRACTICE EPPICH KEITH R 5501 INDEPENDENCE PKWY 203 PLANO TX 75023 (972)596-9511 2020187

2 COLLIN INTERNAL MEDICINE FARIDI AMIR A 4461 COIT RD 100 FRISCO TX 75035 (972)987-1975 19479232 COLLIN INTERNAL MEDICINE FARIDI AMIR A 4510 MEDICAL CENTER DR 215 MCKINNEY TX 75069 (972)542-8609 19479232 COLLIN PODIATRIC SURGERY FEIGENBAUM MONA I 161 W SPRING CREEK PKWY 605 PLANO TX 75023 (972)517-9922 490242 COLLIN GYNECOLOGIC ONCOLOGY FINE BRUCE A 4708 ALLIANCE BLVD 150 PLANO TX 75093 (972)596-7801 16374662 COLLIN OBSTETRICS & GYNECOLOGY FINE BRUCE A 4708 ALLIANCE BLVD 150 PLANO TX 75093 (972)596-7801 1637466

2 COLLIN FAMILY PRACTICE FLAMING DANIEL T 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 20659472 COLLIN NEUROLOGY FLAVILL PAUL 1441 N REDBUD BLVD 231 MCKINNEY TX 75069 (972)562-6206 870232 COLLIN OBSTETRICS & GYNECOLOGY FLEMING BERRY A 6124 W PARKER RD 532 PLANO TX 75093 (972)981-8175 787292 COLLIN PULMONARY DISEASE GAMMON ROBERT B 1220 COIL RD 106 PLANO TX 75075 (972)680-0666 9213272 COLLIN RHEUMATOLOGY GANGASANI SUREKHA R 2414 W UNIVERSITY DR 112 MCKINNEY TX 75070 (972)547-9700 8908782 COLLIN RHEUMATOLOGY GANGASANI SUREKHA R 100 MEMORIAL MCKINNEY TX 75070 (972)547-9700 890878

2 COLLIN INTERNAL MEDICINE GARZA DAVID E 3801 W 15TH ST 360 PLANO TX 75075 (972)758-4455 9164142 COLLIN FAMILY PRACTICE GATES W B 6124 W PARKER RD 436 PLANO TX 75093 (972)378-5250 55173922 COLLIN FAMILY PRACTICE GEORGE JEFFREY A 4510 MEDICAL CENTER DR 104 MCKINNEY TX 75069 (972)548-1717 21383102 COLLIN INTERNAL MEDICINE GIBSON GARY M 1441 N REDBUD BLVD 211 MCKINNEY TX 75069 (972)542-3364 418972 COLLIN INTERNAL MEDICINE GIEP SON 6300 W PARKER RD 220 PLANO TX 75093 (818)753-7183 1895650

2 COLLIN INTERNAL MEDICINE GIEP SON 6300 W PARKER RD 220 PLANO TX 75093 (972)981-8215 18956502 COLLIN DERMATOLOGY GOLDEN MICHAEL P 4100 W 15TH ST 212 PLANO TX 75093 (972)596-4121 78731

Report Date: Jan07 1 of 64

Page 2: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 COLLIN CARDIOVASCULAR DISEASE GOPALAKRISHNAN DEEPIKA 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 21104832 COLLIN FAMILY PRACTICE GOTHARD SANDER J 4001 W 15TH ST 445 PLANO TX 75093 (972)599-9600 11717972 COLLIN RADIOLOGY GRAHAM GEORGE S 1800 N GRAVES ST MCKINNEY TX 75069 (972)540-4300 4032242 COLLIN EMERGENCY MEDICINE GREGORY LAINE GALE 101 E PARK BLVD 911 PLANO TX 75074 (972)881-8353 19767612 COLLIN OBSTETRICS & GYNECOLOGY HALDERMAN LORI D 4510 MEDICAL CENTER DR 202 MCKINNEY TX 75069 (972)542-8884 18624782 COLLIN FAMILY PRACTICE HAMILTON JOEY L 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 767202 COLLIN HAND SURGERY HARRIS SCOTT W 3801 W 15TH ST B150 PLANO TX 75075 (972)543-2477 6952292 COLLIN PLASTIC SURGERY HARRIS SCOTT W 3801 W 15TH ST B150 PLANO TX 75075 (972)543-2477 695229

2 COLLIN OBSTETRICS & GYNECOLOGY HARTLEY CINDY C 4001 W 15TH ST 245 PLANO TX 75093 (972)612-8829 18529452 COLLIN PODIATRIC SURGERY HASKELL LYLE D 1105 CENTRAL EXPY N 220 ALLEN TX 75013 (972)727-7060 404632 COLLIN PEDIATRICS HEBBUR MALINI 3801 W 15TH ST 120 PLANO TX 75075 (972)519-0545 54526352 COLLIN FAMILY PRACTICE HEDLUND MARK L 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 7278522 COLLIN FAMILY PRACTICE HISCHKE JEFFREY R 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 1737232

2 COLLIN PEDIATRICS HOANG THAI V 3550 PARKWOOD BLVD BLDG C 306 FRISCO TX 75034 (972)668-7110 21102892 COLLIN FAMILY PRACTICE HONAKER RICHARD A 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 698788

2 COLLIN PEDIATRICS HOOKER TAMMY S 2251 ELDORADO PKWY 100 MCKINNEY TX 75070 (972)542-1444 22457562 COLLIN ORTHOPEDIC SURGERY HOSTIN JR RICHARD A 4708 ALLIANCE BLVD 810 PLANO TX 75093 (972)985-2797 57119422 COLLIN OBSTETRICS & GYNECOLOGY HSU JUDITH W 3709 W 15TH ST 300 PLANO TX 75075 (972)867-6400 1864096

2 COLLIN OBSTETRICS & GYNECOLOGY JACKSON TANIA A 6300 W PARKER RD BLDG 2 325 PLANO TX 75093 (972)981-3535 8267342 COLLIN OBSTETRICS & GYNECOLOGY JAFFEE F N 5940 W PARKER RD 200 PLANO TX 75093 (972)781-0456 19372292 COLLIN INTERNAL MEDICINE JAN MUHAMMED A 1601 W UNIVERSITY DR C MCKINNEY TX 75069 (214)544-7555 1158065

2 COLLIN FAMILY PRACTICE JENKINS TAMMIE D 5509 PLEASANT VALLEY DR 20 PLANO TX 75023 (972)964-9600 9671772 COLLIN OBSTETRICS & GYNECOLOGY JIBRIL DEANAH A 6300 W PARKER RD 423 PLANO TX 75093 (972)981-4488 1941789

2 COLLINPHYSICAL MEDICINE & REHABILITATION JONES RICHARD R 2800 W 15TH ST PLANO TX 75075 (972)612-9105 648765

2 COLLIN HEMATOLOGY JONES MONTE F 4510 MEDICAL CENTER DR 215 MCKINNEY TX 75069 (972)542-8609 10794422 COLLIN HEMATOLOGY JONES MONTE F 3705 W 15TH ST PLANO TX 75075 (972)867-3577 1079442

2 COLLIN FAMILY PRACTICE JONES WANWISA Y 2105 W SPRING CREEK PKWY A300 PLANO TX 75023 (972)208-2900 55359482 COLLIN OBSTETRICS & GYNECOLOGY JOYNER SHEA M 1105 N CENTRAL EXPY 240 ALLEN TX 75013 (214)544-6600 2101042

2 COLLIN OBSTETRICS & GYNECOLOGY JOYNER SHEA M 7900 HENNEMAN WAY 100 MCKINNEY TX 75070 (214)544-6600 2101042

2 COLLIN GENERAL VASCULAR SURGERY KAKISH HUMAM B 6300 PARKER RD 420 PLANO TX 75093 (214)692-6135 1063299

2 COLLIN CARDIOVASCULAR DISEASE KHAN MUHAMMAD AKRA 4510 MEDICAL CENTER DR 300 MC KINNEY TX 75069 (972)529-6939 816778

2 COLLIN CARDIOVASCULAR DISEASE KHANMUHAMMAD AKRAM 4201 MEDICAL CENTER DR 380 MC KINNEY TX 75069 (972)529-6939 816778

2 COLLIN INTERNAL MEDICINE KHAN MAHMOOD R 3900 W 15TH ST 507 PLANO TX 75075 (972)596-2911 11733932 COLLIN INTERNAL MEDICINE KHAN MAHMOOD 3900 W 15TH ST 507 PLANO TX 75075 (972)596-2911 1640483

2 COLLIN INTERNAL MEDICINE KIDWAI ZARIN 3900 W 15TH ST 507 PLANO TX 75075 (972)596-2911 21815422 COLLIN INTERNAL MEDICINE KINRA AGNES K 3900 W 15TH ST 404 PLANO TX 75075 (972)596-1803 14169892 COLLIN FAMILY PRACTICE KIOUS JEANELLE O 5501 INDEPENDENCE PKWY 304 PLANO TX 75023 (972)312-0216 20356872 COLLIN HEMATOLOGY & ONCOLOGY KIRBY ROBERT L 4461 COIT RD 100 FRISCO TX 75035 (972)987-1975 575382 COLLIN HEMATOLOGY & ONCOLOGY KIRBY ROBERT L 3705 W 15TH ST PLANO TX 75075 (972)867-3577 575382 COLLIN HEMATOLOGY & ONCOLOGY KIRBY ROBERT L 4708 ALLIANCE BLVD 150 PLANO TX 75093 (972)596-7801 575382 COLLIN INTERNAL MEDICINE KOMENDA JEFFREY 5944 W PARKER RD 100 PLANO TX 75093 (972)608-1868 56328342 COLLIN MEDICAL ONCOLOGY KONDURI KARLIK 3705 W 15TH ST PLANO TX 75075 (972)867-3577 12258502 COLLIN MEDICAL ONCOLOGY KONDURI KARLIK 3705 W 15TH ST PLANO TX 75075 (972)867-3682 12258502 COLLIN OBSTETRICS & GYNECOLOGY KOSTER ERIN 6200 W PARKER RD 308 PLANO TX 75093 (972)519-5454 19220652 COLLIN OBSTETRICS & GYNECOLOGY KOSTER ERIN 3901 W 15TH ST 212 PLANO TX 75075 (972)519-5454 19220652 COLLIN FAMILY PRACTICE LESTER FOLASHADE F 1600 COIT RD 308 PLANO TX 75075 (972)985-8500 20931572 COLLIN OBSTETRICS & GYNECOLOGY LIACI JULIA A 1105 N CENTRAL EXPY 240 ALLEN TX 75013 (214)544-6600 2245832

2 COLLINPHYSICIAN ASSISTANT/NURSE PRACTITIONER LIOU BECKLES KASSIE M 1600 COIT RD 309 PLANO TX 75075 5627528

2 COLLIN COLON & RECTAL SURGERY MACALUSO JR ANTHONY 4001 W 15TH ST 280 PLANO TX 75093 (972)985-7988 12312922 COLLIN COLON & RECTAL SURGERY MACALUSO JR ANTHONY 6124 W PARKER RD 434 PLANO TX 75093 (972)981-8277 12312922 COLLIN INTERNAL MEDICINE MEDWEDEFF LISA E 6300 W PARKER RD 224 PLANO TX 75093 (972)608-3333 1942752

2 COLLIN PEDIATRICS MENCHACA VIRGINIA 3701 ELDORADO PKWY A MCKINNEY TX 75070 (972)548-7888 19840042 COLLIN INTERNAL MEDICINE MENG JAY J 400 MAPLELAWN CT 101 PLANO TX 75075 (972)398-3666 11974432 COLLIN PEDIATRICS MENG JAY J 400 MAPLELAWN CT 101 PLANO TX 75075 (972)398-3666 11974432 COLLIN ANESTHESIOLOGY MERRITT WESLEY J 1111 RAINTREE CIR 170 ALLEN TX 75013 (214)509-9691 57245332 COLLIN FAMILY PRACTICE MOON III JOHN 5509 PLEASANT VALLEY DR 800 PLANO TX 75023 (972)599-1800 2001547

2 COLLINCARDIOVASCULAR/THORACIC SURGERY MOORE DAVID O 4708 ALLIANCE BLVD 700 PLANO TX 75093 (972)943-0442 43400

Report Date: Jan07 2 of 64

Page 3: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 COLLIN UROLOGY MOOTHA RAVI K 1220 COIT RD 107 PLANO TX 75075 (972)596-6733 2277439

2 COLLIN INTERNAL MEDICINE MORALES PHILIP A 6601 PRESTON RD PLANO TX 75024 (469)326-3400 20669962 COLLIN PEDIATRICS MOULTON DANIEL J 1105 CENTRAL EXPY N 320 ALLEN TX 75013 (972)747-5437 11491022 COLLIN INTERNAL MEDICINE MULUPURI RAMA 1630 COIT RD 100 PLANO TX 75075 (972)867-9599 1874520

2 COLLIN PEDIATRICS NAIL RICHARD C 4401 COIT RD 203 FRISCO TX 75035 (214)456-2737 20244822 COLLIN PEDIATRICS NAIL RICHARD C 4401 COIT RD 203 FRISCO TX 75035 (972)231-2551 2024482

2 COLLIN CARDIOVASCULAR DISEASE NAIR RADHAKRISHNAN G 6601 PRESTON RD PLANO TX 75024 (469)326-3400 19116522 COLLIN RHEUMATOLOGY NANDEESHWAR PALLAVI 2414 W UNIVERSITY DR 112 MC KINNEY TX 75071 (972)547-9700 1997215

2 COLLIN PSYCHIATRY NGUYEN ANH Q 2800 W 15TH ST PLANO TX 75075 (972)612-9105 838914

2 COLLINPHYSICAL MEDICINE & REHABILITATION NGUYEN ANH Q 2800 W 15TH ST PLANO TX 75075 (972)612-9105 838914

2 COLLIN INTERNAL MEDICINE NGUYEN ADRIAN H 3900 W 15TH ST 205 PLANO TX 75075 (214)289-2016 1977955

2 COLLIN FAMILY PRACTICE NIEMI HELI M 2105 W SPRING CREEK PKWY A300 PLANO TX 75023 (972)208-2900 56907582 COLLIN OBSTETRICS & GYNECOLOGY OBEY SHAWANDA R 3900 W 15TH ST 503 PLANO TX 75075 (972)769-8050 22468352 COLLIN PEDIATRICS OKAMMOR IHUNNAYA C 3801 W 15TH ST BLDG D 120 PLANO TX 75075 (972)519-0545 5637874

2 COLLIN PEDIATRICS PIGA NAOMI C 3105 W 15TH STREET D PLANO TX 75075 (972)867-2869 56609432 COLLIN ORTHOPEDIC SURGERY PRUDICH JOHN F 1441 N REDBUD BLVD 121 MCKINNEY TX 75069 (972)548-7000 417412 COLLIN GASTROENTEROLOGY PUTCHA RAJESH V 4510 MEDICAL CENTER DR 318 MCKINNEY TX 75069 (972)562-4430 54459042 COLLIN PULMONARY DISEASE RAHMAN RASHID 4401 COIT RD 311 FRISCO TX 75035 (972)680-0666 22469902 COLLIN INTERNAL MEDICINE RAMESH VANI 6853 COIT RD 300 PLANO TX 75024 (972)943-0736 52196162 COLLIN PEDIATRICS RAMIREZ MIRANDA O 3608 PRESTON RD 125 PLANO TX 75093 (972)312-0440 1978019

2 COLLIN ORTHOPEDIC SURGERY RATLIFF HUGH W 1524 INDEPENDENCE PKWY M PLANO TX 75075 (972)867-5340 19844302 COLLIN OBSTETRICS & GYNECOLOGY REYES CESAR A 4510 MEDICAL CENTER DR 315 MC KINNEY TX 75069 (214)733-8001 55392252 COLLIN CARDIOVASCULAR DISEASE RIVERA JOSE 6601 PRESTON RD PLANO TX 75024 (469)326-3400 7380542 COLLIN OBSTETRICS & GYNECOLOGY ROBERT SARA A 7900 HENNEMAN WAY 100 MC KINNEY TX 75070 (214)544-6600 56564472 COLLIN HEMATOLOGY & ONCOLOGY ROQUE TAMMY E 4461 COIT RD 100 FRISCO TX 75035 (972)987-1975 575342 COLLIN HEMATOLOGY & ONCOLOGY ROQUE TAMMY E 4510 MEDICAL CENTER DR 215 MCKINNEY TX 75069 (972)542-8609 57534

2 COLLIN CARDIOVASCULAR DISEASE ROSENTHAL JR J EDWARD 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 442572 COLLIN INTERNAL MEDICINE ROSENTHAL JR J EDWARD 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 442572 COLLIN FAMILY PRACTICE SACKRISON GARY M 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 10341552 COLLIN CARDIOVASCULAR DISEASE SAMAAN SARAH A 6601 PRESTON RD PLANO TX 75024 (469)326-3400 875601

2 COLLIN HEMATOLOGY & ONCOLOGY SAVIN MICHAEL A 3705 W 15TH ST PLANO TX 75075 (972)867-3577 575242 COLLIN FAMILY PRACTICE SEGAL STEPHANIE L 6537 PRESTON RD PLANO TX 75024 (972)379-2096 57159312 COLLIN PEDIATRICS SEIBERT LORI S 4112 W 15TH ST 100 PLANO TX 75093 (972)985-0381 19270072 COLLIN PEDIATRICS SEIBERT LORI S 4112 W 15TH ST 100 PLANO TX 75093 (972)612-5346 19270072 COLLIN PEDIATRICS SEIBERT LORI S 4500 HILLCREST RD 140 FRISCO TX 75035 (972)985-0381 19270072 COLLIN PEDIATRICS SEIBERT LORI S 4500 HILLCREST RD 140 FRISCO TX 75035 (972)612-5346 19270072 COLLIN PEDIATRIC ENDOCRINOLOGY SHEA HEIDI C 1820 PRESTON PARK BLVD 1850 PLANO TX 75093 (214)363-5535 56422612 COLLIN ENDOCRINOLOGY SHEA HEIDI C 1820 PRESTON PARK BLVD 1850 PLANO TX 75093 (214)363-5535 56422612 COLLIN ORTHOPEDIC SURGERY SHELOKOV ALEXIS P 4708 ALLIANCE BLVD 810 PLANO TX 75093 (972)985-2797 5276762 COLLIN OBSTETRICS & GYNECOLOGY SHIMER ANDREW T 7900 HENNEMAN WAY 100 MCKINNEY TX 75070 (214)544-6600 11033702 COLLIN OBSTETRICS & GYNECOLOGY SHIMER ANDREW T 1105 N CENTRAL EXPY 240 ALLEN TX 75013 (214)544-6600 11033702 COLLIN SURGERY SIMMANG CLIFFORD L 4001 W 15TH ST 280 PLANO TX 75093 (214)648-3067 8898972 COLLIN OBSTETRICS & GYNECOLOGY STACY C COLIN C 1105 CENTRAL EXPY N 340 ALLEN TX 75013 (972)747-5101 237942 COLLIN PEDIATRICS STANTON WILLIAM A 3801 W 15TH ST D120 PLANO TX 75075 (972)519-0545 483312 COLLIN FAMILY PRACTICE STEWART JEFFREY G 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 6986392 COLLIN CARDIOVASCULAR DISEASE SULEMAN AMER 4510 MEDICAL CENTER DR 208 MC KINNEY TX 75069 (214)504-9942 10539942 COLLIN INTERNAL MEDICINE SUN MICHELLE V 3900 W 15TH ST 404 PLANO TX 75075 (972)596-1803 20921002 COLLIN PEDIATRICS SUTTON NICOLE M 3701 ELDORADO PKWY A MCKINNEY TX 75070 (972)548-7888 22465312 COLLIN INTERNAL MEDICINE SYED AZIZ 4510 MEDICAL CENTER DR 309 MC KINNEY TX 75069 (214)544-2828 9364582 COLLIN ORTHOPEDIC SURGERY TAYLOR ROGER Z 1212 COIT RD 105 PLANO TX 75075 (972)788-6160 54011

2 COLLIN FAMILY PRACTICE THOMPSON CHRISTINA H 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 10770812 COLLIN INTERNAL MEDICINE TOUCHSTONE JOY L 5575 WARREN PKWY 324 FRISCO TX 75034 (214)239-1053 2092646

2 COLLIN PEDIATRICS TOUCHSTONE JOY L 5575 WARREN PKWY 324 FRISCO TX 75034 (214)239-1053 20926462 COLLIN INTERNAL MEDICINE TRAN HA 3800 W 15TH 114 PLANO TX 75075 (214)239-1053 232102 COLLIN INTERNAL MEDICINE TRAN ANNA H 5575 WARREN PKWY 324 FRISCO TX 75034 (214)239-1053 20926582 COLLIN PEDIATRICS TRAN ANNA H 5575 WARREN PKWY 324 FRISCO TX 75034 (214)239-1053 20926582 COLLIN MEDICAL ONCOLOGY TRILLO GERADO H 4461 COIT RD 100 FRISCO TX 75035 (972)987-1975 816292 COLLIN FAMILY PRACTICE TURNER CARRIE A 6300 W PARKER RD G 20 PLANO TX 75093 (972)981-8181 56851972 COLLIN FAMILY PRACTICE TURNER CARRIE A 6300 W PARKER RD G20 PLANO TX 75093 (972)981-8181 5685197

2 COLLIN CARDIOVASCULAR DISEASE UNDERWOOD RONALD H 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 476142 COLLIN INTERNAL MEDICINE UNDERWOOD RONALD H 4708 ALLIANCE BLVD 710 PLANO TX 75093 (972)312-9255 47614

Report Date: Jan07 3 of 64

Page 4: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 COLLIN SPORTS MEDICINE WARREN BETH 6124 W PARKER RD 436 PLANO TX 75093 (972)378-5250 56907572 COLLIN FAMILY PRACTICE WARREN BETH 6124 W PARKER RD 436 PLANO TX 75093 (972)378-5250 56907572 COLLIN FAMILY PRACTICE WEYENBERG MATTHEW G 4001 W 15TH ST 445 PLANO TX 75093 (972)599-9600 22386902 COLLIN SURGERY WHITE GARY W 4708 ALLIANCE BLVD 240 PLANO TX 75093 (972)665-4700 540122 COLLIN INTERNAL MEDICINE WHITE LILLIAN R 18800 PRESTON RD 314 DALLAS TX 75252 (972)312-9292 1957082

2 COLLIN OBSTETRICS & GYNECOLOGY WHITE JACKSON TANIA A 6300 W PARKER RD 325 PLANO TX 75093 (972)312-0399 51164482 COLLIN UROLOGY WIERSCHEM MICHAEL G 5575 WARREN PKWY 116 FRISCO TX 75034 (214)618-4124 11976242 COLLIN UROLOGY WIERSCHEM MICHAEL G 1600 COIT RD 304 PLANO TX 75075 (972)612-8037 11976242 COLLIN PODIATRIC SURGERY WISDOM JILL C 8080 HIGHWAY 121 200 MCKINNEY TX 75070 (972)712-4161 19770522 COLLIN PODIATRIC SURGERY WISDOM JILL C 4001 W 15TH ST 260 PLANO TX 75093 (972)769-7280 19770522 COLLIN PATHOLOGY YANG ELLEN 1720 CLIFFVIEW DR PLANO TX 75093 (903)572-4921 19222612 COLLIN PEDIATRICS YOUNG ROBERT C 4012 W PARK BLVD PLANO TX 75093 (972)943-5936 603522 COLLIN INTERNAL MEDICINE ZAVODNY CATHERYNE M 3900 W 15TH ST 404 PLANO TX 75075 (972)596-1803 19782752 COLLIN FAMILY PRACTICE ZODROW JAMES M 3900 AMERICAN DR 203 PLANO TX 75075 (972)398-0734 999872 DALLAS MEDICAL ONCOLOGY AGARWAL ASHWANI K 3555 W WHEATLAND RD DALLAS TX 75237 (972)709-2580 11223012 DALLAS MEDICAL ONCOLOGY AGARWAL ASHWANI K 221 W COLORADO BLVD DALLAS TX 75208 (214)943-9911 1122301

2 DALLAS FAMILY PRACTICE ALEXANDER STUART K 916 WYNNEWOOD VILLAGE SHP CTR DALLAS TX 75224 (214)941-7611 1640580

2 DALLAS HEMATOLOGY AMARE MAMMO221 W COLORADO BLVD. - PAVILLION 11535 DALLAS TX 75208 (214)943-9911 93943

2 DALLAS HEMATOLOGY AMARE MAMMO 3555 W WHEATLAND RD DALLAS TX 75237 (972)709-2580 93943

2 DALLAS MEDICAL ONCOLOGY AMARE MAMMO 3555 W WHEATLAND RD DALLAS TX 75237 (972)709-2580 93943

2 DALLAS MEDICAL ONCOLOGY AMARE MAMMO221 W COLORADO BLVD. - PAVILLION 11535 DALLAS TX 75208 (214)943-9911 93943

2 DALLAS FAMILY PRACTICE ARUMUGHAM PALANIAPPAN 1600 N PLANO RD RICHARDSON TX 75081 (972)669-1454 616632 DALLAS ANESTHESIOLOGY AYMOND ALLEN H 9 MEDICAL PARKWAY 103 DALLAS TX 75234 (972)488-8926 6445552 DALLAS ANESTHESIOLOGY AYMOND ALLEN H 13742 MEANDERING WAY DALLAS TX 75240 (972)488-8926 6445552 DALLAS INTERNAL MEDICINE AZAD NELOFER H 12201 MERIT DR 440 DALLAS TX 75251 (972)490-6556 18818502 DALLAS INTERNAL MEDICINE BANNISTER DENISE C 403 W CAMPBELL RD 410 RICHARDSON TX 75080 (972)498-8670 10678992 DALLAS RADIATION ONCOLOGY BARKER SR JERRY L 8200 WALNUT HILL LN DALLAS TX 75231 (214)345-7394 6987462 DALLAS MEDICAL ONCOLOGY BARVE MINAL A 8220 WALNUT HILL LN 700 DALLAS TX 75231 (214)739-4175 2121451

2 DALLAS MEDICAL ONCOLOGY BARVE MINAL A 8220 WALNUT HILL LN 700 DALLAS TX 75231 (817)759-7000 21214512 DALLAS MEDICAL ONCOLOGY BECERRA CARLOS H 3535 WORTH ST DALLAS TX 75246 (214)370-1000 18540232 DALLAS HEMATOLOGY & ONCOLOGY BECERRA CARLOS H 3535 WORTH ST DALLAS TX 75246 (214)370-1000 1854023

2 DALLASORAL AND MAXILLOFACIAL SURGERY BELL WILLIAM H 3302 GASTON AVE DALLAS TX 75246 (972)596-8767 694028

2 DALLAS INTERNAL MEDICINE BELL RICHARD C 399 W CAMPBELL RD 106 RICHARDSON TX 75080 (972)498-7681 8101642 DALLAS FAMILY PRACTICE BENJAMIN JUNITHA J 2704 N GALLOWAY AVE 104 MESQUITE TX 75150 (972)613-1000 22203702 DALLAS FAMILY PRACTICE BERLANDO RICHARD A 2540 N GALLOWAY AVE 203 MESQUITE TX 75150 (972)682-0700 51457

2 DALLAS MEDICAL ONCOLOGY BERRYMAN ROBERT B 3535 WORTH ST DALLAS TX 75246 (214)370-1520 17579952 DALLAS HEMATOLOGY BERRYMAN ROBERT B 3535 WORTH ST DALLAS TX 75246 (214)370-1520 1757995

2 DALLAS MEDICAL ONCOLOGY BHUSHAN VIKAS 7777 FOREST LANE BLDG D 400 DALLAS TX 75230 (972)566-7790 20838912 DALLAS MEDICAL ONCOLOGY BLUM JOANNE L 3535 WORTH ST DALLAS TX 75246 (214)820-8672 816172 DALLAS HEMATOLOGY BLUM JOANNE L 3535 WORTH ST DALLAS TX 75246 (214)820-8672 81617

2 DALLASPHYSICIAN ASSISTANT/NURSE PRACTITIONER BOLDUC SAMANTHA N 8230 WALNUT HILL LN 208 DALLAS TX 75231 (214)692-6135 2238328

2 DALLAS OBSTETRICS & GYNECOLOGY BOOKOUT DAVID M 8160 WALNUT HILL LN LL006 DALLAS TX 75231 (214)345-7575 1016832 DALLAS HEMATOLOGY & ONCOLOGY BOSWANK STEPHEN E 4700 N GALLOWAY AVE MESQUITE TX 75150 (972)686-6411 6494602 DALLAS FAMILY PRACTICE BRATSCH MICHAEL J 9323 GARLAND RD 301 DALLAS TX 75218 (214)328-3566 56760872 DALLAS CARDIOVASCULAR DISEASE BRONSON TED P 6750 N MACARTHUR BLVD 201 IRVING TX 75039 (972)550-9195 424422 DALLAS CARDIOVASCULAR DISEASE BRONSON TED P 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)550-9195 424422 DALLAS CARDIOVASCULAR DISEASE BRONSON TED P 6750 N MACARTHUR BLVD 201 IRVING TX 75039 (972)751-1803 424422 DALLAS CARDIOVASCULAR DISEASE BRONSON TED P 6750 N MACARTHUR BLVD 201 IRVING TX 75039 (972)607-2525 424422 DALLAS HEMATOLOGY & ONCOLOGY BROOKS BARRY D 7777 FOREST LN DALLAS TX 75230 (972)566-7790 575362 DALLAS HEMATOLOGY & ONCOLOGY BROOKS BARRY D 7777 FOREST LN DALLAS TX 75230 (972)490-9474 575362 DALLAS HEMATOLOGY & ONCOLOGY BROOKS BARRY D 7777 FOREST LN DALLAS TX 75230 (972)997-8000 575362 DALLAS CARDIOVASCULAR DISEASE BROWN DAVID L 7777 FOREST LN A202 DALLAS TX 75230 401702 DALLAS INTERNAL MEDICINE BROWN DAVID L 7777 FOREST LN A202 DALLAS TX 75230 401702 DALLAS COLON & RECTAL SURGERY BURLESON JR DALE D 7777 FOREST LN A321 DALLAS TX 75230 (972)985-7988 928936

2 DALLAS OBSTETRICS & GYNECOLOGY CARMICHAEL KRISTIN C 6750 N MACARTHUR BLVD 305 IRVING TX 75039 (972)247-8757 56237362 DALLAS OBSTETRICS & GYNECOLOGY CARMICHAEL KRISTIN C 580 S DENTON TAP RD 220 COPPELL TX 75019 (972)393-9822 56237362 DALLAS OBSTETRICS & GYNECOLOGY CARMICHAEL KRISTEN R 6750 N MACARTHUR BLVD 305 IRVING TX 75039 (972)393-9822 5623736

2 DALLAS OBSTETRICS & GYNECOLOGY CARMICHAEL KRISTEN R 580 S DENTON TAP RD 220 COPPELL TX 75019 (972)393-9822 56237362 DALLAS OBSTETRICS & GYNECOLOGY CARMICHAEL KRISTEN R 6750 N MACARTHUR BLVD 305 IRVING TX 75039 (972)247-8757 5623736

Report Date: Jan07 4 of 64

Page 5: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 DALLAS SURGERY CARRASCO JEREMY 399 W CAMPBELL RD 200 RICHARDSON TX 75080 (972)644-2797 5713805

2 DALLAS RADIATION ONCOLOGY CARUSO MICHELA 2001 N MACARTHUR BLVD 120 IRVING TX 75061 (972)579-4300 10651342 DALLAS RADIATION ONCOLOGY CARUSO MICHELA 7777 FOREST LANE BLDG D 110 DALLAS TX 75230 (972)566-7031 10651342 DALLAS ANESTHESIOLOGY CERDAY EDDIE L 7777 FOREST LANE BLDG 425 DALLAS TX 75303 (866)925-7246 57145492 DALLAS ANESTHESIOLOGY CERDAY EDDIE L 2304 BARDON RD 100 GRAND PRAIRIE TX 75052 (866)925-7246 57145492 DALLAS RADIATION ONCOLOGY CHEEK BRENNEN S 3535 WORTH ST DALLAS TX 75246 (214)370-1400 2179671

2 DALLAS HEMATOLOGY & ONCOLOGY CHITTOOR SREENI R 1151 N BUCKNER BLVD 1 DALLAS TX 75218 (214)327-8524 8167672 DALLAS HEMATOLOGY & ONCOLOGY CHITTOOR SREENI R 4700 N GALLOWAY AVE MESQUITE TX 75150 (972)686-6411 8167672 DALLAS SURGERY CIONE DEAN A 399 W CAMPBELL RD 200 RICHARDSON TX 75080 (972)644-2797 10481242 DALLAS PEDIATRICS COOK JEANNINE R 12200 PARK CENTRAL DR 405 DALLAS TX 75251 (972)341-9696 56825872 DALLAS HEMATOLOGY & ONCOLOGY COOPER BARRY 3535 WORTH ST DALLAS TX 75246 (214)820-8672 57544

2 DALLAS OPHTHALMOLOGY COTNER JERRY B 770 N COIT RD 2486 RICHARDSON TX 75080 (972)690-1922 6428962 DALLAS MEDICAL ONCOLOGY COURTRIGHT JAY G 7777 FOREST LN DALLAS TX 75230 (972)566-7790 18817422 DALLAS HEMATOLOGY & ONCOLOGY COX JOHN V 221 W COLORADO BLVD DALLAS TX 75208 (214)943-9911 575172 DALLAS HEMATOLOGY & ONCOLOGY COX JOHN V 3555 W WHEATLAND RD DALLAS TX 75237 (972)709-2580 57517

2 DALLAS PEDIATRICS CROW STEVEN D 1112 N FLOYD RD 7 RICHARDSON TX 75080 (972)231-2551 466462 DALLAS PEDIATRICS CROW STEVEN D 1112 N FLOYD RD 7 RICHARDSON TX 75080 (972)952-0280 466462 DALLAS NEUROLOGY CRUZ ERWIN A 12900 PRESTON RD 305 DALLAS TX 75230 (972)503-2780 6448842 DALLAS PAIN MANAGEMENT CRUZ ERWIN A 12800 PRESTON RD 100 DALLAS TX 75230 (972)458-6888 6448842 DALLAS NEUROLOGY CRUZ ERWIN A 12800 PRESTON RD 100 DALLAS TX 75230 (972)458-6888 644884

2 DALLAS PAIN MANAGEMENT CRUZ ERWIN A 12900 PRESTON RD 305 DALLAS TX 75230 (972)503-2780 6448842 DALLAS FAMILY PRACTICE CUMP NORMA G 1302 LANE ST 2010 IRVING TX 75061 (972)254-0660 14165402 DALLAS INTERNAL MEDICINE CUNNINGHAM CHARLES C 3535 WORTH ST 302 DALLAS TX 75246 (214)820-8799 16412402 DALLAS INTERNAL MEDICINE CUNNINGHAM CHARLES C 3535 WORTH ST 302 DALLAS TX 75246 (214)370-1822 1641240

2 DALLAS HEMATOLOGY & ONCOLOGY DENHAM CLAUDE A 3535 WORTH ST DALLAS TX 75246 (214)820-8672 57531

2 DALLAS HEMATOLOGY & ONCOLOGY DENHAM CLAUDE A1151 N BUCKNER BLVD.-DR PROF. BLG 1 408 DALLAS TX 75218 (214)327-8524 57531

2 DALLASCARDIOVASCULAR/THORACIC SURGERY DEWEY TODD M 7777 FOREST LN BLDG A DALLAS TX 75230 (972)566-4866 1232319

2 DALLAS CARDIOVASCULAR DISEASE DEWEY TODD M 7777 FOREST LN BLDG A DALLAS TX 75230 (972)566-4866 1232319

2 DALLAS FAMILY PRACTICE DIAZ THOMAS E 3501 N MACARTHUR BLVD 410 IRVING TX 75062 (972)259-8030 8062542 DALLAS GYNECOLOGY (NO OB) DOHERTY MARK G 3535 WORTH ST DALLAS TX 75246 (214)370-1301 509572

2 DALLAS MEDICAL ONCOLOGY EDELMAN GERALD 1110 COTTONWOOD LN 200 IRVING TX 75061 (972)579-4300 939402 DALLAS MEDICAL ONCOLOGY EDELMAN GERALD 2001 N MACARTHUR BLVD 630 IRVING TX 75061 (972)256-3537 93940

2 DALLAS CARDIOVASCULAR DISEASE EICHHORN ERIC J 7777 FOREST LN A-202 DALLAS TX 75230 20015622 DALLAS INTERNAL MEDICINE ELLIOTT FRANK E 7777 FOREST LN B211 DALLAS TX 75230 (972)566-7505 56880202 DALLAS RADIATION ONCOLOGY ENGLEMAN MARK A 2001 N MACARTHUR BLVD 120 IRVING TX 75061 (972)579-4300 2243445

2 DALLAS PLASTIC SURGERY ENGLISH JAMES 6901 SNIDER PLZ 140 DALLAS TX 75205 (214)368-8844 6467422 DALLAS INTERNAL MEDICINE EVERETT CHARLES R 2201 FOREST LN GARLAND TX 75042 (972)276-6822 55423262 DALLAS FAMILY PRACTICE FEATHERSTON WILLIAM E 17110 DALLAS PKWY 125 DALLAS TX 75248 (972)267-4776 703788

2 DALLAS RADIOLOGY FENYES DAVID A 12700 PARK CENTRAL DR 430 DALLAS TX 75251 (972)239-8902 21583332 DALLAS GYNECOLOGIC ONCOLOGY FINE BRUCE A 7777 FOREST LANE BLDG D 400 DALLAS TX 75230 (972)566-7790 16374662 DALLAS OBSTETRICS & GYNECOLOGY FINE BRUCE A 7777 FOREST LANE BLDG D 400 DALLAS TX 75230 (972)566-7790 1637466

2 DALLASPHYSICIAN ASSISTANT/NURSE PRACTITIONER FINK MARGARET O 7777 FOREST LN A323 DALLAS TX 75230 (972)566-4866 5607735

2 DALLAS GENERAL VASCULAR SURGERY FOSDICK DAVID A 8230 WALNUT HILL LN BLDG 3 208 DALLAS TX 75231 (214)692-6135 67450

2 DALLASCARDIOVASCULAR/THORACIC SURGERY FOSDICK DAVID A 8230 WALNUT HILL LN BLDG 3 208 DALLAS TX 75231 (214)692-6135 67450

2 DALLASCARDIOVASCULAR/THORACIC SURGERY FRITZ RODNEY R 1302 LANE ST 400 IRVING TX 75061 (972)259-4781 52108

2 DALLAS RADIATION ONCOLOGY FULLER DALE E 5909 HARRY HINES BLVD DALLAS TX 75235 (214)879-2696 482222 DALLAS RADIATION ONCOLOGY FULLER DALE E 12221 MERIT DR 500 DALLAS TX 75251 (972)490-2900 48222

2 DALLAS RADIATION ONCOLOGY FULLER DALE E 5420 L B JOHNSON FWY 800 DALLAS TX 75240 (972)392-8700 482222 DALLAS PULMONARY DISEASE GAMMON ROBERT B 375 MUNICIPAL DR 218 RICHARDSON TX 75080 (972)680-0666 921327

2 DALLAS PEDIATRICS GANESAN USHA V 4225 WINGREN DR 105 IRVING TX 75062 (972)541-1800 55140672 DALLAS INTERNAL MEDICINE GARCIA RAMON D 2046 FOREST LN 130 GARLAND TX 75042 (972)494-4494 10310752 DALLAS RADIATION ONCOLOGY GILLETTE ARVE W 3555 W WHEATLAND RD DALLAS TX 75237 (972)709-2580 2212798

2 DALLASPEDIATRIC HEMATOLOGY & ONCOLOGY GOLDMAN STANTON C 7777 FOREST LN D 400 DALLAS TX 75230 (972)566-6647 974980

2 DALLAS CARDIOVASCULAR DISEASE GOPALAKRISHNAN DEEPIKA 7777 FOREST LN A202 DALLAS TX 75230 (972)566-7733 2110483

2 DALLASCARDIOVASCULAR/THORACIC SURGERY GOSDIN GARY R 1302 LANE ST 400 IRVING TX 75061 (972)259-4781 60343

2 DALLAS FAMILY PRACTICE GRANDJEAN RICHARD L 9323 GARLAND RD 207 DALLAS TX 75218 (214)327-6345 47932

Report Date: Jan07 5 of 64

Page 6: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 DALLAS FAMILY PRACTICE GRANDJEAN RICHARD L 9323 GARLAND RD 207 DALLAS TX 75218 (214)327-3333 47932

2 DALLAS CARDIOVASCULAR DISEASE GRAY WILLIAM TODD 1320 GREENWAY DR 200 IRVING TX 75038 (972)550-9195 56892062 DALLAS MEDICAL ONCOLOGY GUPTA MANISH 777 WALTER REED BLVD 201 GARLAND TX 75042 (972)276-1210 20136972 DALLAS MEDICAL ONCOLOGY GUPTA MANISH 777 WALTER REED BLVD 201 GARLAND TX 75042 (972)272-3417 20136972 DALLAS HEMATOLOGY GUPTA MANISH 777 WALTER REED BLVD 201 GARLAND TX 75042 (972)276-1210 20136972 DALLAS HEMATOLOGY GUPTA MANISH 777 WALTER REED BLVD 201 GARLAND TX 75042 (972)272-3417 20136972 DALLAS RADIOLOGY HANAHAN LAURA J 12700 PARK CENTRAL DR 430 DALLAS TX 75251 (972)239-8902 5135882 DALLAS PEDIATRICS HANAHAN LAURA J 12700 PARK CENTRAL DR 430 DALLAS TX 75251 (972)239-8902 5135882 DALLAS ORTHOPEDIC SURGERY HANSSEN CHRISTOPHER J 330 MUNICIPAL DR 102 RICHARDSON TX 75080 (214)276-0314 2230566

2 DALLAS MEDICAL ONCOLOGY HARTH CHERYL A 3555 W WHEATLAND RD DALLAS TX 75237 (972)709-2580 6229112 DALLAS MEDICAL ONCOLOGY HARTH CHERYL A 221 W COLORADO BLVD DALLAS TX 75208 (214)941-4031 6229112 DALLAS HEMATOLOGY & ONCOLOGY HELMS SHERRON R 7515 GREENVILLE AVE 200 DALLAS TX 75231 (972)759-5140 575212 DALLAS HEMATOLOGY & ONCOLOGY HELMS SHERRON R 8220 WALNUT HILL LN 700 DALLAS TX 75231 (214)739-4175 575212 DALLAS FAMILY PRACTICE HINSHAW WALTER D 2201 FOREST LN GARLAND TX 75042 (972)276-6822 5144902 DALLAS HEMATOLOGY HOLMES HOUSTON E 3535 WORTH ST DALLAS TX 75246 (214)820-8672 971144

2 DALLAS MEDICAL ONCOLOGY HOLMES HOUSTON E 3535 WORTH ST DALLAS TX 75246 (214)820-8672 9711442 DALLAS INTERNAL MEDICINE HUTSON THOMAS E 3535 WORTH ST DALLAS TX 75246 (214)370-1019 21796662 DALLAS INTERNAL MEDICINE HUTSON THOMAS E 3535 WORTH ST DALLAS TX 75246 (214)370-1000 21796662 DALLAS MEDICAL ONCOLOGY JAIN VINAY K 4700 N GALLOWAY AVE MESQUITE TX 75150 (972)686-6411 816202 DALLAS MEDICAL ONCOLOGY JAIN VINAY K 3535 WORTH ST DALLAS TX 75246 (214)820-8672 81620

2 DALLAS MEDICAL ONCOLOGY JAIN VINAY K 3535 WORTH ST DALLAS TX 75246 (214)820-8667 816202 DALLAS RHEUMATOLOGY JENKINS ROBERT N 5939 HARRY HINES BLVD 400 DALLAS TX 75235 (214)540-0700 51324472 DALLAS HEMATOLOGY & ONCOLOGY JONES STEPHEN E 3535 WORTH ST DALLAS TX 75246 (214)820-8672 57532

2 DALLAS OBSTETRICS & GYNECOLOGY JORDAN L DARREL 7777 FOREST LN BLDG C 514 DALLAS TX 75230 (972)566-8484 1137422

2 DALLAS GENERAL VASCULAR SURGERY KAKISH HUMAM B 8230 WALNUT HILL LANE BLDG 3 208 DALLAS TX 75231 (214)692-6135 1063299

2 DALLAS CARDIOVASCULAR DISEASE KHANMUHAMMAD AKRAM 4801 S BUCKNER BLVD 400 DALLAS TX 75227 (972)596-9206 816778

2 DALLAS SPORTS MEDICINE KHUBCHANDANI ZUBIN G 878 S DENTON TAP RD 250 COPPELL TX 75019 (972)471-0500 20058782 DALLAS HEMATOLOGY & ONCOLOGY KIRBY ROBERT L 8230 WALNUT HILL LN 320 DALLAS TX 75231 (214)739-4175 57538

2 DALLAS MEDICAL ONCOLOGY KIRKPATRICK HASKELL M 8220 WALNUT HILL LN 700 DALLAS TX 75231 (214)739-4175 56609632 DALLAS CARDIOVASCULAR DISEASE KIZILBASH ALI M 1100 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2525 22360722 DALLAS FAMILY PRACTICE KLIMA EVA 722 S DENTON TAP RD 240 COPPELL TX 75019 (972)393-4700 754496

2 DALLAS FAMILY PRACTICE KLIMA EVA 722 S DENTON TAP RD 240 COPPELL TX 75019 (972)393-4700 7544962 DALLAS MEDICAL ONCOLOGY KONDURI KARLIK 3535 WORTH ST DALLAS TX 75246 (214)370-1019 12258502 DALLAS MEDICAL ONCOLOGY KONDURI KARLIK 3535 WORTH ST DALLAS TX 75246 (214)370-1000 1225850

2 DALLAS INTERNAL MEDICINE KOTTAPALLI MAHESH B 2500 W PLEASANT RUN RD 100 LANCASTER TX 75146 (972)501-6598 56574162 DALLAS FAMILY PRACTICE KRAMER MICHAEL S 1 MEDICAL PKWY 252 DALLAS TX 75234 (972)484-4844 7395712 DALLAS INTERNAL MEDICINE KROMELIS FRANK J 12201 MERIT DR 440 DALLAS TX 75251 (972)490-6556 19852712 DALLAS INTERNAL MEDICINE KUMMER ELIZABETH A 9323 GARLAND RD 203 DALLAS TX 75218 (972)613-6831 335562 DALLAS UROLOGY LAZARUS STEPHEN M 2540 N GALLOWAY AVE 103 MESQUITE TX 75150 (972)551-9500 1034092 DALLAS UROLOGY LAZARUS STEPHEN M 2540 N GALLOWAY AVE 103 MESQUITE TX 75150 (972)270-8859 1034092 DALLAS INTERNAL MEDICINE LEMONS HOLLY S 3801 GASTON AVE 200 DALLAS TX 75246 (214)821-8055 5621849

2 DALLASPEDIATRIC HEMATOLOGY & ONCOLOGY LENARSKY CARL 7777 FOREST LN BLDG D 400 DALLAS TX 75230 (972)788-3897 9555

2 DALLAS OBSTETRICS & GYNECOLOGY LIACI JULIA A 8210 WALNUT HILL LN 700 DALLAS TX 75231 (212)271-4600 22458322 DALLAS ANESTHESIOLOGY LO JOSEPH J 5507 WILLOW WOOD LN DALLAS TX 75252 (903)877-7217 644992

2 DALLASCARDIOVASCULAR/THORACIC SURGERY MACK MICHAEL J 7777 FOREST LN A323 DALLAS TX 75230 (972)661-4866 52100

2 DALLASCARDIOVASCULAR/THORACIC SURGERY MAGEE MITCHELL J 7777 FOREST LANE BLDG A 323 DALLAS TX 75230 (972)566-4866 1232320

2 DALLAS MEDICAL ONCOLOGY MARSHALL JANICE J 4700 N GALLOWAY MESQUITE TX 75150 (972)686-6411 51260322 DALLAS HEMATOLOGY MARSHALL JANICE J 4700 N GALLOWAY MESQUITE TX 75150 (972)686-6411 51260322 DALLAS MEDICAL ONCOLOGY MARSHALL JANICE J 8220 WALNUT HILL LN 700 DALLAS TX 75231 (713)655-1090 5126032

2 DALLAS HEMATOLOGY MARSHALL JANICE J 8220 WALNUT HILL LN 700 DALLAS TX 75231 (713)655-1090 51260322 DALLAS NEUROLOGICAL SURGERY MATWIJECKY CORNELIUS 3505 STANFORD AVE DALLAS TX 75225 (214)505-2339 5199622 DALLAS HEMATOLOGY & ONCOLOGY MC COLLUM ANDREW D 3535 WORTH ST DALLAS TX 75246 (214)370-1000 20130832 DALLAS MEDICAL ONCOLOGY MCGILL KIRKPATRICK III HASKELL 8220 WALNUT HILL LN 700 DALLAS TX 75231 (214)739-4175 5646263

2 DALLAS MEDICAL ONCOLOGY MCGILL KIRKPATRICK III HASKELL 8220 WALNUT HILL LN 700 DALLAS TX 75231 (214)265-2060 5646263

2 DALLAS HEMATOLOGY & ONCOLOGY MCINTYRE KRISTI J 7515 GREENVILLE AVE 200 DALLAS TX 75231 (972)759-5140 575202 DALLAS HEMATOLOGY & ONCOLOGY MCINTYRE KRISTI J 8220 WALNUT HILL LN 700 DALLAS TX 75231 (214)739-4175 57520

2 DALLAS OPHTHALMOLOGY MELTZER DAVID W 8210 WALNUT HILL LN 109 DALLAS TX 75231 (214)368-2020 580022 DALLAS HEMATOLOGY & ONCOLOGY MENNEL ROBERT G 3535 WORTH ST DALLAS TX 75246 (214)370-1000 57547

Report Date: Jan07 6 of 64

Page 7: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 DALLAS HEMATOLOGY & ONCOLOGY MENNEL ROBERT G 3535 WORTH ST DALLAS TX 75246 (214)820-8672 57547

2 DALLAS FAMILY PRACTICE MOHABIR AMANDA 7777 FOREST LN A222 DALLAS TX 75230 (972)566-7973 56218472 DALLAS HEMATOLOGY MOLINA III ARTHUR J 3535 WORTH ST DALLAS TX 75246 (214)370-1000 18554072 DALLAS MEDICAL ONCOLOGY MOLINA III ARTHUR J 3535 WORTH ST DALLAS TX 75246 (214)370-1000 1855407

2 DALLASCARDIOVASCULAR/THORACIC SURGERY MOORE DAVID O 7777 FOREST LN A323 DALLAS TX 75230 (972)566-4866 43400

2 DALLAS FAMILY PRACTICE MORGAN JOHN R 6331 PROSPECT AVE DALLAS TX 75214 (214)821-9161 47967

2 DALLAS PEDIATRICS MUCHER THEODORA D 1112 N FLOYD RD 7 RICHARDSON TX 75080 (972)952-0280 2266606

2 DALLASPEDIATRIC HEMATOLOGY & ONCOLOGY MUNOZ LOUIS L 5909 HARRY HINES BLVD DALLAS TX 75235 (214)879-2696 81624

2 DALLAS RADIATION ONCOLOGY MUNOZ LOUIS L 7777 FOREST LN D 110 DALLAS TX 75230 (975)566-7031 816242 DALLAS RADIATION ONCOLOGY MUNOZ LOUIS L 5909 HARRY HINES BLVD DALLAS TX 75235 (214)879-2696 81624

2 DALLASPEDIATRIC HEMATOLOGY & ONCOLOGY MUNOZ LOUIS L 7777 FOREST LN D 110 DALLAS TX 75230 (975)566-7031 81624

2 DALLAS MEDICAL ONCOLOGY NADLER ERIC S 3535 WORTH ST DALLAS TX 75246 (214)370-1019 5655675

2 DALLAS MEDICAL ONCOLOGY NADLER ERIC S 3535 WORTH ST DALLAS TX 75246 (214)370-1000 56556752 DALLAS INTERNAL MEDICINE NEMUNAITIS JOHN J 3535 WORTH ST 302 DALLAS TX 75246 (214)820-8799 939342 DALLAS INTERNAL MEDICINE NEMUNAITIS MICHAEL C 3535 WORTH ST 302 DALLAS TX 75246 (214)370-1870 5660158

2 DALLAS SURGERY NICHOLSON NICK 700 WALTER REED BLVD 301 GARLAND TX 75042 (972)494-3100 19479222 DALLAS OBSTETRICS & GYNECOLOGY NORTON CAROL B 399 W CAMPBELL RD 410 RICHARDSON TX 75080 (972)238-7799 17282222 DALLAS MEDICAL ONCOLOGY OLIVARES JAIRO R 777 WALTER REED BLVD 201 GARLAND TX 75042 (972)272-3417 8752942 DALLAS HEMATOLOGY OLIVARES JAIRO R 777 WALTER REED BLVD 201 GARLAND TX 75042 (972)272-3417 875294

2 DALLASPHYSICIAN ASSISTANT/NURSE PRACTITIONER OLSON DONNA 1302 LANE ST 400 IRVING TX 75061 (972)259-4781 2193016

2 DALLAS HEMATOLOGY & ONCOLOGY ORR DOUGLAS W 3535 WORTH ST DALLAS TX 75246 (214)820-8672 575482 DALLAS HEMATOLOGY & ONCOLOGY OSBORNE CYNTHIA R 3535 WORTH ST DALLAS TX 75346 (214)370-1000 20257632 DALLAS MEDICAL ONCOLOGY OSHAUGHNESSY JOYCE A 3535 WORTH ST DALLAS TX 75246 (214)820-8672 9753022 DALLAS INTERNAL MEDICINE OVERBECK J DOUGLAS 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2525 42113

2 DALLAS CARDIOVASCULAR DISEASE OVERBECK J DOUGLAS 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2530 421132 DALLAS INTERNAL MEDICINE OVERBECK J DOUGLAS 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2530 421132 DALLAS CARDIOVASCULAR DISEASE OVERBECK J DOUGLAS 6750 N MACARTHUR BLVD 201 IRVING TX 75039 (972)831-9919 421132 DALLAS CARDIOVASCULAR DISEASE OVERBECK J DOUGLAS 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2525 421132 DALLAS INTERNAL MEDICINE OVERBECK J DOUGLAS 6750 N MACARTHUR BLVD 201 IRVING TX 75039 (972)831-9919 421132 DALLAS FAMILY PRACTICE OWENS BESSIE L 1645 N TOWN EAST BLVD 132 MESQUITE TX 75150 (972)613-7700 1951507

2 DALLAS INTERNAL MEDICINE PATTERSON JENNIFER G 403 W CAMPBELL RD 410 RICHARDSON TX 75080 (972)498-8670 18802822 DALLAS INTERNAL MEDICINE PAUL CRAIG H 403 W CAMPBELL RD 410 RICHARDSON TX 75080 (972)498-8670 40732

2 DALLAS HEMATOLOGY & ONCOLOGY PAULSON ROY S 3535 WORTH ST DALLAS TX 75246 (214)820-8672 575492 DALLAS RADIATION ONCOLOGY PAYNE MICHAEL S 1110 COTTONWOOD LN 200 IRVING TX 75061 (972)997-8000 2235045

2 DALLAS RADIATION ONCOLOGY PAYNE MICHAEL S 2001 N MACARTHUR BLVD 120 IRVING TX 75061 (972)579-4300 22350452 DALLAS RADIATION ONCOLOGY PAYNE MICHAEL S 4700 N GALLOWAY AVE MESQUITE TX 75150 (972)686-6411 22350452 DALLAS RADIATION ONCOLOGY PAYNE MICHAEL S 4700 N GALLOWAY AVE MESQUITE TX 75150 (972)686-7296 22350452 DALLAS INTERNAL MEDICINE PEARLMAN ALLEN K 8210 WALNUT HILL LN 315 DALLAS TX 75231 (214)692-9333 1415070

2 DALLAS RADIATION ONCOLOGY PETRIKAS SR JAMES JOSEPH 4700 N GALLOWAY AVE MESQUITE TX 75150 (972)686-7296 57037362 DALLAS RADIATION ONCOLOGY PETRIKAS SR JAMES JOSEPH 4700 N GALLOWAY AVE MESQUITE TX 75150 (972)686-6411 57037362 DALLAS FAMILY PRACTICE PHILLEAUX RONALD W 10246 MIDWAY RD DALLAS TX 75229 (214)357-9481 9350592 DALLAS INTERNAL MEDICINE PIPPEN JR JOHN E 3535 WORTH ST DALLAS TX 75246 (214)820-8672 47998

2 DALLASCARDIOVASCULAR/THORACIC SURGERY PLATT MELVIN R 8230 WALNUT HILL LN 208 DALLAS TX 75231 (214)692-6135 68266

2 DALLAS PULMONARY DISEASE PUAR HARJODH S 2761 TRINITY MILLS RD 100 CARROLLTON TX 75006 (972)478-7300 815102

2 DALLAS SURGERY QUINTANS AMADEO S 7777 FOREST LN A323 DALLAS TX 75230 (972)566-4866 4002042 DALLAS SURGERY QUINTANS AMADEO S 1320 GREENWAY DR 200 IRVING TX 75038 (972)550-9195 4002042 DALLAS INTERNAL MEDICINE RADFORD TRACI K 3801 GASTON AVE 200 DALLAS TX 75246 (214)821-8055 8819972 DALLAS FAMILY PRACTICE RAGLE T D 8230 WALNUT HILL LN 600 DALLAS TX 75231 (214)361-0946 650092 DALLAS FAMILY PRACTICE RAGLE DALE 8230 WALNUT HILL LN 600 DALLAS TX 75231 (214)361-0946 22432872 DALLAS HEMATOLOGY & ONCOLOGY REESE MERRICK H 12221 MERIT DR 500 DALLAS TX 75251 (972)490-2900 57551

2 DALLAS HEMATOLOGY & ONCOLOGY REESE MERRICK H 7515 GREENVILLE AVE 200 DALLAS TX 75231 (972)759-5140 575512 DALLAS FAMILY PRACTICE RODRIGUES STEPHEN S 5445 LA SIERRA DR 102 DALLAS TX 75231 (214)572-0333 19226902 DALLAS CARDIOVASCULAR DISEASE ROSENTHAL JR J EDWARD 7777 FOREST LN A202 DALLAS TX 75230 442572 DALLAS INTERNAL MEDICINE ROSENTHAL JR J EDWARD 7777 FOREST LN A202 DALLAS TX 75230 442572 DALLAS CARDIOVASCULAR DISEASE ROTHKOPF MICHAEL 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2525 41909

2 DALLAS CARDIOVASCULAR DISEASE ROTHKOPF MICHAEL 6750 N MACARTHUR BLVD 201 IRVING TX 75039 (972)831-9919 41909

2 DALLASCARDIOVASCULAR/THORACIC SURGERY RYAN WILLIAM H 8230 WALNUT HILL LN BLDG 3 208 DALLAS TX 75231 58536

2 DALLAS CARDIOVASCULAR DISEASE SALAND KENNETH E 7150 GREENVILLE AVE 650 DALLAS TX 75231 (214)369-3613 2219453

Report Date: Jan07 7 of 64

Page 8: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 DALLAS SURGERY SAVCENKO MICHAL 1302 LANE ST 400 IRVING TX 75061 2193050

2 DALLASCARDIOVASCULAR/THORACIC SURGERY SAVCENKO MICHAL 1302 LANE ST 400 IRVING TX 75061 2193050

2 DALLAS HEMATOLOGY & ONCOLOGY SAVIN MICHAEL A 7777 FOREST LN DALLAS TX 75230 (972)566-7790 575242 DALLAS PEDIATRICS SCHLEIER SUE E 701 TUSCAN 285 IRVING TX 75039 (972)401-0700 7378282 DALLAS FAMILY PRACTICE SCHMITZ JAMES D 1717 MAIN ST 5200 DALLAS TX 75201 (800)362-2731 2211246

2 DALLASCARDIOVASCULAR/THORACIC SURGERY SCHORN LARRY W 1302 LANE ST 400 IRVING TX 75061 (972)259-4781 50340

2 DALLASCARDIOVASCULAR/THORACIC SURGERY SCHORN LARRY W 1302 LANE ST 400 IRVING TX 75061 (972)550-9195 50340

2 DALLAS RADIATION ONCOLOGY SCHWARZ DONALD E 8200 WALNUT HILL LN DALLAS TX 75231 (214)345-7394 6257052 DALLAS RADIOLOGY SCRUGGS III ROBERT P 3535 WORTH ST DALLAS TX 75246 (214)820-3231 427352 DALLAS RADIOLOGY SCRUGGS III ROBERT P 3535 WORTH ST DALLAS TX 75246 (214)370-1400 42735

2 DALLAS PEDIATRICS SEIBERT LORI S 7777 FOREST LN B122 DALLAS TX 75230 (972)985-0381 19270072 DALLAS PEDIATRICS SEIBERT LORI S 7777 FOREST LN B122 DALLAS TX 75230 (972)612-5346 19270072 DALLAS RADIATION ONCOLOGY SENZER NEIL N 3535 WORTH ST DALLAS TX 75246 (214)370-1400 427272 DALLAS RADIATION ONCOLOGY SENZER NEIL N 3535 WORTH ST DALLAS TX 75246 (214)820-3231 427272 DALLAS INTERNAL MEDICINE SHARMA BINA 722 S DENTON TAP RD 190 COPPELL TX 75019 (972)393-1200 2014521

2 DALLAS ENDOCRINOLOGY SHEA HEIDI C 10260 N CENTRAL EXPY 100N DALLAS TX 75231 (214)363-5535 56422612 DALLAS PEDIATRIC ENDOCRINOLOGY SHEA HEIDI C 10260 N CENTRAL EXPY 100N DALLAS TX 75231 (214)363-5535 56422612 DALLAS CARDIOVASCULAR DISEASE SHILLING STEVEN L 6750 N MACARTHUR BLVD 201 IRVING TX 75039 (972)607-2525 6494982 DALLAS CARDIOVASCULAR DISEASE SHILLING STEVEN L 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2525 6494982 DALLAS CARDIOVASCULAR DISEASE SHILLING STEVEN L 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2530 649498

2 DALLAS RADIATION ONCOLOGY SHIVNANI ANAND T 7777 FOREST LN BLDG D 110 DALLAS TX 75230 (972)566-7031 57033452 DALLAS FAMILY PRACTICE SHUGHRUE CYNTHIA L 8220 WALNUT HILL LN 516 DALLAS TX 75231 (214)750-7374 62999

2 DALLAS FAMILY PRACTICE SLATER DAVID A 7200 N STATE HIGHWAY 161 300 IRVING TX 75039 (972)443-5300 19627262 DALLAS MEDICAL ONCOLOGY SOLANKI DILIP L 221 W COLORADO BLVD DALLAS TX 75208 (214)943-9911 939352 DALLAS HEMATOLOGY SOLANKI DILIP L 221 W COLORADO BLVD DALLAS TX 75208 (214)943-9911 939352 DALLAS MEDICAL ONCOLOGY SOLANKI DILIP L 3555 W WHEATLAND RD DALLAS TX 75237 (972)709-2580 93935

2 DALLAS HEMATOLOGY SOLANKI DILIP L 3555 W WHEATLAND RD DALLAS TX 75237 (972)709-2580 939352 DALLAS PHYSICAL THERAPY STEPHENSON CHARLES B 10010 N MACARTHUR IRVING TX 75063 (972)401-4774 5714450

2 DALLAS HEMATOLOGY & ONCOLOGY STRAUSS JAMES F 7515 GREENVILLE AVE 200 DALLAS TX 75231 (972)759-5140 482822 DALLAS HEMATOLOGY & ONCOLOGY STRAUSS JAMES F 8220 WALNUT HILL LN 700 DALLAS TX 75231 (214)739-4175 482822 DALLAS OBSTETRICS & GYNECOLOGY STRINGER CLAUDE A 3535 WORTH ST DALLAS TX 75246 (214)820-8266 57550

2 DALLAS RADIATION ONCOLOGY STUDEY CURTIS L 7777 FOREST LN D400 DALLAS TX 75230 (972)566-7790 901362 DALLAS HEMATOLOGY & ONCOLOGY SUNDERLAND MARGARET C 1110 COTTONWOOD LN 200 IRVING TX 75061 (972)579-4300 9230492 DALLAS HEMATOLOGY & ONCOLOGY SUNDERLAND MARGARET C 2001 N MACARTHUR BLVD 630 IRVING TX 75061 (972)256-3537 923049

2 DALLAS HEMATOLOGY & ONCOLOGY SUNDERLAND MARGARET C 7200 N STATE HIGHWAY 161 230 IRVING TX 75039 (972)401-7950 9230492 DALLAS UROLOGY SYED NABEEL H 2540 N GALLOWAY AVE 103 MESQUITE TX 75150 (972)270-8859 6495012 DALLAS INTERNAL MEDICINE TABOADA CARLOS A 3555 W WHEATLAND RD DALLAS TX 75237 (972)709-2580 5647525

2 DALLAS SURGERY TAYLOR ELLEN LEE 1717 MAIN ST DALLAS TX 75201 (254)751-4000 11893402 DALLAS MEDICAL ONCOLOGY TEERDHALA SUDHA 4700 N GALLOWAY AVE MESQUITE TX 75150 (972)686-6411 1739229

2 DALLAS OPHTHALMOLOGY TENERY JR ROBERT M 7777 FOREST LN B 424 DALLAS TX 75230 (972)566-8200 47477

2 DALLAS MULTISPECIALTY FACILITY TEXAS ONCOLOGY P A 9451 LBJ FWY 220 DALLAS TX 75243 (972)997-8000 5123453

2 DALLAS MULTISPECIALTY FACILITY TEXAS ONCOLOGY P A3001 PRESIDENT GEORGE BUSH TPKE 100 RICHARDSON TX 75082 (972)997-8000 5123453

2 DALLAS PHYSICAL THERAPY THOMAS BETSY B 1755 N COLLINS BLVD 109 RICHARDSON TX 75080 (972)235-6684 57146272 DALLAS ORTHOPEDIC SURGERY THORNTON STEVEN 8267 ELMBROOK 101 DALLAS TX 75247 (214)630-2331 57062962 DALLAS PHYSICAL THERAPY TISKO KATHY 5600 W LOVERS LN 326 DALLAS TX 75209 (214)351-2299 5714341

2 DALLAS INTERNAL MEDICINE TOUCHSTONE JOY L2821 E PRESIDENT GEORGE BUSH HWY501 RICHARDSON TX 75082 (214)239-1053 2092646

2 DALLAS PEDIATRICS TOUCHSTONE JOY L2821 E PRESIDENT GEORGE BUSH HWY501 RICHARDSON TX 75082 (214)239-1053 2092646

2 DALLAS FAMILY PRACTICE TRAN VAN T 3465 W WALNUT ST 225 GARLAND TX 75042 (214)272-7816 14153812 DALLAS FAMILY PRACTICE TRAN VAN T 3465 W WALNUT ST 225 GARLAND TX 75042 (972)272-7816 1415381

2 DALLAS INTERNAL MEDICINE TRAN ANNA H2821 E PRESIDENT GEORGE BUSH HWY501 RICHARDSON TX 75082 (214)239-1053 2092658

2 DALLAS INTERNAL MEDICINE TRAN NGUYEN XUAN 4801 BRYAN 500 DALLAS TX 75204 (214)824-1230 5674242

2 DALLAS PEDIATRICS TRAN ANNA H2821 E PRESIDENT GEORGE BUSH HWY501 RICHARDSON TX 75082 (214)239-1053 2092658

2 DALLAS CARDIOVASCULAR DISEASE UNDERWOOD RONALD H 7777 FOREST LN A202 DALLAS TX 75230 (972)566-7733 476142 DALLAS INTERNAL MEDICINE UNDERWOOD RONALD H 7777 FOREST LN A202 DALLAS TX 75230 (972)566-7733 476142 DALLAS CARDIOVASCULAR DISEASE UPPALAPATI PADMAVATHY 6750 N MACARTHUR BLVD 201 IRVING TX 75039 (972)607-2525 1866401

Report Date: Jan07 8 of 64

Page 9: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 DALLAS CARDIOVASCULAR DISEASE UPPALAPATI PADMAVATHY 6750 N MACARTHUR BLVD 201 IRVING TX 75039 (972)831-9919 18664012 DALLAS CARDIOVASCULAR DISEASE UPPALAPATI PADMAVATHY 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2525 18664012 DALLAS MEDICAL ONCOLOGY VANCE III ESTIL 3409 WORTH ST 600 DALLAS TX 75246 (214)820-2619 942964

2 DALLAS FAMILY PRACTICE VASQUEZ JAIME J 2929 WELBORN ST DALLAS TX 75219 (214)528-1083 720412 DALLAS OBSTETRICS & GYNECOLOGY VINES VICTOR L 12200 PARK CENTRAL DR 403 DALLAS TX 75251 (972)774-9990 332192 DALLAS MEDICAL ONCOLOGY WALBERG MARK W 3535 WORTH ST DALLAS TX 75246 (214)370-1000 7825402 DALLAS MEDICAL ONCOLOGY WALBERG MARK W 3535 WORTH ST DALLAS TX 75246 (481)648-6881 7825402 DALLAS INTERNAL MEDICINE WANG CHIYU 8220 WALNUT HILLS LN 700 DALLAS TX 75231 (214)739-4175 22421992 DALLAS INTERNAL MEDICINE WANG CHIYU 8220 WALNUT HILLS LN 700 DALLAS TX 75231 (214)265-2060 2242199

2 DALLAS OBSTETRICS & GYNECOLOGY WARD ALISA K 399 W CAMPBELL RD 410 RICHARDSON TX 75080 (972)238-7799 18976242 DALLAS HEMATOLOGY WEISBERG ROBERT J 2001 N MACARTHUR BLVD 630 IRVING TX 75061 (972)256-3537 484752 DALLAS MEDICAL ONCOLOGY WEISBERG ROBERT J 1110 COTTONWOOD LN 200 IRVING TX 75061 (972)579-4300 48475

2 DALLAS HEMATOLOGY WEISBERG ROBERT J 1110 COTTONWOOD LN 200 IRVING TX 75061 (972)579-4300 484752 DALLAS MEDICAL ONCOLOGY WEISBERG ROBERT J 2001 N MACARTHUR BLVD 630 IRVING TX 75061 (972)256-3537 484752 DALLAS SURGERY WHITE GARY W 399 W CAMPBELL RD 200 RICHARDSON TX 75080 (972)644-2797 540122 DALLAS HEMATOLOGY & ONCOLOGY WHITE III CHARLES S 7777 FOREST LN DALLAS TX 75230 (972)490-9474 57529

2 DALLAS HEMATOLOGY & ONCOLOGY WHITE III CHARLES S 777 WALTER REED BLVD 201 GARLAND TX 75042 (972)272-3417 575292 DALLAS OBSTETRICS & GYNECOLOGY WHITE JACKSON TANIA A 617 CLARA BARTON BLVD 102 GARLAND TX 75042 (217)363-7882 51164482 DALLAS RADIATION ONCOLOGY WILCOX BARRY N 3535 WORTH ST DALLAS TX 75246 (214)820-3231 1744935

2 DALLAS RADIATION ONCOLOGY WILCOX BARRY N 3535 WORTH ST DALLAS TX 75246 (214)370-1400 17449352 DALLAS MEDICAL ONCOLOGY WILCOX CELESTE A 8220 WALNUT HILL LN 700 DALLAS TX 75231 (214)739-4175 20939812 DALLAS HEMATOLOGY & ONCOLOGY WILFONG LALAN S 7515 GREENVILLE AVE 200 DALLAS TX 75231 (972)759-5140 2122761

2 DALLAS HEMATOLOGY & ONCOLOGY WILFONG LALAN S 8220 WALNUT HILL LN 700 DALLAS TX 75231 (214)739-4175 21227612 DALLAS CARDIOVASCULAR DISEASE YEPES ARMANDO 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2525 19633292 DALLAS INTERNAL MEDICINE YEPES ARMANDO 1110 COTTONWOOD LN 105 IRVING TX 75038 (972)607-2525 19633292 DALLAS INTERNAL MEDICINE YUEN JOHN H 1130 BEACHVIEW ST 100 DALLAS TX 75218 (214)321-6485 12214742 DALLAS INTERNAL MEDICINE YUEN JOHN H 1000 EMERALD ISLE DR 118 DALLAS TX 75218 (214)321-6485 1221474

2 DENTON HEMATOLOGY & ONCOLOGY BHOGARAJU ANIL K 1809 GOLDEN TRAIL 240 CARROLLTON TX 75010 (972)459-1359 21330532 DENTON HEMATOLOGY & ONCOLOGY BHOGARAJU ANIL K 3720 S I 35 EAST DENTON TX 76210 (940)382-1022 21330532 DENTON HEMATOLOGY & ONCOLOGY BHOGARAJU ANIL K 3101 CHURCH DR FLOWER MOUND TX 75028 (972)315-2090 21330532 DENTON HEMATOLOGY & ONCOLOGY BHOGARAJU ANIL K 2790 LAKE VISTA DR LEWISVILLE TX 75067 (972)459-1300 2133053

2 DENTON FAMILY PRACTICE BURBANO JOSE 3020 E HEBRON PKWY 100 CARROLLTON TX 75007 (972)492-2776 442362 DENTON INTERNAL MEDICINE CHECO PEDRO E 3211 INTERNET BLVD 280 FRISCO TX 75034 (469)633-9700 20198342 DENTON MEDICAL ONCOLOGY COSTA DENNIS J 2900 I 35 E NORTH 100 DENTON TX 76201 (940)484-5323 7974772 DENTON MEDICAL ONCOLOGY COSTA DENNIS J 2790 LAKE VISTA DR LEWISVILLE TX 75067 (972)599-4000 7974772 DENTON MEDICAL ONCOLOGY COSTA DENNIS J 4401 N I-35 3 DENTON TX 76207 (940)381-1993 7974772 DENTON MEDICAL ONCOLOGY COSTA DENNIS J 2817 S MAYHILL RD 270 DENTON TX 76210 (940)243-9759 797477

2 DENTON MEDICAL ONCOLOGY COSTA DENNIS J 2790 LAKE VISTA DR LEWISVILLE TX 75067 (940)382-1022 7974772 DENTON PEDIATRICS DHOOT SHRIKANT R 3101 CHURCHILL DR 200 FLOWERMOUND TX 75022 (972)691-2100 8166302 DENTON FAMILY PRACTICE DUNHAM JOCELYN B 3700 FORUMS DR 200 FLOWERMOUND TX 75028 (972)724-0500 11520952 DENTON FAMILY PRACTICE FARLEY DEREK A 800 FM720 W 102 LITTLE ELM TX 75068 972292-0300 54201952 DENTON CARDIOVASCULAR DISEASE FAZIO GARY P 3333 COLORADO BLVD DENTON TX 76210 (940)382-8080 10313482 DENTON FAMILY PRACTICE FLAMING DANIEL T 4333 N JOSEY LN 302 CARROLLTON TX 75010 (972)394-8844 2065947

2 DENTON INTERNAL MEDICINE FLORES JOHN 730 E ELDORADO PKWY LITTLE ELM TX 75068 (972)292-3330 11053822 DENTON FAMILY PRACTICE HAMILTON JOEY L 4333 N JOSEY LN 302 CARROLLTON TX 75010 (972)394-8844 767202 DENTON CARDIOVASCULAR DISEASE HARRIS RICKY L 3333 COLORADO BLVD DENTON TX 76210 (940)382-8080 8150612 DENTON CARDIOVASCULAR DISEASE HARRIS RICKY L 3101 CHURCHILL DR 320 FLOWER MOUND TX 75022 (940)382-8080 815061

2 DENTON FAMILY PRACTICE HAUGHT COURTNEY A 3051 CHURCHILL DR 100 FLOWER MOUND TX 75022 (972)899-6300 56416272 DENTON FAMILY PRACTICE HEDLUND MARK L 4333 N JOSEY LN 302 CARROLLTON TX 75010 (972)394-8844 7278522 DENTON FAMILY PRACTICE HISCHKE JEFFREY R 4333 N JOSEY LN 302 CARROLLTON TX 75010 (972)394-8844 17372322 DENTON FAMILY PRACTICE HONAKER RICHARD A 4333 N JOSEY LN 302 CARROLLTON TX 75010 (972)394-8844 6987882 DENTON RADIATION ONCOLOGY ILAHI ZAINAB 1809 GOLDEN TRAIL 240 CARROLLTON TX 75010 (972)459-1300 21276442 DENTON RADIATION ONCOLOGY ILAHI ZAINAB 2970 LAKE VISTA DR LEWISVILLE TX 75067 (972)459-1300 2127644

2 DENTON RADIATION ONCOLOGY ILAHI ZAINAB 3720 S I 35 EAST DENTON TX 76205 (940)382-1022 2127644

2 DENTONCARDIOVASCULAR/THORACIC SURGERY JOHNSON JR GEORGE W 3333 COLORADO BLVD DENTON TX 76210 (940)382-8080 23528

2 DENTON GENERAL VASCULAR SURGERY JOHNSON JR GEORGE W 3333 COLORADO BLVD DENTON TX 76210 (940)382-8080 235282 DENTON INTERNAL MEDICINE KAUR ROMINDER 2016 FM 407 JUSTIN RD 370 HIGHLAND VILLAGE TX 75077 (972)966-2525 1048945

2 DENTON INTERNAL MEDICINE KAUR ROMINDER 2016 JUSTIN RD 370 HIGHLAND VILLAGE TX 75077 (972)966-2525 10489452 DENTON INTERNAL MEDICINE KHAN NAJAM H 614 S EDMONDS LN 102 LEWISVILLE TX 75067 (972)353-5300 1046751

2 DENTON FAMILY PRACTICE LINDEN BRUCE 2300 HIGHLAND VILLAGE RD 600 HIGHLAND VILLAGE TX 75077 (972)317-0331 644844

2 DENTONPHYSICIAN ASSISTANT/NURSE PRACTITIONER MCDANIEL TERRI A 3333 COLORADO BLVD DENTON TX 76210 (940)382-8080 2238188

Report Date: Jan07 9 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

2 DENTONEAR NOSE & THROAT (OTOLARYNGOLOGY) OTTO RUSSELL J 2900 N I 35 416 DENTON TX 76201 (940)891-6100 5657479

2 DENTON MEDICAL ONCOLOGY PARK MICHAEL H 1809 GOLDEN TRAIL 240 CARROLLTON TX 75010 (972)459-1359 10400302 DENTON MEDICAL ONCOLOGY PARK MICHAEL H 2790 LAKE VISTA DR LEWISVILLE TX 75067 (972)599-4000 10400302 DENTON CARDIOVASCULAR DISEASE PARK R CONRAD 3333 COLORADO BLVD DENTON TX 76210 (940)382-8080 999832 DENTON RADIATION ONCOLOGY PAYNE MICHAEL S 2790 LAKE VISTA DR LEWISVILLE TX 75067 (972)459-1300 22350452 DENTON FAMILY PRACTICE SACKRISON GARY M 4333 N JOSEY LN 302 CARROLLTON TX 75010 (972)394-8844 10341552 DENTON FAMILY PRACTICE SEYSAN ROYA E 3101 CHURCHILL DR 115 FLOWER MOUND TX 75022 (972)691-8585 8451522 DENTON FAMILY PRACTICE SEYSAN ROYA E 3101 CHURCHILL DR 115 FLOWER MOUND TX 75022 (972)691-9090 845152

2 DENTON FAMILY PRACTICE SIMMONS THEODORE C 1175 DIANE CIR LEWISVILLE TX 75067 (972)436-7531 56328332 DENTON FAMILY PRACTICE STEWART JEFFREY G 4333 N JOSEY LN 302 CARROLLTON TX 75010 (972)394-8844 6986392 DENTON RADIATION ONCOLOGY STUDEY CURTIS L 3720 S 1 35 EAST DENTON TX 76205 (940)380-1022 901362 DENTON CARDIOVASCULAR DISEASE SULEMAN AMER 2515 SCRIPTURE 104 DENTON TX 76201 (940)566-6430 1053994

2 DENTON FAMILY PRACTICE SWANHOLM DALE G 2300 HIGHLAND VILLAGE RD 600 HIGHLAND VILLAGE TX 75077 (972)317-0331 6448542 DENTON FAMILY PRACTICE TANNA BHAVNA N 1175 DIANE CIR LEWISVILLE TX 75067 (972)436-7531 19229742 DENTON FAMILY PRACTICE THOMPSON CHRISTINA H 4333 N JOSEY LN 302 CARROLLTON TX 75010 (972)394-8844 10770812 DENTON FAMILY PRACTICE TILLEY JOHN M 2300 HIGHLAND VILLAGE RD 600 HIGHLAND VILLAGE TX 75077 (972)317-0331 6448582 DENTON FAMILY PRACTICE TURNER CARRIE A 4333 N JOSEY LN 302 CARROLLTON TX 75010 (972)394-8844 5685197

2 ELLIS PAIN MANAGEMENT CRUZ ERWIN A 1324 BROWN ST (FM 813) WAXAHACHIE TX 75165 (972)937-8700 6448842 ELLIS NEUROLOGY CRUZ ERWIN A 1324 BROWN ST (FM 813) WAXAHACHIE TX 75165 (972)937-8700 6448842 ELLIS FAMILY PRACTICE CUMMINGS FERNE N 273 E OVILLA RD 1 RED OAK TX 75154 (972)617-6660 54337032 ELLIS INTERNAL MEDICINE JINKS LARRY A 802 W LAMPASAS ST ENNIS TX 75119 (972)875-4700 785292 ELLIS INTERNAL MEDICINE SILVERMAN ROBERT A 802 W LAMPASAS ST ENNIS TX 75119 (972)875-4700 76745

2 ELLIS INTERNAL MEDICINE TABOADA CARLOS A 2220 BRYAN PL 104 MIDLOTHIAN TX 76065 (972)775-4160 56475252 ERATH OPHTHALMOLOGY BEALKA JR NEIL M 150 RIVER NORTH BLVD STEPHENVILLE TX 76401 (254)968-6051 16394282 GREGG GASTROENTEROLOGY BUCKELEW DARYL Q 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 5219062

2 GREGG SURGERY COOK BYRON F 703 E MARSHALL AVE 4003 LONGVIEW TX 75601 (903)753-4666 14157332 GREGG HEMATOLOGY & ONCOLOGY COUCH LINDA S 1300 N 4TH ST LONGVIEW TX 75601 (903)757-2122 21218842 GREGG HEMATOLOGY & ONCOLOGY COUCH LINDA S 1300 N 4TH ST LONGVIEW TX 75601 (903)757-4422 21218842 GREGG GASTROENTEROLOGY DEESE JULIAN V 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 1416257

2 GREGG INTERNAL MEDICINE DEESE JULIAN V 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 14162572 GREGG MEDICAL ONCOLOGY DUNCAN LEWIS A 1300 N 4TH ST LONGVIEW TX 75601 (903)757-2122 601002 GREGG MEDICAL ONCOLOGY FRASE LARRY L 1300 N 4TH ST LONGVIEW TX 75601 (903)757-2122 1070943

2 GREGG PEDIATRIC ALLERGY HARRIS JACK R 801 MEDICAL CIRCLE DR LONGVIEW TX 75605 (903)753-6863 14165622 GREGG ALLERGY & IMMUNOLOGY HARRIS JACK R 801 MEDICAL CIRCLE DR LONGVIEW TX 75605 (903)753-6863 14165622 GREGG SURGERY HOLCOMB MARVIN B 703 E MARSHALL AVE 4003 LONGVIEW TX 75601 (903)753-4666 1417387

2 GREGG INTERNAL MEDICINE HUGHES BILLY G 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 14162562 GREGG GASTROENTEROLOGY HUGHES BILLY G 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 14162562 GREGG GASTROENTEROLOGY LEWIS PERRY C 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 14169492 GREGG INTERNAL MEDICINE LEWIS PERRY C 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 14169492 GREGG SURGERY MACK JOHN B 703 E MARSHALL AVE 4003 LONGVIEW TX 75601 (903)753-4666 1417386

2 GREGG GASTROENTEROLOGY OLOFINLADE OLUSOLA 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 52897802 GREGG PSYCHIATRY SAFARIMARYAKI SHAHROKH 22 BERMUDA LN LONGVIEW TX 75605 (903)297-6500 19875712 GREGG GASTROENTEROLOGY SKARDA SHAYNE T 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 5727990

2 GREGG INTERNAL MEDICINE SKARDA SHAYNE T 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 5727990

2 GREGG RADIATION ONCOLOGY STUDEY CURTIS L 2001 N MACARTHUR BLVD 120 LONGVIEW HEIGHTS TX 75601 (972)579-4300 901362 GREGG GASTROENTEROLOGY TORRES VI WILLIAM H 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 14162592 GREGG INTERNAL MEDICINE TORRES VI WILLIAM H 701 E MARSHALL AVE 200 LONGVIEW TX 75601 (903)236-2222 14162592 GREGG SURGERY WALTRIP TODD J 703 E MARSHALL AVE 4003 LONGVIEW TX 75601 52505702 GREGG ALLERGY & IMMUNOLOGY WRENN CHRISTOPHER J 801 MEDICAL DR LONGVIEW TX 75605 (903)753-6863 1416561

2 HENDERSON DERMATOLOGY ANDERSON LAWRENCE L 1505 S PALESTINE ST ATHENS TX 75751 (903)675-1725 14172732 HENDERSON UROLOGY ELFARR WILLIAM A 1701 S PALESTINE ST A ATHENS TX 75751 (903)675-9339 1735299

2 HENDERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) ELKINS TINA P 1701 S PALESTINE ST B ATHENS TX 75751 (972)932-7778 5653747

2 HENDERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) ELKINS TINA P 1701 S PALESTINE ST B ATHENS TX 75751 (903)675-2222 5653747

2 HENDERSON UROLOGY GARCIA RUBEN L 1701 S PALESTINE ST A ATHENS TX 75751 (903)675-9339 7330122 HENDERSON DERMATOLOGY GRABSKI WILLIAM 1505 S PALESTINE ST ATHENS TX 75751 (903)675-1725 1417276

2 HENDERSON OPTOMETRY HALL JAIME G 608 S PALESTINE ATHENS TX 75751 (903)677-5804 5634913

2 HENDERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) KEECH DANIEL R 1701 S PALESTINE ST B ATHENS TX 75751 (903)675-2222 1878340

2 HENDERSON DERMATOLOGY MCCOLLOUGH MARTHA L 1505 S PALESTINE ST ATHENS TX 75751 (903)534-6200 14172742 HENDERSON UROLOGY MORELLI PAUL 1701 S PALESTINE ST ATHENS TX 75751 (903)675-9339 2196910

Report Date: Jan07 10 of 64

Page 11: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 HENDERSON DERMATOLOGY MORRIS ELIZABETH S 1505 S PALESTINE ST ATHENS TX 75751 (903)675-1725 22355592 HENDERSON DERMATOLOGY NIEMANN JEFFREY 1701 S PALESTINE ST ATHENS TX 75751 (903)534-6200 891708

2 HENDERSON INTERNAL MEDICINE OO MAUNG M 115 MEDICAL CIR 106 ATHENS TX 75751 (903)592-6152 21627502 HENDERSON SURGERY PUGH DANNY P 115 MEDICAL CIR 107 ATHENS TX 75751 (903)675-5781 21804142 HENDERSON DERMATOLOGY ROSSMAN ROBERT E 1701 S PALESTINE ST ATHENS TX 75751 (903)534-6200 19220412 HENDERSON OPTOMETRY THIGPEN JOHN C 608 S PALESTINE ATHENS TX 75751 (903)586-9611 56349172 HENDERSON CARDIOVASCULAR DISEASE TOBES MICHAEL C 1212 S PALESTINE ST ATHENS TX 75751 (903)675-6800 11285012 HENDERSON CARDIOVASCULAR DISEASE WAHID A T 1212 S PALESTINE ATHENS TX 75751 (903)675-6800 5633515

2 HENDERSON CARDIOVASCULAR DISEASE YOUSSEF MARY G 1212 S PALESTINE ST ATHENS TX 75751 (903)675-6800 21131202 HILL OPHTHALMOLOGY BEALKA JR NEIL M 1400 E FRANKLIN ST HILLSBORO TX 76645 (254)582-0282 16394282 HILL EMERGENCY MEDICINE PETTIT JAMES C 101 CIRCLE DR HILLSBORO TX 76645 7517372 HILL EMERGENCY MEDICINE SWAYZE CLIFFORD A 1321 E FRANKLIN ST HILLSBORO TX 76645 10398472 HOOD UROLOGY BUCHANAN CHRISTOPHER T 1308 PALUXY RD 301 GRANBURY TX 76048 (817)573-3272 2223521

2 HOOD INTERNAL MEDICINE ELLIS CHRISTOPHER J 2121 E HIGHWAY 377 GRANBURY TX 76049 (817)578-8904 22236322 HOOD FAMILY PRACTICE KELLEHER JAMES M 2121 HWY 377 E GRANBURY TX 76049 (817)578-8906 18729922 HOOD GASTROENTEROLOGY MONSOUR JR HOWARD P 1314 PALUXY RD GRANBURY TX 76048 (817)573-9881 7425342 HOOD INTERNAL MEDICINE MONSOUR JR HOWARD P 1314 PALUXY RD GRANBURY TX 76048 (817)573-9881 742534

2 HOOD INTERNAL MEDICINE REACH GAYLE M 1322 PALUXY RD 2 GRANBURY TX 76048 (817)579-1642 5682255

2 HOPKINS MEDICAL ONCOLOGY PRAKASH SUCHARU 101 MEDICAL PLZ SULPHUR SPRINGS TX 75482 (903)785-0031 1850381

2 HUNT CARDIOVASCULAR DISEASE ZEB MOHIUDIN A 3900 JOE RAMSEY BLVD 7 GREENVILLE TX 75401 (903)455-5654 6934382 HUNT CARDIOVASCULAR DISEASE ZEB MOHIUDIN A 3900 JOE RAMSEY BLVD 7 GREENVILLE TX 75401 (903)455-5655 693438

2 JACK GENERAL PRACTICE GARCIA CARMELO A 717 MAGNOLIA ST JACKSBORO TX 76458 (940)587-5528 5118212 KAUFMAN UROLOGY ELFARR WILLIAM A 709 W HIGHWAY 243 A KAUFMAN TX 75142 (972)962-2441 1735299

2 KAUFMANEAR NOSE & THROAT (OTOLARYNGOLOGY) ELKINS TINA P 1011 W GROVE ST 200 KAUFMAN TX 75142 (972)932-7778 5653747

2 KAUFMAN UROLOGY GARCIA RUBEN L 709 W HIGHWAY 243A KAUFMAN TX 75142 (903)675-9339 7330122 LAMAR MEDICAL ONCOLOGY AGARWAL ASHWANI K 3550 NE LOOP 286 PARIS TX 75460 (903)785-0031 1122301

2 LAMAR MEDICAL ONCOLOGY COCHRAN JR ERNEST 3550 NE LOOP 286 PARIS TX 75460 (903)785-0031 600992 LAMAR MEDICAL ONCOLOGY PRAKASH SUCHARU 3550 NE LOOP 286 PARIS TX 75460 (903)785-0031 18503812 LAMAR MEDICAL ONCOLOGY WILCOX CELESTE A 3550 NE LOOP 286 PARIS TX 75460 (903)785-0031 20939812 LAMAR SURGERY YOUNG ROBERT M 2870 LEWIS LN 228 PARIS TX 75462 (903)785-1346 16411482 LIMESTONE FAMILY PRACTICE MATLOCK ROBERT 204 W TRINITY ST GROESBECK TX 76642 (254)729-3740 17519872 LIMESTONE SURGERY MOSES LUFKIN R 408 E TYLER ST MEXIA TX 76667 (254)562-9332 5717592 LIMESTONE INTERNAL MEDICINE RUSSELL KENNETH L 514 S BONHAM ST H MEXIA TX 76667 (254)562-9699 1079234

2 MONTAGUE MEDICAL ONCOLOGY DELIZIO PASQUALE R 705 GREENWOOD AVE BOWIE TX 76230 (940)872-1126 10840832 MONTAGUE HEMATOLOGY & ONCOLOGY REDDY PRAVEEN J 705 GREENWOOD AVE BOWIE TX 76230 (940)872-1126 22704682 MONTAGUE HEMATOLOGY & ONCOLOGY THACHIL JOHN 705 GREENWOOD AVE BOWIE TX 76230 (940)872-1126 1126860

2 NAVARRO UROLOGY DOUGLASS ALEXANDER B 301 HOSPITAL DR CORSICANA TX 75110 (903)872-4611 7451182 PARKER RADIATION ONCOLOGY BARKER JR JERRY L 911 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 2121442

2 PARKER RADIATION ONCOLOGY BARKER JR JERRY L 907 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 21214422 PARKER RADIATION ONCOLOGY CHAN RAFAEL C 907 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 51241272 PARKER RADIATION ONCOLOGY CHAN RAFAEL C 911 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 51241272 PARKER RADIATION ONCOLOGY FREEMAN JR HAROLD P 911 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 2079275

2 PARKER RADIOLOGY FREEMAN JR HAROLD P 911 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 20792752 PARKER RADIOLOGY FREEMAN JR HAROLD P 907 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 20792752 PARKER RADIATION ONCOLOGY FREEMAN JR HAROLD P 907 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 20792752 PARKER NEUROLOGY GUTIERREZ MIGUEL A 804B SANTA FE DR WEATHERFORD TX 76086 (817)599-6530 1730180

2 PARKER MEDICAL ONCOLOGY HALS JESSICA 911 FOSTER LANE WEATHERFORD TX 76086 (817)594-2052 22367322 PARKER RADIATION ONCOLOGY NGUYEN THANH XUAN 907 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 5673632

2 PARKER RADIATION ONCOLOGY NGUYEN THANH XUAN 911 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 56736322 PARKER RADIATION ONCOLOGY NIELSON KAREN L 907 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 870192 PARKER RADIATION ONCOLOGY NIELSON KAREN L 911 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 87019

2 PARKER FAMILY PRACTICE ROSS STEVEN L 1105 SANTA FE DR 103 WEATHERFORD TX 76086 (817)594-1066 6500902 PARKER RADIATION ONCOLOGY SHIDE KATHLEEN L 911 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 5627465

2 PARKER RADIATION ONCOLOGY SHIDE KATHLEEN L 907 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 56274652 PARKER RADIATION ONCOLOGY STUDEY CURTIS L 907 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 90136

2 PARKER RADIATION ONCOLOGY STUDEY CURTIS L 911 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 901362 PARKER RADIATION ONCOLOGY TOMBERLIN JANICE K 911 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 902432 PARKER RADIATION ONCOLOGY TOMBERLIN JANICE K 907 FOSTER LN WEATHERFORD TX 76086 (817)594-2052 902432 ROCKWALL HEMATOLOGY & ONCOLOGY BOSWANK STEPHEN E 1005 W RALPH HALL PKWY 211 ROCKWALL TX 75032 (972)771-3322 6494602 ROCKWALL FAMILY PRACTICE BURCHFIEL REBECCA L 1005 RALPH HALL PKWY 101 ROCKWALL TX 75032 (972)771-8686 5716659

2 ROCKWALL HEMATOLOGY & ONCOLOGY CHITTOOR SREENI R 1005 W RALPH HALL PKWY 211 ROCKWALL TX 75032 (972)771-3322 8167672 ROCKWALL MEDICAL ONCOLOGY MARSHALL JANICE J 1005 W RALPH HALL PKWY 211 ROCKWALL TX 75032 (972)771-3322 5126032

Report Date: Jan07 11 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 ROCKWALL HEMATOLOGY MARSHALL JANICE J 1005 W RALPH HALL PKWY 211 ROCKWALL TX 75032 (972)771-3322 51260322 ROCKWALL MEDICAL ONCOLOGY TEERDHALA SUDHA 1005 E RALPH HALL PKWY 211 ROCKWALL TX 75032 (972)771-3322 17392292 RUSK UROLOGY CLAGUE JOHN R 410 N HIGH ST HENDERSON TX 75652 (903)655-8475 18199442 RUSK FAMILY PRACTICE CLARK ALAN 300 WILSON ST HENDERSON TX 75652 (903)655-3915 1922752

2 RUSK FAMILY PRACTICE HOLM LEO M 116 E SOUTH ST OVERTON TX 75684 (903)834-0201 18462482 RUSK FAMILY PRACTICE HOLM LEO M 116 E SOUTH ST OVERTON TX 75684 (903)834-0264 18462482 RUSK FAMILY PRACTICE HOLM LEO M 210 S HELEN ST OVERTON TX 75684 (903)877-7217 18462482 RUSK FAMILY PRACTICE HOLM LEO M 210 S HELEN ST OVERTON TX 75684 (903)877-7200 18462482 RUSK FAMILY PRACTICE HOLM LEO M 210 S HELEN ST OVERTON TX 75684 (903)834-0200 18462482 RUSK GASTROENTEROLOGY LIN TSAUYA 500 N MARSHALL HENDERSON TX 75652 (903)657-1653 56348042 RUSK RADIOLOGY MELVIN JOHN T 620 N HIGH ST HENDERSON TX 75652 (903)657-1251 14149152 RUSK FAMILY PRACTICE MIDDLETON DONALD G 300 WILSON ST HENDERSON TX 75652 (903)655-3619 2203284

2 RUSK INTERNAL MEDICINE VOZZA ZEID BRENDA M 100 ZEID BLVD A HENDERSON TX 75652 (903)655-1153 17297212 SHELBY OPHTHALMOLOGY ALINDADA JULIANA B 602 HURST ST 3 CENTER TX 75935 (936)598-5160 1415986

2 SHELBY INTERNAL MEDICINE CHANDRAMOHAN AJITHA K 1743 SOUTHVIEW CIR CENTER TX 75935 (936)591-8888 12133652 SHELBY PEDIATRICS ILANG ILANG FEDERICO 602 HYRST ST CENTER TX 75935 (432)552-7828 18505062 SHELBY INTERNAL MEDICINE ILANG ILANG FEDERICO 602 HYRST ST CENTER TX 75935 (432)552-7828 18505062 SHELBY FAMILY PRACTICE MCMULLEN CRAIG M 233 HURST ST CENTER TX 75935 (936)591-0022 2180251

2 SMITH PEDIATRICS AKIN KATHRYN 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 14053482 SMITH GENERAL PRACTICE ALLEN PAMELA F 704 S FLEISHEL AVE TYLER TX 75701 (903)595-6680 19213872 SMITH PATHOLOGY ALLEN TIMOTHY C 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 22344782 SMITH DERMATOLOGY ANDERSON LAWRENCE L 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 1417273

2 SMITH DERMATOLOGY ANDERSON LAWRENCE L 1040 S FLEISHEL AVE TYLER TX 75701 (903)534-6200 14172732 SMITH RADIOLOGY ANDREWS J PETE 925 E DAWSON ST TYLER TX 75701 (903)593-2539 10453152 SMITH FAMILY PRACTICE APPLEBERRY KAREN C 11937 US HWY 271 TYLER TX 75708 (903)877-7217 56461872 SMITH RADIOLOGY ARMSTRONG STEPHEN K 837 S FLEISHEL AVE TYLER TX 75701 (903)593-2539 10453192 SMITH RADIOLOGY ARNOLD THOMAS J 837 S FLEISHEL TYLER TX 75701 (903)593-2539 7333282 SMITH RADIOLOGY ARNOLD THOMAS J 1407 S FLEISHEL AVE 301 TYLER TX 75701 (903)593-2539 7333282 SMITH GERIATRIC MEDICINE BANGALORE NIRMALA P 3310 PATRIOT DR TYLER TX 75701 (903)566-0278 5689748

2 SMITH GERIATRIC MEDICINE BANGALORE NIRMALA P 11937 US HWY 271 TYLER TX 75708 (903)877-7217 56897482 SMITH NEPHROLOGY BANKHEAD MOLLY M 700 S FLEISHEL AVE TYLER TX 75701 (903)526-6374 10890192 SMITH INFECTIOUS DISEASES BARNES PETER F 11937 US HIGHWAY 271 TYLER TX 75708 1006072 SMITH PEDIATRIC PULMONOLOGY BARROWS SUSAN A 11937 US HIGHWAY 271 TYLER TX 75708 10896142 SMITH INTERNAL MEDICINE BAUM YVONNE M 700 OLYMPIC PLAZA CIR 906 TYLER TX 75701 (903)596-3808 12182572 SMITH INTERNAL MEDICINE BAUM YVONNE M 700 OLYMPIC PLAZA CIR 906 TYLER TX 75701 (903)596-3804 12182572 SMITH OPHTHALMOLOGY BEALL VIRGINIA B 2440 E 5TH ST TYLER TX 75701 (903)595-0500 1038523

2 SMITH ORTHOPEDIC SURGERY BECK TIMOTHY 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 1640156

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER BECKER ROGER 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 5646031

2 SMITH EMERGENCY MEDICINE BEDKOWSKI STANISLAW M 11937 US HIGHWAY 271 TYLER TX 75708 10346692 SMITH PSYCHIATRY BELCHER STACEY R 3511 WOODS BLVD 1 TYLER TX 75701 (903)565-6287 56949852 SMITH ANESTHESIOLOGY BENNETT JR BOBBY G 3200 TROUP HWY 200 TYLER TX 75701 (903)533-8084 14167732 SMITH FAMILY PRACTICE BENTLEY ANDREW 921 SHILOH RD C100 TYLER TX 75703 (903)561-7073 1039741

2 SMITH SURGERY BERNE EVELYN G 1020 E LAKE ST C TYLER TX 75701 (936)533-0033 19049452 SMITH NEUROLOGY BETTINGER JERRY M 935 S BAXTER AVE 105 TYLER TX 75701 (903)593-2022 14126512 SMITH DERMATOLOGY BLIXT KARLA J 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 22485102 SMITH OPHTHALMOLOGY BOCHOW THOMAS W 2440 E 5TH ST TYLER TX 75701 (903)595-0500 10350322 SMITH OBSTETRICS & GYNECOLOGY BOREN SUNNI S 2017 RICKETY LN TYLER TX 75703 (903)533-8811 2238652

2 SMITH INTERNAL MEDICINE BORUCKI MICHAEL J 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 5056592 SMITH INFECTIOUS DISEASES BORUCKI MICHAEL J 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 5056592 SMITH NEUROLOGY BORUCKI SALLY S 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 5056602 SMITH OCCUPATIONAL MEDICINE BRADY CHARLES F 11937 US HIGHWAY 271 TYLER TX 75708 11409052 SMITH RHEUMATOLOGY BRELSFORD WILLIAM 1100 E LAKE ST 280 TYLER TX 75701 (903)596-8858 571891

2 SMITH RHEUMATOLOGY BRELSFORD WILLIAM 1212 CLINIC DR TYLER TX 75701 (903)596-8858 571891

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER BRITTON DONNA 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 5646038

2 SMITH OBSTETRICS & GYNECOLOGY BROWN WILLIAM E 910 E HOUSTON ST 600 TYLER TX 75702 (903)593-2468 14156022 SMITH ANESTHESIOLOGY BROWN WILLIAM J 3200 TROUP HWY 200 TYLER TX 75701 (903)533-8084 14167922 SMITH CRITICAL CARE MEDICINE BROWN STEVEN 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 742678

2 SMITH INTERNAL MEDICINE BROWN STEVEN 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 7426782 SMITH PULMONARY DISEASE BROWN STEVEN 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 7426782 SMITH OPHTHALMOLOGY BULLAJIAN JASON D 2440 E 5TH ST TYLER TX 75701 (903)595-0500 55393062 SMITH ANESTHESIOLOGY BUTCHER JULIE N 1814 ROSELAND BLVD 200 TYLER TX 75701 (903)597-3472 21810752 SMITH PEDIATRICS BUTLER KATHLEEN V 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7127 1919856

Report Date: Jan07 12 of 64

Page 13: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 SMITH INTERNAL MEDICINE BUZBEE THOMAS M 1910 ROSELAND BLVD TYLER TX 75701 (903)533-0644 9370502 SMITH ORTHOPEDIC SURGERY CAMP JOHN 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 16401512 SMITH DERMATOLOGY CAMPBELL JOHN K 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 21811202 SMITH CARDIOVASCULAR DISEASE CARR JEFFREY G 115 W 5TH ST TYLER TX 75701 (903)595-2283 7980042 SMITH RADIOLOGY CARTER BRUCE C 837 S FLEISHEL AVE TYLER TX 75701 (903)593-2539 733331

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER CARTER STEPHANIE 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 5646094

2 SMITH HEMATOLOGY CHACKO APARNA R 415 S FLEISHEL ST TYLER TX 75701 (903)579-9800 20145472 SMITH HEMATOLOGY CHACKO APARNA R 11937 US HWY 271 TYLER TX 75708 (903)877-7217 20145472 SMITH MEDICAL ONCOLOGY CHACKO APARNA R 11937 US HWY 271 TYLER TX 75708 (903)877-7217 20145472 SMITH MEDICAL ONCOLOGY CHACKO APARNA R 415 S FLEISHEL ST TYLER TX 75701 (903)579-9800 20145472 SMITH GYNECOLOGY (NO OB) CHAMBERS WILLIAM M 910 E HOUSTON ST 600 TYLER TX 75702 (903)593-2468 1417164

2 SMITH INTERNAL MEDICINE CHAMBERS ANGELA N 1100 E LAKE ST 150 TYLER TX 75702 (903)596-0602 19425782 SMITH CARDIOVASCULAR DISEASE CHEUNG PETER Y 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 56597382 SMITH ORTHOPEDIC SURGERY CHLAPEK PAUL B 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 2110348

2 SMITH PLASTIC SURGERY CLARK JAMES T 1100 E LAKE ST 330 TYLER TX 75701 (903)595-5522 14150182 SMITH ORTHOPEDIC SURGERY CLARK III CAREY A 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 12089452 SMITH RADIOLOGY COATS DAVID A 2049 DEERBROOK DR TYLER TX 75703 (903)561-1594 904599

2 SMITHORAL AND MAXILLOFACIAL SURGERY COSENTINO STEPHEN J 1215 DOCTORS DR TYLER TX 75701 (903)592-8152 733103

2 SMITH INTERNAL MEDICINE COULTAS DAVID B 11937 US HWY 271 TYLER TX 75708 (903)877-7217 9110792 SMITH PULMONARY DISEASE COULTAS DAVID B 11937 US HWY 271 TYLER TX 75708 (903)877-7217 9110792 SMITH SURGERY COX STEVEN W 11937 US HIGHWAY 271 TYLER TX 75708 10896132 SMITH INTERNAL MEDICINE DAVIS KENT M 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 8246612 SMITH DERMATOLOGY DAVIS RONALD S 5791 COPELAND RD TYLER TX 75703 (903)595-2737 1415497

2 SMITH DERMATOLOGY DAVIS RONALD S 5791 COPELAND RD TYLER TX 75703 (903)595-2112 14154972 SMITH INTERNAL MEDICINE DAVIS BRENT 619 S FLEISHEL AVE 101 TYLER TX 75701 (903)595-5514 2243920

2 SMITH OCCUPATIONAL MEDICINE DAVIS SHARON 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7262 19280152 SMITH ORTHOPEDIC SURGERY DENNIS ROBERT W 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 1416838

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER DEWALCH DAVID R 1100 S BECKHAM TYLER TX 75701 (903)595-2636 5651625

2 SMITH FAMILY PRACTICE DICKSON TERESA M 4293 KENZIE DR TYLER TX 75701 (903)561-6308 521222 SMITH ANESTHESIOLOGY DOBSON MICKEY B 3200 TROUP HWY 200 TYLER TX 75701 (903)877-7217 5632669

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER DOLAN LINDY 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 5646040

2 SMITH OPHTHALMOLOGY DOSSEY ADAM P 3415 GOLDEN RD TYLER TX 75701 (903)526-0444 22467892 SMITH FAMILY PRACTICE DURRETT JAMES H 395 US HIGHWAY 69 NORTH BULLARD TX 75757 (903)894-3991 21155432 SMITH ORTHOPEDIC SURGERY EASTMAN FRANKIE F 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 19512132 SMITH OBSTETRICS & GYNECOLOGY FLANAGAN COLE W 910 E HOUSTON ST 600 TYLER TX 75702 (903)593-2468 9677942 SMITH ANESTHESIOLOGY FLANDERS DOUGLAS R 3200 TROUP HWY 200 TYLER TX 75701 (903)877-7217 18164202 SMITH PATHOLOGY FOREHAND II FOY M 1726 S BECKHAM TYLER TX 75701 (903)593-0481 1951229

2 SMITH ORTHOPEDIC SURGERY FOREMAN KIM A 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 16401522 SMITH ORTHOPEDIC SURGERY FOREMAN KIM A 3414 GOLDEN RD 700 TYLER TX 75701 (903)597-2663 1640152

2 SMITH ORTHOPEDIC SURGERY FOREMAN KIM A 3414 GOLDEN RD 700 TYLER TX 75701 (903)939-7550 16401522 SMITH ANESTHESIOLOGY FREEMAN JOHN A 3200 TROUP HWY 200 TYLER TX 75701 (903)533-8084 1416779

2 SMITH RADIOLOGY GADDY III HOWELL R 837 S FLEISHEL TYLER TX 75701 (903)593-2539 10401932 SMITH ORTHOPEDIC SURGERY GARRETT JAN H 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 7332762 SMITH DERMATOLOGY GAUTIER KIRK 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 2248517

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER GONTER SHAWN 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 5646059

2 SMITH ORTHOPEDIC SURGERY GOODFRIED GARY P 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 14168322 SMITH RADIOLOGY GORDON ROBERT E 837 S FLEISHEL AVE TYLER TX 75701 (903)593-2539 1040194

2 SMITH EMERGENCY MEDICINE GOULD THEODORE I 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 22489862 SMITH CARDIOVASCULAR DISEASE GOULDEN III DUDLEY D 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 20056222 SMITH DERMATOLOGY GRABSKI WILLIAM 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 14172762 SMITH DERMATOLOGY GRABSKI WILLIAM 1040 S FLEISHEL AVE TYLER TX 75701 (903)534-6200 1417276

2 SMITH RHEUMATOLOGY GRAVES GLEN S 4293 KINSEY DR TYLER TX 75703 (903)561-9255 22294292 SMITH MEDICAL ONCOLOGY GREGORY THOMAS F 415 S FLEISHEL TYLER TX 75701 (903)579-9800 10717112 SMITH ANESTHESIOLOGY GUGAR KRISTEN R 11937 US HWY 271 TYLER TX 75708 (903)877-7217 56462002 SMITH RADIOLOGY GUTIERREZ RALPH A 925 E DAWSON ST TYLER TX 75701 (903)593-2539 733176

2 SMITH ORTHOPEDIC SURGERY HARRIS JAMES R 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 14149602 SMITH ALLERGY & IMMUNOLOGY HARRIS JACK R 1128 MEDICAL DR TYLER TX 75701 (903)593-8273 14165622 SMITH PEDIATRIC ALLERGY HARRIS JACK R 1128 MEDICAL DR TYLER TX 75701 (903)593-8273 14165622 SMITH OBSTETRICS & GYNECOLOGY HARRIS AMANDA L 910 E HOUSTON ST 600 TYLER TX 75702 (903)593-2468 1417158

Report Date: Jan07 13 of 64

Page 14: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 SMITH PLASTIC SURGERY HARRISON CRAIG E 1100 E LAKE ST 200 TYLER TX 75701 (903)535-7722 874720

2 SMITH GENERAL VASCULAR SURGERY HARRISON JAMES 1100 S BECKHAM AVE TYLER TX 75701 (903)595-2636 12258222 SMITH INTERNAL MEDICINE HAYDEN MARGARET R 1910 ROSELAND BLVD TYLER TX 75701 (903)594-2666 636382 SMITH RADIOLOGY HAYES THOMAS K 837 S FLEISHEL AVE 301 TYLER TX 75701 (903)593-2539 7331802 SMITH DERMATOLOGY HAYGOOD LAURA J 1320 DOCTORS DR TYLER TX 75701 (903)597-3376 1822751

2 SMITH SURGERY HEKIMIAN KHOREN H 705 W DUVAL ST TROUP TX 75789 (903)842-3018 18226782 SMITH FAMILY PRACTICE HELT ELIZABETH A 1100 E LAKE ST 280 TYLER TX 75701 (903)596-8858 21816602 SMITH FAMILY PRACTICE HOLM LEO M 11937 HIGHWAY 271 TYLER TX 75708 (903)877-7200 18462482 SMITH FAMILY PRACTICE HUFF BILLIE K 11937 US HWY 271 TYLER TX 75708 (903)877-7217 5646199

2 SMITH GASTROENTEROLOGY HUTTO STEPHEN A 700 OLYMPIC PLAZA CIR 407 TYLER TX 75701 (903)526-5353 7355442 SMITH MEDICAL ONCOLOGY HYMAN WILLIAM J 415 S FLEISHEL ST TYLER TX 75701 (903)579-9800 816192 SMITH MEDICAL ONCOLOGY HYMAN WILLIAM J 415 S FLEISHEL ST TYLER TX 75701 (903)592-6114 816192 SMITH CARDIOVASCULAR DISEASE ISKANDER SHERIF S 115 W 5TH ST TYLER TX 75701 (903)595-2283 1961350

2 SMITH INTERNAL MEDICINE ISKANDER SHERIF S 115 W 5TH ST TYLER TX 75701 (903)595-2283 19613502 SMITH CARDIOVASCULAR DISEASE ISRAEL C NOAH 115 W 5TH ST TYLER TX 75701 (903)595-2283 813157

2 SMITH FAMILY PRACTICE JIMENEZ JOSE R 3310 PATRIOT DR TYLER TX 75701 (903)566-0278 18188662 SMITH FAMILY PRACTICE JIMENEZ JOSE R 3310 PATRIOT DR TYLER TX 75701 (903)939-7870 1818866

2 SMITH FAMILY PRACTICE JIMENEZ JOSE R 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 18188662 SMITH SPORTS MEDICINE JONES LEE M 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 1640153

2 SMITH SPORTS MEDICINE JONES LEE M 3414 GOLDEN RD TYLER TX 75701 (903)592-6811 16401532 SMITH ORTHOPEDIC SURGERY JONES LEE M 3414 GOLDEN RD TYLER TX 75701 (903)592-6811 16401532 SMITH ORTHOPEDIC SURGERY JONES LEE M 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 16401532 SMITH DERMATOLOGY JOUETT BETH A 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 2179939

2 SMITH INTERNAL MEDICINE KARAKI WAYNE S 11937 US HIGHWAY 271 TYLER TX 75708 694069

2 SMITH INTERNAL MEDICINE KHAN MASROOR ABDUL Q 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 17574372 SMITH OBSTETRICS & GYNECOLOGY KLOUDA KATHARINA A 2017 RICKETY LN TYLER TX 75703 (903)533-8811 1063999

2 SMITH PATHOLOGY KULAGA ANDREW 1726 S BECKHAM TYLER TX 75701 (903)593-0481 14148352 SMITH INTERNAL MEDICINE KULAGA ANDREW 1726 S BECKHAM TYLER TX 75701 (903)593-0481 14148352 SMITH ORTHOPEDIC SURGERY KUYKENDALL REN 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 19512392 SMITH INFECTIOUS DISEASES LAKEY DAVID L 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 11564502 SMITH OBSTETRICS & GYNECOLOGY LANG MELISSA 910 E HOUSTON ST 600 TYLER TX 75702 (903)593-2468 2181652

2 SMITH EMERGENCY MEDICINE LAWRENCE KEVIN S 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 20134932 SMITH FAMILY PRACTICE LAWRENCE KEVIN S 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 2013493

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER LAYNE JASON 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 5646091

2 SMITH EMERGENCY MEDICINE LE MINH Q 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 22345272 SMITH RADIOLOGY LEIHGEBER TIM J 837 S FLEISHEL TYLER TX 75701 (903)593-2539 733184

2 SMITHEAR NOSE & THROAT (OTOLARYNGOLOGY) LEWIS JR MICHAEL R 3413 GOLDEN RD TYLER TX 75701 (903)592-5601 1879427

2 SMITH OBSTETRICS & GYNECOLOGY LIEB NANCY 910 E HOUSTON ST 600 TYLER TX 75702 (903)593-2468 14171622 SMITH CARDIOVASCULAR DISEASE LIEBERMAN SCOTT M 115 W 5TH ST TYLER TX 75701 (903)595-2283 7980032 SMITH PATHOLOGY LLOYD SCOTT 1726 S BECKHAM TYLER TX 75701 (903)593-0481 14148392 SMITH INTERNAL MEDICINE LOEWENSTEIN INGEBORG A 11937 US HIGHWAY 271 TYLER TX 75708 (903)845-2159 14163562 SMITH NEPHROLOGY LOEWENSTEIN INGEBORG A 11937 US HIGHWAY 271 TYLER TX 75708 (903)845-2159 14163562 SMITH ANESTHESIOLOGY LOHMEYER JAMES 415 S FLEISHEL AVE TYLER TX 75702 (903)533-8084 14167782 SMITH ANESTHESIOLOGY LOHMEYER JAMES 3200 TROUP HWY 200 TYLER TX 75701 (903)533-8084 1416778

2 SMITH OBSTETRICS & GYNECOLOGY LUCKETT H PEYTON 700 OLYMPIC PLAZA CIR 503 TYLER TX 75701 (903)595-2211 7332692 SMITH OBSTETRICS & GYNECOLOGY LUZIETTI NICHOLAS P 910 E HOUSTON ST 600 TYLER TX 75702 (903)593-2468 21799012 SMITH OPHTHALMOLOGY MACK JR LEO W 714 TURTLE CREEK DR TYLER TX 75701 (903)592-8141 733097

2 SMITH OPHTHALMOLOGY MACK JR LEO W 2440 E 5TH ST TYLER TX 75701 (903)595-0500 7330972 SMITH RADIOLOGY MARTINEZ JR RADAMES 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 1415327

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER MCCASKILL DAVID 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 5646092

2 SMITH OBSTETRICS & GYNECOLOGY MCCLINTOCK ROY A 2017 RICKETY LN TYLER TX 75703 (903)533-8811 9211962 SMITH DERMATOLOGY MCCOLLOUGH MARTHA L 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 14172742 SMITH DERMATOLOGY MCCOLLOUGH MARTHA L 1040 S FLEISHEL AVE TYLER TX 75701 (903)534-6200 14172742 SMITH FAMILY PRACTICE MCKINLEY JAMES W 3414 GOLDEN RD TYLER TX 75701 (903)939-7500 500072 SMITH SPORTS MEDICINE MCKINLEY JAMES W 3414 GOLDEN RD TYLER TX 75701 (903)939-7500 500072 SMITH PEDIATRICS MCRAE VOLGER CAROLINA 3414 GOLDEN RD TYLER TX 75701 (903)595-3320 22781052 SMITH EMERGENCY MEDICINE MILLER TROY L 5414 S BROADWAY AVE TYLER TX 75703 (903)581-1601 51240552 SMITH PEDIATRICS MILLS MONIQUE R 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 1143606

Report Date: Jan07 14 of 64

Page 15: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

2 SMITHPEDIATRIC HEMATOLOGY & ONCOLOGY MOORE JERRI KATHLEEN 1306 DOCTORS DR TYLER TX 75701 (903)592-1890 403231

2 SMITH DERMATOLOGY MORRIS ELIZABETH S 1040 S FLEISHEL AVE TYLER TX 75701 (903)534-6200 2235559

2 SMITH DERMATOLOGY MORRIS ELIZABETH S 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 2235559

2 SMITH PEDIATRIC GASTROENTEROLOGY MULLETT CHRISTOPHER T 910 E HOUSTON ST 270 TYLER TX 75702 (903)531-5670 11976852 SMITH PSYCHIATRY NECESSARY SHARON D 3650 OLD BULLARD RD 330 TYLER TX 75701 (903)534-1157 11552952 SMITH OPHTHALMOLOGY NICKEL TODD M 3415 GOLDEN RD TYLER TX 75701 (903)526-0444 22433962 SMITH DERMATOLOGY NIEMANN JEFFREY 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 8917082 SMITH DERMATOLOGY NIEMANN JEFFREY 1040 S FLEISHEL TYLER TX 75701 (903)534-6200 8917082 SMITH INTERNAL MEDICINE NWASURUBA CHIAGOZIE 11937 US HIGHWAY 271 TYLER TX 75708 10346632 SMITH FAMILY PRACTICE OLUSOLA PATTI L 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 21104782 SMITH GASTROENTEROLOGY OLUSOLA BOLARINWA F 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 21253022 SMITH GENERAL PRACTICE OSUAGWU CHRISTIANA C 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 2196329

2 SMITH INTERNAL MEDICINE PARK DANA M 1910 ROSELAND BLVD TYLER TX 75701 (903)533-0644 16412412 SMITH OPHTHALMOLOGY PENNELL CURTIS J 2440 E 5TH ST TYLER TX 75701 (903)595-0500 8744292 SMITH NEUROLOGY PENNINGTON II MARVIN D 1814 ROSELAND BLVD 200 TYLER TX 75701 (903)597-3472 2181479

2 SMITH ANESTHESIOLOGY PERKINS STANLEY R 11937 US HWY 271 TYLER TX 75708 (903)877-7217 8247412 SMITH DERMATOLOGY PERRY BETH A 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 5662660

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER PERSING FORREST R 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 5609777

2 SMITH CARDIOVASCULAR DISEASE PETRAKIAN ALEXANDRE A 115 W 5TH ST TYLER TX 75701 (903)595-2283 1900047

2 SMITH INTERNAL MEDICINE PETRAKIAN ALEXANDRE A 115 W 5TH ST TYLER TX 75701 (903)595-2283 19000472 SMITH PODIATRIC SURGERY PHELPS DANIEL H 321 S FANNIN AVE TYLER TX 75702 (903)593-0987 733312

2 SMITH FAMILY PRACTICE PIERCE SHAWN D 212 GRANDE BLVD C116 TYLER TX 75703 (903)561-3700 16412492 SMITH FAMILY PRACTICE PIERCE SHAWN D 621 S BROADWAY TYLER TX 75703 (903)579-2800 16412492 SMITH OPHTHALMOLOGY PINKENBURG RONALD J 2440 E 5TH ST TYLER TX 75701 (903)595-0500 7331042 SMITH RHEUMATOLOGY PORTER ROGER W 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 824743

2 SMITHPHYSICAL MEDICINE & REHABILITATION PRASAD RITESH R 906 E FRONT ST TYLER TX 75701 (903)593-9999 1815011

2 SMITHPHYSICAL MEDICINE & REHABILITATION PRASAD RITESH R 906 E FRONT ST TYLER TX 75701 (903)593-9999 1815011

2 SMITH ORTHOPEDIC SURGERY PRIDDY JOHN F 3414 GOLDEN RD TYLER TX 75701 (903)939-7500 2179961

2 SMITH ANESTHESIOLOGY PRITCHARD JR REX 3200 TROUP HWY 200 TYLER TX 75701 (903)533-8084 14167852 SMITH ANESTHESIOLOGY QUIROZ ANDREW 11937 US HWY 271 TYLER TX 75708 (903)877-7217 14167712 SMITH ORTHOPEDIC SURGERY RAABE TODD 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 967507

2 SMITH ANESTHESIOLOGY RAGSDALE GEORGE K 11937 US HWY 271 TYLER TX 75708 (903)877-7217 56323532 SMITH ANESTHESIOLOGY RAMIREZ RIGOBERTO 11937 US HWY 271 TYLER TX 75708 (903)877-7217 6607202 SMITH RADIOLOGY REULAND KURT S 837 S FLEISHEL TYLER TX 75701 (903)593-2539 10851132 SMITH RADIOLOGY REUTER ROBERT H 837 S FLEISHEL TYLER TX 75701 (903)593-2539 10906672 SMITH PODIATRIC SURGERY RHODUS CHARLES D 321 S FANNIN AVE TYLER TX 75702 (903)593-0987 1085702

2 SMITH MEDICAL ONCOLOGY RICHARDS DONALD A 415 S FLEISHEL TYLER TX 75701 (903)579-9800 816252 SMITH PEDIATRICS RISHEL WILLIAM D 1130 DOCTORS DR TYLER TX 75701 (903)592-2122 1072541

2 SMITH SURGERY ROBBINS MARK R 1100 S BECKHAM TYLER TX 75701 (903)595-2636 56516952 SMITH PAIN MANAGEMENT ROSENFIELD LAURENCE 1100 E LAKE ST 340 TYLER TX 75701 (903)533-0699 905015

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER ROSS MICHAEL 837 S FLEISHEL TYLER TX 75701 (903)593-2539 5617732

2 SMITH DERMATOLOGY ROSSMAN ROBERT E 1367 DOMINION PLZ TYLER TX 75703 (903)534-6200 1922041

2 SMITH DERMATOLOGY ROSSMAN ROBERT E 1040 S FLEISHEL TYLER TX 75701 (903)534-6200 19220412 SMITH ORTHOPEDIC SURGERY RUSSELL II MICHAEL 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 1416836

2 SMITH PSYCHIATRY SAFARIMARYAKI SHAHROKH 3800 PALUXY DR BLDG 4 445 TYLER TX 75703 (903)534-9922 19875712 SMITH PSYCHIATRY SAFARIMARYAKI SHAHROKH 3800 PALUXY DR BLDG 4 445 TYLER TX 75703 (903)526-5550 19875712 SMITH RADIOLOGY SANCHEZ ROBERT B 837 S FLEISHEL ST TYLER TX 75701 (903)593-2539 7952102 SMITH RADIOLOGY SANCHEZ ROBERT B 837 S FLEISHEL ST TYLER TX 75701 (858)453-7500 795210

2 SMITH RADIATION ONCOLOGY SAUNDERS MARK W 910 E HOUSTON ST TYLER TX 75702 (903)592-6114 705882

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER SCHOLLER THOMAS 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 5646093

2 SMITH OPHTHALMOLOGY SCHREIBER JON T 2440 E 5TH ST TYLER TX 75701 (903)595-0500 7331102 SMITH ORTHOPEDIC SURGERY SCHREIBER WILLIAM E 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 1416842

2 SMITH RADIOLOGY SCHULTZ GREGORY A 837 S FLEISHEL AVE TYLER TX 75701 (903)593-2539 2179746

2 SMITHPHYSICAL MEDICINE & REHABILITATION SCHWARZBACH JERRY 1905 S DONNYBROOK AVE TYLER TX 75701 (903)595-0400 1559664

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER SEALEY GLENDA R 11937 US HWY 271 TYLER TX 75708 (903)877-7217 5543281

Report Date: Jan07 15 of 64

Page 16: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 SMITH GENERAL PRACTICE SHAFER DAVID R 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 527452

2 SMITH PEDIATRIC ALLERGY SHARKEY JR PAUL C 3310 PATRIOT DR TYLER TX 75701 (903)566-0278 10346702 SMITH PEDIATRICS SHARKEY JR PAUL C 3310 PATRIOT DR TYLER TX 75701 (903)566-0278 10346702 SMITH PEDIATRIC ALLERGY SHARKEY JR PAUL C 11937 US HIGHWAY 271 TYLER TX 75708 10346702 SMITH PEDIATRICS SHARKEY JR PAUL C 11937 US HIGHWAY 271 TYLER TX 75708 1034670

2 SMITH PEDIATRIC ALLERGY SHARKEY JR PAUL C 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 19122952 SMITH ORTHOPEDIC SURGERY SHEPARD M JOSEPH 3414 GOLDEN RD TYLER TX 75701 (903)597-2663 16401542 SMITH RADIOLOGY SHEPHERD III JAMES R 520 DOUGLAS BLVD TYLER TX 75702 (903)593-1721 52436132 SMITH INTERNAL MEDICINE SHERMAN DENISE I 3309 UNNIVERSITY BLVD TYLER TX 75707 (903)565-0303 946342 SMITH FAMILY PRACTICE SHIRODKAR PARDEEP 11937 US HIGHWAY 271 TYLER TX 75708 10346722 SMITH RADIOLOGY SHORT KEVIN A 837 S FLEISHEL TYLER TX 75701 (903)593-2539 934864

2 SMITH CARDIOVASCULAR DISEASE SIGAL STEPHEN L 1100 E LAKE ST 370 TYLER TX 75701 (903)592-6355 7331422 SMITH INTERNAL MEDICINE SIMPSON AMY K 1910 ROSELAND BLVD TYLER TX 75701 (903)533-0644 710262 SMITH ORTHOPEDIC SURGERY SKELTON MILHA 910 E HOUSTON ST 330 TYLER TX 75702 (903)528-6060 19514752 SMITH CARDIOVASCULAR DISEASE SMITH ROBERT W 619 S FLEISHEL AVE 101 TYLER TX 75701 (903)595-5514 17633972 SMITH ORTHOPEDIC SURGERY SMITH BROCK 1905 DONNYBROOK TYLER TX 75701 (903)531-0179 19516842 SMITH ORTHOPEDIC SURGERY SMITH BROCK 3414 GOLDEN RD TYLER TX 75701 (903)939-7500 1951684

2 SMITH NEUROLOGY SMITH ANDREA E 1814 ROSELAND BLVD 200 TYLER TX 75701 (903)593-8500 21815382 SMITH SURGERY SMITH TODD P 1327 TROOP HWY TYLER TX 75701 (903)525-1400 22294162 SMITH NEUROLOGICAL SURGERY SNELL BRIAN E 700 OLYMPIC PLZ 850 TYLER TX 75701 (903)595-2441 5653065

2 SMITH PODIATRIC SURGERY STIRNEMAN GREGORY M 921 SHILOH RD C110 TYLER TX 75703 (903)509-1200 10394812 SMITH OBSTETRICS & GYNECOLOGY STRINGER CLAUDE A 910 E HOUSTON ST 100 TYLER TX 75702 (903)579-9800 575502 SMITH NEUROLOGY TANGCO ANGELITA D 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 12373832 SMITH CARDIOVASCULAR DISEASE TAPLEY DARREN J 704 S FLEISHEL AVE TYLER TX 75701 (903)595-6680 2081791

2 SMITH CARDIOVASCULAR DISEASE TOLLESON THADDEUS R 619 S FLEISHEL AVE 101 TYLER TX 75701 (903)595-5514 21018432 SMITH INTERNAL MEDICINE TOPHAM RUSSELL T 1000 E 5TH ST TYLER TX 75701 (903)565-0303 8705802 SMITH OBSTETRICS & GYNECOLOGY TUTT RICHARD R 700 OLYMPIC PLAZA CIR 504 TYLER TX 75701 (903)593-6155 14128732 SMITH PSYCHIATRY VAIL THERESA M 606 S FLEISHEL AVE TYLER TX 75701 (903)595-5500 18129472 SMITH PSYCHIATRY VAIL THERESA M 606 S FLEISHEL AVE TYLER TX 75701 (903)595-5500 1812947

2 SMITH RHEUMATOLOGY VASQUEZ LUIS E 4293 KINSEY DR TYLER TX 75703 (903)561-9255 10860582 SMITH MEDICAL ONCOLOGY VUKELJA SVETISLAVA J 415 S FLEISHEL ST TYLER TX 75701 (903)592-6114 9347282 SMITH HEMATOLOGY VUKELJA SVETISLAVA J 415 S FLEISHEL ST TYLER TX 75701 (903)592-6114 9347282 SMITH ORTHOPEDIC SURGERY WALKER JOHN F 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 1416835

2 SMITH RADIOLOGY WALKER ROGER K 925 E DAWSON ST TYLER TX 75701 (903)593-2539 2014772

2 SMITHPHYSICIAN ASSISTANT/NURSE PRACTITIONER WALKER ROBERT D 1905 S DONNYBROOK AVE TYLER TX 75701 (903)592-6811 2110333

2 SMITH HEMATOLOGY WARD FRANK T 415 S FLEISHEL ST TYLER TX 75701 (903)592-6114 12287412 SMITH MEDICAL ONCOLOGY WARD FRANK T 415 S FLEISHEL ST TYLER TX 75701 (903)592-6114 1228741

2 SMITH CARDIOVASCULAR DISEASE WEINER STANISLAV 619 S FLEISHEL AVE 101 TYLER TX 75701 (903)595-5514 21802542 SMITH PATHOLOGY WELLS ROBERT 1726 S BECKHAM TYLER TX 75701 (903)593-0481 14148382 SMITH OPHTHALMOLOGY WHITNEY CLAYTON E 2440 E 5TH ST TYLER TX 75701 (903)595-0500 733095

2 SMITH OBSTETRICS & GYNECOLOGY WILLENS MITCHELL L 910 E HOUSTON ST 600 TYLER TX 75702 (903)593-2468 14156212 SMITH UROLOGY WILLIAMS CLAY 700 OLYMPIC PLZ 700 TYLER TX 75701 (903)262-3900 5646101

2 SMITH CARDIOVASCULAR DISEASE WILLIAMS TED 619 S FLEISHEL 101 TYLER TX 75701 (903)595-5514 56727982 SMITH OBSTETRICS & GYNECOLOGY WILLIS SHERILYN 2017 RICKETY LN TYLER TX 75703 (903)553-8811 5656681

2 SMITH NEPHROLOGY WOODARD TERRY D 700 S FLEISHEL AVE TYLER TX 75701 (903)526-6374 7887182 SMITH NEUROLOGY WORTHAM JAMES E 1814 ROSELAND BLVD 200 TYLER TX 75701 (903)592-6000 21815562 SMITH ALLERGY & IMMUNOLOGY WRENN CHRISTOPHER J 1128 MEDICAL DR TYLER TX 75701 (903)593-8273 1416561

2 SMITH FAMILY PRACTICE WRIGHT PAUL W 11937 US HIGHWAY 271 TYLER TX 75708 (903)877-7217 5327012 SMITH CARDIOVASCULAR DISEASE WRIGHT SCOTT A 115 W 5TH ST TYLER TX 75701 (903)595-2283 21131192 SMITH FAMILY PRACTICE WRIGHT EARL P 428 STATE HIGHWAY 110 N WHITEHOUSE TX 75791 (903)871-2132 1416753

2 TARRANT EMERGENCY MEDICINE AKUNDI ARUNA 6451 BRENTWOOD STAIR RD 200 FORT WORTH TX 76112 (817)496-9700 5714169

2 TARRANTCARDIOVASCULAR/THORACIC SURGERY AMMONS DAVID H 1600 W COLLEGE ST 140 GRAPEVINE TX 76051 (817)310-6644 51340

2 TARRANT MEDICAL ONCOLOGY ANDERSON THOMAS C 1615 HOSPITAL PKWY 300 BEDFORD TX 76022 (817)354-5581 93944

2 TARRANT MEDICAL ONCOLOGY ANDERSON THOMAS C 1615 HOSPITAL PKWY 300 BEDFORD TX 76022 (817)267-4201 93944

2 TARRANT MEDICAL ONCOLOGY ANDERSON THOMAS C 4351 BOOTH CALLOWAY RD 308NORTH RICHLAND HILLS TX 76180 (817)284-4994 93944

2 TARRANT MEDICAL ONCOLOGY ANDERSON THOMAS C 1600 W COLLEGE ST 690 GRAPEVINE TX 76051 (817)251-9080 939442 TARRANT PLASTIC SURGERY ANDERSON RALPH 1201 S MAIN ST D FORT WORTH TX 76104 (817)920-6585 1641271

2 TARRANTEAR NOSE & THROAT (OTOLARYNGOLOGY) ANDERSON RALPH 1201 S MAIN ST D FORT WORTH TX 76104 (817)920-6585 1641271

2 TARRANT GYNECOLOGIC ONCOLOGY ANDERSON RALPH 1201 S MAIN ST D FORT WORTH TX 76104 (817)920-6585 16412712 TARRANT OBSTETRICS & GYNECOLOGY ANDERSON RALPH 1201 S MAIN ST D FORT WORTH TX 76104 (817)920-6585 1641271

Report Date: Jan07 16 of 64

Page 17: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 TARRANT FAMILY PRACTICE ARCHER KENNTH D 1500 S MAIN ST FORT WORTH TX 76104 (817)921-3431 57244052 TARRANT PEDIATRICS ARELLANO JOSE B 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1261 1120238

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER ARNESON MARK A 601 W TERRELL FORT WORTH TX 76102 (817)665-5135 5610450

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER ASEKUN FOLASHADE K 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1557 5669172

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER ASEKUN FOLASHADE K 979 N COOPER ARLINGTON TX 76011 (817)852-8250 5669172

2 TARRANT OBSTETRICS & GYNECOLOGY ASGHAR PAMELA 1412 MAY ST FORT WORTH TX 76104 (817)547-9526 19521062 TARRANT INTERNAL MEDICINE ASPRILLA MARIA LILIANA 4701 N BRYANT IRVIN RD FORT WORTH TX 76116 (817)920-7400 5681709

2 TARRANT OBSTETRICS & GYNECOLOGY BAILEY PHILIP J 1201 S MAIN ST D FORT WORTH TX 76104 (817)920-6577 520952 TARRANT CARDIOVASCULAR DISEASE BANNOUT RIM 1500 S MAIN FORT WORTH TX 76104 (817)927-1250 1634771

2 TARRANT GERIATRIC MEDICINE BARKER LARRY J 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)923-4423 816302 TARRANT RADIATION ONCOLOGY BARKER JR JERRY L 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)361-1420 21214422 TARRANT RADIATION ONCOLOGY BARKER JR JERRY L 1450 8TH AVE FORT WORTH TX 76104 (817)923-4423 21214422 TARRANT MEDICAL ONCOLOGY BARRERA DAVID N 6500 HARRIS PKWY FORT WORTH TX 76132 (817)346-6748 1143494

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER BARRON KIRK W 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 2081728

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER BARRON KIRK W 4375 BOOTH CALLOWAY 400 RICHLAND HILLS TX 76180 (817)595-0745 2081728

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER BASS MARY KAY 837 BROWN TRL BEDFORD TX 76022 (817)920-6448 5669169

2 TARRANT FAMILY PRACTICE BAUMER JOANE G 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1200 5673988

2 TARRANT FAMILY PRACTICE BAUMER JOANE G 1400 S MAIN ST 507 FORT WORTH TX 76104 (817)335-1034 56739882 TARRANT CLINICAL PSYCHOLOGY BLEKER EDWARD G 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3636 56691442 TARRANT OBSTETRICS & GYNECOLOGY BOONE MELCHOR M 1201 S MAIN ST C FORT WORTH TX 76104 (817)920-6571 11501352 TARRANT OBSTETRICS & GYNECOLOGY BOONE MELCHOR M 1325 PENNSYLVANIA AVE 690 FORT WORTH TX 76104 (817)878-5368 11501352 TARRANT HEMATOLOGY BORDELON JAMES H 1001 12TH AVE 200 FORT WORTH TX 76104 (817)339-5500 901372 TARRANT MEDICAL ONCOLOGY BORDELON JAMES H 1001 12TH AVE 200 FORT WORTH TX 76104 (817)339-5500 901372 TARRANT PEDIATRICS BOUGHTON LINDA K 2950 ROOSVELT FORT WORTH TX 76106 (817)625-1788 56699772 TARRANT FAMILY PRACTICE BROWN RANDAL L 4701 BRYANT IRVIN RD FORT WORTH TX 76107 (817)920-7400 56694152 TARRANT NEUROLOGY BUSBY STEPHEN P 1500 S MAIN FORT WORTH TX 76104 (817)927-1250 7297352 TARRANT INFECTIOUS DISEASES CAL STANLEY X 1500 S MAIN FORT WORTH TX 76104 (817)927-1250 71844

2 TARRANT PEDIATRICS CALHOUN JANET M 2315 STONEGATE ST ARLINGTON TX 76010 (817)801-2122 56700212 TARRANT INTERNAL MEDICINE CAMPAGNA MARIA C 1500 S MAIN FORT WORTH TX 76104 (817)927-1250 56700312 TARRANT GENERAL PRACTICE CAPLAN BRIAN J 1788 HIGHWAY 157 N 106 MANSFIELD TX 76063 (817)473-6191 23110

2 TARRANTCARDIOVASCULAR/THORACIC SURGERY CARTER DAVID J 1615 HOSPITAL PKWY 211 BEDFORD TX 76022 52105

2 TARRANT FAMILY PRACTICE CASEY DANIEL F 1500 S MAIN FORT WORTH TX 76104 (817)927-1395 56742502 TARRANT INTERNAL MEDICINE CASTANEDA CARLA A 3308 DEEN RD FORT WORTH TX 76106 (817)920-7000 56694282 TARRANT INTERNAL MEDICINE CASTANEDA CARLA A 4701 BRYANT IRVIN RD FORT WORTH TX 76107 (817)920-7400 56694282 TARRANT PODIATRIC SURGERY CERNIGLIA MATTHEW W 1940 E NORTHWEST PKWY 150 SOUTHLAKE TX 76092 (817)424-3668 12283162 TARRANT RADIATION ONCOLOGY CHAN RAFAEL C 1300 W TERRELL AVE FORT WORTH TX 76104 (817)820-4700 5124127

2 TARRANT RADIATION ONCOLOGY CHAN RAFAEL C 1612 HOSPITAL PKWY BEDFORD TX 76022 (817)685-4700 51241272 TARRANT RADIATION ONCOLOGY CHAN RAFAEL C 515 W MAYFIELD RD 101 ARLINGTON TX 76014 (817)467-6092 51241272 TARRANT RADIATION ONCOLOGY CHAN RAFAEL C 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)361-1420 51241272 TARRANT RADIATION ONCOLOGY CHAN RAFAEL C 6500 HARRIS PKWY FORT WORTH TX 76132 (817)263-2600 51241272 TARRANT RADIATION ONCOLOGY CHAN RAFAEL C 1450 8TH AVE FORT WORTH TX 76104 (817)923-4423 51241272 TARRANT INTERNAL MEDICINE CHEN CECILIER H 1500 S MAIN FORT WORTH TX 76104 (817)927-1250 19422672 TARRANT OBSTETRICS & GYNECOLOGY CHU KHOI B 1201 S MAIN ST C FORT WORTH TX 76104 (817)878-5368 56691602 TARRANT OBSTETRICS & GYNECOLOGY CHU KHOI B 1325 PENNSYLVANIA AVE 690 FORT WORTH TX 76104 (817)878-5368 56691602 TARRANT INTERNAL MEDICINE COLE STEVEN L 855 MONTGOMERY ST 3 FLR FORT WORTH TX 76107 (817)735-2660 5490971

2 TARRANT NEUROLOGY COLE REGINALD A 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1250 56701132 TARRANT PEDIATRICS COLES ROBERT T 1500 S MAIN FORT WORTH TX 76104 (817)927-1250 56701252 TARRANT PEDIATRICS CONCEPCION LUZMINDA B 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1166 1147300

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER CRAWFORD DEBORAH S 979 N COOPER ST ARLINGTON TX 76011 (817)852-8250 819003

2 TARRANT HEMATOLOGY CROWLEY KATHLEEN 1201 S MAIN ST D FORT WORTH TX 76104 (817)920-6585 1641267

2 TARRANT ORTHOPEDIC SURGERY DANIELS JOSEPH 6311 SOUTHWEST BLVD BENBROOK TX 76132 (817)731-9400 6211632 TARRANT MEDICAL ONCOLOGY DEAN ASAD 1001 12TH AVE 200 FORT WORTH TX 76104 (817)850-2000 21583462 TARRANT HEMATOLOGY & ONCOLOGY DEAN ASAD 1001 12TH AVE 200 FORT WORTH TX 76104 (817)850-2000 21583462 TARRANT INTERNAL MEDICINE DEL ROSARIO EDWIN O 837 BROWN TRL BEDFORD TX 76022 (817)920-6400 6462192 TARRANT OBSTETRICS & GYNECOLOGY DELEON FRANK D 1325 PENNSYLVANIA AVE 690 FORT WORTH TX 76104 (817)878-5270 16397682 TARRANT FAMILY PRACTICE DENNIS SHARON L 2415 MATLOCK RD ARLINGTON TX 76015 (817)277-6444 51633

Report Date: Jan07 17 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 TARRANT MEDICAL ONCOLOGY DEUR CHARLES J 801 ROAD TO SIX FLAGS W 106 ARLINGTON TX 76012 (817)274-6532 6948532 TARRANT MEDICAL ONCOLOGY DEUR CHARLES J 2800 E BROAD ST 218 MANSFIELD TX 76063 (817)467-6092 6948532 TARRANT MEDICAL ONCOLOGY DIGGIKAR SHRINIVAS M 801 RD TO SIX FLAGS WEST 105 ARLINGTON TX 76012 (817)274-6532 56282812 TARRANT MEDICAL ONCOLOGY DIGGIKAR SHRINIVAS M 515 W MAYFIELD RD 101 ARLINGTON TX 76014 (817)467-6092 56282812 TARRANT MEDICAL ONCOLOGY DIGGIKAR SHRINIVAS M 1670 E BROAD 103 MANSFIELD TX 76063 (817)453-1436 5628281

2 TARRANT MEDICAL ONCOLOGY DIGGIKAR SHRINIVAS M 2800 E BROAD ST 218 MANSFIELD TX 76063 (817)467-6092 56282812 TARRANT PSYCHIATRY DJOKOVIC MARIJA 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3638 5669179

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER DONALDSON KATHLEEN A 1325 PENNSYLVANIA FORT WORTH TX 76104 (817)878-5292 5669181

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER DONALDSON KATHLEEN A 1500 S MAIN ST FORT WORTH TX 76104 (817)920-6592 5669181

2 TARRANT RADIATION ONCOLOGY DUBEY AJAY K 1612 HOSPITAL PKWY BEDFORD TX 76022 (254)685-4700 11800772 TARRANT RADIATION ONCOLOGY DUBEY AJAY K 1612 HOSPITAL PKWY BEDFORD TX 76022 (817)685-4700 1180077

2 TARRANT FAMILY PRACTICE DUPPSTADT EDWIN R 3223 OMEGA DR ARLINGTON TX 76014 (817)465-7661 19920972 TARRANT CARDIOVASCULAR DISEASE DURAN MICHAEL J 251 WESTPARK WAY 302 EULESS TX 76040 51481

2 TARRANT CARDIOVASCULAR DISEASE DURAN MICHAEL J 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (917)595-0745 51481

2 TARRANT CARDIOVASCULAR DISEASE EISEN DAVID R 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 514722 TARRANT INTERNAL MEDICINE EISEN DAVID R 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 514722 TARRANT CARDIOVASCULAR DISEASE EISEN DAVID R 4375 BOOTH CALLOWAY RD 400 FORT WORTH TX 76180 (817)595-0745 514722 TARRANT INTERNAL MEDICINE EISEN DAVID R 4375 BOOTH CALLOWAY RD 400 FORT WORTH TX 76180 (817)595-0745 51472

2 TARRANT OBSTETRICS & GYNECOLOGY ELLIOTT PETER J 1325 PENNSYLVANIA AVE 690 FORT WORTH TX 76104 (817)878-5368 56691932 TARRANT OBSTETRICS & GYNECOLOGY ELLIOTT PETER J 1201 S MAIN ST C FORT WORTH TX 76104 (817)878-5368 56691932 TARRANT FAMILY PRACTICE ESCAMILLA NORMA L 811 W I 20 G 22 ARLINGTON TX 76017 (817)419-8244 21345902 TARRANT FAMILY PRACTICE ESCAMILLA NORMA L 811 W INTERSTATE 20 G22 ARLINGTON TX 76017 (817)419-8244 21345902 TARRANT CARDIOVASCULAR DISEASE FEINGOLD RICHARD J 1643 LANCASTER DR 203 GRAPEVINE TX 76051 (817)329-7670 417552 TARRANT INTERNAL MEDICINE FELPS KELLY E 3308 DEEN RD FORT WORTH TX 76106 (817)920-7038 56692062 TARRANT INTERNAL MEDICINE FERREE EDWARD S 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1398 5670145

2 TARRANT CARDIOVASCULAR DISEASE FISHER RUSSELL G 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 5110612 TARRANT CARDIOVASCULAR DISEASE FISHER RUSSELL G 251 WESTPARK WAY 302 EULESS TX 76040 (817)595-0745 511061

2 TARRANT CARDIOVASCULAR DISEASE FISHER RUSSELL G 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (817)595-0745 511061

2 TARRANT FAMILY PRACTICE FORAN LAINE F 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1451 5608432

2 TARRANT SURGICAL CRITICAL CARE FOSTER TRAVIS A 1604 HOSPITAL PKWY 309 BEDFORD TX 76022 (817)267-1166 910042 TARRANT SURGERY FOSTER TRAVIS A 1604 HOSPITAL PKWY 309 BEDFORD TX 76022 (817)267-1166 91004

2 TARRANT GENERAL VASCULAR SURGERY FOSTER TRAVIS A 1604 HOSPITAL PKWY 309 BEDFORD TX 76022 (817)267-1166 910042 TARRANT RADIOLOGY FREEMAN JR HAROLD P 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)361-1420 20792752 TARRANT RADIATION ONCOLOGY FREEMAN JR HAROLD P 1450 8TH AVE FORT WORTH TX 76104 (817)923-4423 20792752 TARRANT RADIOLOGY FREEMAN JR HAROLD P 1300 W TERRELL AVE FORT WORTH TX 76104 (817)263-2600 2079275

2 TARRANT RADIOLOGY FREEMAN JR HAROLD P 1450 8TH AVE FORT WORTH TX 76104 (817)923-4423 20792752 TARRANT RADIATION ONCOLOGY FREEMAN JR HAROLD P 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)361-1420 2079275

2 TARRANT RADIATION ONCOLOGY FREEMAN JR HAROLD P 1300 W TERRELL AVE FORT WORTH TX 76104 (817)263-2600 20792752 TARRANT RADIOLOGY FREEMAN JR HAROLD P 6500 HARRIS PKWY FORT WORTH TX 76132 (817)263-2600 20792752 TARRANT RADIATION ONCOLOGY FREEMAN JR HAROLD P 6500 HARRIS PKWY FORT WORTH TX 76132 (817)263-2600 20792752 TARRANT FAMILY PRACTICE FULKERSON RICHARD C 3301 STALCUP FORT WORTH TX 76119 (817)920-7150 5670172

2 TARRANTPREVENTIVE MEDICINE/PUBLIC HEALTH GAMBER RUSSELL G 855 MONTGOMERY ST FORT WORTH TX 76107 (817)735-2235 762207

2 TARRANT MEDICAL ONCOLOGY GILL SANDEEP S 1615 HOSPITAL PKWY 300 BEDFORD TX 76022 (817)267-4201 1831565

2 TARRANT MEDICAL ONCOLOGY GILL SANDEEP S 4351 BOOTH CALLOWAY RD 308NORTH RICHLAND HILLS TX 76180 (817)284-4994 1831565

2 TARRANT MEDICAL ONCOLOGY GILL SANDEEP S 1615 HOSPITAL PKWY 300 BEDFORD TX 76022 (903)785-0031 1831565

2 TARRANT MEDICAL ONCOLOGY GILL SANDEEP S 4351 BOOTH CALLOWAY RD 308NORTH RICHLAND HILLS TX 76180 (903)785-0031 1831565

2 TARRANT GERIATRIC MEDICINE GLASS DUDLEY C 1500 S MAIN FORT WORTH TX 76104 (817)927-1215 5670174

2 TARRANT CARDIOVASCULAR DISEASE GOJER BERNARD 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (817)595-0745 512415

2 TARRANT CARDIOVASCULAR DISEASE GOJER BERNARD 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (972)550-9195 512415

2 TARRANT CARDIOVASCULAR DISEASE GOJER BERNARD 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 5124152 TARRANT INTERNAL MEDICINE GOPALAKRISHNAN PRABHAKARAN P 1500 S MAIN FORT WORTH TX 76104 (817)927-6350 56706992 TARRANT FAMILY PRACTICE GORDON BRENT 4701 BRYANT IRVING RD FORT WORTH TX 76107 (817)920-7424 56694352 TARRANT FAMILY PRACTICE GOULDY DAVID C 2415 MATLOCK RD ARLINGTON TX 76015 (817)277-6444 540272 TARRANT FAMILY PRACTICE GRAMER JILL A 7235 BOAT CLUB FORT WORTH TX 76179 (817)232-9877 1075635

Report Date: Jan07 18 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 TARRANT FAMILY PRACTICE GRAMER JILL A 855 MONTGOMERY ST FORT WORTH TX 76107 (817)735-2228 10756352 TARRANT PSYCHIATRY GRANADO ELMA G 1500S S MAIN ST FORT WORTH TX 76104 (817)927-3638 56692092 TARRANT NEPHROLOGY GRATCH JACK O 1700 MISTLETOE BLVD FORT WORTH TX 76104 (817)923-8050 5128592 TARRANT FAMILY PRACTICE GREENE DOUGLAS E 100 N LAMAR FORT WORTH TX 76102 (817)884-3064 4029372 TARRANT PEDIATRICS GREER MORRELL C 1500 S MAIN FORT WORTH TX 76104 (817)927-1308 7298872 TARRANT FAMILY PRACTICE GRIMES KELLY D 1325 PENNSYLVANIA AVE 750 FORT WORTH TX 76104 (817)250-7911 54015672 TARRANT INTERNAL MEDICINE GRISSOM DAVID B 2500 SOUTH DR FORT WORTH TX 76119 (817)920-7340 19156422 TARRANT PEDIATRICS GULBRONSON MARICELA D 601 W SANFORD ARLINGTON TX 76011 (817)920-6301 56707212 TARRANT NEUROLOGY GUZMAN GUILLERMO A 1319 SUMMIT AVE 330 FORT WORTH TX 76102 (817)332-7347 7298922 TARRANT FAMILY PRACTICE HADLEY LESCA C 1500 S MAIN FORT WORTH TX 76104 (817)927-1215 5670743

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER HAILEY FRANK L 1855 E LANCASTER FORT WORTH TX 76103 (817)852-8380 5673993

2 TARRANT CARDIOVASCULAR DISEASE HALL RANDALL S 251 WESTPARK WAY 302 EULESS TX 76040 1949272

2 TARRANT CARDIOVASCULAR DISEASE HALL RANDALL S 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (817)595-0745 1949272

2 TARRANT FAMILY PRACTICE HAMILTON STEPHEN J 3301 STALCUP RD FORT WORTH TX 76119 (817)920-7150 21040282 TARRANT GYNECOLOGIC ONCOLOGY HANCOCK KENNETH C 1001 12TH AVE 200 FORT WORTH TX 76104 (817)339-5500 93941

2 TARRANT PSYCHIATRY HAQQANI MUHAMMAD A 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3638 56692152 TARRANT FAMILY PRACTICE HARTY BARBARA L 855 MONTGOMERY FORT WORTH TX 76107 (817)735-2200 5702474

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER HATFIELD CONNIE J 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 2238170

2 TARRANT PSYCHIATRY HAWKINSGERMAINE BERNAR 1500 S MAIN FORT WORTH TX 76104 (817)927-3636 5681722

2 TARRANT FAMILY PRACTICE HEFFERMAN JENNIFER D 855 MONTGOMERY ST FORT WORTH TX 76107 (817)735-2200 5669427

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER HENDERSON TRUDIE L 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1557 5669217

2 TARRANT FAMILY PRACTICE HESS DAVID 1500 S MAIN FORT WORTH TX 76104 (817)927-1398 5143462 TARRANT INTERNAL MEDICINE HINKLE JENNIFER R 1201 S MAIN ST FORT WORTH TX 76104 (817)920-6582 5669242

2 TARRANT CLINICAL PSYCHOLOGY HOUTZ ANDREW W 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1200 5669245

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER ILYAS NASSEEM 979 N COOPER ARLINGTON TX 76011 (817)852-8250 5673995

2 TARRANT INTERNAL MEDICINE INGRAM WENDOLYN D 3600 MATLOCK RD 106 ARLINGTON TX 76015 (817)419-2973 5682243

2 TARRANT INTERNAL MEDICINE INGRAM WENDOLYN D 3600 MATLOCK RD 106 ARLINGTON TX 76015 (817)419-1489 5682243

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER ISIK TELA M 3308 DEEN RD FORT WORTH TX 76106 (817)920-7000 5669249

2 TARRANT CARDIOVASCULAR DISEASE JAIN VIKAS C 1643 LANCASTER DR 203 GRAPEVINE TX 76051 20192802 TARRANT INTERNAL MEDICINE JAVED KAUSAR 4701 BRYANT IRVIN RD FORT WORTH TX 76107 (817)547-9539 56817352 TARRANT RADIATION ONCOLOGY JOHN BERCHMANS 515 W MAYFIELD RD 101 ARLINGTON TX 76014 (817)467-6092 717660

2 TARRANT RADIATION ONCOLOGY JOHN BERCHMANS 1300 W TERELL AVE - PLAZA LEVERL FORT WORTH TX 76104 (817)820-4700 7176602 TARRANT FAMILY PRACTICE KALLAL KEVIN J 891 KELLER PKWY 101 KELLER TX 76248 (817)431-0606 19851382 TARRANT PEDIATRICS KELLEY SUZANNE B 1500 S MAIN FORT WORTH TX 76104 (817)927-1307 5670842

2 TARRANT INTERNAL MEDICINE KHAN RIAZ U 1500 S MAIN FORT WORTH TX 76104 (817)927-3506 5407545

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER KIGER MADELINE K 3308 DEEN RD FORT WORTH TX 76107 (817)920-7080 5673999

2 TARRANT FAMILY PRACTICE KING CHRISTOPHER M 200 PECAN CRK SOUTHLAKE TX 76092 (817)481-4739 8062562 TARRANT FAMILY PRACTICE KING LORI M 200 PECAN CRK SOUTHLAKE TX 76092 (817)481-4739 827445

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER KIRKLAND TRACI 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 2193012

2 TARRANT PSYCHIATRY KLYMIUK JADWIGA ALINA 1500 S MAIN ST FORT WORTH TX 76104 (817)927-4156 5669253

2 TARRANT GYNECOLOGY (NO OB) KOBS TRACY L 1201 S MAIN ST C FORT WORTH TX 76104 (817)920-6570 4024892 TARRANT NEUROLOGY KRAMER EDWARD L 4916 CAMP BOWIE BLVD 108 FORT WORTH TX 76107 (817)731-4070 913428

2 TARRANT MENTAL HEALTH COUNSELING LANDRUM DOREEN R 3704 MATTISON AVE FORT WORTH TX 76107 (817)732-8441 52671052 TARRANT FAMILY PRACTICE LATIF ZUBAIR H 601 W SANFORD ARLINGTON TX 76011 (817)920-6300 57243112 TARRANT FAMILY PRACTICE LE CROY TARA F 6630 COLLEYVILLE BLVD COLLEYVILLE TX 76034 (817)424-3774 5517390

2 TARRANT FAMILY PRACTICE LECROY TARA F 6630 COLLEYVILLE BLVD COLLEYVILLE TX 76034 (817)424-3774 52204672 TARRANT FAMILY PRACTICE LECROY KENNETH D 6630 COLLEYVILLE BLVD COLLEYVILLE TX 76034 (817)424-3774 52204692 TARRANT FAMILY PRACTICE LEDESMA GILBERT 707 N FIELDER RD A ARLINGTON TX 76012 (817)277-2671 503412 TARRANT FAMILY PRACTICE LEE SONG Y 6220 COLLEYVILLE BLVD B COLLEYVILLE TX 76034 (817)416-0525 5251401

2 TARRANTPREVENTIVE MEDICINE/PUBLIC HEALTH LICCIARDONE JOHN C 7235 BOAT CLUB RD FORT WORTH TX 76179 (817)232-9877 1137577

2 TARRANTPREVENTIVE MEDICINE/PUBLIC HEALTH LICCIARDONE JOHN C 855 MONTGOMERY ST FORT WORTH TX 76107 (817)735-2228 1137577

Report Date: Jan07 19 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER LIESER CAROL S 5917 SHELTON ST FORT WORTH TX 76112 (817)492-7838 5674164

2 TARRANT GENERAL VASCULAR SURGERY LIGHT JR JERRY T 1604 HOSPITAL PKWY 309 BEDFORD TX 76022 (817)267-1166 1122962

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER LIU MEIHWA F 4701 BRYANT IRVING RD NORTH FORT WORTH TX 76107 (817)920-7400 5669442

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER LLYAS NASEEM 979 N COOPER ARLINGTON TX 76011 (817)852-8250 5669248

2 TARRANT GYNECOLOGIC ONCOLOGY LOCOCO SALVATORE J 1201 S MAIN ST FORT WORTH TX 76104 (817)920-6590 19843892 TARRANT PULMONARY DISEASE LOIS MANUEL R 1500 S MAIN FORT WORTH TX 76104 (817)921-3431 17576782 TARRANT FAMILY PRACTICE LOSACK TERRI D 1500 S MAIN FORT WORTH TX 76104 (817)927-3605 56722942 TARRANT INTERNAL MEDICINE LOSS SCOTT D 1500 S MAIN FORT WORTH TX 76104 (817)927-1398 71829

2 TARRANT FAMILY PRACTICE LOVITT NEIL F 1400 S MAIN ST 507 FORT WORTH TX 76104 (817)336-2026 14170572 TARRANT FAMILY PRACTICE LUCUS MARCIA D 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1166 56723152 TARRANT FAMILY PRACTICE LUM DANIEL C 837 BROWN TRL BEDFORD TX 76022 (817)920-6400 56692592 TARRANT FAMILY PRACTICE MACLIN ROWENA 3301 STALCUP FORT WORTH TX 76119 (817)920-7150 56723222 TARRANT DERMATOLOGY MALOUF PETER J 4421 OAK PARK LN 102 FORT WORTH TX 76109 (817)921-2838 19422562 TARRANT INTERNAL MEDICINE MANOV ANDREY E 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1395 19780872 TARRANT CARDIOVASCULAR DISEASE MARCO DALE ANN 1643 LANCASTER DR 203 GRAPEVINE TX 76051 (817)329-7670 56393582 TARRANT INTERNAL MEDICINE MARCO DALE ANN 1643 LANCASTER DR 203 GRAPEVINE TX 76051 (817)329-7670 5639358

2 TARRANT OBSTETRICS & GYNECOLOGY MASSINGILL GEORGE S 1325 PENNSYLVANIA AVE 690 FORT WORTH TX 76104 (817)878-5368 1639769

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER MCCLEAN BETHANY K 1501 MITCHELL FORT WORTH TX 76105 (817)920-6600 5669447

2 TARRANT FAMILY PRACTICE MCGINLEY WILLIAM C 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1215 5672384

2 TARRANT FAMILY PRACTICE MCNAIR DAVID P 2400 WESTPORT PKWY 1300 FORT WORTH TX 76177 (817)852-8400 503882 TARRANT FAMILY PRACTICE MCNEIL SUSAN E 1617 HEMPHILL FORT WORTH TX 76104 (817)665-5135 16416982 TARRANT PEDIATRICS MEISTER EMILY M 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1307 56725312 TARRANT GYNECOLOGIC ONCOLOGY MESSING MARK J 1001 12TH AVE 200 FORT WORTH TX 76104 (817)339-5500 410592 TARRANT GYNECOLOGIC ONCOLOGY MESSING MARK J 1615 HOSPITAL PKWY 300 BEDFORD TX 76022 (817)354-5581 410592 TARRANT PSYCHIATRY MIAN MUHAMMAD M 837 BROWN TRL BEDFORD TX 76022 (817)920-6400 56692612 TARRANT PSYCHIATRY MIAN MUHAMMAD M 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3636 56692612 TARRANT OBSTETRICS & GYNECOLOGY MORELAND DAVID J 1201 S MAIN ST C FORT WORTH TX 76104 (817)920-6571 521428

2 TARRANT FAMILY PRACTICE MORENO SANDRA G 3301 STALCUP FORT WORTH TX 76105 (817)920-7150 56725562 TARRANT GASTROENTEROLOGY MUDDASANI PAVANI 855 MONTGOMERY FORT WORTH TX 76107 (817)735-2332 20873502 TARRANT OPHTHALMOLOGY MUELLER NICOLE A 1412 MAY ST FORT WORTH TX 76104 (817)547-9526 21292702 TARRANT PODIATRIC SURGERY MUELLER SHANNON R 1412 MAY ST FORT WORTH TX 76104 (817)547-9526 21292742 TARRANT FAMILY PRACTICE MULCAHY PATRICK J 709 W LEUDA ST FORT WORTH TX 76104 (817)926-2511 5279845

2 TARRANT FAMILY PRACTICE MULCAHY PATRICK J 6225 COLLEYVILLE BLVD 100 COLLEYVILLE TX 76034 (817)251-6533 52798452 TARRANT FAMILY PRACTICE MURPHY JR GRADY F 2500 CIRCLE DR FORT WORTH TX 76119 (817)920-6676 521724

2 TARRANT NEPHROLOGY MURUGAN TSR 4351 BOOTH CALLOWAY RD 303NORTH RICHLAND HILLS TX 76180 (817)877-5858 1912017

2 TARRANT NEPHROLOGY MURUGAN TSR 203 W RANDOL MILL RD ARLINGTON TX 76011 (817)870-2616 19120172 TARRANT NEPHROLOGY MURUGAN TSR 1000 W CANNON ST FORT WORTH TX 76104 (817)870-2616 19120172 TARRANT NEPHROLOGY MURUGAN TSR 711 PENNSYLVANIA AVE FORT WORTH TX 76104 (817)870-2616 19120172 TARRANT NEPHROLOGY MURUGAN TSR 203 W RANDOL MILL RD ARLINGTON TX 76011 (817)877-5858 1912017

2 TARRANT NEPHROLOGY MURUGAN TSR 1000 W CANNON ST FORT WORTH TX 76104 (817)877-5858 1912017

2 TARRANT NEPHROLOGY MURUGAN TSR 4351 BOOTH CALLOWAY RD 303NORTH RICHLAND HILLS TX 76180 (817)870-2616 1912017

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER NAICHE BARBARA W 1851 HARRINGTON FORT WORTH TX 76106 (817)625-1753 5669467

2 TARRANT PSYCHIATRY NATI CAROL A 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3638 6258942 TARRANT INTERNAL MEDICINE NEAL WILLIAM W 837 BROWN TRL BEDFORD TX 76022 (817)920-6400 56693092 TARRANT HEMATOLOGY & ONCOLOGY NEGRON ANGEL G 1001 12TH AVE 200 FORT WORTH TX 76104 (817)339-5500 901382 TARRANT PEDIATRICS NELMS DONALD K 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1255 8167072 TARRANT FAMILY PRACTICE NGUYEN TUAN D 601 W SANFORD ARLINGTON TX 76011 (817)920-6300 56351902 TARRANT FAMILY PRACTICE NGUYEN TUAN H 3308 DEEN RD FORT WORTH TX 76106 (817)920-7000 56517282 TARRANT RADIATION ONCOLOGY NGUYEN THANH XUAN 1300 W TERRELL AVE FORT WORTH TX 76104 (817)820-4700 56736322 TARRANT RADIATION ONCOLOGY NGUYEN THANH XUAN 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)361-1420 5673632

2 TARRANT RADIATION ONCOLOGY NGUYEN THANH XUAN 6500 HARRIS PKWY FORT WORTH TX 76132 (817)346-6748 56736322 TARRANT RADIATION ONCOLOGY NGUYEN THANH XUAN 1450 8TH AVE FORT WORTH TX 76104 (817)923-4423 5673632

2 TARRANT RADIATION ONCOLOGY NIELSON KAREN L 1300 W TERRELL AVE FORT WORTH TX 76104 (817)820-4700 870192 TARRANT RADIATION ONCOLOGY NIELSON KAREN L 6500 HARRIS PKWY FORT WORTH TX 76132 (817)346-6748 870192 TARRANT RADIATION ONCOLOGY NIELSON KAREN L 1300 W TERRELL AVE FORT WORTH TX 76104 (254)420-4700 870192 TARRANT RADIATION ONCOLOGY NIELSON KAREN L 1450 8TH AVE FORT WORTH TX 76104 (817)923-4423 87019

Report Date: Jan07 20 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 TARRANT RADIATION ONCOLOGY NIELSON KAREN L 601 W TERRELL AVE FORT WORTH TX 76104 (817)338-4333 87019

2 TARRANT RADIATION ONCOLOGY NIELSON KAREN L 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)361-1420 870192 TARRANT INTERNAL MEDICINE NORVILLE SCOTT V 1500 S MAINE ST FORT WORTH TX 76104 (817)927-1398 1640136

2 TARRANT MEDICAL ONCOLOGY NUGENT JOHN L 1001 12TH AVE 200 FORT WORTH TX 76104 (817)339-5500 905782 TARRANT INTERNAL MEDICINE NUSSBAUMER SAMUEL A 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 878992 TARRANT CARDIOVASCULAR DISEASE NUSSBAUMER SAMUEL A 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 87899

2 TARRANT INTERNAL MEDICINE NUSSBAUMER SAMUEL A 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (817)595-0745 87899

2 TARRANT CARDIOVASCULAR DISEASE NUSSBAUMER SAMUEL A 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (817)595-0745 87899

2 TARRANT INTERNAL MEDICINE NWANKWO STELLA N 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1398 5672658

2 TARRANTCARDIOVASCULAR/THORACIC SURGERY OLIVENCIA YURVATI ALBERT H 855 MONTGOMERY ST FORT WORTH TX 76107 (817)732-7785 1747062

2 TARRANT INTERNAL MEDICINE ORR TRAYCE L 701 INTERSTATE 20 EAST ARLINGTON TX 76018 (817)468-1249 19775362 TARRANT INTERNAL MEDICINE ORR TRAYCE L 2415 MATLOCK RD ARLINGTON TX 76015 (817)277-6444 1977536

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER ORR ROYLINE B 201 S SYLVANIA AVE FORT WORTH TX 76111 (817)831-6253 5674180

2 TARRANT CARDIOVASCULAR DISEASE OSBORNE JOHN A 1643 LANCASTER DR 203 GRAPEVINE TX 76051 (817)329-7670 10907732 TARRANT INTERNAL MEDICINE OSBORNE JOHN A 1643 LANCASTER DR 203 GRAPEVINE TX 76051 (817)329-7670 10907732 TARRANT PSYCHIATRY PACKARD RUSSELL C 1500 S MAIN FORT WORTH TX 76104 (817)927-3628 5669629

2 TARRANT CARDIOVASCULAR DISEASE PARANANDI SRINIVAS N 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (817)595-0745 1097221

2 TARRANT CARDIOVASCULAR DISEASE PARANANDI SRINIVAS N 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 10972212 TARRANT EMERGENCY MEDICINE PATE WILLIAM B 1500 S MAIN FORT WORTH TX 76104 (817)927-1200 7300772 TARRANT FAMILY PRACTICE PATEL VIBHA V 4701 BRYANT IRVING RD NORTH FORT WORTH TX 76107 (817)920-7400 17469472 TARRANT INTERNAL MEDICINE PATEL IMRAN A 711 PENNSYLVANIA AVE FORT WORTH TX 76104 (817)332-5050 2013045

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER PETIT SONIA C 1201 S MAIN ST A FORT WORTH TX 76104 (817)920-6500 5669320

2 TARRANT SURGERY PETTEY WILLIAM R 6100 HARRIS PKWY 390 FORT WORTH TX 76132 (817)370-9011 7300862 TARRANT PEDIATRICS PICKLER NONA B 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1166 56728612 TARRANT INTERNAL MEDICINE PINILLA JORGE 1500 S MAIN ST FORT WORTH TX 76104 817921-3431 18562492 TARRANT PSYCHIATRY PODAWILTZ ALAN L 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3638 18319822 TARRANT PEDIATRICS PRIETO CECILIA M 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1255 11476362 TARRANT HEMATOLOGY & ONCOLOGY PROW DEBRA M 601 W TERRELL AVE FORT WORTH TX 76104 (817)852-8300 17472432 TARRANT MEDICAL ONCOLOGY PROW DEBRA M 601 W TERRELL AVE FORT WORTH TX 76104 (817)852-8300 17472432 TARRANT CARDIOVASCULAR DISEASE PUPPALA JAGADISH 1643 LANCASTER DR 203 GRAPEVINE TX 76051 (817)329-7670 2238276

2 TARRANT INTERNAL MEDICINE PUPPALA JAGADISH 1643 LANCASTER DR 203 GRAPEVINE TX 76051 (817)329-7670 22382762 TARRANT OBSTETRICS & GYNECOLOGY QUIST CAROLYN W 1307 8TH AVE FORT WORTH TX 76104 (817)926-1313 701097

2 TARRANT INTERNAL MEDICINE REDDY SANGAMESHWAR P 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1250 5673054

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER REED HELEN R 1201 S MAIN ST A FORT WORTH TX 76104 (817)920-6500 5669472

2 TARRANT FAMILY PRACTICE RICE LAURA L 2415 MATLOCK RD ARLINGTON TX 76015 (817)277-6444 9008692 TARRANT FAMILY PRACTICE RICHARD ROBERT C 1501 MITCHELL BLVD FORT WORTH TX 76105 (817)920-6600 56741962 TARRANT OBSTETRICS & GYNECOLOGY RINDFUSZ DAVID W 1500 S MAIN ST FORT WORTH TX 76104 (202)687-8531 7435862 TARRANT FAMILY PRACTICE RIOS MATTHEW L 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1200 20008032 TARRANT FAMILY PRACTICE RIOS MATTHEW L 1400 S MAIN ST 507 FORT WORTH TX 76104 (817)335-1034 20008032 TARRANT OBSTETRICS & GYNECOLOGY ROBERTSON KATHLEEN M 1324 PENNSYLVANIA AVE 690 FORT WORTH TX 76104 (817)878-5368 56693352 TARRANT INTERNAL MEDICINE RODGERS MARK A 707 N FIELDER RD A ARLINGTON TX 76012 (817)277-2671 1743928

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER RUSHING DEBRA L 837 BROWN TRL BEDFORD TX 76022 (817)920-6400 5674213

2 TARRANT HEMATOLOGY RUXER ROBERT L 1001 12TH AVE 200 FORT WORTH TX 76104 (817)339-5500 7974782 TARRANT INTERNAL MEDICINE SAHBAZIAN BEHZAD 4701 BRYANT IRVING RD NORTH FORT WORTH TX 76107 (817)920-7400 56694742 TARRANT FAMILY PRACTICE SANDERLIN BRENT W 5944 RIVER OAKS BLVD FORT WORTH TX 76114 (817)735-0294 5669773

2 TARRANT ORTHOPEDIC SURGERY SCHUSTER RICHARD D 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3807 1960667

2 TARRANT GENERAL VASCULAR SURGERY SENKOWSKY JON 1325 PENNSYLVANIA AVE 720 FORT WORTH TX 76104 (817)820-0488 2238082

2 TARRANT GENERAL VASCULAR SURGERY SENKOWSKY JON 1604 HOSPITAL DR 309 BEDFORD TX 76022 (817)267-1166 22380822 TARRANT DERMATOLOGY SERRALTA VICTORIA W 711 PENNSYLVANIA AVE FORT WORTH TX 76104 (817)332-5050 56605662 TARRANT RADIATION ONCOLOGY SHIDE KATHLEEN L 6500 HARRIS PKWY FORT WORTH TX 76132 (817)263-2600 5627465

2 TARRANT RADIATION ONCOLOGY SHIDE KATHLEEN L 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)361-1420 56274652 TARRANT RADIATION ONCOLOGY SHIDE KATHLEEN L 515 W MAYFIELD RD 101 ARLINGTON TX 76014 (817)467-6092 56274652 TARRANT RADIATION ONCOLOGY SHIDE KATHLEEN L 1612 HOSPITAL PKWY BEDFORD TX 76022 (817)685-4700 5627465

2 TARRANT RADIATION ONCOLOGY SHIDE KATHLEEN L 1300 W TERRELL AVE FORT WORTH TX 76104 (817)820-4700 5627465

Report Date: Jan07 21 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 TARRANT RADIATION ONCOLOGY SHIDE KATHLEEN L 1450 8TH AVE FORT WORTH TX 76104 (817)923-4423 56274652 TARRANT INTERNAL MEDICINE SHIN JAMES Y 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1250 5673064

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER SHIPMAN PAMELA S 1201 S MAIN ST A FORT WORTH TX 76104 (817)920-6500 5669340

2 TARRANT FAMILY PRACTICE SIEGLER ROLAND E 3215 OMEGA DR ARLINGTON TX 76014 (817)468-1818 227772 TARRANT FAMILY PRACTICE SIEGLER STEVE A 3215 OMEGA DR ARLINGTON TX 76014 (817)468-1818 54821672 TARRANT INTERNAL MEDICINE SIMS NORVILLE LAUREN L 1500 S MAIN FORT WORTH TX 76104 (817)927-1250 56731022 TARRANT FAMILY PRACTICE SIY LINDA M 837 BROWN TRL BEDFORD TX 76022 (817)920-6400 6445202 TARRANT FAMILY PRACTICE SLEE BARBARA L 1500 S MAIN FORT WORTH TX 76104 (817)927-1215 7836082 TARRANT FAMILY PRACTICE SOKHEY SAMRATH S 601 W SANFORD ARLINGTON TX 76011 (817)920-6300 5669352

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER SPENCER DOLORES K 2500 CIRCLE DR FORT WORTH TX 76119 (817)920-7334 5669357

2 TARRANT PHYSICAL THERAPY STEPHENSON CHARLES B 2421 WESTPORT PKWY 1200 FORT WORTH TX 76177 (817)837-8800 57136682 TARRANT RADIATION ONCOLOGY STUDEY CURTIS L 1300 W TERRELL AVE FORT WORTH TX 76104 (817)820-4700 901362 TARRANT RADIATION ONCOLOGY STUDEY CURTIS L 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)361-1420 901362 TARRANT RADIATION ONCOLOGY STUDEY CURTIS L 1450 8TH AVE FORT WORTH TX 76104 (817)923-4423 901362 TARRANT PSYCHIATRY SURI MUHAMMAD A 1500 S MAIN ST FORT WORTH TX 76104 (817)927-4156 56693602 TARRANT HEMATOLOGY SYED SAMRIA 6500 HARRIS PKWY FORT WORTH TX 76132 (817)346-6748 14145422 TARRANT OBSTETRICS & GYNECOLOGY TATUM DOUGLAS 1201 S MAIN ST G FORT WORTH TX 76104 (817)920-6500 56693642 TARRANT FAMILY PRACTICE TELLO GLADYS C 1500 S MAIN FORT WORTH TX 76104 (817)921-3431 5673164

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER THIBODAUX CHANDLER B 1500 S MAIN ST FORT WORTH TX 76104 (817)927-1250 5674228

2 TARRANT FAMILY PRACTICE THOPPIL SABNA 3301 STALCUP FORT WORTH TX 76105 (817)920-7150 56731682 TARRANT RADIATION ONCOLOGY TOMBERLIN JANICE K 1450 8TH AVE FORT WORTH TX 76104 (817)923-4423 902432 TARRANT RADIATION ONCOLOGY TOMBERLIN JANICE K 1612 HOSPITAL PKWY BEDFORD TX 76022 (817)685-4700 902432 TARRANT RADIATION ONCOLOGY TOMBERLIN JANICE K 5801 OAK BEND TRL 104 FORT WORTH TX 76132 (817)361-1420 902432 TARRANT RADIATION ONCOLOGY TOMBERLIN JANICE K 6500 HARRIS PKWY FORT WORTH TX 76132 (817)346-6748 90243

2 TARRANT RADIATION ONCOLOGY TOMBERLIN JANICE K 1300 W TERRELL AVE FORT WORTH TX 76104 (817)420-4700 902432 TARRANT FAMILY PRACTICE TRAN VAN T 2420 E ARKANSAS LN 246 ARLINGTON TX 76014 (972)272-7816 1415381

2 TARRANT FAMILY PRACTICE TRAN VAN T 2420 E ARKANSAS LN 246 ARLINGTON TX 76014 (817)265-4124 14153812 TARRANT INTERNAL MEDICINE TRAN MYTRANG 601 W SANFORD ARLINGTON TX 76011 (817)920-6300 20799122 TARRANT GASTROENTEROLOGY TRINKLE PATRICK L 1400 S MAIN ST 507 FORT WORTH TX 76104 (817)335-1034 363792 TARRANT FAMILY PRACTICE TRUONG TIEN M 2415 MATLOCK RD ARLINGTON TX 76015 (817)277-6444 54821702 TARRANT PSYCHIATRY TUKDI SHAKIL A 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3638 5669373

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER TURNER PAMELA M 12101 S MAIN ST FORT WORTH TX 76104 (817)920-6520 5669484

2 TARRANT FAMILY PRACTICE URBAN JR STEPHEN F 5944 RIVER OAKS BLVD FORT WORTH TX 76114 (817)731-0294 5306912 TARRANT FAMILY PRACTICE URE ROBERT D 4738 LITTLE RD ARLINGTON TX 76017 (817)483-8599 5759462 TARRANT GENERAL PRACTICE URE ROBERT D 4738 LITTLE RD ARLINGTON TX 76017 (817)483-8599 575946

2 TARRANT FAMILY PRACTICE VAN HAL MARY 240 N RUFE SNOW DR KELLER TX 76248 (817)431-0606 5535949

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER VASEY LINDA 1412 DENVER AVE FORT WORTH TX 76106 (817)625-6884 5674248

2 TARRANT CARDIOVASCULAR DISEASE VEERAPPAN BALAJI 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 22274542 TARRANT INTERNAL MEDICINE VEERAPPAN BALAJI 251 WESTPARK WAY 302 EULESS TX 76040 (817)545-4550 2227454

2 TARRANT CARDIOVASCULAR DISEASE VEERAPPAN BALAJI 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (817)595-0745 2227454

2 TARRANT INTERNAL MEDICINE VEERAPPAN BALAJI 4375 BOOTH CALLOWAY RD 400NORTH RICHLAND HILLS TX 76180 (817)595-0745 2227454

2 TARRANT FAMILY PRACTICE VELASCO LUIS A 3308 DEEN RD FORT WORTH TX 76106 (817)735-4151 6936372 TARRANT HEMATOLOGY & ONCOLOGY VERKRUYSE LINDA A 801 RD TO SIX FLAGS WEST 105 ARLINGTON TX 76012 (817)274-6532 56411852 TARRANT HEMATOLOGY & ONCOLOGY VERKRUYSE LINDA A 515 W MAYFIELD RD 101 ARLINGTON TX 76014 (817)467-6092 56411852 TARRANT HEMATOLOGY & ONCOLOGY VERKRUYSE LINDA A 1670 E BROAD 103 MANSFIELD TX 76063 (817)453-1436 56411852 TARRANT HEMATOLOGY & ONCOLOGY VERKRUYSE LINDA A 2800 E BROAD ST 218 MANSFIELD TX 76063 (817)467-6092 56411852 TARRANT FAMILY PRACTICE VIRGILIO RICHARD F 855 MONTGOMERY FORT WORTH TX 76107 (817)735-0175 17505162 TARRANT FAMILY PRACTICE VU CHI HA 601 W SANFORD ARLINGTON TX 76011 (817)920-6307 56693812 TARRANT FAMILY PRACTICE WAGGENER JAMES L 100 N LAMAR FORT WORTH TX 76140 (817)884-3060 531223

2 TARRANT CLINICAL PSYCHOLOGY WALKER MICHAEL R 6702 W POLY WEBB RD ARLINGTON TX 76016 (817)478-0095 5682258

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER WATSON PHYLLIS A 100 N LAMAR FORT WORTH TX 76102 (817)884-3064 5674255

2 TARRANT CLINICAL PSYCHOLOGY WEBB ANITA R 1500 S MAIN FORT WORTH TX 76104 (817)927-1215 5673213

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER WETSEL SHIRLEY L 4701 BRYANT IRVIN RD FORT WORTH TX 76107 (817)920-7459 5669389

2 TARRANT PEDIATRICS WILKINSON FAULK DEBRA A 4701 N BRYANT IRVIN FORT WORTH TX 76109 (817)920-7400 56732362 TARRANT FAMILY PRACTICE WILLARD H THOMAS A 117 UNIVERSITY DR FORT WORTH TX 76107 (817)547-9510 810426

Report Date: Jan07 22 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID2 TARRANT FAMILY PRACTICE WILLARD H THOMAS A 117 UNIVERSITY DR FORT WORTH TX 76107 (817)338-0555 8104262 TARRANT PSYCHIATRY WILLIAMS DELWIN 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3638 56693922 TARRANT FAMILY PRACTICE WILLIAMS WAYNE G 2500 CIRCLE DR FORT WORTH TX 76110 (817)920-7314 5669397

2 TARRANTPHYSICIAN ASSISTANT/NURSE PRACTITIONER WILLIS TERESA D 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3506 5674260

2 TARRANT FAMILY PRACTICE WILSON WILLIAM 1602 LANCASTER DR 102 GRAPEVINE TX 76051 (817)329-8364 16395852 TARRANT PSYCHIATRY WINTER SCOTT A 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3638 830622 TARRANT PSYCHIATRY WITSCHY JAMES K 1500 S MAIN ST FORT WORTH TX 76104 (817)927-3638 329432 TARRANT FAMILY PRACTICE WOOD CAROL A 1720 E BROAD ST MANSFIELD TX 76063 (817)453-5912 56735542 TARRANT FAMILY PRACTICE YI DAVID 1500 S MAIN FORT WORTH TX 76104 (817)927-1215 56742572 TARRANT EMERGENCY MEDICINE YOUNG RICHARD A 1500 S MAIN FORT WORTH TX 76104 (817)927-1215 19784492 TARRANT INTERNAL MEDICINE ZEY GEORGE W 1500 S MAIN FORT WORTH TX 76140 (817)927-3603 912707

2 TARRANT INTERNAL MEDICINE ZEY GEORGE W 1500 S MAIN FORT WORTH TX 76140 (817)927-1250 9127072 TITUS ORTHOPEDIC SURGERY ALLEN SCOTT D 2001 N JEFFERSON 100 MT PLEASANT TX 75455 (903)577-5661 5659649

2 TITUS PEDIATRICS BRADSHAW J COLTON 2001 N JEFFERSON AVE 300 MOUNT PLEASANT TX 75455 (903)572-9823 1157127

2 TITUS FAMILY PRACTICE BURLING CHRISTOPHER 618 N JEFFERSON AVE 1 MOUNT PLEASANT TX 75455 (903)575-9500 1959016

2 TITUS PEDIATRICS CHAPMAN JOEL D 2001 N JEFFERSON AVE 300 MOUNT PLEASANT TX 75455 (903)572-9823 10892692 TITUS EMERGENCY MEDICINE COLE GARY B 901 N JEFFERSON AVE MT PLEASANT TX 75455 (903)577-7700 2250989

2 TITUS RADIOLOGY DAVIS MILAS 2001 N JEFFERSON AVE MOUNT PLEASANT TX 75455 (903)577-6000 1416429

2 TITUS RADIOLOGY EVETTS CURTIS A 2001 N JEFFERSON AVE MOUNT PLEASANT TX 75455 (903)577-6186 19512252 TITUS OPTOMETRY GLANZER MARK 2700 N JEFFERSON MT PLEASANT TX 75455 (903)572-6655 5696429

2 TITUS DERMATOLOGY GRECO ANTHONY V 108 PLEASANT ST MOUNT PLEASANT TX 75455 (903)577-8878 1415809

2 TITUS PEDIATRICS KIMBALL MARC E 2001 N JEFFERSON AVE 300 MOUNT PLEASANT TX 75455 (903)572-9823 1157128

2 TITUS NEUROLOGY KUMAR JAI 103 W 20TH ST MOUNT PLEASANT TX 75455 (903)577-6000 5455074

2 TITUS NEUROLOGY KUMAR JAI 103 W 20TH ST MOUNT PLEASANT TX 75455 (903)572-7776 5455074

2 TITUS OBSTETRICS & GYNECOLOGY MASON CHRISTOPHER N 2001 N JEFFERSON AVE 220 MOUNT PLEASANT TX 75455 (903)572-4664 2102587

2 TITUS FAMILY PRACTICE MCKELLAR LEE D 2001 MULBERRY AVE MOUNT PLEASANT TX 75455 (903)577-1144 1112603

2 TITUS OPHTHALMOLOGY MINADEO MICHAEL A 2007 N JEFFERSON AVE MOUNT PLEASANT TX 75455 (903)572-6655 8745372 TITUS OPHTHALMOLOGY PHILLIPS PAULA J 2700 N JEFFERSON MT PLEASANT TX 75455 (903)572-6655 40629

2 TITUS MEDICAL ONCOLOGY PRAKASH SUCHARU 203 W 20TH ST MOUNT PLEASANT TX 75455 (903)785-0031 1850381

2 TITUSEAR NOSE & THROAT (OTOLARYNGOLOGY) REED ERIC 105 W 20TH ST MOUNT PLEASANT TX 75455 (903)577-1101 1762674

2 TITUS OPHTHALMOLOGY REINKE MARTIN H 2700 N JEFFERSON MT PLEASANT TX 75455 (903)572-6655 1734777

2 TITUS OBSTETRICS & GYNECOLOGY REYES ANTONIO P 2005 N JEFFERSON AVE MOUNT PLEASANT TX 75455 (903)572-4381 1727229

2 TITUS PEDIATRICS ROWE LARA 2001 N JEFFERSON AVE 300 MOUNT PLEASANT TX 75455 (903)572-9823 2181608

2 TITUS INTERNAL MEDICINE SINGAPERUMAL MANAVALAN 202 W 19TH ST MOUNT PLEASANT TX 75455 (903)575-9896 2014740

2 TITUS PSYCHIATRY SINGAPERUMAL SHEELA 202 W 19TH ST MOUNT PLEASANT TX 75455 (903)575-9896 21586712 TITUS OBSTETRICS & GYNECOLOGY SLOVAK TUCKER MELISSA S 2001 N JEFFERSON AVE 220 MT PLEASANT TX 75455 (903)572-4664 2228278

2 TITUS PEDIATRICS STAGG GERALD 2001 N JEFFERSON AVE 300 MOUNT PLEASANT TX 75455 (903)572-9823 1157124

2 TITUS UROLOGY STUART JR ROGER G 2001 N JEFFERSON AVE 202 MOUNT PLEASANT TX 75455 (903)572-1903 1822036

2 TITUS INTERNAL MEDICINE TOMPKINS JON S 2001 N JEFFERSON AVE 204 MOUNT PLEASANT TX 75455 (903)577-7003 645258

2 TITUS SURGERY TWADDELL JR CLINTON W 2001 N JEFFERSON AVE 200 MOUNT PLEASANT TX 75455 (903)577-9766 14168682 TITUS OPTOMETRY WASHBURN KRISTI 2700 N JEFFERSON MT PLEASANT TX 75455 (903)572-6655 5696433

Report Date: Jan07 23 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

2 TITUS FAMILY PRACTICE WILLIAMS TROYCE F 203 W 20TH ST MOUNT PLEASANT TX 75455 (903)572-6618 9063792 UPSHUR PSYCHIATRY SAFARIMARYAKI SHAHROKH 602 N TITUS 110 GILMER TX 75644 (903)680-2250 19875712 VAN ZANDT DERMATOLOGY ANDERSON LAWRENCE L 1108 S BUFFALO ST CANTON TX 75103 (903)534-6200 14172732 VAN ZANDT UROLOGY ELFARR WILLIAM A 707 N WALDRIP GRAND SALINE TX 75140 (903)862-4242 17352992 VAN ZANDT UROLOGY GARCIA RUBEN L 1108 S BUFFALO ST CANTON TX 75103 (903)675-9339 7330122 VAN ZANDT DERMATOLOGY GRABSKI WILLIAM 1108 S BUFFALO ST CANTON TX 75103 (903)534-6200 14172762 VAN ZANDT DERMATOLOGY MCCOLLOUGH MARTHA L 1108 S BUFFALO ST CANTON TX 75103 (903)534-6200 14172742 VAN ZANDT DERMATOLOGY MORRIS ELIZABETH S 1108 S BUFFALO ST CANTON TX 75103 (903)534-6200 22355592 VAN ZANDT DERMATOLOGY NIEMANN JEFFREY 1108 S BUFFALO ST CANTON TX 75103 (903)534-6200 891708

2 VAN ZANDT DERMATOLOGY ROSSMAN ROBERT E 1108 S BUFFALO ST CANTON TX 75103 (903)534-6200 19220412 WISE CARDIOVASCULAR DISEASE FAZIO GARY P 1001 EAGLE DR DECATUR TX 76234 (940)382-8080 10313482 WISE CARDIOVASCULAR DISEASE HARRIS RICKY L 1001 EAGLE DR DECATUR TX 76234 (940)382-8080 8150612 WISE CARDIOVASCULAR DISEASE PARK R CONRAD 1001 EAGLE DR DECATUR TX 76234 (940)382-8080 999832 WISE NEPHROLOGY ZUBERI AAMIR 609 MEDICAL CENTER DR 2700 DECATUR TX 76234 (940)626-1370 1302173

2 WOOD DERMATOLOGY ANDERSON LAWRENCE L 711 E GOODE ST QUITMAN TX 75783 (903)763-0619 14172732 WOOD DERMATOLOGY GRABSKI WILLIAM 711 E GOODE ST QUITMAN TX 75783 (903)763-0619 1417276

2 WOOD DERMATOLOGY MCCOLLOUGH MARTHA L 711 E GOODE ST QUITMAN TX 75783 (903)534-6200 14172742 WOOD DERMATOLOGY MORRIS ELIZABETH S 711 E GOODE ST QUITMAN TX 75783 (903)763-0619 22355592 WOOD DERMATOLOGY NIEMANN JEFFREY 615 GOODE SR QUITMAN TX 75783 (903)534-6200 8917082 WOOD DERMATOLOGY ROSSMAN ROBERT E 711 E GOODE ST QUITMAN TX 75783 (903)534-6200 1922041

4 ARANSAS CARDIOVASCULAR DISEASE BRENNER LAWRENCE 1209 HIGHWAY 35 B ROCKPORT TX 78382 (361)883-3962 10924994 ATASCOSA OBSTETRICS & GYNECOLOGY ROGERS DORA D 1901 HIGHWAY 97 220 JOURDANTON TX 78026 (830)769-5259 17416484 BEE SURGERY BELEW MICHAEL S 301 S HILLSIDE DR 5 BEEVILLE TX 78102 (361)358-7998 1139425

4 BEXAR PEDIATRICS ABRAMS JERRI L 7007 BANDERA RD 19 SAN ANTONIO TX 78238 (210)680-6000 7402384 BEXAR COLON & RECTAL SURGERY ABREGO DANIEL 621 CAMDEN ST 204 SAN ANTONIO TX 78215 (210)226-4139 6322154 BEXAR SURGERY ABUABARA SABAS F 730 N MAIN AVE 704 SAN ANTONIO TX 78205 (210)271-0264 6322164 BEXAR PODIATRIC SURGERY ADAM RICHARD C 315 N SAN SABA 1235 SAN ANTONIO TX 78207 (210)225-2200 228534 BEXAR PODIATRIC SURGERY ADAM RICHARD C 315 N SAN SABA 1235 SAN ANTONIO TX 78207 (210)616-0871 228534 BEXAR PODIATRIC SURGERY ADAM RICHARD C 2829 BABCOCK RD 115 SAN ANTONIO TX 78229 (210)616-0871 22853

4 BEXAR OPHTHALMOLOGY ADAMS DONALD F 1919 OAKWELL FARMS PKWY 120 SAN ANTONIO TX 78218 (210)824-2800 233064 BEXAR CARDIOVASCULAR DISEASE ADDIS JR HUNTER M 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)614-5400 20620984 BEXAR DERMATOLOGY ADELMAN SAMUEL 8534 VILLAGE DR C SAN ANTONIO TX 78217 (210)655-5352 13724244 BEXAR INTERNAL MEDICINE AGUILAR I JESUS J 2911 S NEW BRAUNFELS AVE SAN ANTONIO TX 78210 (210)532-0891 17287074 BEXAR OBSTETRICS & GYNECOLOGY ALBRITTON LAMAR J 7922 EWING HALSELL DR 430 SAN ANTONIO TX 78229 (210)614-3275 231784 BEXAR PODIATRIC SURGERY ALLEN MARQUE A 5307 BROADWAY 120 SAN ANTONIO TX 78209 (210)822-8326 1869646

4 BEXAR PODIATRIC SURGERY ALLEN MARQUE A 9150 HUEBNER RD 155 SAN ANTONIO TX 78284 (210)699-8326 18696464 BEXAR RHEUMATOLOGY ALLEN EVERETT H 19272 STONE OAK PKWY 101 SAN ANTONIO TX 78258 (210)265-8851 19091154 BEXAR GASTROENTEROLOGY ALLENDE HECTOR D 621 CAMDEN ST SAN ANTONIO TX 78215 (210)253-3430 693507

4 BEXAR NEUROLOGY ALTMAN DAVID J 14607 SAN PEDRO AVE 220 SAN ANTONIO TX 78232 (210)490-0016 20285934 BEXAR CARDIOVASCULAR DISEASE ALVIS JR MILTON E 2833 BABCOCK RD 445 SAN ANTONIO TX 78229 (210)615-1400 631947

4 BEXAR INTERNAL MEDICINE ANES JOHN C 1303 MCCULLOUGH AVE 560 SAN ANTONIO TX 78212 (210)223-9617 1016824 BEXAR PODIATRIC SURGERY ANGIRASA ARUSH K 2950 THOUSAND OAKS 25 SAN ANTONIO TX 78247 (210)545-9100 56451114 BEXAR CARDIOVASCULAR DISEASE ARAMBURU SOCRATES B 927 MCCULLOUGH AVE SAN ANTONIO TX 78215 (210)271-3203 6322274 BEXAR PEDIATRICS ARNOLD J LAURA 19238 STONEHUE SAN ANTONIO TX 78258 (210)494-2223 7581654 BEXAR OBSTETRICS & GYNECOLOGY ARYA DEGATANO ALKA 525 OAK CENTRE DR 320 SAN ANTONIO TX 78250 (201)402-6022 1905703

4 BEXAR CARDIOVASCULAR DISEASE ATHREYA BAKTHAVATHSA 730 N MAIN AVE 601 SAN ANTONIO TX 78205 (210)225-4641 14129804 BEXAR CARDIOVASCULAR DISEASE ATHREYA BAKTHAVATHSA 540 MADISON 240 SAN ANTONIO TX 78204 (210)494-8582 14129804 BEXAR FAMILY PRACTICE ATIEE GEORGE J 2108 NW MILITARY HWY SAN ANTONIO TX 78213 (210)342-7300 503943

4 BEXAR ANESTHESIOLOGY ATTIA AHMED S 20770 US HIGHWAY 281 N SAN ANTONIO TX 78258 (210)481-3535 16374404 BEXAR ANESTHESIOLOGY AVILA FERNANDO T 414 NAVARRO ST 1601 SAN ANTONIO TX 78205 (210)212-8280 702014 BEXAR PAIN MANAGEMENT AVILA FERNANDO T 414 NAVARRO ST 1601 SAN ANTONIO TX 78205 (210)212-8280 702014 BEXAR PLASTIC SURGERY AYALA JOHN A 4499 MEDICAL DR 301 SAN ANTONIO TX 78229 (210)692-3223 12255964 BEXAR DERMATOLOGY BABCOCK WILLIAM S 2829 BABCOCK RD 145 SAN ANTONIO TX 78229 (210)614-7111 6326254 BEXAR CARDIOVASCULAR DISEASE BARBARO III III SALVATORE A 19234 STONEHUE 104 SAN ANTONIO TX 78258 (210)490-4600 14145004 BEXAR INTERNAL MEDICINE BARBARO III III SALVATORE A 19234 STONEHUE 104 SAN ANTONIO TX 78258 (210)490-4600 1414500

4 BEXAR CARDIOVASCULAR DISEASE BARBARO III III SALVATORE A 19234 STONEHUE 104 SAN ANTONIO TX 78258 (210)493-3831 14145004 BEXAR INTERNAL MEDICINE BARBARO III III SALVATORE A 19234 STONEHUE 104 SAN ANTONIO TX 78258 (210)493-3831 1414500

4 BEXAR OPHTHALMOLOGY BARIBEAU ALAN D 4025 E SOUTHCROSS BLDG 4 SAN ANTONIO TX 78222 (210)359-7451 5043744 BEXAR OPHTHALMOLOGY BARIBEAU ALAN D 7830 LOUIS PASTEUR DR SAN ANTONIO TX 78229 (210)655-5060 5043744 BEXAR FAMILY PRACTICE BARRERA FRANCISCO 8223 FREDERICKSBURG RD SAN ANTONIO TX 78229 (210)616-0864 438284 BEXAR PEDIATRICS BASEY M SUZANNE 19238 STONEHUE SAN ANTONIO TX 78258 (210)494-2223 1904714

4 BEXAR INTERNAL MEDICINE BASS JR ROBERT G 116 GALLERY CIR 202 SAN ANTONIO TX 78258 (210)404-2650 18295534 BEXAR INTERNAL MEDICINE BAUER STEVEN M 14855 BLANCO RD 220 SAN ANTONIO TX 78216 (210)492-0505 1048288

Report Date: Jan07 24 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR GASTROENTEROLOGY BAY MICHAEL K 8214 WURZBACH RD SAN ANTONIO TX 78229 (210)614-1234 16376684 BEXAR PODIATRIC SURGERY BEAL ROGER J 4499 MEDICAL DR 343 SAN ANTONIO TX 78229 (210)614-3623 232264 BEXAR RADIOLOGY BELASCO MARVIN S 1303 MCCULLOUGH AVE 125 SAN ANTONIO TX 78212 (210)223-5543 10439084 BEXAR PODIATRIC SURGERY BELLACOSA RICHARD A 14615 SAN PEDRO AVE 160 SAN ANTONIO TX 78232 (210)490-1871 504820

4 BEXAR PEDIATRICS BENBOW MARSHALL J 5282 MEDICAL DR 310 SAN ANTONIO TX 78229 (210)614-8687 6326694 BEXAR ANESTHESIOLOGY BENNETT JASON M 7940 FLOYD CURL DR 1030 SAN ANTONIO TX 78229 (210)614-3371 10324904 BEXAR ANESTHESIOLOGY BENNETT JASON M 621 N ALAMO ST SAN ANTONIO TX 78215 (210)227-7252 1032490

4 BEXAR EMERGENCY MEDICINE BERKENKAMP MARIE 8401 DATAPOINT DR 500 SAN ANTONIO TX 78229 (210)614-0180 702614

4 BEXAR PEDIATRIC EMERGENCY MEDICINE BERKENKAMP MARIE 8401 DATAPOINT DR 500 SAN ANTONIO TX 78229 (210)614-0180 7026144 BEXAR INTERNAL MEDICINE BERKOWITZ CARL M 8042 WURZBACH RD 280 SAN ANTONIO TX 78229 (210)614-8100 6320084 BEXAR FAMILY PRACTICE BERNHARD JR E RUBIN 4242 E SOUTHCROSS BLVD 18 SAN ANTONIO TX 78222 (210)333-9303 19047414 BEXAR INTERNAL MEDICINE BLOND CARL J 1200 BROOKLYN AVE 300 SAN ANTONIO TX 78212 (210)228-0743 505409

4 BEXAR NEPHROLOGY BLOND CARL J 1200 BROOKLYN AVE 300 SAN ANTONIO TX 78212 (210)228-0743 5054094 BEXAR NEPHROLOGY BLOND CARL J 1301 E SOUTHCROSS 149 SAN ANTONIO TX 78223 (210)337-4911 5054094 BEXAR INTERNAL MEDICINE BLOND CARL J 1301 E SOUTHCROSS 149 SAN ANTONIO TX 78223 (210)337-4911 5054094 BEXAR PEDIATRIC CARDIOLOGY BLOOM KENNETH R 4499 MEDICAL DR 272 SAN ANTONIO TX 78229 (210)614-3264 8083204 BEXAR PODIATRIC SURGERY BLUHM JAMES M 5282 MEDICAL DR 107 SAN ANTONIO TX 78229 (210)949-1500 56086084 BEXAR FAMILY PRACTICE BOCANEGRA JAVIER C 1616 CALLAGHAN RD SAN ANTONIO TX 78228 (210)435-1218 236514 BEXAR COLON & RECTAL SURGERY BODE WILLIAM E 7950 FLOYD CURL DR 101 SAN ANTONIO TX 78229 (210)614-0880 402864

4 BEXAR MEDICAL ONCOLOGY BOLDT DAVID H 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)567-4613 11225554 BEXAR PEDIATRICS BOURLAND SARAH D 540 OAK CENTRE DR 200 SAN ANTONIO TX 78258 (210)403-2229 56451144 BEXAR OPHTHALMOLOGY BRAVERMAN SHELDON P 1100 N MAIN AVE SAN ANTONIO TX 78212 (210)222-2154 902564 BEXAR OPHTHALMOLOGY BRAVERMAN SHELDON P 1100 N MAIN AVE SAN ANTONIO TX 78212 (210)222-0706 902564 BEXAR CARDIOVASCULAR DISEASE BRISENO DAVID L 927 MCCULLOUGH AVE SAN ANTONIO TX 78215 (210)271-3203 7288894 BEXAR CRITICAL CARE MEDICINE BROCKWAY BRUCE A 10608 S NEW BRAUNFELS SAN ANTONIO TX 78210 (210)531-9522 4031324 BEXAR NEPHROLOGY BROCKWAY BRUCE A 3939 MEDICAL DR 110 SAN ANTONIO TX 78229 (210)692-1515 4031324 BEXAR CRITICAL CARE MEDICINE BROCKWAY BRUCE A 803 CASTROVILLE RD 401 SAN ANTONIO TX 78237 (210)431-0776 4031324 BEXAR CRITICAL CARE MEDICINE BROCKWAY BRUCE A 803 CASTROVILLE RD 401 SAN ANTONIO TX 78237 (210)692-1515 403132

4 BEXAR NEPHROLOGY BROCKWAY BRUCE A 803 CASTROVILLE RD 401 SAN ANTONIO TX 78237 (210)431-0776 4031324 BEXAR NEPHROLOGY BROCKWAY BRUCE A 803 CASTROVILLE RD 401 SAN ANTONIO TX 78237 (210)692-1515 4031324 BEXAR CRITICAL CARE MEDICINE BROCKWAY BRUCE A 3939 MEDICAL DR 110 SAN ANTONIO TX 78229 (210)692-1515 4031324 BEXAR CRITICAL CARE MEDICINE BROCKWAY BRUCE A 10608 S NEW BRAUNFELS SAN ANTONIO TX 78210 (210)692-1515 4031324 BEXAR NEPHROLOGY BROCKWAY BRUCE A 10608 S NEW BRAUNFELS SAN ANTONIO TX 78210 (210)531-9522 4031324 BEXAR NEPHROLOGY BROCKWAY BRUCE A 10608 S NEW BRAUNFELS SAN ANTONIO TX 78210 (210)692-1515 403132

4 BEXAR OPHTHALMOLOGY BRODRICK CHARLES D 2404 COMMERCIAL B SAN ANTONIO TX 78215 (210)927-2851 21354074 BEXAR OPHTHALMOLOGY BRODRICK CHARLES D 303 E QUINCY 100 SAN ANTONIO TX 78215 (210)271-7648 21354074 BEXAR OPHTHALMOLOGY BRODRICK CHARLES D 8478 FREDERICKSBURG RD SAN ANTONIO TX 78229 (210)616-0990 2135407

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) BROWNE KEVIN B 4499 MEDICAL DR 330 SAN ANTONIO TX 78229 (210)692-3571 506158

4 BEXAR ENDOCRINOLOGY BRYAN KAHL 1303 MCCULLOUGH AVE 374 SAN ANTONIO TX 78212 (210)223-5483 20899584 BEXAR CARDIOVASCULAR DISEASE BUCAY MOISES 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)614-5400 12377624 BEXAR DERMATOLOGY BUCAY VIVIAN 7940 FLOYD CURL DR 610 SAN ANTONIO TX 78229 (210)692-3000 1894262

4 BEXAR FAMILY PRACTICE BUGG III JAMES L 9895 W IH 10 SAN ANTONIO TX 78230 (210)696-5599 5062754 BEXAR PODIATRIC SURGERY BULAHAO LARRY A 8500 VILLAGE DR 202 SAN ANTONIO TX 78217 (210)599-3008 2123423

4 BEXAR PEDIATRIC EMERGENCY MEDICINE BURGOS VICTOR L 8401 DATAPOINT DR 130 SAN ANTONIO TX 78229 (210)614-0180 6328394 BEXAR PLASTIC SURGERY BURTON FRANCIS C 48 PERSIMMON PATH SAN ANTONIO TX 78258 (361)654-9900 14121144 BEXAR CARDIOVASCULAR DISEASE BUSER GREGORY A 1933 NE LOOP 410 SAN ANTONIO TX 78217 (210)804-6000 10316714 BEXAR CARDIOVASCULAR DISEASE BUSER GREGORY A 7922 EWING HALSELL 100 SAN ANTONIO TX 78229 (210)614-6111 10316714 BEXAR NEPHROLOGY CABRERA LISA O 4242 E SOUTHCROSS 16 SAN ANTONIO TX 78222 (210)226-2001 2001705

4 BEXAR NEPHROLOGY CABRERA LISA O 215 E QUINCY ST 610 SAN ANTONIO TX 78215 (210)226-2001 20017054 BEXAR NEPHROLOGY CABRERA III TIMOTEO 7434 LOUIS PASTEUR DR 109 SAN ANTONIO TX 78229 (210)614-1515 2215577

4 BEXAR SURGERY CALDAROLA VINCENT A 4499 MEDICAL DR 250 SAN ANTONIO TX 78229 (210)614-3565 232704 BEXAR SURGERY CALDAROLA VINCENT A 540 MADISON OAK DR 440 SAN ANTONIO TX 78258 (210)490-0940 232704 BEXAR SURGERY CALDAROLA VINCENT A 4499 MEDICAL DR 250 SAN ANTONIO TX 78229 (210)490-0940 232704 BEXAR SURGERY CALDAROLA VINCENT T 4499 MEDICAL DR 331 SAN ANTONIO TX 78229 (210)614-0805 5333574 BEXAR CARDIOVASCULAR DISEASE CANALES MARK L 7434 LOUIS PASTEUR DR 209 SAN ANTONIO TX 78229 (210)949-0304 727405

4 BEXAR CARDIOVASCULAR DISEASE CANALES MARK L 8711 VILLAGE DR 209 SAN ANTONIO TX 78217 (210)657-2036 7274054 BEXAR EMERGENCY MEDICINE CARABALLO HECTOR L 8401 DATAPOINT 500 SAN ANTONIO TX 78229 (210)614-0180 56873344 BEXAR OBSTETRICS & GYNECOLOGY CARCAMO KAREN M 7940 FLOYD CURL DR 900 SAN ANTONIO TX 78229 (210)614-1000 1210558

4 BEXAR OBSTETRICS & GYNECOLOGY CARDENAS MD CARLOS A 1303 MCCULLOUGH AVE GL70 SAN ANTONIO TX 78212 232314 BEXAR OBSTETRICS & GYNECOLOGY CARDENAS MD CARLOS A 525 OAK CENTRE DR 230 SAN ANTONIO TX 78258 (210)494-2000 232314 BEXAR OBSTETRICS & GYNECOLOGY CARRENO SIMPSON CRISTINA P 414 NAVARRO ST 1200 SAN ANTONIO TX 78205 (210)226-5420 1904810

Report Date: Jan07 25 of 64

Page 26: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR PEDIATRIC NEPHROLOGY CARVAJAL HUGO F 525 OAK CENTRE 400 SAN ANTONIO TX 78258 (210)297-4570 56225134 BEXAR UROLOGY CASE GEORGE D 414 NAVARRO ST 914 SAN ANTONIO TX 78205 (210)655-2411 6322644 BEXAR UROLOGY CASE GEORGE D 414 NAVARRO ST 914 SAN ANTONIO TX 78205 (210)225-7191 6322644 BEXAR UROLOGY CASE GEORGE D 8711 VILLAGE DR 312 SAN ANTONIO TX 78217 (210)655-2411 6322644 BEXAR FAMILY PRACTICE CASTILLO RICARDO 4243 E SOUTHCROSS BLVD 205 SAN ANTONIO TX 78222 (210)304-3500 6321394 BEXAR PODIATRIC SURGERY CASTILLO ROBERT L 8042 WURZBACH RD 450 SAN ANTONIO TX 78229 (210)692-0279 56673574 BEXAR ENDOCRINOLOGY CASTRO HECTOR J 8711 VILLAGE DR 310 SAN ANTONIO TX 78217 (210)650-3388 5529163

4 BEXAR FAMILY PRACTICE CAVAZOS JOSE F 1303 MCCULLOUGH AVE 533 SAN ANTONIO TX 78212 (210)226-5229 869784 BEXAR CARDIOVASCULAR DISEASE CELIO PAUL V 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)582-5145 7509444 BEXAR FAMILY PRACTICE CERDA LETICIA A 1202 W BITTERS RD BLDG 4 SAN ANTONIO TX 78216 (210)492-9144 2223562

4 BEXAR ANESTHESIOLOGY CERDAY EDDIE L 6228 BANDERA RD 100 SAN ANTONIO TX 78238 (210)826-2262 57145494 BEXAR PEDIATRICS CHACKO K JOB 730 N MAIN AVE 307 SAN ANTONIO TX 78205 (210)222-0362 1122892

4 BEXARPEDIATRIC HEMATOLOGY & ONCOLOGY CHAN KA W 8201 EWING HALSELL SAN ANTONIO TX 78297 (210)575-8500 1189907

4 BEXAR PEDIATRICS CHAN KA W 8201 EWING HALSELL SAN ANTONIO TX 78297 (210)575-8500 11899074 BEXAR PODIATRIC SURGERY CHELEUITTE ELIAS R 1303 MCCULLOUGH AVE 348 SAN ANTONIO TX 78212 (210)227-4168 9072564 BEXAR OBSTETRICS & GYNECOLOGY CHEN HENRY 343 W HOUSTON ST 204 SAN ANTONIO TX 78205 (210)654-8215 16392824 BEXAR OBSTETRICS & GYNECOLOGY CHEN HENRY 343 W HOUSTON ST 204 SAN ANTONIO TX 78205 (210)264-2464 16392824 BEXAR INTERNAL MEDICINE CHINEA EUGENIO R 81833 BABCOKC 435 SAN ANTONIO TX 78229 (210)614-5855 4033354 BEXAR INTERNAL MEDICINE CHING ROBERT T 4243 E SOUTHCROSS BLVD 201 SAN ANTONIO TX 78222 (210)337-2600 10589744 BEXAR SURGERY CHISCANO KRISTIE A 315 N SAN SABA 1240 SAN ANTONIO TX 78207 (210)212-4114 2228102

4 BEXAR SURGERY CHISCANO KRISTIE A 2829 BABCOCK RD 625 SAN ANTONIO TX 78229 (210)298-7501 22281024 BEXAR GASTROENTEROLOGY CHUMLEY DELBERT L 8214 WURZBACH RD SAN ANTONIO TX 78229 (210)614-1234 335524 BEXAR INTERNAL MEDICINE CISNEROS LUIS A 343 W HOUSTON ST 808 SAN ANTONIO TX 78205 (210)224-9616 1413698

4 BEXAR INTERNAL MEDICINE CLARK KRISTI G 2829 BABCOCK RD 110 SAN ANTONIO TX 78229 (210)616-7300 19299674 BEXAR DERMATOLOGY CLAYTON ANNA S 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)450-1129 56451174 BEXAR ANESTHESIOLOGY COHEN ROBERT J 621 N ALAMO ST SAN ANTONIO TX 78215 (210)227-5168 631809

4 BEXAR INTERNAL MEDICINE COLEN RAMON 803 CASTROVILLE RD 120 SAN ANTONIO TX 78237 (210)436-7402 22760964 BEXAR SURGERY COOPWOOD JOSEPH B 343 W HOUSTON ST 705 SAN ANTONIO TX 78205 (210)545-3660 20200274 BEXAR PEDIATRICS CORTADA XAVIER R 13750 SAN PEDRO AVE 850 SAN ANTONIO TX 78232 (210)403-5105 631850

4 BEXAR CARDIOVASCULAR DISEASE CRAIG WILLIAM E 4330 MEDICAL DR 110 SAN ANTONIO TX 78229 (210)615-8657 6319494 BEXAR ORTHOPEDIC SURGERY CRAVEN JR PHILLIP R 9150 HUEBNER RD 390 SAN ANTONIO TX 78240 (210)561-7200 403106

4 BEXARCARDIOVASCULAR/THORACIC SURGERY CRAWFORD HOWARD W 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-7700 402982

4 BEXAR ENDOCRINOLOGY CRUZ JAIME O 155 E SONTERRA AVE 105 SAN ANTONIO TX 78258 (210)946-2520 16375774 BEXAR ENDOCRINOLOGY CRUZ JAIME O 215 E QUINCY ST 319 SAN ANTONIO TX 78215 (210)226-9520 16375774 BEXAR PEDIATRICS CUMING IV G SCOTT 8647 WURZBACH RD O SAN ANTONIO TX 78240 (210)696-2800 694156

4 BEXAR PODIATRIC SURGERY CYR ROBERT P 343 W HOUSTON ST 612 SAN ANTONIO TX 78205 (210)212-4595 20104244 BEXAR RADIATION ONCOLOGY DAHIYA RAJIV S 215 E QUINCY SAN ANTONIO TX 78215 (210)575-8130 18803914 BEXAR RADIATION ONCOLOGY DAHIYA RAJIV S 8215 EWING ALSELL SAN ANTONIO TX 78229 (210)692-8130 18803914 BEXAR RADIATION ONCOLOGY DAHIYA RAJIV S 8038 WURZBACH RD 270 SAN ANTONIO TX 78229 (210)616-0866 18803914 BEXAR ANESTHESIOLOGY DALESANDRO HECTOR H 4115 MEDICAL DR 110 SAN ANTONIO TX 78229 (210)698-2692 685532

4 BEXAR PEDIATRIC ENDOCRINOLOGY DANNEY MARK M 5107 MEDICAL DR SAN ANTONIO TX 78229 (210)614-8612 1637654

4 BEXARCARDIOVASCULAR/THORACIC SURGERY DAVIS WILLIAM M 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-7700 90143

4 BEXAR DERMATOLOGY DAVIS STEVEN A 7810 LOUIS PASTEUR DR 200 SAN ANTONIO TX 78229 (210)614-3355 4028234 BEXAR PEDIATRICS DAVIS LAURA F 4499 MEDICAL DR 280 SAN ANTONIO TX 78229 (210)614-4499 18950314 BEXAR UROLOGY DE LEON JR JOHN J 1303 MCCULLOUGH AVE 166 SAN ANTONIO TX 78212 (210)225-4444 4030724 BEXAR PLASTIC SURGERY DECHERD MICHAEL E 540 MADISON OAK DR 600 SAN ANTONIO TX 78258 (210)495-4100 2238566

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) DECHERD MICHAEL E 540 MADISON OAK DR 600 SAN ANTONIO TX 78258 (210)495-4100 2238566

4 BEXAR NEUROLOGY DELANEY B PEYTON 4499 MEDICAL DR 122 SAN ANTONIO TX 78229 (210)616-0665 7396384 BEXAR INFECTIOUS DISEASES DEWITT CAROLINE C 8042 WURZBACH RD 280 SAN ANTONIO TX 78229 (210)614-8100 19765534 BEXAR RHEUMATOLOGY DINH HOANG M 14615 SAN PEDRO AVE 105 SAN ANTONIO TX 78232 (210)404-0020 56945774 BEXAR FAMILY PRACTICE DO THUY D 1214 S NEW BRAUNFELS AVE SAN ANTONIO TX 78210 (210)534-6225 8769634 BEXAR INTERNAL MEDICINE DO KHANH G 1439 SW MILITARY DR SAN ANTONIO TX 78221 (210)924-6565 11380884 BEXAR ENDOCRINOLOGY DONS ROBERT F 1303 MCCULLOUGH AVE 374 SAN ANTONIO TX 78212 (210)223-5483 18089084 BEXAR PEDIATRIC SURGERY DOSKI JOHN J 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)615-8757 12190604 BEXAR DERMATOLOGY DOTSON AVERED D 19016 STONE OAK PKWY 180 SAN ANTONIO TX 78258 (210)490-4661 20971144 BEXAR INTERNAL MEDICINE DROGIN TERE L 540 MADISON OAK DR 240 SAN ANTONIO TX 78258 (210)545-3090 1128322

4 BEXAR OPHTHALMOLOGY DUNHAM TIMITHY M 9150 HUEBNER RD 280 SAN ANTONIO TX 78240 (210)697-9292 11231504 BEXAR SURGERY DUPERIER FRANK D 8026 FLOYD CURL DR SAN ANTONIO TX 78229 (210)614-3370 19826524 BEXAR SURGERY DUPERIER FRANK D 2833 BABCOCK RD 415 SAN ANTONIO TX 78229 (210)614-3370 19826524 BEXAR ORTHOPEDIC SURGERY EARLE STEPHEN E 8800 VILLAGE DR 106 SAN ANTONIO TX 78217 (210)656-6721 5551059

Report Date: Jan07 26 of 64

Page 27: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR GYNECOLOGY (NO OB) ELLSWORTH LINDA R 4499 MEDICAL DR 380 SAN ANTONIO TX 78229 (210)614-3303 14130814 BEXAR FAMILY PRACTICE ESPARZA GINA 902 BANDERA RD SAN ANTONIO TX 78228 (210)431-4503 21162594 BEXAR CARDIOVASCULAR DISEASE ESPINOZA JUDE V 927 MCCULLOUGH AVE SAN ANTONIO TX 78215 (210)271-3203 11473244 BEXAR CARDIOVASCULAR DISEASE ESPINOZA JUDE V 414 NAVARRO ST 1111 SAN ANTONIO TX 78205 (210)220-1949 1147324

4 BEXARPEDIATRIC HEMATOLOGY & ONCOLOGY ESTRADA JAIME 7700 FLOYD CURL DR SAN ANTONIO TX 78229 (210)575-8500 858426

4 BEXAR FAMILY PRACTICE ETHRIDGE JEFF D 740 S ALAMO ST SAN ANTONIO TX 78205 (210)222-0333 55917964 BEXAR SURGERY ETLINGER JOHN E 1303 MCCULLOUGH AVE 235 SAN ANTONIO TX 78212 (210)229-9290 6328534 BEXAR SURGERY ETLINGER JOHN E 7922 EWING HALSELL DR 100 SAN ANTONIO TX 78229 (210)615-8585 632853

4 BEXAR ANESTHESIOLOGY EYRE ELIZABETH A 7979 WURZBACH RD U242 SAN ANTONIO TX 78229 (210)593-2638 1017014 BEXAR OBSTETRICS & GYNECOLOGY FARINA JOSE M 1200 BROOKLYN AVE 220 SAN ANTONIO TX 78212 (210)228-0705 6328544 BEXAR OBSTETRICS & GYNECOLOGY FARINA JOSE M 1730 SW MILITARY DRIVE 204 SAN ANTONIO TX 78221 (210)228-0705 6328544 BEXAR CARDIOVASCULAR DISEASE FARIVAR MOHSENI MIRHASSAN M 4045 E SOUTHCROSS SAN ANTONIO TX 78222 (210)333-2031 9266434 BEXAR INTERNAL MEDICINE FARIVAR MOHSENI MIRHASSAN M 4045 E SOUTHCROSS SAN ANTONIO TX 78222 (210)333-2031 926643

4 BEXAR PEDIATRIC EMERGENCY MEDICINE FASTLE REBECCA 8401 DATAPOINT DR 500 SAN ANTONIO TX 78229 (210)614-0180 53976374 BEXAR OBSTETRICS & GYNECOLOGY FEINSTEIN KAREN H 7622 LOUIS PASTEUR DR 105 SAN ANTONIO TX 78229 (210)593-0700 19579004 BEXAR OPHTHALMOLOGY FERENCE III MICHAEL 7355 BARLITE BLVD 304 SAN ANTONIO TX 78224 (210)922-3600 235824 BEXAR OPHTHALMOLOGY FERENCE III MICHAEL 2833 BABCOCK RD 345 SAN ANTONIO TX 78229 (210)614-3600 23582

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) FERNANDEZ ALBERTO T 7355 BARLITE BLVD 104 SAN ANTONIO TX 78224 (210)932-1757 402954

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) FERNANDEZ ALBERTO T 343 W HOUSTON ST 409 SAN ANTONIO TX 78205 (210)226-9166 402954

4 BEXAR PEDIATRICS FERRERIS JUAN J 8627 CINNAMON CREEK DR BLDG 1 SAN ANTONIO TX 78240 (210)641-5437 10476464 BEXAR INTERNAL MEDICINE FETCHICK RICHARD J 8042 WURZBACH RD 280 SAN ANTONIO TX 78229 (210)614-8100 6320094 BEXAR INTERNAL MEDICINE FEUILLET PABLO M 525 OAK CTR 220 SAN ANTONIO TX 78258 (210)491-7700 1753455

4 BEXAR GENERAL VASCULAR SURGERY FIALA LOIS A 102 PALO ALTO SAN ANTONIO TX 78211 (210)932-1487 1989194

4 BEXAR GENERAL VASCULAR SURGERY FIALA LOIS A 7355 BARLITE BLVD 405 SAN ANTONIO TX 78224 (210)271-3660 19891944 BEXAR NEUROLOGICAL SURGERY FICHTEL FRANK M 4410 MEDICAL DR 600 SAN ANTONIO TX 78229 (210)615-5200 12159064 BEXAR SURGERY FISCHER RICHARD E 19016 STONE OAK PKWY 210 SAN ANTONIO TX 78258 (210)404-9980 231094 BEXAR SURGERY FISCHER RICHARD E 12709 TOEPPERWEIN RD 203 SAN ANTONIO TX 78233 (210)653-9307 23109

4 BEXAR ENDOCRINOLOGY FISCHER JEROME S 5107 MEDICAL DR SAN ANTONIO TX 78229 (210)614-8612 6320024 BEXAR ENDOCRINOLOGY FISCHER JEROME S 5107 MEDICAL DR SAN ANTONIO TX 78229 (210)615-5575 6320024 BEXAR PODIATRIC SURGERY FISH SHAY E 5282 MEDICAL DR 260 SAN ANTONIO TX 78229 (210)616-0819 10593764 BEXAR PLASTIC SURGERY FISHER DAVID J 7950 FLOYD CURL DR 109 SAN ANTONIO TX 78229 (210)616-0798 511037

4 BEXAR PLASTIC SURGERY FISHER PETER 7950 FLOYD CURL DR 109 SAN ANTONIO TX 78229 (210)616-0798 5110584 BEXAR UROLOGY FITCH III WILLIAM P 8038 WURZBACH RD 430 SAN ANTONIO TX 78229 (210)818-0410 23179

4 BEXAR GASTROENTEROLOGY FLORES EDDIE 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)615-8699 8258064 BEXAR GASTROENTEROLOGY FLORES EDDIE 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)581-2797 8258064 BEXAR GASTROENTEROLOGY FLORES EDDIE 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)271-0606 8258064 BEXAR GASTROENTEROLOGY FLORES EDDIE 2829 BABCOCK RD 525 SAN ANTONIO TX 78229 (210)615-8699 8258064 BEXAR PEDIATRICS FONT EUGENIO 8627 CINNAMON CREEK DR 101 SAN ANTONIO TX 78240 (210)641-5437 6948844 BEXAR NEPHROLOGY FORERO NICHOLAS A 2391 NE LOOP 410 405 SAN ANTONIO TX 78217 (210)674-7326 10921954 BEXAR SURGERY FOSTER PRESTON F 8201 EWING HALSELL DR SAN ANTONIO TX 78229 (210)575-8500 788344 BEXAR SURGERY FRANKLIN JR MORRIS E 4242 E SOUTHCROSS BLVD 1 SAN ANTONIO TX 78222 (210)333-7510 8176714 BEXAR INTERNAL MEDICINE FRANKS DANIEL 12709 TOEPPERWEIN RD 306 SAN ANTONIO TX 78233 (210)581-8510 22405074 BEXAR NEPHROLOGY FREIBERG JOSEPH M 4499 MEDICAL DR 240 SAN ANTONIO TX 78229 (210)614-9255 7636414 BEXAR ENDOCRINOLOGY FREIBERG JOSEPH M 4499 MEDICAL DR 240 SAN ANTONIO TX 78229 (210)614-9255 763641

4 BEXAR PEDIATRICS GABRIEL HODA 6750 TEZEL RD 103 SAN ANTONIO TX 78250 (210)681-5117 232714 BEXAR OBSTETRICS & GYNECOLOGY GALLAGHER MARY S 7711 LOUIS PASTEUR DR 200 SAN ANTONIO TX 78229 (210)692-9500 11375264 BEXAR INTERNAL MEDICINE GARCIA RONALD K 2829 BABCOCK RD 636 SAN ANTONIO TX 78229 (210)614-7865 901424 BEXAR INTERNAL MEDICINE GARCIA ALLEN R 730 N MAIN AVE 815 SAN ANTONIO TX 78205 (210)223-3119 6323454 BEXAR FAMILY PRACTICE GARCIA JOHN J 12315 JUDSON RD 118 LIVE OAK TX 78233 (210)655-7271 1414401

4 BEXAR CARDIOVASCULAR DISEASE GARCIA JESUS G 343 W HOUSTON ST 606 SAN ANTONIO TX 78205 (210)224-8374 5272217

4 BEXARCARDIOVASCULAR/THORACIC SURGERY GARRISON JAMES R 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-7700 5270082

4 BEXAR NEUROLOGY GARRISON III JAMES E 5430 FREDERICKSBURG RD 400 SAN ANTONIO TX 78229 (210)692-3362 4012054 BEXAR OBSTETRICS & GYNECOLOGY GARZA DAVID E 540 MADISON OAK DR 550 SAN ANTONIO TX 78258 (210)494-3542 5119084 BEXAR OBSTETRICS & GYNECOLOGY GARZA DAVID E 4499 MEDICAL DR 151 SAN ANTONIO TX 78229 (210)616-0792 5119084 BEXAR GASTROENTEROLOGY GARZA HOMERO R 7950 FLOYD CURL DR 805 SAN ANTONIO TX 78229 (210)692-0707 5119134 BEXAR ENDOCRINOLOGY GARZA RAMON M 215 E QUINCY ST 319 SAN ANTONIO TX 78215 (210)226-9520 1637717

Report Date: Jan07 27 of 64

Page 28: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR ENDOCRINOLOGY GARZA RAMON M 155 E SONTERRA BLVD 570 SAN ANTONIO TX 78258 (210)946-2520 16377174 BEXAR FAMILY PRACTICE GARZA JUAN C 4315 MOONLIGHT WAY 102 SAN ANTONIO TX 78230 (210)558-8878 55903474 BEXAR OBSTETRICS & GYNECOLOGY GARZA JOSEPH R 502 MADISON OAK DR 230 SAN ANTONIO TX 78258 (210)616-0680 4025844 BEXAR OBSTETRICS & GYNECOLOGY GEE REBECCA J 343 W HOUSTON ST 204 SAN ANTONIO TX 78205 (210)264-2464 8913014 BEXAR NEUROLOGICAL SURGERY GENNUSO ROSEMARIA 4499 MEDICAL DR 340 SAN ANTONIO TX 78229 (210)575-6240 6526064 BEXAR NEPHROLOGY GERGES ANWAR S 215 E QUINCY ST 610 SAN ANTONIO TX 78215 (210)226-2001 8390184 BEXAR CLINICAL PSYCHOLOGY GERWELL KRISTINE J 130 LEWIS ST SAN ANTONIO TX 78212 (210)829-7471 82413

4 BEXAR PEDIATRIC CARDIOLOGY GLASOW PATRICK F 525 OAK CENTRE DR 400 SAN ANTONIO TX 78258 (210)341-7722 16376964 BEXAR PEDIATRIC CARDIOLOGY GLASOW PATRICK F 1901 BABCOCK RD 301 SAN ANTONIO TX 78229 (210)341-7722 1637696

4 BEXAR SURGERY GLASS JEFFREY L 540 MADISON OAK DR 330 SAN ANTONIO TX 78258 (210)495-0787 9159564 BEXAR SURGERY GLASS JEFFREY L 4242 E SOUTHCROSS BLVD 1 SAN ANTONIO TX 78222 (210)333-7510 9159564 BEXAR SURGERY GLASS JEFFREY L 4242 E SOUTHCROSS BLVD 1 SAN ANTONIO TX 78222 (210)495-0787 915956

4 BEXAR PODIATRIC SURGERY GOAD RICHARD N 215 E QUINCY ST 615 SAN ANTONIO TX 78215 (210)299-3922 5123834 BEXAR PODIATRIC SURGERY GOAD RICHARD N 525 OAK CENTRE DR 400 SAN ANTONIO TX 78258 (210)299-3922 5123834 BEXAR PODIATRIC SURGERY GOAD RICHARD N 5101 MEDICAL DR SAN ANTONIO TX 78229 (210)299-3922 5123834 BEXAR GASTROENTEROLOGY GOLDNER FRED H 8214 WURZBACH RD SAN ANTONIO TX 78229 (210)614-1234 7281164 BEXAR UROLOGY GONZALEZ ROGELIO I 730 N MAIN 408 SAN ANTONIO TX 78205 (210)226-8155 5126104 BEXAR FAMILY PRACTICE GONZALEZ MOISES C 1303 BASSE RD SAN ANTONIO TX 78212 (210)349-2785 6323694 BEXAR FAMILY PRACTICE GONZALEZ JAVIER G 226 W BITTERS RD 100 SAN ANTONIO TX 78216 (210)494-7724 8883034 BEXAR FAMILY PRACTICE GONZALEZ BERNICE 225 E SONTERRA BLVD 100 SAN ANTONIO TX 78258 (210)496-7999 9180514 BEXAR PEDIATRICS GONZALEZ JESSICA M 19238 STONEHUE SAN ANTONIO TX 78258 (210)494-2223 1953689

4 BEXAR NEUROLOGY GORDON WAYNE H 14607 SAN PEDRO AVE 220 SAN ANTONIO TX 78232 (491)490-0016 922274 BEXAR NEUROLOGY GORDON WAYNE H 14607 SAN PEDRO AVE 220 SAN ANTONIO TX 78232 (210)225-5334 922274 BEXAR NEUROLOGY GORDON WAYNE H 1200 BROOKLYN AVE 310 SAN ANTONIO TX 78212 (210)225-5334 92227

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) GORDON WILLIAM W 7940 FLOYD CURL DR 400 SAN ANTONIO TX 78229 (210)616-0121 512694

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) GORDON WILLIAM W 7940 FLOYD CURL DR 400 SAN ANTONIO TX 78229 (210)616-0096 512694

4 BEXAR UROLOGY GRAHAM CHRISTOPHER W 12709 TOEPPERWEIN RD 110 SAN ANTONIO TX 78233 (210)564-8000 10791654 BEXAR UROLOGY GRAHAM CHRISTOPHER W 7909 FREDRICKSBURG #135 SAN ANTONIO TX 78229 (210)564-8000 10791654 BEXAR PEDIATRICS GRANT WILSON W 5282 MEDICAL DR 310 SAN ANTONIO TX 78229 (210)614-8687 632934

4 BEXAR PODIATRIC SURGERY GRASER ROBERT E 7333 BARLITE BLVD 330 SAN ANTONIO TX 78224 (210)922-1551 7531464 BEXAR GASTROENTEROLOGY GREEN GERALD I 540 MADISON OAK DR 520 SAN ANTONIO TX 78258 (210)490-0202 4003724 BEXAR HEAD & NECK SURGERY GUILLAUME ANDAMO A 98 BRIGGS ST 960 SAN ANTONIO TX 78224 (830)775-3895 2079263

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) GUILLAUME ANDAMO A 7909 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (830)775-3895 2079263

4 BEXAR HEAD & NECK SURGERY GUILLAUME ANDAMO A 7909 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (830)775-3895 2079263

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) GUILLAUME ANDAMO A 7909 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (210)614-5600 2079263

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) GUILLAUME ANDAMO A 98 BRIGGS ST 960 SAN ANTONIO TX 78224 (210)922-3221 2079263

4 BEXAR HEAD & NECK SURGERY GUILLAUME ANDAMO A 7909 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (210)614-5600 2079263

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) GUILLAUME ANDAMO A 98 BRIGGS ST 960 SAN ANTONIO TX 78224 (830)775-3895 2079263

4 BEXAR HEAD & NECK SURGERY GUILLAUME ANDAMO A 98 BRIGGS ST 960 SAN ANTONIO TX 78224 (210)922-3221 20792634 BEXAR INTERNAL MEDICINE GUPTA PRIYANKA 7711 LOUIS PASTEUR DR 407 SAN ANTONIO TX 78229 56732714 BEXAR ALLERGY & IMMUNOLOGY GUPTA PRIYANKA 7711 LOUIS PASTEUR DR 407 SAN ANTONIO TX 78229 5673271

4 BEXAR FAMILY PRACTICE GUZMAN JR ALONZO 2108 NW MILITARY HWY SAN ANTONIO TX 78213 (210)342-7300 4029774 BEXAR FAMILY PRACTICE GUZMAN JR ALONZO 2108 NW MILITARY HWY SAN ANTONIO TX 78213 (210)223-0340 402977

4 BEXAR CARDIOVASCULAR DISEASE HADDOCK EUGENE P 4330 MEDICAL DR 500 SAN ANTONIO TX 78229 (210)692-1414 235904 BEXAR CARDIOVASCULAR DISEASE HADDOCK EUGENE P 4330 MEDICAL DR 500 SAN ANTONIO TX 78229 (210)615-1234 235904 BEXAR SURGERY HALL GARY M 12709 TOEPPERWEIN RD 203 SAN ANTONIO TX 78233 (210)653-9307 86968

4 BEXAR SURGERY HALL GARY M 12709 TOEPPERWEIN RD 203 SAN ANTONIO TX 78233 (210)494-9228 86968

4 BEXAR GENERAL VASCULAR SURGERY HAMNER III LAWRENCE R 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-7700 632085

4 BEXARCARDIOVASCULAR/THORACIC SURGERY HAMNER III LAWRENCE R 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-7700 632085

4 BEXAR FAMILY PRACTICE HARLE RAYMOND P 8042 WURZBACH RD 240 SAN ANTONIO TX 78229 (210)614-3866 4027734 BEXAR OPHTHALMOLOGY HARPER JR JOHN Y 311 CAMDEN ST 601 SAN ANTONIO TX 78215 (210)226-2446 7391724 BEXAR FAMILY PRACTICE HARRIS JUDITH L 4212 E SOUTHCROSS BLVD 145 SAN ANTONIO TX 78222 (210)337-6202 623076

4 BEXAR ORTHOPEDIC SURGERY HARRIS ADAM I 7950 FLOYD CURL DR 709 SAN ANTONIO TX 78229 (210)614-5100 16155614 BEXAR ORTHOPEDIC SURGERY HARRIS ADAM I 400 CONCORD PLZ 300 SAN ANTONIO TX 78216 (210)593-1430 16155614 BEXAR NEPHROLOGY HART DENISE 714 E QUINCY ST SAN ANTONIO TX 78215 (210)270-7760 484614 BEXAR GASTROENTEROLOGY HAVRANEK RUSSELL D 8550 DATAPOINT DR LL100 SAN ANTONIO TX 78229 (210)615-8308 5642023

Report Date: Jan07 28 of 64

Page 29: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR FAMILY PRACTICE HEISTAND MICHAEL 8042 WURZBACH RD 350 SAN ANTONIO TX 78229 (210)614-3412 922294 BEXAR FAMILY PRACTICE HENWOOD BEVERLEY L 9240 GUILBEAU RD 128 SAN ANTONIO TX 78250 (210)681-4685 6319644 BEXAR OPHTHALMOLOGY HERNANDEZ III RAYMOND H 19292 STONE OAK PKWY SAN ANTONIO TX 78258 (210)494-4747 912511

4 BEXAR OBSTETRICS & GYNECOLOGY HIGHSMITH JEROME C 1200 BROOKLYN AVE 220 SAN ANTONIO TX 78212 (210)228-0705 4016264 BEXAR OBSTETRICS & GYNECOLOGY HIGHSMITH JEROME C 1730 SW MILITARY DR 204 SAN ANTONIO TX 78221 (210)924-5502 401626

4 BEXAR FAMILY PRACTICE HILL JR GORDON T 1777 NE LOOP 410 200 SAN ANTONIO TX 78217 (210)822-3646 14123444 BEXAR OBSTETRICS & GYNECOLOGY HILLIARD ROBERT L 710 AUGUSTA ST SAN ANTONIO TX 78215 (210)225-6131 4028494 BEXAR INTERNAL MEDICINE HLA TIN A 12501 JUDSON RD 202 SAN ANTONIO TX 78233 (210)599-4086 12149854 BEXAR DERMATOLOGY HOBBS EDMUND R 5282 MEDICAL DR 518 SAN ANTONIO TX 78229 (210)615-8200 4028224 BEXAR DERMATOLOGY HOCKLEY ALFRED J 12602 TOEPPERWEIN RD 114 LIVE OAK TX 78233 (210)657-9338 11141004 BEXAR FAMILY PRACTICE HOEFLE STEPHANIE F 225 E SONTERRA BLVD 100 SAN ANTONIO TX 78258 (210)496-7999 21619284 BEXAR EMERGENCY MEDICINE HOLLAND DAVID 7700 FLOYD CURL DR SAN ANTONIO TX 78229 (210)575-7000 1122450

4 BEXAR OBSTETRICS & GYNECOLOGY HOLSHOUSER JR CHARLES A 4499 MEDICAL DR 183 SAN ANTONIO TX 78229 (210)692-5200 4029224 BEXAR PULMONARY DISEASE HOMMA ARTURO 7940 FLOYD CURL DR SAN ANTONIO TX 78229 (210)692-0361 21593934 BEXAR PULMONARY DISEASE HOMMA ARTURO 7950 FLOYD CURL DR 620 SAN ANTONIO TX 78229 (210)692-0361 21593934 BEXAR FAMILY PRACTICE HORN CURTIS S 303 W SUNSET RD 101 SAN ANTONIO TX 78209 (210)824-5201 8582304 BEXAR PEDIATRIC CARDIOLOGY HOSPERS TERESA A 4499 MEDICAL DR 272 SAN ANTONIO TX 78229 (210)614-3264 10454754 BEXAR UROLOGY HUDNALL CLAYTON H 125 FREDERICKSBURG #125 SAN ANTONIO TX 78229 (210)614-4544 5149504 BEXAR RHEUMATOLOGY HUFF JOHN P 14615 SAN PEDRO AVE 105 SAN ANTONIO TX 78232 (210)404-0020 756504 BEXAR OPHTHALMOLOGY HUGHES JANE B 7940 FLOYD CURL DR 1020 SAN ANTONIO TX 78229 (210)614-5566 858586

4 BEXAR NEPHROLOGY HURA CLAUDIA E 8042 WURZBACH RD 500 SAN ANTONIO TX 78229 (210)692-7228 5150834 BEXAR NEUROLOGY HYUN DANIEL D 315 N SAN SABA 1110 SAN ANTONIO TX 78207 (210)685-1466 20187884 BEXAR NEUROLOGY HYUN DANIEL D 315 N SAN SABA 1110 SAN ANTONIO TX 78207 (210)226-3326 20187884 BEXAR PSYCHIATRY IBRAHIM BADRELDIN A 7711 LOUIS PASTEUR DR 605 SAN ANTONIO TX 78229 (210)949-1913 17211464 BEXAR NEUROLOGY IBRAHIM BADRELDIN A 7711 LOUIS PASTEUR DR 605 SAN ANTONIO TX 78229 (210)949-1913 1721146

4 BEXAR PEDIATRICS IRVIN LINDSAY 5921 BROADWAY ST SAN ANTONIO TX 78209 (210)930-8400 54556374 BEXAR PEDIATRIC NEPHROLOGY IRWIN KIMBERLY C 4499 MEDICAL DR 261 SAN ANTONIO TX 78229 (210)615-2205 10532034 BEXAR INTERNAL MEDICINE ISAEFF MARK 1303 MCCULLOUGH AVE 600 SAN ANTONIO TX 78212 (210)225-2551 20166474 BEXAR NEPHROLOGY ISBELL MELISSA R 7434 LOUIS PASTEUR DR 120 SAN ANTONIO TX 78229 (210)614-1515 8676184 BEXAR COLON & RECTAL SURGERY JACKSON R BLAIR 315 N SAN SABA 110 SAN ANTONIO TX 78207 (210)271-7811 8176834 BEXAR COLON & RECTAL SURGERY JACKSON R BLAIR 7950 FLOYD CURL DR 101 SAN ANTONIO TX 78229 (210)614-0880 8176834 BEXAR COLON & RECTAL SURGERY JACKSON R BLAIR 8711 VILLAGE DR 320 SAN ANTONIO TX 78217 (210)655-0843 8176834 BEXAR CARDIOVASCULAR DISEASE JACOBS LAURA O 4330 MEDICAL DR 500 SAN ANTONIO TX 78229 (210)692-1414 18226144 BEXAR PEDIATRIC CARDIOLOGY JANSSEN DANA R 1901 BABCOCK RD 301 SAN ANTONIO TX 78229 (210)341-7722 2231746

4 BEXAR PEDIATRIC CARDIOLOGY JANSSEN DANA R 525 OAK CENTRE DR 400 SAN ANTONIO TX 78258 (210)341-7722 22317464 BEXAR ANESTHESIOLOGY JEAN PIERRE JEAN S 7940 FLOYD CURL DR 1030 SAN ANTONIO TX 78229 (573)785-3861 12071624 BEXAR PULMONARY DISEASE JENKINS JR DOUGLAS W 124 DALLAS ST SAN ANTONIO TX 78205 (210)224-1771 847774 BEXAR PULMONARY DISEASE JENKINS JR DOUGLAS W 124 DALLAS ST SAN ANTONIO TX 78205 (210)654-6364 847774 BEXAR PEDIATRICS JOHNSON ROBERT K 401 W SUMMIT AVE SAN ANTONIO TX 78212 (210)736-3126 233534 BEXAR INTERNAL MEDICINE JOHNSON IV JOSEPH E 540 MADISON OAK DR 690 SAN ANTONIO TX 78258 (210)545-0777 686354 BEXAR INTERNAL MEDICINE JOHNSON IV JOSEPH E 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)615-8201 686354 BEXAR GASTROENTEROLOGY JOHNSON IV JOSEPH E 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)615-8201 68635

4 BEXAR INTERNAL MEDICINE JOHNSON IV JOSEPH E 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)271-0606 686354 BEXAR GASTROENTEROLOGY JOHNSON IV JOSEPH E 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)271-0606 68635

4 BEXAR GASTROENTEROLOGY JOHNSON IV JOSEPH E 540 MADISON OAK DR 690 SAN ANTONIO TX 78258 (210)615-8201 686354 BEXAR GASTROENTEROLOGY JOHNSON IV JOSEPH E 540 MADISON OAK DR 690 SAN ANTONIO TX 78258 (210)545-0777 686354 BEXAR INTERNAL MEDICINE JOHNSON IV JOSEPH E 2829 BABCOCK RD 525 SAN ANTONIO TX 78229 (210)615-8201 686354 BEXAR GASTROENTEROLOGY JOHNSON IV JOSEPH E 2829 BABCOCK RD 525 SAN ANTONIO TX 78229 (210)615-8201 686354 BEXAR INTERNAL MEDICINE JOHNSON IV JOSEPH E 540 MADISON OAK DR 690 SAN ANTONIO TX 78258 (210)615-8201 686354 BEXAR GYNECOLOGY (NO OB) JONES LILLIAN M 7922 EWING HALSELL DR 160 SAN ANTONIO TX 78229 (210)614-7993 4025464 BEXAR PEDIATRICS JONES LANNING D 5282 MEDICAL DR 310 SAN ANTONIO TX 78229 (210)614-8687 6329624 BEXAR OBSTETRICS & GYNECOLOGY JONES MICHAEL L 414 NAVARRO ST 1200 SAN ANTONIO TX 78205 (210)402-6022 7989924 BEXAR OBSTETRICS & GYNECOLOGY JONES MICHAEL L 525 OAK CENTRE DR 320 SAN ANTONIO TX 78258 (210)402-6022 7989924 BEXAR GASTROENTEROLOGY KADAKIA SHAILESH C 225 E SONTERRA BLVD 215 SAN ANTONIO TX 78258 (210)481-7477 1895377

4 BEXAR ENDOCRINOLOGY KAHL BRYAN M 1303 MCCULLOUGH AVE 374 SAN ANTONIO TX 78227 (210)223-5483 53962564 BEXAR HEMATOLOGY & ONCOLOGY KARNAD ANAND B 7979 WURZBACH SAN ANTONIO TX 78229 (210)949-5041 8255164 BEXAR OBSTETRICS & GYNECOLOGY KAUFMAN LEESA A 7616 CULEBRA RD 124 SAN ANTONIO TX 78251 (210)520-8484 20007654 BEXAR OBSTETRICS & GYNECOLOGY KAUFMAN LEESA A 7940 FLOYD CURL DR 900 SAN ANTONIO TX 78229 (210)614-1000 20007654 BEXAR INTERNAL MEDICINE KAZHDAN IRENE 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)450-5849 56858014 BEXAR INTERNAL MEDICINE KAZHDAN IRENE 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)450-5723 5685801

4 BEXAR EMERGENCY MEDICINE KEIGER RICHARD L 1310 MCCULUGH AVE SAN ANTONIO TX 78212 11282064 BEXAR UROLOGY KELLA NAVEEN 7909 FREDRICKSBURG RD 110 SAN ANTONIO TX 78229 (210)614-4544 2238996

4 BEXARCARDIOVASCULAR/THORACIC SURGERY KELLEY JERRY R 8715 VILLAGE DR 616 SAN ANTONIO TX 78217 (210)564-8113 22998

Report Date: Jan07 29 of 64

Page 30: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR OBSTETRICS & GYNECOLOGY KELLEY HARMON W 4115 E SOUTHCROSS BLVD 102 SAN ANTONIO TX 78222 (210)333-0532 4026684 BEXAR OBSTETRICS & GYNECOLOGY KELLEY MARGARET A 4115 E SOUTHCROSS BLVD SAN ANTONIO TX 78222 (210)333-0532 20012744 BEXAR OBSTETRICS & GYNECOLOGY KELLEY MARGARET A 4115 E SOUTHCROSS BLVD 102 SAN ANTONIO TX 78222 (210)333-0532 2001274

4 BEXARCARDIOVASCULAR/THORACIC SURGERY KELLEY JERRY R 8715 VILLAGE DR 616 SAN ANTONIO TX 78217 (210)564-8113 22998

4 BEXAR OBSTETRICS & GYNECOLOGY KELLUM JOHN H 7351 MARBACH RD 108 SAN ANTONIO TX 78227 (210)675-6724 8585344 BEXAR INTERNAL MEDICINE KEMPF KEVIN J 19272 STONE OAK PKWY 101 SAN ANTONIO TX 78258 (210)265-8851 8552104 BEXAR INTERNAL MEDICINE KEMPF KEVIN J 19272 STONE OAK PKWY 101 SAN ANTONIO TX 78258 (210)615-9990 8552104 BEXAR FAMILY PRACTICE KEMPF MELISSA M 1777 NE LOOP 410 200 SAN ANTONIO TX 78217 (210)822-3646 2238999

4 BEXAR MEDICAL GENETICS KHODR GABRIEL S 7614 LOUIS PASTEUR DR 310 SAN ANTONIO TX 78229 (210)615-8237 4032864 BEXAR CARDIOVASCULAR DISEASE KIESZ RADOSLAW S 343 W HOUSTON ST 1005 SAN ANTONIO TX 78205 (210)226-2278 16377104 BEXAR NEUROLOGICAL SURGERY KINGMAN THOMAS A 4410 MEDICAL DR 600 SAN ANTONIO TX 78229 (210)615-5200 632968

4 BEXAR ENDOCRINOLOGY KIPNES MARK S 5107 MEDICAL DR SAN ANTONIO TX 78229 (210)614-8612 6320034 BEXAR HEMATOLOGY KISH JULIE A 7979 WURZBACH RD G330 SAN ANTONIO TX 78229 (210)450-1203 11468564 BEXAR MEDICAL ONCOLOGY KISH JULIE A 7979 WURZBACH RD G330 SAN ANTONIO TX 78229 (210)450-1203 1146856

4 BEXAR OBSTETRICS & GYNECOLOGY KITTRELL DAVE W 4499 MEDICAL DR 156 SAN ANTONIO TX 78229 (210)614-0108 5169484 BEXAR OBSTETRICS & GYNECOLOGY KITTRELL DAVE W 4499 MEDICAL DR 156 SAN ANTONIO TX 78229 (210)699-0108 516948

4 BEXAR FAMILY PRACTICE KOLI VIJAY N 660 SW MILITARY DR SAN ANTONIO TX 78221 (210)924-5097 573509

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) KRUEGER WESLEY W 9150 HUEBNER RD 160 SAN ANTONIO TX 78240 (210)697-0880 1414336

4 BEXAR INTERNAL MEDICINE KRUEGER WESLEY W 9150 HUEBNER RD 160 SAN ANTONIO TX 78240 (210)697-0880 14143364 BEXAR CARDIOVASCULAR DISEASE KWAN MICHAEL D 8201 EWING HALSELL DR 280 SAN ANTONIO TX 78229 (210)575-8500 2279393

4 BEXAR GENERAL VASCULAR SURGERY LABORDE ALFRED L 4330 MEDICAL DR 225 SAN ANTONIO TX 78229 (210)614-7414 632976

4 BEXAR FAMILY PRACTICE LACKEY JAMES M 10350 BANDERA RD 300 SAN ANTONIO TX 78250 (210)383-6861 56892934 BEXAR ALLERGY & IMMUNOLOGY LAHAM MICHEL N 1303 MCCULLOUGH AVE 161 SAN ANTONIO TX 78212 (210)226-3500 6328704 BEXAR PULMONARY DISEASE LAM VICTOR 1310 MCCULLOUGH AVE SAN ANTONIO TX 78212 (210)223-5451 14126434 BEXAR RADIATION ONCOLOGY LANGE JORY D 12705 TEOPPERWEIN RD SAN ANTONIO TX 78233 (210)297-9710 235924 BEXAR RADIATION ONCOLOGY LANGE JORY D 8215 EWING HALSELL SAN ANTONIO TX 78229 (210)297-9710 235924 BEXAR RADIATION ONCOLOGY LANGE JORY D 8038 WURZBACH RD 270 SAN ANTONIO TX 78229 (210)616-0866 235924 BEXAR RADIATION ONCOLOGY LANGE JORY D 8215 EWING HALSELL SAN ANTONIO TX 78229 (210)297-9710 235924 BEXAR RADIATION ONCOLOGY LANGE JORY D 8038 WURZBACH RD 270 SAN ANTONIO TX 78229 (210)616-0866 235924 BEXAR RADIATION ONCOLOGY LANGE JORY D 12705 TEOPPERWEIN RD SAN ANTONIO TX 78233 (210)297-9710 235924 BEXAR RADIATION ONCOLOGY LANGE JORY D 215 E QUINCY SAN ANTONIO TX 78215 (210)575-8130 23592

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) LAURSEN GERALD P 12709 TOEPPERWEIN 111 SAN ANTONIO TX 78233 (210)656-9506 23538

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) LAURSEN GERALD P 4025 E SOUTHCROSS BLDG 4 24 SAN ANTONIO TX 78222 (210)337-1050 23538

4 BEXAR CARDIOVASCULAR DISEASE LECLERC KENNETH M 4330 MEDICAL DR 500 SAN ANTONIO TX 78229 (210)692-1414 20620974 BEXAR PLASTIC SURGERY LEDOUX PETER R 9635 HUEBNER RD SAN ANTONIO TX 78240 (210)692-1181 7852214 BEXAR DERMATOLOGY LEE MARK S 4499 MEDICAL DR 102 SAN ANTONIO TX 78229 (210)614-0402 8087804 BEXAR ORTHOPEDIC SURGERY LEE WAYNE A 2011 E HOUSTON ST SAN ANTONIO TX 78202 (210)491-4125 9704274 BEXAR ORTHOPEDIC SURGERY LEE WAYNE A 19016 STONE OAK PKWY 220 SAN ANTONIO TX 78258 (210)491-4125 9704274 BEXAR INTERNAL MEDICINE LERNER CHARLES J 8042 WURZBACH RD 280 SAN ANTONIO TX 78229 (210)614-8100 6320104 BEXAR CARDIOVASCULAR DISEASE LIU JEAN H 255 E SONTERRA BLVD 150 SAN ANTONIO TX 78258 (210)490-6000 9676874 BEXAR CARDIOVASCULAR DISEASE LIU JEAN H 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)582-5139 967687

4 BEXAR CARDIOVASCULAR DISEASE LIU JEAN H 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)614-5400 9676874 BEXAR CARDIOVASCULAR DISEASE LIU JEAN H 255 E SONTERRA BLVD 150 SAN ANTONIO TX 78258 (210)614-5400 9676874 BEXAR PEDIATRICS LOGAN ANNE 24165 W IH 10 114 SAN ANTONIO TX 78257 (210)687-1543 6794354 BEXAR GYNECOLOGY (NO OB) LOPEZ MARCO A 4499 MEDICAL DR 306 SAN ANTONIO TX 78229 (210)614-4963 5189074 BEXAR CARDIOVASCULAR DISEASE LOPEZ FERNANDO 7726 LOUIS PASTEUR DR SAN ANTONIO TX 78229 (210)614-6391 1148637

4 BEXAR FAMILY PRACTICE LOPEZ JESUS A 2406 COMMERCIAL AVE A SAN ANTONIO TX 78212 (210)921-6088 19199764 BEXAR FAMILY PRACTICE LOPEZ DAVID N 5282 MEDICAL DR 540 SAN ANTONIO TX 78229 (210)615-8495 5529434

4 BEXAR OPHTHALMOLOGY LOWRY GEORGE M 2161 NW MILITARY HWY 101 CASTLE HILLS TX 78213 (210)828-3937 9046654 BEXAR FAMILY PRACTICE LUNA JOSEPH H 94 BRIGGS 300 SAN ANTONIO TX 78224 (210)928-7070 56093344 BEXAR ORTHOPEDIC SURGERY LUNKE ROGER J 540 MADISON OAK DR 350 SAN ANTONIO TX 78258 (210)490-7470 5191064 BEXAR ORTHOPEDIC SURGERY LUNKE ROGER J 1303 MCCULLOUGH AVE 264 SAN ANTONIO TX 78212 (210)225-0156 5191064 BEXAR NEUROLOGY LUTHER J SCOTT 4410 MEDICAL DR 240 SAN ANTONIO TX 78229 (210)615-8070 808574

4 BEXARCARDIOVASCULAR/THORACIC SURGERY LYDA TIMOTHY S 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-7700 92226

4 BEXAR GENERAL VASCULAR SURGERY MACRIS DEMETRIOS N 111 DALLAS ST 200A SAN ANTONIO TX 78205 (210)225-6508 6325064 BEXAR ORTHOPEDIC SURGERY MAGNABOSCO ELIZABETH L 4499 MEDICAL DR 235 SAN ANTONIO TX 78229 (210)692-1613 19764354 BEXAR GASTROENTEROLOGY MAGRANER GABRIEL A 225 E SONTERRA BLVD 215 SAN ANTONIO TX 78258 (210)481-7477 763180

Report Date: Jan07 30 of 64

Page 31: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR DERMATOLOGY MAHLER SUSAN J 7810 LOUIS PASTEUR DR 200 SAN ANTONIO TX 78229 (210)614-3355 6935114 BEXAR PEDIATRIC CARDIOLOGY MALDONADO ELAINE M 1901 BABCOCK RD 301 SAN ANTONIO TX 78229 (210)341-7722 56456474 BEXAR PULMONARY DISEASE MALIK AAMIR S 730 N MAIN AVE 409 SAN ANTONIO TX 78205 (210)228-9481 11250314 BEXAR HEMATOLOGY & ONCOLOGY MARCINIAK ROBERT A 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)450-5723 53680904 BEXAR MEDICAL ONCOLOGY MARCINIAK ROBERT A 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)450-5723 53680904 BEXAR FAMILY PRACTICE MARCOS FRAIGE GUILLERMO A 601 LABOR ST SAN ANTONIO TX 78210 (210)534-8895 14119694 BEXAR ORTHOPEDIC SURGERY MARKEY KEITH L 540 MADISON OAK DR 690 SAN ANTONIO TX 78258 (210)491-3434 519668

4 BEXAR INTERNAL MEDICINE MAROTTA JOSEPH A 414 NAVARRO ST 1001 SAN ANTONIO TX 78205 (210)475-0605 8478384 BEXAR OPHTHALMOLOGY MAROUF LINA M 315 N SAN SABA 924 SAN ANTONIO TX 78207 (210)615-8413 16382144 BEXAR OPHTHALMOLOGY MAROUF LINA M 7940 FLOYD CURL DR 120 SAN ANTONIO TX 78229 (210)615-7600 16382144 BEXAR INTERNAL MEDICINE MARRUFO BENITO V 7616 CULEBRA RD 130 SAN ANTONIO TX 78251 (210)509-2603 18791704 BEXAR ALLERGY & IMMUNOLOGY MARTIN BRYAN L 7711 LOUIS PASTEUR DR 901 SAN ANTONIO TX 78229 (210)616-0690 9302324 BEXAR FAMILY PRACTICE MASON EVA 311 CAMDEN ST SAN ANTONIO TX 78215 (210)444-9000 6935014 BEXAR GASTROENTEROLOGY MASTERS PATRICK A 8214 WURZBACH RD SAN ANTONIO TX 78229 (210)614-1234 33160

4 BEXAR PEDIATRIC EMERGENCY MEDICINE MAXWELL STEPHEN A 3111 SAN PEDRO AVE SAN ANTONIO TX 78212 (210)732-7141 632992

4 BEXAR PEDIATRIC EMERGENCY MEDICINE MAXWELL STEPHEN A 3111 SAN PEDRO AVE SAN ANTONIO TX 78212 (210)732-0872 632992

4 BEXAR PEDIATRIC EMERGENCY MEDICINE MAYER GERALD T 525 OAK CENTRE 400 SAN ANTONIO TX 78258 (210)490-1400 56352094 BEXAR INTERNAL MEDICINE MC CAMISH SARA 4125 MCCULLOUGH AVE SAN ANTONIO TX 78212 (210)826-2822 55891714 BEXAR OPHTHALMOLOGY MCCASH CHARLES S 85 NE LOOP 410 112 SAN ANTONIO TX 78216 (210)340-6633 1063774

4 BEXAR INTERNAL MEDICINE MCCRELESS GLEN D 4037 E SOUTHCROSS BLVD SAN ANTONIO TX 78222 (210)337-4921 7395924 BEXAR PEDIATRICS MCREYNOLDS REX 4499 MEDICAL DR 247 SAN ANTONIO TX 78229 (210)614-3863 402280

4 BEXAR UROLOGY MEANEY JOAN T 7909 FREDERICKSBURG RD 130 SAN ANTONIO TX 78229 (210)614-4544 11952574 BEXAR UROLOGY MEANEY JOAN T 315 N SAN SABA 1295 SAN ANTONIO TX 78212 (210)474-7020 11952574 BEXAR INTERNAL MEDICINE MEHTA PRAFUL R 6100 BANDERA RD 710 SAN ANTONIO TX 78238 (210)523-9800 16390814 BEXAR UROLOGY MEISSNER KURT G 8038 WURZBACH RD 430 SAN ANTONIO TX 78229 (210)616-0410 1894255

4 BEXAR PODIATRIC SURGERY MELTON CHARLES M 1804 NE LOOP 410 200 SAN ANTONIO TX 78217 (210)829-1880 7392204 BEXAR EMERGENCY MEDICINE MENDELSSOHN RICHARD B 7700 FLOYD CURL DR SAN ANTONIO TX 78229 (210)614-0180 5397631

4 BEXAR DERMATOLOGY MILLER STEPHEN 8431 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (210)615-7171 8394274 BEXAR SURGERY MILLER ALEXANDER R 7979 WURZBACH RD 230 SAN ANTONIO TX 78229 (210)562-1585 18942884 BEXAR RHEUMATOLOGY MOLINA RODOLFO 10130 HUEBNER RD SAN ANTONIO TX 78240 (210)690-8067 229734 BEXAR INTERNAL MEDICINE MOLINA ARTURO 215 E QUINCY ST 610 SAN ANTONIO TX 78215 (210)614-1515 521244

4 BEXAR INTERNAL MEDICINE MOLINA ARTURO 215 E QUINCY ST 610 SAN ANTONIO TX 78215 (210)226-2001 5212444 BEXAR NEPHROLOGY MONROE CYNTHIA L 11485 TOEPPERWEIN RD SAN ANTONIO TX 78233 (210)614-1231 19880754 BEXAR NEPHROLOGY MONROE CYNTHIA L 11485 TOEPPERWEIN RD SAN ANTONIO TX 78233 (210)655-8470 19880754 BEXAR INTERNAL MEDICINE MONTEMAYOR RAUL M 730 N MAIN 409 SAN ANTONIO TX 78229 (210)614-5855 4030334 BEXAR INTERNAL MEDICINE MONTEMAYOR RAUL M 2833 BABCOCK RD SAN ANTONIO TX 78229 (210)614-5855 403033

4 BEXARCARDIOVASCULAR/THORACIC SURGERY MOORE CHARLES H 2829 BABCOCK TOWER 1 300 SAN ANTONIO TX 78229 (210)705-6700 23340

4 BEXAR EMERGENCY MEDICINE MORA ROBERT A 4502 MEDICAL DR 130 SAN ANTONIO TX 78229 (210)614-0180 19764664 BEXAR CRITICAL CARE MEDICINE MORALES CARLOS F 7940 FLOYD CURD DR 860 SAN ANTONIO TX 78229 (210)616-9999 10704794 BEXAR PULMONARY DISEASE MORALES CARLOS F 7940 FLOYD CURD DR 860 SAN ANTONIO TX 78229 (210)616-9999 1070479

4 BEXAR SURGERY MORALES ROBERT P 5814 HOLLYHOCK RD SAN ANTONIO TX 78240 (210)444-1616 6325644 BEXAR RHEUMATOLOGY MOSBACKER MATTHEW E 10130 HUEBNER RD SAN ANTONIO TX 78240 (210)690-8067 884207

4 BEXAR GENERAL VASCULAR SURGERY MOZERSKY DAVID J 4330 MEDICAL DR 100 SAN ANTONIO TX 78229 (210)614-7467 6319984 BEXAR CARDIOVASCULAR DISEASE MULLER JEAN M 5282 MEDICAL DR 450 SAN ANTONIO TX 78229 (210)354-4200 980594 BEXAR SURGERY MULLINS DAVID C 7950 FLOYD CURL DR 700 SAN ANTONIO TX 78229 (210)614-3388 633004

4 BEXAR GASTROENTEROLOGY MUNOZ JORGE 7950 FLOYD CURL DR 310 SAN ANTONIO TX 78229 (210)593-9797 8904674 BEXAR GASTROENTEROLOGY MUNOZ JORGE 4410 MEDICAL DR 540 SAN ANTONIO TX 78229 (210)614-3004 890467

4 BEXAR OBSTETRICS & GYNECOLOGY MUNOZ JR RICARDO 525 OAK CENTRE DR 320 SAN ANTONIO TX 78258 (210)402-6022 920944 BEXAR OBSTETRICS & GYNECOLOGY MUNOZ JR RICARDO 414 NAVARRO ST 1200 SAN ANTONIO TX 78205 (210)226-5420 920944 BEXAR CARDIOVASCULAR DISEASE MURGO JOSEPH P 927 MCCULLOUGH AVE SAN ANTONIO TX 78215 (210)271-3203 7753054 BEXAR CARDIOVASCULAR DISEASE MURGO JOSEPH P 525 OAK CENTRE DR 220 SAN ANTONIO TX 78258 (210)490-0400 7753054 BEXAR DERMATOLOGY MURPHY MICHAEL E 12602 TOEPPERWEIN RD LIVE OAK TX 78233 (210)490-4661 56451254 BEXAR DERMATOLOGY MURPHY MICHAEL E 19016 STONE OAK PKWY 180 SAN ANTONIO TX 78258 (210)490-4661 5645125

4 BEXAR DERMATOLOGY MURPHY MICHAEL E 12602 TOEPPERWEIN RD LIVE OAK TX 78233 (210)657-9338 56451254 BEXAR CARDIOVASCULAR DISEASE MUSE ROGER K 1303 MCCULLOUGH AVE 270 SAN ANTONIO TX 78212 (210)226-4800 11473314 BEXAR EMERGENCY MEDICINE NAGEL THOMAS 8401 DATAPOINT DR 130 SAN ANTONIO TX 78229 (210)614-0180 1123178

4 BEXAR PEDIATRIC EMERGENCY MEDICINE NAGEL THOMAS 8401 DATAPOINT DR 130 SAN ANTONIO TX 78229 (210)614-0180 11231784 BEXAR ANESTHESIOLOGY NAIK AMAR A 17 NOPALITO SAN ANTONIO TX 78280 (830)980-5624 1128459

Report Date: Jan07 31 of 64

Page 32: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR NEPHROLOGY NANCHERLA PRAKASH R 7515 BARLITE BLVD SAN ANTONIO TX 78224 (210)277-1011 11283324 BEXAR ANESTHESIOLOGY NANCHERLA SWARNALATHA 45 NE LOOP 410 900 SAN ANTONIO TX 78216 (210)226-2299 5125774

4 BEXAR ANESTHESIOLOGY NANCHERLA SWARNALATHA 45 NE LOOP 410 900 SAN ANTONIO TX 78216 (210)375-7790 51257744 BEXAR FAMILY PRACTICE NARON MANUEL S 225 E SONTERRA BLVD 100 SAN ANTONIO TX 78258 (210)496-7999 22394604 BEXAR PLASTIC SURGERY NASTALA CHET L 9635 HUEBNER RD SAN ANTONIO TX 78240 (210)692-1181 1894352

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) NATHAN MARSHALL D 7950 FLOYD CURL DR 1002 SAN ANTONIO TX 78229 (210)614-3939 402257

4 BEXARORAL AND MAXILLOFACIAL SURGERY NEALIS JR MICHAEL F 2829 BABCOCK RD 607 SAN ANTONIO TX 78229 (210)614-5700 632183

4 BEXAR NEUROLOGY NEELEY SAMUEL R 4410 MEDICAL DR 520 SAN ANTONIO TX 78229 (210)615-2320 521990

4 BEXAR UROLOGY NEWELL MICHAEL E 7909 FREDERICKSBURG RD 130 SAN ANTONIO TX 78229 (210)474-7020 234864 BEXAR UROLOGY NEWELL MICHAEL E 315 N SAN SABA 1295 SAN ANTONIO TX 78207 (210)474-7020 234864 BEXAR INTERNAL MEDICINE NG FEDERICO R 7922 EWING HALSELL DR 270 SAN ANTONIO TX 78229 (210)614-2828 1150534

4 BEXAR PEDIATRICS NG FEDERICO R 7922 EWING HALSELL DR 270 SAN ANTONIO TX 78229 (210)614-2828 11505344 BEXAR INTERNAL MEDICINE NGUYEN HUYEN T 12501 JUDSON RD 202 LIVE OAK TX 78233 (210)599-4086 1223973

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) NOORILY ALLEN D 12709 TOEPPERWEIN RD 304 LIVE OAK TX 78233 (210)922-3221 833975

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) NOORILY ALLEN D 7909 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (210)614-5600 833975

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) NOORILY ALLEN D 12709 TOEPPERWEIN RD 304 LIVE OAK TX 78233 (210)646-6673 833975

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) NOORILY ALLEN D 7909 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (210)922-3221 833975

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) NOORILY ALLEN D 98 BRIGGS ST 960 SAN ANTONIO TX 78224 (210)922-3221 833975

4 BEXAR PLASTIC SURGERY NOVICK DONALD N 7950 FLOYD CURL DR 109 SAN ANTONIO TX 78229 (210)616-0798 5224394 BEXAR PLASTIC SURGERY NOVICK DONALD N 7950 FLOYD CURL DR 909 SAN ANTONIO TX 78229 (210)616-0798 5224394 BEXAR UROLOGY O NEILL THOMAS K 7909 FREDERICKSBURG RD 125 SAN ANTONIO TX 78229 (210)614-4544 234884 BEXAR UROLOGY O NEILL THOMAS K 540 MADISON OAK DR 590 SAN ANTONIO TX 78258 (210)499-5158 234884 BEXAR DERMATOLOGY O QUINN RYAN 7940 FLOYD CURL DR 750 SAN ANTONIO TX 78229 (210)558-6234 2018747

4 BEXAR HEMATOLOGY & ONCOLOGY OCHOA BAYONA JOSE L 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)617-5268 6301214 BEXAR OPHTHALMOLOGY OEI THOMAS O 1100 N MAIN AVE SAN ANTONIO TX 78212 (210)222-2154 6326274 BEXAR OPHTHALMOLOGY OEI THOMAS O 1100 N MAIN AVE SAN ANTONIO TX 78212 (210)222-0706 632627

4 BEXAR OPHTHALMOLOGY OEI THOMAS O 1100 N MAIN AVE SAN ANTONIO TX 78212 (830)792-3700 6326274 BEXAR SURGERY OLIVER BOYCE B 1303 MCCULLOUGH AVE 235 SAN ANTONIO TX 78212 (210)225-1916 230744 BEXAR CARDIOVASCULAR DISEASE ONTIVEROS MARGARITA M 311 CAMDEN ST 102 SAN ANTONIO TX 78215 (210)281-9800 11512694 BEXAR PULMONARY DISEASE OROZCO CARLOS R 343 W HOUSTON ST 706 SAN ANTONIO TX 78205 (210)227-0193 632632

4 BEXAR FAMILY PRACTICE ORTEGA ANDREW P 902 BANDERA RD SAN ANTONIO TX 78228 (210)431-4503 808427

4 BEXAR GENERAL VASCULAR SURGERY ORTEGA GERARDO 111 DALLAS ST 200A SAN ANTONIO TX 78205 (210)225-6508 6328794 BEXAR ALLERGY & IMMUNOLOGY ORTIZ ANA A 5282 MEDICAL DR 500 SAN ANTONIO TX 78229 (210)614-7594 11248724 BEXAR SURGERY ORTIZ JORGE A 8201 EWING HALSELL DR 280 SAN ANTONIO TX 78229 (210)575-8500 12241804 BEXAR INTERNAL MEDICINE ORTIZ JR JOSE C 1303 MCCULLOUGH AVE 600 SAN ANTONIO TX 78212 (210)225-2551 56595704 BEXAR PEDIATRICS OSTROWER VALERIE G 4499 MEDICAL DR 280 SAN ANTONIO TX 78229 (210)614-4499 16385934 BEXAR GASTROENTEROLOGY OTERO RICHARD L 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)359-7867 788594 BEXAR GASTROENTEROLOGY OTERO RICHARD L 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)581-9292 788594 BEXAR INTERNAL MEDICINE OTERO RICHARD L 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)581-9292 788594 BEXAR INTERNAL MEDICINE OTERO RICHARD L 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)359-7867 788594 BEXAR INTERNAL MEDICINE OTERO RICHARD L 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)271-0606 78859

4 BEXAR GASTROENTEROLOGY OTERO RICHARD L 520 E EUCLID AVE SAN ANTONIO TX 78212 (210)271-0606 788594 BEXAR GASTROENTEROLOGY OTERO RICHARD L 4212 E SOUTHCROSS BLVD 120 SAN ANTONIO TX 78222 (210)359-7867 78859

4 BEXAR INTERNAL MEDICINE OTERO RICHARD L 4212 E SOUTHCROSS BLVD 120 SAN ANTONIO TX 78222 (210)359-7867 788594 BEXAR INTERNAL MEDICINE PAGE GREGORY A 7254 BLANCO 201 SAN ANTONIO TX 78216 (210)384-8282 58579

4 BEXAR FAMILY PRACTICE PAK KRISTEN J 4360 GRECO DR SAN ANTONIO TX 78222 (210)648-8200 17241504 BEXAR FAMILY PRACTICE PAK KRISTEN J 12709 TOEPPERWEIN 306 SAN ANTONIO TX 78233 (210)599-6768 17241504 BEXAR FAMILY PRACTICE PALEY SOLOMON I 11901 TOEPPERWEIN RD 1102 LIVE OAK TX 78233 (210)946-6677 11346694 BEXAR FAMILY PRACTICE PALOMERA TIMOTHY 5307 BROADWAY ST 120 SAN ANTONIO TX 78209 (210)561-7100 19618524 BEXAR FAMILY PRACTICE PALOMERA TIMOTHY 9150 HUEBNER RD 155 SAN ANTONIO TX 78240 (210)699-8326 1961852

4 BEXARORAL AND MAXILLOFACIAL SURGERY PARKER III LAVAN R 6501 BLANCO RD SAN ANTONIO TX 78216 (210)341-7264 2159453

4 BEXAR PULMONARY DISEASE PARODI ALDO A 19016 OAK PKWY 240 SAN ANTONIO TX 78258 (210)490-6043 1053278

4 BEXAR CRITICAL CARE MEDICINE PARODI ALDO A 19016 OAK PKWY 240 SAN ANTONIO TX 78258 (210)490-6043 10532784 BEXAR PEDIATRICS PATEL TARAK J 525 OAK CENTRE DR 400 SAN ANTONIO TX 78258 (210)639-5819 18794614 BEXAR MEDICAL ONCOLOGY PATNAIK AMITA 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)450-5798 1953605

Report Date: Jan07 32 of 64

Page 33: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR PODIATRIC SURGERY PATTERSON JERRY W 7272 WURZBACH RD 801 SAN ANTONIO TX 78240 (210)614-9610 5233524 BEXAR GYNECOLOGY (NO OB) PEACHER JORGE F 311 CAMDEN ST 309 SAN ANTONIO TX 78215 (210)222-9049 905804 BEXAR INTERNAL MEDICINE PEREZ ANA Y 343 W HOUSTON ST 302 SAN ANTONIO TX 78205 (210)225-3744 402800

4 BEXAR PEDIATRICS PEREZ MARY H 8627 CINNAMON CREEK DR 101 SAN ANTONIO TX 78240 (210)641-5437 5235534 BEXAR PODIATRIC SURGERY PEREZ RICHARD R 7424 BROADWAY ST SAN ANTONIO TX 78209 (210)829-8770 16389284 BEXAR PODIATRIC SURGERY PEREZ RICHARD R 7355 BARLITE BLVD 402 SAN ANTONIO TX 78224 (210)923-0423 16389284 BEXAR PODIATRIC SURGERY PEREZ RICHARD R 7950 FLOYD CURL DR SAN ANTONIO TX 78229 (210)297-1300 16389284 BEXAR PODIATRIC SURGERY PEREZ RICHARD R 2829 BABCOCK RD 336 SAN ANTONIO TX 78229 (210)593-0000 16389284 BEXAR INTERNAL MEDICINE PEREZ CARMEN 810 SE MILITARY DR SAN ANTONIO TX 78214 (210)921-4200 1866312

4 BEXAR CARDIOVASCULAR DISEASE PEREZ JOSE A 4330 MEDICAL DR 500 SAN ANTONIO TX 78229 (210)615-1234 912017

4 BEXAR GENERAL VASCULAR SURGERY PERIPHERAL VASCULAR 6800 PARK TEN BLVD 141E SAN ANTONIO TX 78213 (210)736-6541 8561754 BEXAR INTERNAL MEDICINE PETERS JR PATRICK H 6547 BANDERA RD SAN ANTONIO TX 78238 (210)521-7676 51211264 BEXAR DERMATOLOGY PETR F CHARLES 2391 NE LOOP 410 101 SAN ANTONIO TX 78217 (210)656-3376 631915

4 BEXAR PULMONARY DISEASE PETROFF PETER A 2833 BABCOCK RD 403 SAN ANTONIO TX 78229 (210)614-5855 4019574 BEXAR PULMONARY DISEASE PETROFF PETER A 730 N MAIN 409 SAN ANTONIO TX 78205 (210)614-5855 4019574 BEXAR PULMONARY DISEASE PETROFF PETER A 2833 BABCOCK RD 403 SAN ANTONIO TX 78229 (210)614-3335 4019574 BEXAR FAMILY PRACTICE PHILLIPS JOHN N 225 E SONTERRA BLVD 100 SAN ANTONIO TX 78258 (210)496-7999 16388824 BEXAR FAMILY PRACTICE PICKENS JEFFREY S 24165 W IH 10 118 SAN ANTONIO TX 78257 (210)698-7777 6405804 BEXAR OPHTHALMOLOGY PIERCE SAMUEL J 8601 VILLAGE DR 224 SAN ANTONIO TX 78217 (210)656-3533 1403472

4 BEXAR PEDIATRIC CARDIOLOGY PIERCE ROBERT L 343 W HOUSTON ST 704 SAN ANTONIO TX 78205 (210)886-9725 19841954 BEXAR PLASTIC SURGERY PILCHER SHERYL G 255 E SONTERRA BLVD 201 SAN ANTONIO TX 78258 (210)654-9900 11233284 BEXAR PEDIATRIC SURGERY PILCHER JOHN A 2833 BABCOCK RD 415 SAN ANTONIO TX 78229 (210)614-3370 12141584 BEXAR FAMILY PRACTICE PINKSTON MARIANNE J 4499 MEDICAL DR 170 SAN ANTONIO TX 78229 (210)615-7911 18537464 BEXAR FAMILY PRACTICE PINKSTON MARIANNE J 4499 MEDICAL DR 170 SAN ANTONIO TX 78229 (210)688-7735 18537464 BEXAR FAMILY PRACTICE PINKSTON MARIANNE J 10865 SHAENFIELD RD SAN ANTONIO TX 78254 (210)688-7735 18537464 BEXAR PLASTIC SURGERY PISANO STEVEN M 9635 HUEBNER RD SAN ANTONIO TX 78240 (210)692-1181 752580

4 BEXAR PODIATRIC SURGERY POLLAK RICHARD A 8042 WURZBACH RD 525 SAN ANTONIO TX 78229 (210)692-0279 5240694 BEXAR UROLOGY POLSKY M SHELDON 8042 WURZBACH RD 260 SAN ANTONIO TX 78229 (210)615-0999 51211424 BEXAR INTERNAL MEDICINE PORET LETICIA A 4522 FREDERICKSBURG RD A14 SAN ANTONIO TX 78201 (210)738-0000 8083734 BEXAR EMERGENCY MEDICINE PORRATA EDWARD A 8401 DATAPOINT DR 500 SAN ANTONIO TX 78229 (210)614-0180 858323

4 BEXAR PEDIATRIC EMERGENCY MEDICINE PORRATA EDWARD A 8401 DATAPOINT DR 500 SAN ANTONIO TX 78229 (210)614-0180 858323

4 BEXAR FAMILY PRACTICE POSS GERI E 5430 FREDERICKSBURG RD 400 SAN ANTONIO TX 78229 (210)692-3362 631913

4 BEXAR PEDIATRIC EMERGENCY MEDICINE POTTER ALLEN 7700 FLOYD CURL DR SAN ANTONIO TX 78229 (210)575-7000 633024

4 BEXAR PEDIATRIC EMERGENCY MEDICINE POTTER ALLEN 7700 FLOYD CURL DR SAN ANTONIO TX 78229 (210)575-7777 633024

4 BEXAR RADIATION ONCOLOGY PRESTIDGE BRADLEY R 9102 FLOYD CURL DR SAN ANTONIO TX 78240 (210)247-0888 11928364 BEXAR GYNECOLOGY (NO OB) PRIETO ELIAS M 730 N MAIN AVE 219 SAN ANTONIO TX 78205 (210)227-0195 232894 BEXAR OBSTETRICS & GYNECOLOGY PRIETO LUIS G 730 N MAIN AVE 219 SAN ANTONIO TX 78205 (210)227-0195 5125631

4 BEXAR GASTROENTEROLOGY PRUITT ALEJANDRO 8214 WURZBACH RD SAN ANTONIO TX 78229 (210)614-1234 57179934 BEXAR FAMILY PRACTICE PULLIN CLAYTON L 7913 BANDERA RD SAN ANTONIO TX 78250 (210)680-9393 11223634 BEXAR PEDIATRICS PURNELL LEWIS M 5282 MEDICAL DR 310 SAN ANTONIO TX 78229 (210)614-8687 6330264 BEXAR PEDIATRICS QUIROZ CARLOS A 540 MADISON OAK DR 310 SAN ANTONIO TX 78258 (210)402-0138 1185528

4 BEXAR CARDIOVASCULAR DISEASE RABINOWITZ A CHARLES 4330 MEDICAL DR 500 SAN ANTONIO TX 78229 (210)692-1414 4028604 BEXAR UROLOGY RADWIN HOWARD M 8038 WURZBACH RD 430 SAN ANTONIO TX 78229 (210)616-0410 524596

4 BEXAR NEPHROLOGY RAMIREZ JOSE ARNALDO 215 E QUINCY ST 610 SAN ANTONIO TX 78215 (210)226-2001 5246864 BEXAR CARDIOVASCULAR DISEASE RAMIREZ JAIRO 927 MCCULLOUGH AVE SAN ANTONIO TX 78215 (210)476-0937 5246894 BEXAR CARDIOVASCULAR DISEASE RAMIREZ JAIRO 519 E QUINCY ST A SAN ANTONIO TX 78215 (210)226-4800 524689

4 BEXAR COLON & RECTAL SURGERY RAMOS RAUL 7950 FLOYD CURL DR 508 SAN ANTONIO TX 78229 (210)614-1600 4029034 BEXAR OBSTETRICS & GYNECOLOGY RAMOS GONZALES EVANGELINE K 540 MADISON OAK DR 450 SAN ANTONIO TX 78258 (210)494-2000 11285374 BEXAR OBSTETRICS & GYNECOLOGY RAMOS GONZALES EVANGELINE K 1303 MCCULLOUGH AVE GL70 SAN ANTONIO TX 78212 (210)226-9705 1128537

4 BEXAR GASTROENTEROLOGY RANDALL CHARLES W 8550 DATAPOINT DR LL 100 SAN ANTONIO TX 78229 (210)615-8308 7632184 BEXAR OPHTHALMOLOGY RASHID EDWARD R 5430 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (210)340-1212 7058714 BEXAR PEDIATRIC CARDIOLOGY REBOLLEDO JOSE R 343 W HOUSTON ST 811 SAN ANTONIO TX 78205 (210)222-2175 6347904 BEXAR OBSTETRICS & GYNECOLOGY RECTOR FINNEY NANCY A 7711 LOUIS PASTEUR DR 105 SAN ANTONIO TX 78229 (210)593-0700 19536424 BEXAR SURGERY REISS DANA L 2833 BABCOCK RD 415 SAN ANTONIO TX 78229 (210)614-3370 18553964 BEXAR OBSTETRICS & GYNECOLOGY REYES CESAR 12709 TOEPPERWEIN RD 309 SAN ANTONIO TX 78233 (210)657-4099 235584 BEXAR OBSTETRICS & GYNECOLOGY REYES CESAR 7940 FLOYD CURL DR 900 SAN ANTONIO TX 78229 (210)614-1000 235584 BEXAR FAMILY PRACTICE REYES JOSE 8711 VILLAGE DR 112 SAN ANTONIO TX 78217 (210)877-0772 8656734 BEXAR FAMILY PRACTICE REYES JOSE 8711 VILLAGE DR 112 SAN ANTONIO TX 78217 (210)653-7444 8656734 BEXAR FAMILY PRACTICE REYES JOSE 12730 W IH 10 306 SAN ANTONIO TX 78230 (210)877-0772 865673

Report Date: Jan07 33 of 64

Page 34: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR CARDIOVASCULAR DISEASE REYES GUILLERMO 2833 BABCOCK TOWER 2 210 SAN ANTONIO TX 78229 (210)949-1300 11033014 BEXAR OPHTHALMOLOGY REYNA GEORGE S 215 E QUINCY ST 505 SAN ANTONIO TX 78215 (210)222-9172 756634 BEXAR PODIATRIC SURGERY REZENDES CATHERINE M 12413 JUDSON RD 250 SAN ANTONIO TX 78233 (210)655-9965 6703154 BEXAR PODIATRIC SURGERY REZENDES CATHERINE M 5101 MEDICAL DR SAN ANTONIO TX 78229 (210)655-9965 6703154 BEXAR OPHTHALMOLOGY RICE ROBERT A 5430 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (210)340-1212 6326804 BEXAR OPHTHALMOLOGY RICE ROBERT A 5430 FREDERICKSBURG RD 100 SAN ANTONIO TX 78229 (210)340-5140 6326804 BEXAR SURGERY RITTENHOUSE MARK C 7940 FLOYD CURL DR 840 SAN ANTONIO TX 78229 (210)614-3349 4031464 BEXAR CARDIOVASCULAR DISEASE RIVAS PEDRO A 7434 LOUIS PASTEUR DR 209 SAN ANTONIO TX 78229 (210)949-0304 1756128

4 BEXAR PEDIATRIC SURGERY ROBERTSON FRANK M 4499 MEDICAL DR 347 SAN ANTONIO TX 78229 (210)615-8757 11225124 BEXAR INTERNAL MEDICINE ROCHA GUILLERMO I 3408 ROOSEVELT AVE SAN ANTONIO TX 78214 (210)922-5922 332014 BEXAR INTERNAL MEDICINE RODRIGUEZ FRANCISCO C 1730 SW MILITARY DR 201 SAN ANTONIO TX 78221 (210)924-7356 4000994 BEXAR INTERNAL MEDICINE RODRIGUEZ JOHN D 540 MADISON OAK DR 590 SAN ANTONIO TX 78258 (210)490-5080 10844744 BEXAR FAMILY PRACTICE RODRIGUEZ ABE 8527 VILLAGE DR 200 SAN ANTONIO TX 78217 (210)653-2693 14123124 BEXAR INTERNAL MEDICINE RODRIGUEZ ROLANDO F 720 PLEASANTON RD SAN ANTONIO TX 78214 (210)921-3800 20231974 BEXAR INTERNAL MEDICINE RODRIGUEZ ROLANDO F 7616 CULEBRA RD 130 SAN ANTONIO TX 78251 (210)509-2603 2023197

4 BEXAR CARDIOVASCULAR DISEASE ROETH CHARLES L 4330 MEDICAL DR 140 SAN ANTONIO TX 78229 (210)615-1366 5256194 BEXAR CARDIOVASCULAR DISEASE ROETH CHARLES L 4330 MEDICAL DR 140 SAN ANTONIO TX 78229 (210)614-7361 5256194 BEXAR OBSTETRICS & GYNECOLOGY ROGERS DORA D 7355 BARLITE BLVD 501 SAN ANTONIO TX 78224 (830)769-5259 17416484 BEXAR OBSTETRICS & GYNECOLOGY ROGERS DORA D 7355 BARLITE BLVD 501 SAN ANTONIO TX 78224 (210)921-2229 17416484 BEXAR PEDIATRIC CARDIOLOGY ROGERS JR JAMES H 525 OAK CENTRE DR 400 SAN ANTONIO TX 78258 (210)341-7722 1637582

4 BEXAR PEDIATRIC CARDIOLOGY ROGERS JR JAMES H 1901 BABCOCK RD 301 SAN ANTONIO TX 78229 (210)341-7722 16375824 BEXAR FAMILY PRACTICE ROKA ALEXANDER S 19222 STONEHUE 101 SAN ANTONIO TX 78258 (210)403-3220 17371714 BEXAR FAMILY PRACTICE ROLDAN CARLOS M 9969 FREDERICKSBURG RD SAN ANTONIO TX 78240 (210)690-2273 17551484 BEXAR CARDIOVASCULAR DISEASE ROMAN GONZALEZ JAVIER 4330 MEDICAL DR 500 SAN ANTONIO TX 78229 (210)692-1414 19618614 BEXAR FAMILY PRACTICE ROMO VICTOR M 6609 BLANCO RD 140 SAN ANTONIO TX 78216 (210)349-5461 632692

4 BEXAR PEDIATRIC NEPHROLOGY ROSEN JOEL D 7711 LOUIS PASTEUR DR 607 SAN ANTONIO TX 78229 (210)614-7166 1938650

4 BEXARCARDIOVASCULAR/THORACIC SURGERY ROUSE RICHARD G 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-2288 632087

4 BEXARCARDIOVASCULAR/THORACIC SURGERY ROUSE RICHARD G 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-7700 632087

4 BEXAR OPHTHALMOLOGY RUBIN JAY M 999 E BASSE RD 128B SAN ANTONIO TX 78209 (210)826-2012 8586084 BEXAR OPHTHALMOLOGY RUBIN JAY M 8478 FREDERICKSBURG RD SAN ANTONIO TX 78229 (210)826-2012 8586084 BEXAR INTERNAL MEDICINE RUIZ ANTONIO L 5282 MEDICAL DR 312 SAN ANTONIO TX 78229 (210)699-3815 54260

4 BEXAR FAMILY PRACTICE RUIZ ROBERTO J 3412 ROOSEVELT AVE SAN ANTONIO TX 78214 (210)924-8146 4026244 BEXAR FAMILY PRACTICE RUIZ ROBERTO J 3412 ROOSEVELT AVE SAN ANTONIO TX 78214 (210)924-3774 4026244 BEXAR SURGERY RUIZ DILMA C 155 E SONTERRA BLVD 201 SAN ANTONIO TX 78258 (210)545-7270 10944564 BEXAR SURGERY RUIZ DILMA C 155 E SONTERRA BLVD 201 SAN ANTONIO TX 78258 (210)326-6506 1094456

4 BEXAR OBSTETRICS & GYNECOLOGY RUIZ III JOSE M 7616 CULEBRA RD 124 SAN ANTONIO TX 78251 (210)580-8484 6372874 BEXAR OBSTETRICS & GYNECOLOGY RUIZ III JOSE M 7940 FLOYD CURL DR 900 SAN ANTONIO TX 78229 (210)614-1000 6372874 BEXAR OBSTETRICS & GYNECOLOGY RUNNELS ALEXANDRA 7711 LOUIS PASTEUR DR 200 SAN ANTONIO TX 78229 (210)692-9500 5568499

4 BEXAR RHEUMATOLOGY RUTSTEIN JOEL E 10130 HUEBNER RD SAN ANTONIO TX 78240 (210)690-8067 229744 BEXAR PODIATRIC SURGERY RUTSTEIN JESSICA F 10130 HUEBNER RD SAN ANTONIO TX 78240 (210)690-8067 20939214 BEXAR NEPHROLOGY SAIGAL NAVID Q 11485 TOEPPERWEIN RD LIVE OAK TX 78233 (210)655-8470 1896866

4 BEXAR UROLOGY SALTZSTEIN DANIEL R 7909 FREDERICKSBURG RD 120 SAN ANTONIO TX 78229 (210)614-4544 1034194 BEXAR UROLOGY SALTZSTEIN DANIEL R 540 MADISON OAK DR 590 SAN ANTONIO TX 78258 (210)499-5158 103419

4 BEXAR OPHTHALMOLOGY SAN MARTIN ANTONIO A 4774 HAMILTON WOLFE RD 2 SAN ANTONIO TX 78229 (210)614-3600 4027854 BEXAR OPHTHALMOLOGY SAN MARTIN ANTONIO A 7355 BARLITE BLVD 304 SAN ANTONIO TX 78224 (210)922-3600 402785

4 BEXAR OPHTHALMOLOGY SAN MARTIN ANTONIO A 2833 BABCOCK RD 345 SAN ANTONIO TX 78229 (210)614-3600 4027854 BEXAR OPHTHALMOLOGY SAN MARTIN ANTONIO A 2833 BABCOCK RD 345 SAN ANTONIO TX 78229 (210)922-3600 402785

4 BEXAR FAMILY PRACTICE SANCHEZ ARMANDO A 7913 BANDERA RD SAN ANTONIO TX 78250 (210)680-9393 5264814 BEXAR INTERNAL MEDICINE SANCHEZ NINZA A 4203 E SOUTHCROSS BLVD SAN ANTONIO TX 78222 (210)333-8911 1189500

4 BEXAR INTERNAL MEDICINE SANCHEZ REILLY SANDRA E 7979 WURZBACH #GCC 330 SAN ANTONIO TX 78229 (210)949-5041 56420574 BEXAR OPHTHALMOLOGY SANFORD DONALD K 6406 N NEW BRAUNFELS AVE SAN ANTONIO TX 78209 (210)930-2015 1823033

4 BEXAR HEMATOLOGY & ONCOLOGY SARANTOPOULOS JOHN 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)450-5798 56298844 BEXAR NEUROLOGY SARAVIA JORGE A 2829 BABCOCK RD 436 SAN ANTONIO TX 78229 (210)614-3657 6330454 BEXAR UROLOGY SARNACKI CLIFFORD T 4499 MEDICAL DR 222 SAN ANTONIO TX 78229 (210)614-9603 23333

4 BEXAR UROLOGY SAROSDY MICHAEL F 4499 MEDICAL DR 218 SAN ANTONIO TX 78229 (210)615-3899 6327054 BEXAR OPHTHALMOLOGY SAUNDERS JOHN F 7711 LOUIS PASTEUR DR 603 SAN ANTONIO TX 78229 (210)615-8383 231134 BEXAR OPHTHALMOLOGY SCALES DAVID K 1327 SW MILITARY DR SAN ANTONIO TX 78221 (210)924-5121 1095791

4 BEXAR OPHTHALMOLOGY SCALES DAVID K 2829 BABCOCK RD 407 SAN ANTONIO TX 78229 (210)615-6565 10957914 BEXAR PULMONARY DISEASE SCHENK DAVID A 7950 FLOYD CURL DR 620 SAN ANTONIO TX 78229 (210)692-0361 6462514 BEXAR CRITICAL CARE MEDICINE SCHENK DAVID A 7950 FLOYD CURL DR 620 SAN ANTONIO TX 78229 (210)692-0361 646251

4 BEXAR PULMONARY DISEASE SCHENK DAVID A 7940 FLOYD CURL DR 240 SAN ANTONIO TX 78229 (210)692-0934 6462514 BEXAR CRITICAL CARE MEDICINE SCHENK DAVID A 7940 FLOYD CURL DR 240 SAN ANTONIO TX 78229 (210)692-0934 646251

Report Date: Jan07 34 of 64

Page 35: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR PEDIATRICS SCHLOSBERG IV RICHARD T 19238 STONEHUE SAN ANTONIO TX 78258 (210)494-2223 10315834 BEXAR ORTHOPEDIC SURGERY SCHMIDT DAVID R 5307 BROADWAY 120 SAN ANTONIO TX 78209 (210)822-8326 4029984 BEXAR ORTHOPEDIC SURGERY SCHMIDT DAVID R 9150 HUEBNER RD 155 SAN ANTONIO TX 78240 (210)699-8326 4029984 BEXAR INTERNAL MEDICINE SCHNEIDER GEORGE B 17720 CORPORATE WOODS DR SAN ANTONIO TX 78259 (210)223-9617 632889

4 BEXAR INTERNAL MEDICINE SCHNEIDER GEORGE B 14615 SAN PEDRO AVE 105 SAN ANTONIO TX 78232 (210)223-9617 6328894 BEXAR INTERNAL MEDICINE SCHNEIDER GEORGE B 1303 MCCULLOUGH AVE 560 SAN ANTONIO TX 78212 (210)223-9617 6328894 BEXAR OBSTETRICS & GYNECOLOGY SCHORLEMER ROBERT E 4499 MEDICAL DR 119 SAN ANTONIO TX 78229 (210)614-9400 78880

4 BEXAR OBSTETRICS & GYNECOLOGY SCHORLEMER ROBERT E 540 MADISON OAK 550 SAN ANTONIO TX 78258 (210)614-9400 788804 BEXAR UROLOGY SCHUESSLER WILLIAM W 4243 E SOUTHCROSS BLVD 202 SAN ANTONIO TX 78222 (210)333-9010 23511

4 BEXAR UROLOGY SCHUESSLER WILLIAM W 540 MADISON OAK DR 330 SAN ANTONIO TX 78258 (210)496-7147 235114 BEXAR ENDOCRINOLOGY SCHWARTZ SHERWYN L 5107 MEDICAL DR SAN ANTONIO TX 78229 (210)614-8612 6320044 BEXAR EMERGENCY MEDICINE SCRIBBICK ARIE 12412 JUDSON RD SAN ANTONIO TX 78233 (210)614-0180 14140734 BEXAR CARDIOVASCULAR DISEASE SEAWORTH JOHN F 1933 NE LOOP 410 SAN ANTONIO TX 78217 (210)804-6000 631934

4 BEXAR SURGERY SEGER MICHAEL V 2833 BABCOCK RD 415 SAN ANTONIO TX 78229 (210)614-3370 6259544 BEXAR SURGERY SEGER MICHAEL V 8026 FLOYD CURL DR SAN ANTONIO TX 78229 (210)614-3370 625954

4 BEXAR RADIATION ONCOLOGY SELVA MICHAEL A 7718 PASTUER CT SAN ANTONIO TX 78229 (210)477-9060 11229154 BEXAR EMERGENCY MEDICINE SHIFLETT BRYAN M 8401 DATAPOINT 500 SAN ANTONIO TX 78229 (210)614-0180 56873554 BEXAR NEUROLOGY SIDDIQI AAMIR J 7711 LOUIS PASTEUR 607 SAN ANTONIO TX 78229 56247384 BEXAR PAIN MANAGEMENT SINGH PRAFULLA 540 MADISON OAK DR 200 SAN ANTONIO TX 78258 (210)545-1168 10452064 BEXAR ANESTHESIOLOGY SINGH PRAFULLA 1200 BROOKLYN AVE 140 SAN ANTONIO TX 78212 (210)527-1166 10452064 BEXAR PAIN MANAGEMENT SINGH PRAFULLA 1200 BROOKLYN AVE 140 SAN ANTONIO TX 78212 (210)527-1166 10452064 BEXAR ANESTHESIOLOGY SINGH PRAFULLA 540 MADISON OAK DR 200 SAN ANTONIO TX 78258 (210)545-1168 10452064 BEXAR UROLOGY SINGLETON RANDALL P 7909 FREDERICKSBURG RD 120 SAN ANTONIO TX 78229 (210)614-4544 329854 BEXAR CARDIOVASCULAR DISEASE SIOCO GERALDO M 2829 BABCOCK RD 540 SAN ANTONIO TX 78229 (210)614-8800 18815744 BEXAR NEUROLOGICAL SURGERY SKERHUT HOLGER E 1935 NE LOOP 410 164 SAN ANTONIO TX 78217 (210)650-9022 631935

4 BEXAR GENERAL VASCULAR SURGERY SKINNER CLAY R 124 DALLAS ST SAN ANTONIO TX 78205 (210)224-1771 902524 BEXAR PODIATRIC SURGERY SNIDER STEVEN P 10615 PERRIN BEITEL RD 301 SAN ANTONIO TX 78217 (210)656-3236 227864 BEXAR SURGERY SOULAS JR MOISES M 19016 STONE OAK PKWY 200 SAN ANTONIO TX 78258 (210)545-3660 8625644 BEXAR SURGERY SOULAS JR MOISES M 343 W HOUSTON ST 705 SAN ANTONIO TX 78205 (210)545-3660 8625644 BEXAR OPHTHALMOLOGY SPEIGHTS JAMES W 7940 FLOYD CURL DR 820 SAN ANTONIO TX 78229 (210)615-8413 902354 BEXAR OPHTHALMOLOGY SPEIGHTS JAMES W 315 N SABA SAN ANTONIO TX 78207 (210)615-8413 902354 BEXAR FAMILY PRACTICE SPRAGUE STEVEN D 14100 NACOGDOCHES RD 116 SAN ANTONIO TX 78247 (210)653-8989 8084164 BEXAR FAMILY PRACTICE SPRUTE JUANITA M 4318 WOODCOCK DR 120 SAN ANTONIO TX 78228 (210)735-5225 1053260

4 BEXARCARDIOVASCULAR/THORACIC SURGERY SRINIVASAN VENKATESAN 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-7700 23810

4 BEXAR INTERNAL MEDICINE SRINIVASAN VENKATASUBRAM 660 SW MILITARY DR E SAN ANTONIO TX 78224 (210)928-2273 21081904 BEXAR UROLOGY STALLMAN KENNETH J 8038 WURZBACH RD 430 SAN ANTONIO TX 78229 (210)616-0416 56530594 BEXAR UROLOGY STALLMAN KENNETH J 8038 WURZBACH RD 430 SAN ANTONIO TX 78229 (210)616-0410 5653059

4 BEXAR ORTHOPEDIC SURGERY STEFFEN RICHARD T 5307 BROADWAY 120 SAN ANTONIO TX 78209 (210)822-8326 19105984 BEXAR ORTHOPEDIC SURGERY STEFFEN RICHARD T 9150 HUEBNER RD 155 SAN ANTONIO TX 78240 (210)699-8326 1910598

4 BEXAR SURGERY STEGEMANN LLOYD H 8026 FLOYD CURL DR SAN ANTONIO TX 78229 (210)614-9210 54779474 BEXAR SURGERY STEGEMANN LLOYD H 2833 BABCOCK RD 415 SAN ANTONIO TX 78229 (210)614-9210 54779474 BEXAR UROLOGY STEPHENSON JACKIE D 8601 VILLAGE DR 226 SAN ANTONIO TX 78217 (210)654-6364 6327204 BEXAR OBSTETRICS & GYNECOLOGY STERN GEORGE I 7922 EWING HALSELL DR 260 SAN ANTONIO TX 78229 (210)614-7007 4000984 BEXAR PATHOLOGY STEVENS CHARLES S 1122 AUSTIN HWY SAN ANTONIO TX 78209 (210)342-6488 16385594 BEXAR CARDIOVASCULAR DISEASE STOCKER ERIC H 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)614-5400 10440384 BEXAR GASTROENTEROLOGY STUMP DAVID L 8550 DATAPOINT DR LL 100 SAN ANTONIO TX 78229 (210)615-8308 6321584 BEXAR GASTROENTEROLOGY STUMP DAVID L 8550 DATAPOINT DR LL 100 SAN ANTONIO TX 78229 (210)615-1212 6321584 BEXAR INTERNAL MEDICINE STUTTS III BALDWIN S 4330 MEDICAL DR 400 SAN ANTONIO TX 78229 (210)615-0600 1934577

4 BEXAR CHIROPRACTIC MEDICINE SUGGS BRIAN C 5819 NW LOOP 410 152 SAN ANTONIO TX 78238 (210)681-3333 15577654 BEXAR OBSTETRICS & GYNECOLOGY SURIS ORLANDO J 525 OAK CENTRE DR 230 SAN ANTONIO TX 78258 (210)494-2000 330694 BEXAR OBSTETRICS & GYNECOLOGY SURIS ORLANDO J 1303 MCCULLOUGH AVE GL70 SAN ANTONIO TX 78212 (210)226-9705 330694 BEXAR GASTROENTEROLOGY SWAN JOHN T 8214 WURZBACH RD SAN ANTONIO TX 78229 (210)614-1234 230304 BEXAR GASTROENTEROLOGY SYED KAMAL A 525 OAK CENTRE DR 220 SAN ANTONIO TX 78258 (830)257-3801 14145414 BEXAR GASTROENTEROLOGY SYED KAMAL A 525 OAK CENTRE DR 220 SAN ANTONIO TX 78258 (210)403-3433 14145414 BEXAR GASTROENTEROLOGY SYED KAMAL A 540 MADISON OAK DR SAN ANTONIO TX 78258 (830)257-3801 14145414 BEXAR MEDICAL ONCOLOGY TAKIMOTO CHRIS H 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)450-5798 2226065

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) TALLEY STEPHEN 8715 VILLAGE DR 516 SAN ANTONIO TX 78217 (210)590-2597 23656

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) TALLEY STEPHEN 19016 STONE OAK PKWY 120 SAN ANTONIO TX 78258 (210)499-4589 23656

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) TALLEY STEPHEN 12709 TOEPPERWEIN RD 111 LIVE OAK TX 78233 (210)656-9506 23656

Report Date: Jan07 35 of 64

Page 36: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR UROLOGY TALLEY DAVID R 12709 TOEPPERWEIN 110 SAN ANTONIO TX 78233 (210)614-4544 7482074 BEXAR INTERNAL MEDICINE TAYLOR G ROBERT 1303 MCCULLOUGH AVE 560 SAN ANTONIO TX 78212 (210)223-9617 910954 BEXAR OPHTHALMOLOGY TAYLOR JOEL Z 7434 LOUIS PASTEUR DR SAN ANTONIO TX 78229 (210)615-8451 8586174 BEXAR NEPHROLOGY TECUANHUEY LEOPOLDO A 718 CUPPLES RD 102 SAN ANTONIO TX 78237 (210)438-0010 17223704 BEXAR UROLOGY TECUANHUEY JR LEOPOLDO V 730 N MAIN 716 SAN ANTONIO TX 78205 (210)227-7888 231834 BEXAR UROLOGY TECUANHUEY JR LEOPOLDO V 343 W HOUSTON ST 801 SAN ANTONIO TX 78205 (210)222-2233 231834 BEXAR OPHTHALMOLOGY TERRY STUART A 1100 N MAIN AVE SAN ANTONIO TX 78212 (210)222-0706 231804 BEXAR OPHTHALMOLOGY TERRY STUART A 1100 N MAIN AVE SAN ANTONIO TX 78212 (210)222-2154 231804 BEXAR PLASTIC SURGERY THIET MICHELE D 8550 DATAPOINT DR 250 SAN ANTONIO TX 78229 (210)616-0862 98668

4 BEXAREAR NOSE & THROAT (OTOLARYNGOLOGY) THILTGEN ROBERT D 311 CAMDEN ST 303 SAN ANTONIO TX 78215 (210)224-2123 529955

4 BEXAR PODIATRIC SURGERY THOMAS WILBURN E 4320 S GEVERS ST 300 SAN ANTONIO TX 78223 (210)333-3344 10987804 BEXAR PODIATRIC SURGERY THOMAS WILBURN E 4320 S GEVERS ST 300 SAN ANTONIO TX 78223 (210)533-4455 10987804 BEXAR INFECTIOUS DISEASES THORNER RICHARD E 8042 WURZBACH RD 280 SAN ANTONIO TX 78229 (210)614-8100 6320114 BEXAR MEDICAL ONCOLOGY TOLCHER ANTHONY W 7979 WURZBACH RD SAN ANTONIO TX 78229 (210)450-5563 19767354 BEXAR PEDIATRIC NEUROLOGY TOMASOVIC JERRY J 525 OAK CENTRE DR 400 SAN ANTONIO TX 78258 (210)615-2333 5301834 BEXAR NEPHROLOGY TONG LIJUAN 343 W HOUSTON ST 402 SAN ANTONIO TX 78205 (210)507-2093 22761934 BEXAR INTERNAL MEDICINE TOOLE II THERON C 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)614-5400 8525794 BEXAR NEPHROLOGY TOTH CHRISTINE M 7434 LOUIS PASTEUR DR 109 SAN ANTONIO TX 78229 (210)614-1515 18235034 BEXAR INTERNAL MEDICINE TREVINO JOE E 4600 NW LOOP 410 110 SAN ANTONIO TX 78229 (210)280-0040 756614 BEXAR CARDIOVASCULAR DISEASE TRIANA JOSE F 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)614-5400 6501914 BEXAR CARDIOVASCULAR DISEASE TRIANA JOSE F 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)582-5139 6501914 BEXAR OBSTETRICS & GYNECOLOGY TROY MICHAEL J 1303 MCCULLOUGH AVE GL70 SAN ANTONIO TX 78212 (210)226-9705 8435494 BEXAR OBSTETRICS & GYNECOLOGY TROY MICHAEL J 1303 MCCULLOUGH AVE GL70 SAN ANTONIO TX 78212 (210)494-2000 8435494 BEXAR OBSTETRICS & GYNECOLOGY TROY MICHAEL J 525 OAK CENTRE DR 230 SAN ANTONIO TX 78258 (210)494-2000 8435494 BEXAR SURGERY TUCHSEN GEORGE R 12709 TOEPPERWEIN RD 203 SAN ANTONIO TX 78233 (210)653-9307 8583864 BEXAR SURGERY TUCHSEN GEORGE R 19016 STONE OAK PKWY 210 SAN ANTONIO TX 78258 (210)404-9950 8583864 BEXAR INTERNAL MEDICINE UPPAL NAZLI M 8601 VILLAGE DR 100 SAN ANTONIO TX 78217 (210)646-7311 56315534 BEXAR SURGERY URRUTIA AURELIANO A 414 NAVARRO ST 810 SAN ANTONIO TX 78205 (210)220-1726 232074 BEXAR ENDOCRINOLOGY VADAKEKALAM JACOB 5107 MEDICAL DR SAN ANTONIO TX 78229 (210)614-8612 10419904 BEXAR OBSTETRICS & GYNECOLOGY VALDEZ RONALD A 7940 FLOYD CURL DR 900 SAN ANTONIO TX 78229 (210)614-1000 325064 BEXAR OBSTETRICS & GYNECOLOGY VALDEZ RONALD A 12709 TOEPPERWEIN RD 309 SAN ANTONIO TX 78233 (210)657-4099 325064 BEXAR FAMILY PRACTICE VALENTA JR JEROME C 204 PAUL WAGNER DR KELLY USA TX 78241 (409)833-9797 16426524 BEXAR INTERNAL MEDICINE VAN CLEAVE STEPHEN J 8038 WURZBACH RD 250 SAN ANTONIO TX 78229 (210)692-0048 1034234 BEXAR OBSTETRICS & GYNECOLOGY VAN WINGERDEN GAIL I 414 NAVARRO ST 1200 SAN ANTONIO TX 78205 (210)226-5420 232584 BEXAR OBSTETRICS & GYNECOLOGY VAN WINGERDEN GAIL I 525 OAK CENTRE DR 320 SAN ANTONIO TX 78258 (210)402-6022 232584 BEXAR UROLOGY VASSAR GEORGE J 502 MADISON OAK DR 250 SAN ANTONIO TX 78258 (210)545-1000 18211314 BEXAR UROLOGY VASSAR GEORGE J 8711 VILLAGE DR 312 SAN ANTONIO TX 78217 (210)655-2411 18211314 BEXAR UROLOGY VICK SAMMY C 8038 WURZBACH RD 430 SAN ANTONIO TX 78229 (210)616-0410 8390154 BEXAR SURGERY VISWANATHAN BALA 19260 STONE OAK PKWY 102 SAN ANTONIO TX 78258 (210)545-5455 236184 BEXAR PODIATRIC SURGERY VRANES ROBERT R 9150 HUEBNER RD 270 SAN ANTONIO TX 78240 (210)561-7080 228684 BEXAR PODIATRIC SURGERY VRANES ROBERT R 414 NAVARRO ST 1125 SAN ANTONIO TX 78205 (210)222-1077 228684 BEXAR PODIATRIC SURGERY VRANES ROBERT R 5307 BROADWAY ST SAN ANTONIO TX 78209 (210)824-3130 228684 BEXAR SURGERY WAGNER KATHRYN A 414 NAVARRO ST 810 SAN ANTONIO TX 78205 (210)277-6255 8658674 BEXAR DERMATOLOGY WALKER LISA C 19016 STONE OAK PKWY 180 SAN ANTONIO TX 78258 (210)490-4661 2016617

4 BEXARPEDIATRIC HEMATOLOGY & ONCOLOGY WALL DONNA A 8201 EWING HALSELL DR 280 SAN ANTONIO TX 78229 (210)575-8500 96889

4 BEXAR INTERNAL MEDICINE WALLACE JENNIFER L 1303 MCCULLOUGH AVE 560 SAN ANTONIO TX 78212 (210)223-9617 10539924 BEXAR FAMILY PRACTICE WALTHALL VI WALTER 1777 NE LOOP 410 200 SAN ANTONIO TX 78217 (210)822-3646 20013464 BEXAR HEMATOLOGY & ONCOLOGY WASH CONSTANCE 315 N SAN SABA 960 SAN ANTONIO TX 78207 (210)223-9888 9232074 BEXAR OBSTETRICS & GYNECOLOGY WASHINGTON JEROME T 7922 EWING HALSELL DR 160 SAN ANTONIO TX 78229 (210)614-7993 789874 BEXAR OBSTETRICS & GYNECOLOGY WASHINGTON JEROME T 7922 EWING HALSELL DR 160 SAN ANTONIO TX 78229 (210)614-5665 789874 BEXAR FAMILY PRACTICE WATSON JAMES R 1032 S WW WHITE RD SAN ANTONIO TX 78220 (210)337-2333 980484 BEXAR FAMILY PRACTICE WEINER BERNARD K 929 MANOR DR SAN ANTONIO TX 78228 (210)735-9151 228914 BEXAR INTERNAL MEDICINE WEISS ROBERT A 3646 CULEBRA RD SAN ANTONIO TX 78228 (210)432-2336 910934 BEXAR INTERNAL MEDICINE WEISS ROBERT A 3646 CULEBRA RD SAN ANTONIO TX 78228 (210)223-4236 910934 BEXAR INTERNAL MEDICINE WEISS ROBERT A 1954 E HOUSTON ST 102 SAN ANTONIO TX 78202 (210)223-4236 910934 BEXAR ENDOCRINOLOGY WELCH MICHELLE D 540 MADISON OAK DR 400 SAN ANTONIO TX 78258 (210)494-3739 21922604 BEXAR CARDIOVASCULAR DISEASE WEST ANDREW J 7922 EWING HALSELL DR SAN ANTONIO TX 78229 (210)614-6111 19160914 BEXAR CARDIOVASCULAR DISEASE WEST ANDREW J 1933 NE LOOP 410 SAN ANTONIO TX 78217 (210)804-6000 19160914 BEXAR CARDIOVASCULAR DISEASE WEST ANDREW J 7922 EWING HAISELL 100 SAN ANTONIO TX 78229 (210)804-6001 19160914 BEXAR CARDIOVASCULAR DISEASE WHITE RANDAL W 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)614-5400 4026424 BEXAR CARDIOVASCULAR DISEASE WHITE RANDAL W 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)582-5139 402642

4 BEXAR CARDIOVASCULAR DISEASE WHITE DAVID H 4330 MEDICAL DR 200 SAN ANTONIO TX 78229 (210)616-0801 631957

Report Date: Jan07 36 of 64

Page 37: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 BEXAR RHEUMATOLOGY WHITE WILLIAM W 14615 SAN PEDRO 105 SAN ANTONIO TX 78232 (210)404-0020 2281516

4 BEXAR RADIOLOGY WHOLEY MICHAEL H 927 MCCLLOUGH SAN ANTONIO TX 78215 (210)271-3203 10756924 BEXAR OPHTHALMOLOGY WILLERSON JR W DARRELL 2404 COMMERCIAL AVE B SAN ANTONIO TX 78221 (210)271-7648 33960

4 BEXAR OPHTHALMOLOGY WILLERSON JR W DARRELL 303 E QUINCY ST 100 SAN ANTONIO TX 78215 (210)271-7648 339604 BEXAR OPHTHALMOLOGY WILLERSON JR W DARRELL 2404 COMMERCIAL AVE B SAN ANTONIO TX 78221 (210)927-2851 33960

4 BEXAR OPHTHALMOLOGY WILLERSON JR W DARRELL 8478 FREDERICKSBURG RD SAN ANTONIO TX 78229 (210)271-7648 339604 BEXAR OBSTETRICS & GYNECOLOGY WILLIAMS ANGELINE H 7711 LOUIS PASTEUR DR 910 SAN ANTONIO TX 78229 (210)616-0640 633087

4 BEXAR ORTHOPEDIC SURGERY WILSON PATRICK H 6200 U T S A BLVD 100 SAN ANTONIO TX 78249 (210)614-8200 4028854 BEXAR ORTHOPEDIC SURGERY WILSON RICHARD P 6200 UTSA BLVD 100 SAN ANTONIO TX 78249 (210)614-8200 4030744 BEXAR SPORTS MEDICINE WILSON RICHARD P 6200 UTSA BLVD 100 SAN ANTONIO TX 78249 (210)614-8200 403074

4 BEXAR RHEUMATOLOGY WINN BRIAN E 1303 MCCULLOUGH AVE 600 SAN ANTONIO TX 78212 (210)225-3895 8500404 BEXAR RHEUMATOLOGY WINN BRIAN E 1303 MCCULLOUGH AVE 600 SAN ANTONIO TX 78212 (210)225-2551 8500404 BEXAR FAMILY PRACTICE WINTER CORNELIA P 400 CONCORD PLAZA DR 300 SAN ANTONIO TX 78216 (210)396-5350 7617394 BEXAR ANESTHESIOLOGY WISSA MICHAEL F 7940 FLOYD CURL 1030 SAN ANTONIO TX 78229 (210)621-0640 1844442

4 BEXAR FAMILY PRACTICE WOODS ROXANNE E 4025 E SOUTHCROSS #7 BLDG 2 SAN ANTONIO TX 78222 (210)333-1255 18347004 BEXAR CRITICAL CARE MEDICINE WOOLEY MICHAEL W 7950 FLOYD CURL DR 620 SAN ANTONIO TX 78229 (210)692-0361 235484 BEXAR PULMONARY DISEASE WOOLEY MICHAEL W 7950 FLOYD CURL DR 620 SAN ANTONIO TX 78229 (210)692-0361 23548

4 BEXAR NEPHROLOGY WORTHAM WILLIAM G 2391 NE LOOP 410 405 SAN ANTONIO TX 78217 (210)481-7453 6330914 BEXAR NEPHROLOGY WORTHAM WILLIAM G 2391 NE LOOP 410 405 SAN ANTONIO TX 78217 (210)654-7326 6330914 BEXAR SURGERY WRIGHT JR FRANCIS H 8201 EWING HALSELL DR 280 SAN ANTONIO TX 78229 (210)575-8500 1125104

4 BEXAR CARDIOVASCULAR DISEASE WU WILLIAM C 927 MCCULLOUGH AVE SAN ANTONIO TX 78215 (210)271-3203 331214 BEXAR OBSTETRICS & GYNECOLOGY YOUNG ROBERT M 7922 EWING HALSELL DR 470 SAN ANTONIO TX 78229 (210)614-6677 330544 BEXAR FAMILY PRACTICE ZACCARIA JR ATTILIO 7254 BLANCO RD 200 SAN ANTONIO TX 78216 (210)340-3593 23313

4 BEXAR CRITICAL CARE MEDICINE ZAMORA CYNTHIA A 2727 BABCOCK RD A SAN ANTONIO TX 78229 (210)614-6000 6406364 BEXAR PULMONARY DISEASE ZAMORA CYNTHIA A 2727 BABCOCK RD A SAN ANTONIO TX 78229 (210)614-6000 6406364 BEXAR PEDIATRIC CARDIOLOGY ZAMORA SALINAS ROLANDO 4499 MEDICAL DR 289 SAN ANTONIO TX 78229 (210)614-3264 1188266

4 BEXAR CARDIOVASCULAR DISEASE ZAMORA SALINAS ROLANDO 4499 MEDICAL DR 289 SAN ANTONIO TX 78229 (210)614-3264 11882664 BEXAR CARDIOVASCULAR DISEASE ZINN PHILLIP 4411 MEDICAL DR 300 SAN ANTONIO TX 78229 (210)614-5400 533202

4 BEXARCARDIOVASCULAR/THORACIC SURGERY ZORRILLA LEOPOLDO 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-7700 533263

4 BEXARCARDIOVASCULAR/THORACIC SURGERY ZORRILLA LEOPOLDO 4330 MEDICAL DR 325 SAN ANTONIO TX 78229 (210)615-2288 533263

4 BEXAR NEUROLOGY ZUFLACHT MICHAEL I 2833 BABCOCK RD 435 SAN ANTONIO TX 78229 (210)614-3335 4001014 BEXAR NEUROLOGY ZUFLACHT MICHAEL I 2833 BABCOCK RD 435 SAN ANTONIO TX 78229 (210)614-5855 4001014 BEXAR GASTROENTEROLOGY ZURITA V FRANZ 8550 DATAPOINT DR LL 100 SAN ANTONIO TX 78229 (210)615-8308 14136444 BEXAR GASTROENTEROLOGY ZURITA V FRANZ 8550 DATAPOINT DR LL 100 SAN ANTONIO TX 78229 (210)615-1212 14136444 BEXAR GASTROENTEROLOGY ZURITA V FRANZ 5307 BROADWAY ST 110 SAN ANTONIO TX 78209 (210)615-8308 14136444 COMAL OPHTHALMOLOGY BRODRICK CHARLES D 457 LANDA ST A NEW BRAUNFELS TX 78130 (210)271-7648 2135407

4 COMAL OBSTETRICS & GYNECOLOGY FEINSTEIN GLEN I 32665 N HIGHWAY 281 210 BULVERDE TX 78163 (830)980-8700 1976584

4 COMALEAR NOSE & THROAT (OTOLARYNGOLOGY) FRANKLIN GERALD M 598 N UNION AVE 230 NEW BRAUNFELS TX 78130 (830)627-3777 2019938

4 COMAL RHEUMATOLOGY HUFF JOHN P 598 N UNION ST 350 NEW BRAUNFELS TX 78130 (830)625-5375 75650

4 COMAL NEPHROLOGY MONROE CYNTHIA L 1561 IH 35 NORTH NEW BRAUNFELS TX 78130 (830)606-7323 19880754 COMAL FAMILY PRACTICE PAK KRISTEN J 705 LANDA ST F NEW BRAUNFELS TX 78130 (830)626-7770 17241504 COMAL FAMILY PRACTICE PAK KRISTEN J 705 LANDA ST F NEW BRAUNFELS TX 78130 (830)626-2770 17241504 COMAL CLINICAL SOCIAL WORK RILEY LOIS L 611 N WALNUT AVE NEW BRAUNFELS TX 78130 (830)626-7395 5655549

4 COMALPHYSICIAN ASSISTANT/NURSE PRACTITIONER SHERLAND LYNDA K 611 N WALNUT AVE NEW BRAUNFELS TX 78130 (830)626-7395 5655546

4 COMAL GENERAL VASCULAR SURGERY TILLY MICHAEL L 191 N UNION AVE NEW BRAUNFELS TX 78130 (830)620-1191 6406134 COMAL RHEUMATOLOGY WHITE WILLIAM W 598 N UNION AVE 350 NEW BRAUNFELS TX 78130 (830)625-5375 2281516

4 COMAL OPHTHALMOLOGY WILLERSON JR W DARRELL 457 LANDA ST A NEW BRAUNFELS TX 78130 (210)271-7648 339604 GONZALES OPHTHALMOLOGY BRODRICK CHARLES D 1110 SARA DEWITT DR GONZALES TX 78629 (210)271-7648 21354074 GONZALES PEDIATRICS RIVAS HUMBERTO J 1110 N SARAH DEWITT DR GONZALES TX 78629 (830)672-8502 7818484 GONZALES OPHTHALMOLOGY WILLERSON JR W DARRELL 1110 N SARAH DEWITT DR GONZALES TX 78629 (210)271-7648 339604 GUADALUPE PODIATRIC SURGERY ELINE ELIZABETH R 1064 E IRELAND ST SEGUIN TX 78155 (830)372-3668 678864 GUADALUPE NEPHROLOGY FRED MIRANDA ILIANA 128 S MOSS ST 500 SEGUIN TX 78155 (830)303-8770 20082954 GUADALUPE FAMILY PRACTICE TALBOT NICOLE J 1339 E COURT 210 SEGUIN TX 78155 (830)372-5200 57243264 KARNES PODIATRIC SURGERY CHELEUITTE ELIAS R 3349 S HIGHWAY 181 KENEDY TX 78119 (210)227-4164 9072564 KARNES PODIATRIC SURGERY CHELEUITTE ELIAS R 3349 S HIGHWAY 181 KENEDY TX 78119 (830)997-7779 907256

4 KARNES CARDIOVASCULAR DISEASE SEAWORTH JOHN F 3349 S HWY 181 KENEDY TX 78119 (830)583-3401 6319344 VICTORIA PODIATRIC SURGERY LISCH MARK S 2710 HOSPITAL DR 115 VICTORIA TX 77901 (713)862-3338 37926

4 VICTORIA PODIATRIC SURGERY LISCH MARK S 202 JAMES COLEMAN DR B VICTORIA TX 77904 (361)575-5222 379264 VICTORIA FAMILY PRACTICE PIGOTT SHIRLEY P 1412 E RED RIVER ST VICTORIA TX 77901 (361)573-0833 1639202

Report Date: Jan07 37 of 64

Page 38: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID4 VICTORIA FAMILY PRACTICE PIGOTT SHIRLEY P 1412 E RED RIVER ST VICTORIA TX 77901 (361)573-0264 1639202

4 VICTORIA ORTHOPEDIC SURGERY PLOWMAN DONALD L 605 E SAN ANTONIO ST 410 VICTORIA TX 77901 (361)578-2911 8226754 VICTORIA OBSTETRICS & GYNECOLOGY SEILER TANYA E 2700 CITIZENS PLZ 310E VICTORIA TX 77901 (361)578-5233 54097024 VICTORIA OBSTETRICS & GYNECOLOGY SEILER TANYA E 605 E SAN ANTONIO 310E VICTORIA TX 77901 (361)578-5233 54097024 VICTORIA ORTHOPEDIC SURGERY SHOOK JAMES B 115 MEDICAL DR 101 VICTORIA TX 77904 (361)576-1281 16391524 VICTORIA ORTHOPEDIC SURGERY SHOOK JAMES B 115 MEDICAL DR 101 VICTORIA TX 77904 (361)576-1337 1639152

4 VICTORIA CHIROPRACTIC MEDICINE TILLOTSON DENNIS D 101 N PARK DR VICTORIA TX 77901 (361)576-4325 15570364 WILSON OPHTHALMOLOGY BRODRICK CHARLES D 497 TENTH ST 102 FLORESVILLE TX 78114 (210)271-7648 21354074 WILSON PODIATRIC SURGERY CHELEUITTE ELIAS R 1303 HOSPITAL BLVD FLORESVILLE TX 78114 (210)227-4164 9072564 WILSON PODIATRIC SURGERY CHELEUITTE ELIAS R 1303 HOSPITAL BLVD FLORESVILLE TX 78114 (830)997-7779 907256

4 WILSON FAMILY PRACTICE PAK KRISTEN J 260 HWY 181 NORTH FLORESVILLE TX 78114 (830)393-8222 17241504 WILSON FAMILY PRACTICE PAK KRISTEN J 260 HWY 181 N FLORESVILLE TX 78114 (830)393-8222 17241504 WILSON OPHTHALMOLOGY WILLERSON JR W DARRELL 497 10TH ST 102 FLORESVILLE TX 78114 (210)271-7648 339605 AUSTIN SURGERY PENA LEONIDAS 235 W PALM ST BELLVILLE TX 77418 (979)865-9391 16379155 BRAZORIA PODIATRIC SURGERY BAXTER JEFFREY J 3411 E BROADWAY PEARLAND TX 77581 (281)485-0505 56458345 BRAZORIA OBSTETRICS & GYNECOLOGY BLACK DAWN D 1135 E CEDAR ST ANGLETON TX 77515 (713)512-7500 16428895 BRAZORIA ALLERGY & IMMUNOLOGY BOMMANNA VASUDEVA M 9330 BROADWAY ST 306 PEARLAND TX 77584 (832)736-9900 11415565 BRAZORIA ORTHOPEDIC SURGERY BURKE ROBERT L 10223 BROADWAY ST A PEARLAND TX 77584 (713)436-3488 647465

5 BRAZORIA OBSTETRICS & GYNECOLOGY COOPER CONSTANCE 10223 BROADWAY ST PEARLAND TX 77584 (713)512-7500 18161805 BRAZORIA FAMILY PRACTICE DAVIS CHANSEYA A 6302 BROADWAY ST 130 PEARLAND TX 77581 (281)485-0820 5710835

5 BRAZORIA INTERNAL MEDICINE DEWITT ROBERT D 304 MEDIC LN B ALVIN TX 77511 (281)331-2062 548835 BRAZORIA PODIATRIC SURGERY GARRISON THOMAS S 3203 BROADWAY ST PEARLAND TX 77581 (281)412-6008 511900

5 BRAZORIA OBSTETRICS & GYNECOLOGY KLEIN GEFFREY H 3203 BROADWAY ST PEARLAND TX 77581 (281)412-4770 16428245 BRAZORIA OBSTETRICS & GYNECOLOGY KLEIN GEFFREY H 3203 BROADWAY ST PEARLAND TX 77581 (713)512-7000 16428245 BRAZORIA OBSTETRICS & GYNECOLOGY LEEDS LEROY J 1135 E CEDAR ST ANGLETON TX 77515 (713)512-7500 400109

5 BRAZORIA HEMATOLOGY & ONCOLOGY LIU BEI FANG 10970 SHADOW CREEK PKWY 280 PEARLAND TX 77584 57034045 BRAZORIA ALLERGY & IMMUNOLOGY MOORE KRISTIN A 8619 BROADWAY 101 PEARLAND TX 77584 (281)412-7111 521359

5 BRAZORIA ALLERGY & IMMUNOLOGY MOORE KRISTIN A 106 CIRCLE WAY LAKE JACKSON TX 77566 (979)297-6503 5213595 BRAZORIA OBSTETRICS & GYNECOLOGY MORALES AMAYA ANA L 3203 BROADWAY ST PEARLAND TX 77581 (832)553-5310 17212695 BRAZORIA OBSTETRICS & GYNECOLOGY MORALES AMAYA ANA L 3203 BROADWAY ST PEARLAND TX 77581 (713)512-7000 1721269

5 BRAZORIA PEDIATRICS MUPPIDI SRIDEVI 6302 BROADWAY ST 130 PEARLAND TX 77581 (281)485-0820 56673615 BRAZORIA INTERNAL MEDICINE SETHI SANJAY 146 HOSPITAL DR 205 ANGLETON TX 77515 (281)277-5200 1891298

5 BRAZORIA INTERNAL MEDICINE SETHI SANJAY 10970 SHADOW CREEK PKWY 280 PEARLAND TX 77584 (713)436-7503 18912985 BRAZORIA FAMILY PRACTICE SIDDIQI ZOHRA F 6302 BROADWAY ST 130 PEARLAND TX 77581 (281)485-0820 56785585 BRAZORIA PODIATRIC SURGERY SLATE JR RONALD E 2036 E MULBERRY ST ANGLETON TX 77515 (979)848-0777 19493935 BRAZORIA FAMILY PRACTICE SOOD SONIA 6702 BROADWAY ST 130 PEARLAND TX 77581 (281)485-0820 19238695 BRAZORIA FAMILY PRACTICE SOOD SONIA 6302 BROADWAY ST 130 PEARLAND TX 77581 (281)485-0820 1923869

5 BRAZORIA ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 106 CIRCLE WAY LAKE JACKSON TX 77566 (979)297-6503 9420885 BRAZORIA PEDIATRIC ALLERGY WEIDO ANTHONY J 106 CIRCLE WAY LAKE JACKSON TX 77566 (979)297-6503 9420885 BRAZORIA PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 106 CIRCLE WAY LAKE JACKSON TX 77566 (979)297-6503 942088

5 BRAZOS OBSTETRICS & GYNECOLOGY APPLETON MARGARET P 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862480

5 BRAZOS OBSTETRICS & GYNECOLOGY APPLETON MARGARET 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 5589031

5 BRAZOS FAMILY PRACTICE BARROW JUSTIN B 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 1849777

5 BRAZOS OBSTETRICS & GYNECOLOGY BERTSCH NANCY M 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1219043

5 BRAZOS OBSTETRICS & GYNECOLOGY BERTSCH NANCY M 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 1219043

5 BRAZOS FAMILY PRACTICE BILES RUSSEL K 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862490

5 BRAZOS FAMILY PRACTICE BILES RUSSEL 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 5589038

5 BRAZOS INTERNAL MEDICINE BLANTON HERMAN M 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 2223567

5 BRAZOS PULMONARY DISEASE BLANTON HERMAN M 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 2223567

5 BRAZOS OBSTETRICS & GYNECOLOGY BONDS SHEILA G 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862495

5 BRAZOS OBSTETRICS & GYNECOLOGY BONDS SHEILA 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 5589041

5 BRAZOS SURGERY BOYSEN DIRK L 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862500

Report Date: Jan07 38 of 64

Page 39: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 BRAZOS SURGERY BOYSEN DIRK 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 5589044

5 BRAZOS FAMILY PRACTICE BRAMSON RACHEL 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862502

5 BRAZOS FAMILY PRACTICE BRAMSON RACHEL 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 5589047

5 BRAZOS FAMILY PRACTICE BRIEGER DUANE A 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 12183545 BRAZOS PSYCHIATRY BROWN MICHAEL L 3000 BRIARCREST 400 BRYAN TX 77803 (979)691-3300 17322165 BRAZOS OPHTHALMOLOGY BUSSE FRANKLIN K 2901 E 29TH ST 113 BRYAN TX 77802 (800)533-6383 91429

5 BRAZOS UROLOGY COCHRAN JOHN L 1602 ROCK PRAIRIE RD 270 COLLEGE STATION TX 77845 (979)696-5505 1410858

5 BRAZOS OBSTETRICS & GYNECOLOGY DAVIS JR THOMAS W 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3000 1219097

5 BRAZOS GASTROENTEROLOGY DUSOLD RICHARD J 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 845944

5 BRAZOS GASTROENTEROLOGY DUSOLD RICHARD 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 5589025

5 BRAZOS EMERGENCY MEDICINE EIJSINKROEHR STEPHANIE K 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 937074

5 BRAZOS NEUROLOGICAL SURGERY ELNIHUM IBRAHIM M 1602 ROCK PRAIRIE RD 4400 COLLEGE STATION TX 77845 (979)696-2422 1218965

5 BRAZOS FAMILY PRACTICE ENGLISH MARK W 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862533

5 BRAZOS FAMILY PRACTICE ENGLISH MARK 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (254)724-2678 5589052

5 BRAZOSPHYSICAL MEDICINE & REHABILITATION FINO REMON A 1602 ROCK PRAIRIE RD 370 COLLEGE STATION TX 77845 (979)693-8263 1074837

5 BRAZOS PEDIATRICS FOSTER DAYNE M 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862535

5 BRAZOS FAMILY PRACTICE GEHRING DONALD R 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862541

5 BRAZOS INTERNAL MEDICINE GEHRING DONALD 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 5589060

5 BRAZOS INTERNAL MEDICINE GEORGE ROBERT D 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3616 922121

5 BRAZOS INTERNAL MEDICINE GEORGE ROBERT 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3658 5589172

5 BRAZOS INTERNAL MEDICINE GUO JADIE 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 5589033

5 BRAZOS INTERNAL MEDICINE HACKETHORN DAVID L 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862543

5 BRAZOS INTERNAL MEDICINE HACKETHORN DAVID L 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3658 5589061

5 BRAZOS FAMILY PRACTICE HACKNEY KENNETH U 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 1816071

5 BRAZOS FAMILY PRACTICE HIGGINS MARK S 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3803 1218613

5 BRAZOS FAMILY PRACTICE HOEKSTRA BRUCE 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (254)724-2111 1414181

5 BRAZOS PLASTIC SURGERY HOGANSON NEAL E 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1218794

5 BRAZOS INTERNAL MEDICINE JOSE MANUEL C 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 1131338

5 BRAZOS ANESTHESIOLOGY KENNEY JOHN S 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1218725

5 BRAZOS CARDIOVASCULAR DISEASE LARSEN DANIEL J 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 1908097

5 BRAZOS PEDIATRICS LAWRENCE GLENN L 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1219479

5 BRAZOS PEDIATRICS LAWRENCE GLENN L 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3000 1219479

5 BRAZOS PEDIATRICS LAWRENCE GLENN 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 5589100

Report Date: Jan07 39 of 64

Page 40: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 BRAZOS PEDIATRICS MARQUARDT MICHAEL P 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 862568

5 BRAZOS INTERNAL MEDICINE MEADE LINDA P 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 2223768

5 BRAZOS CARDIOVASCULAR DISEASE MEADE THOMAS H 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 2223771

5 BRAZOS INTERNAL MEDICINE MEADE LINDA 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 5589126

5 BRAZOS CARDIOVASCULAR DISEASE MEADE THOMAS 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 5589128

5 BRAZOS PEDIATRICS MEYER ARLENE K 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 862572

5 BRAZOSEAR NOSE & THROAT (OTOLARYNGOLOGY) MILLER MICHAEL J 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 862573

5 BRAZOSEAR NOSE & THROAT (OTOLARYNGOLOGY) MILLER MICHAEL J 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 5589070

5 BRAZOS EMERGENCY MEDICINE NELSON RONALD E 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 2223782

5 BRAZOS EMERGENCY MEDICINE NELSON RONALD E 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 5589132

5 BRAZOS FAMILY PRACTICE NGO VAN T 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 1218822

5 BRAZOS OPTOMETRY NICHOLSON DON W 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 5588984

5 BRAZOS ORTHOPEDIC SURGERY O SHEA THOMAS P 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 5589072

5 BRAZOS ANESTHESIOLOGY PATTON SAMUEL H 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 1816070

5 BRAZOS INTERNAL MEDICINE POWELL MELISSA D 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 2223843

5 BRAZOS INTERNAL MEDICINE POWELL MELISSA D 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 5589141

5 BRAZOS PEDIATRICS RANSOM DANIEL G 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 822155

5 BRAZOS OBSTETRICS & GYNECOLOGY RAYBURN WILLIAM L 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 822156

5 BRAZOS GASTROENTEROLOGY RICHARDS ROBERT M 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862610

5 BRAZOS GASTROENTEROLOGY RICHARDS ROBERT 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 5589125

5 BRAZOS FAMILY PRACTICE RICHARDSON WADE A 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1218647

5 BRAZOS OBSTETRICS & GYNECOLOGY SANDERS CHARLES W 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 862619

5 BRAZOS OBSTETRICS & GYNECOLOGY SANDERS CHARLES 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 5589135

5 BRAZOS UROLOGY SCOTT DAVID L 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 2152628

5 BRAZOS MULTISPECIALTY CLINIC SCOTT AND WHITE NORT 1600 UNIVERSITY DR COLLEGE STATION TX 77840 (979)691-3300 1754918

5 BRAZOS OCCUPATIONAL MEDICINE CLINIC SCOTT AND WHITE OCC 1600 UNIVERSITY DRIVE EAST COLLEGE STATION TX 77840 (979)691-3458 2276596

5 BRAZOS PEDIATRICS SICILIO MARK S 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 822869

5 BRAZOS PEDIATRICS SICILIO MARK 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 5588961

5 BRAZOSEAR NOSE & THROAT (OTOLARYNGOLOGY) SIMON TROY D 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 2223890

5 BRAZOSEAR NOSE & THROAT (OTOLARYNGOLOGY) SIMON TROY 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (409)691-3300 5589152

5 BRAZOS CARDIOVASCULAR DISEASE STAUFFER CURTIS 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862644

5 BRAZOS FAMILY PRACTICE STERLING JAMES A 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1218588

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 BRAZOS FAMILY PRACTICE STUAFFER CURITS J 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 5589140

5 BRAZOS PEDIATRICS SVENDSEN BETTY ANNE E 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3658 1219573

5 BRAZOS INTERNAL MEDICINE TINDALL LEAH 1301 MEMORIAL DR 200 BRYAN TX 77802 (254)724-2111 1816141

5 BRAZOS RADIOLOGY UFEMA JOHN W 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1139317

5 BRAZOS FAMILY PRACTICE VILLARREAL II ROQUE 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1218551

5 BRAZOS FAMILY PRACTICE WAGNER THOMAS J 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3803 862655

5 BRAZOS FAMILY PRACTICE WAGNER THOMAS J 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3803 5589147

5 BRAZOS FAMILY PRACTICE WAGUESPACK JEFFREY W 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3300 1816049

5 BRAZOS UROLOGY WEGENER ALLEN C 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1218703

5 BRAZOS INTERNAL MEDICINE WEGENER KIMBERLY M 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 1221943

5 BRAZOS FAMILY PRACTICE WELCH THOMAS K 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862656

5 BRAZOS FAMILY PRACTICE WELCH THOMAS 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3803 5589151

5 BRAZOS ALLERGY & IMMUNOLOGY WELDON DAVID R 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 862658

5 BRAZOS ALLERGY & IMMUNOLOGY WELDON DAVID R 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (254)724-2678 5589153

5 BRAZOS FAMILY PRACTICE WIPRUD ROBERT M 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 822875

5 BRAZOS FAMILY PRACTICE WIPRUD MARK 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)268-3300 5588965

5 BRAZOS ORTHOPEDIC SURGERY WRIGHT PAUL 1600 UNIVERSITY DR E COLLEGE STATION TX 77840 (979)691-3200 6212145 CHAMBERS FAMILY PRACTICE HUANG KENNETH 538 BROADWAY WINNIE TX 77665 (409)296-9505 21795235 CHAMBERS FAMILY PRACTICE NAIR LEKSHMI 312 MILLER ANAHUAC TX 77514 (409)267-4126 22134735 CHAMBERS FAMILY PRACTICE ROLLO ROBERT O 1178 2ND ST WINNIE TX 77665 (409)684-6702 10788425 CHAMBERS FAMILY PRACTICE WARD PHILLIP A 100 DONNA DR ANAHUAC TX 77514 (409)363-2988 22800885 CHAMBERS GENERAL PRACTICE YAZDANI HOSSEIN 105 S KANSAS ANAHUAC TX 77514 (409)267-3118 1074961

5 FORT BEND OPTOMETRY BARCACEL LEANDRO A 1601 MAIN ST 404 RICHMOND TX 77469 (281)342-6589 56821615 FORT BEND OBSTETRICS & GYNECOLOGY CONE STEPHEN M 13855 SOUTHWEST FWY SUGAR LAND TX 77478 (713)512-7500 51158715 FORT BEND OBSTETRICS & GYNECOLOGY COOPER CONSTANCE 13855 SOUTHWEST FWY SUGAR LAND TX 77478 (281)242-0767 18161805 FORT BEND OBSTETRICS & GYNECOLOGY DAILY JR LEON J 13855 SOUTHWEST FWY SUGAR LAND TX 77478 (713)512-7500 402572

5 FORT BEND HEMATOLOGY FURSE ROBERT A 1350 FIRST COLONY BLVD SUGAR LAND TX 77478 (281)277-5200 4029325 FORT BEND MEDICAL ONCOLOGY FURSE ROBERT A 1350 FIRST COLONY BLVD SUGAR LAND TX 77478 (281)277-5200 4029325 FORT BEND ORTHOPEDIC SURGERY GERTZBEIN STANLEY D 15200 SW FREEWAY 175 SUGAR LAND TX 77478 (281)494-0550 5120965 FORT BEND HEMATOLOGY & ONCOLOGY HSU BRANDEN 5618 MEDICAL CENTER DR 201 KATY TX 77494 (281)392-2757 21309525 FORT BEND HEAD & NECK SURGERY JALAL YASMEEN S 3521 TOWN CENTER BLVD B SUGAR LAND TX 77479 (281)265-1160 1070131

5 FORT BENDEAR NOSE & THROAT (OTOLARYNGOLOGY) JALAL YASMEEN S 3521 TOWN CENTER BLVD B SUGAR LAND TX 77479 (281)265-1160 1070131

5 FORT BEND RADIATION ONCOLOGY KAVADI VIVEK S 1350 FIRST COLONY BLVD SUGAR LAND TX 77479 (281)277-5200 869734

5 FORT BEND HEMATOLOGY & ONCOLOGY LIU BEI FANG 1350 FIRST COLONY BLVD SUGAR LAND TX 77479 (281)277-5200 57034045 FORT BEND NEUROLOGY LYNN TODD H 2655 CORDES DR 110 SUGAR LAND TX 77479 (281)980-2525 56785495 FORT BEND MEDICAL ONCOLOGY MACHELEDT JANET E 1350 FIRST COLONY BLVD SUGAR LAND TX 77478 (281)277-5200 6285325 FORT BEND MEDICAL ONCOLOGY MACHELEDT JANET E 5618 MEDICAL CENTER DR 201 KATY TX 77494 (281)392-2757 6285325 FORT BEND ORTHOPEDIC SURGERY MAFFET MARK W 15200 SW FREEWAY 175 SUGAR LAND TX 77478 (281)494-0550 8696305 FORT BEND HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 16675 SOUTHWEST FWY 250 SUGAR LAND TX 77479 (281)491-5511 6276105 FORT BEND HEMATOLOGY MANNER JR CHARLES E 16675 SOUTHWEST FWY 250 SUGAR LAND TX 77479 (281)491-5511 627610

5 FORT BEND HEMATOLOGY MANNER JR CHARLES E 16675 SOUTHWEST FWY 250 SUGAR LAND TX 77479 (713)778-0300 6276105 FORT BEND HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 16675 SOUTHWEST FWY 250 SUGAR LAND TX 77479 (713)778-0300 6276105 FORT BEND ALLERGY & IMMUNOLOGY MOORE KRISTIN A 5610 W RIVERPARK DR B SUGAR LAND TX 77479 (281)633-0576 5213595 FORT BEND INTERNAL MEDICINE ODOM LEROY 5618 MEDICAL CENTER DR KATY TX 77494 (281)392-8630 232365 FORT BEND OPHTHALMOLOGY PORTER DEAN P 4977 SWEETWATER BLVD SUGAR LAND TX 77479 (281)242-8841 7542805 FORT BEND FAMILY PRACTICE RENNEY KENNETH M 15400 SOUTHWEST FWY 100 SUGAR LAND TX 77478 (281)565-8800 474485 FORT BEND SPORTS MEDICINE RENNEY KENNETH M 15400 SOUTHWEST FWY 100 SUGAR LAND TX 77478 (281)565-8800 47448

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 FORT BEND FAMILY PRACTICE RENNEY KENNETH M 15400 SOUTHWEST FWY 100 SUGAR LAND TX 77478 (281)565-8800 474485 FORT BEND SPORTS MEDICINE RENNEY KENNETH M 15400 SOUTHWEST FWY 100 SUGAR LAND TX 77478 (281)565-8800 474485 FORT BEND OBSTETRICS & GYNECOLOGY ROSS JOHN B 13855 SOUTHWEST FWY SUGAR LAND TX 77478 (713)512-7500 4025375 FORT BEND INTERNAL MEDICINE SETHI SANJAY 1350 FIRST COLONY BLVD SUGAR LAND TX 77479 (281)277-5200 18912985 FORT BEND PULMONARY DISEASE SHAH PANKAJ K 1601 MAIN ST 102 RICHMOND TX 77469 (281)342-3342 5274865 FORT BEND PULMONARY DISEASE SHAH PANKAJ K 16651 SW FREEWAY 300 SUGAR LAND TX 77479 (281)342-3342 5274865 FORT BEND PODIATRIC SURGERY SILVERMAN JERRY S 4780 SWEETWATER BLVD 100 SUGAR LAND TX 77479 (821)242-3233 22949

5 FORT BEND FAMILY PRACTICE SLAUGHTER LILLIE S 2411 FM 1092 RD MISSOURI CITY TX 77459 (281)261-9660 9343195 FORT BEND GASTROENTEROLOGY STEIN STANLEY H 1111 HIGHWAY 6 155 SUGAR LAND TX 77478 (281)499-0942 6285635 FORT BEND GASTROENTEROLOGY STEIN STANLEY H 5819 HWY 6 SOUTH 350 MISSOURI CITY TX 77459 (281)261-4092 6285635 FORT BEND GASTROENTEROLOGY STEIN STANLEY H 5819 HWY 6 SOUTH 350 MISSOURI CITY TX 77459 (281)499-0942 628563

5 FORT BEND GASTROENTEROLOGY STEIN STANLEY H 1111 HIGHWAY 6 155 SUGAR LAND TX 77478 (281)261-4092 6285635 FORT BEND OBSTETRICS & GYNECOLOGY STRAMA THOMAS 13855 SOUTHWEST FWY SUGAR LAND TX 77478 (713)512-7500 4014345 FORT BEND ALLERGY & IMMUNOLOGY TAMBOLI SANOBER M 1111 HIGHWAY 6 140 SUGAR LAND TX 77478 (281)242-0333 11499155 FORT BEND HEMATOLOGY & ONCOLOGY TIN U CAESAR K 1350 FIRST COLONY BLVD SUGAR LAND TX 77478 (281)277-5200 1877946

5 FORT BEND INTERNAL MEDICINE TREMAINE BRIAN N 15200 S US 59 HWY 360 SUGAR LAND TX 77478 (832)237-3500 56796435 FORT BEND INTERNAL MEDICINE WAXALI ANISHA V 4780 SWEETWATER BLVD 100 SUGAR LAND TX 77479 (281)491-0094 18899245 FORT BEND RADIOLOGY WEAVER PHILIP J 1336 PIN OAK RD KATY TX 77494 (281)392-5558 16428105 FORT BEND ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 1111 HIGHWAY 6 140 SUGAR LAND TX 77478 (281)242-0333 9420885 FORT BEND PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 1111 HIGHWAY 6 140 SUGAR LAND TX 77478 (281)242-0333 9420885 FORT BEND PEDIATRIC ALLERGY WEIDO ANTHONY J 1111 HIGHWAY 6 140 SUGAR LAND TX 77478 (281)242-0333 942088

5 FORT BEND SURGERY WOOD MICHAEL T 16651 SOUTHWEST FWY 360 SUGAR LAND TX 77479 (281)491-6200 19530675 HARDIN FAMILY PRACTICE ARANTE PROSPERO V 344 S MAIN ST LUMBERTON TX 77657 (409)755-4000 10717565 HARDIN OPTOMETRY HYDE KATHERINE P 100 N LHS DR LUMBERTON TX 77657 (409)751-6500 57081335 HARDIN OPTOMETRY HYDE MICHAEL P 100 N LHS DR LUMBERTON TX 77657 (409)751-6500 57082385 HARDIN INTERNAL MEDICINE LEE JONG J 110 W CANDLESTICK DR LUMBERTON TX 77657 (409)755-6489 14125415 HARDIN INTERNAL MEDICINE PATIL JAIRAJ 603 HIGHWAY 418 W 1 SILSBEE TX 77656 (409)385-9497 1417804

5 HARDIN FAMILY PRACTICE REDDY SHANTHI G 1233 S MAIN ST LUMBERTON TX 77657 (409)755-3600 9233415 HARDIN INTERNAL MEDICINE SINGH HARRYPERSAD 603 HIGHWAY 418 W 4 SILSBEE TX 77656 (409)385-7352 11028275 HARDIN FAMILY PRACTICE WESOLOW PAUL D 517 HIGHWAY 326 N SOUR LAKE TX 77659 (409)287-2762 1310525

5 HARRIS PEDIATRICS ABBAS RASHIDA 17330 SPRING CYPRESS RD 150 CYPRESS TX 77429 (281)373-3786 56797015 HARRIS PSYCHIATRY ABENE MICHAEL V 6550 FANNIN ST 1801 HOUSTON TX 77030 (713)798-5975 746581

5 HARRIS INFECTIOUS DISEASES AGRAWAL DIPTI 6560 FANNIN ST 1540 HOUSTON TX 77030 (713)799-9997 56893815 HARRIS FAMILY PRACTICE AGUILAR PHILLIP M 1616 CLEAR LAKE CITY BLVD 109 HOUSTON TX 77062 (281)480-8884 18624095 HARRIS NEPHROLOGY AHMED AMINA J 701 S FRY RD 205 KATY TX 77450 (281)829-0002 12280475 HARRIS CARDIOVASCULAR DISEASE ALI NADIR M 450 MEDICAL CENTER BLVD 550 WEBSTER TX 77598 (281)557-1215 18356545 HARRIS FAMILY PRACTICE ALLISON LESLIE J 21238 KINGSLAND BLVD KATY TX 77450 (281)398-7702 10389865 HARRIS OBSTETRICS & GYNECOLOGY ALLON MICHAEL A 10901 KATY FWY HOUSTON TX 77079 (713)467-4488 1050792

5 HARRIS FAMILY PRACTICE ALVAREZ ROBERT F 9511 NW HUFFMEISTER RD 100 HOUSTON TX 77095 (281)550-4635 697853

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) ANDERSON BLAKE L 707 S FRY RD 250 KATY TX 77450 (281)492-7287 2091776

5 HARRIS OBSTETRICS & GYNECOLOGY ANDING ROBERT G 7900 FANNIN ST HOUSTON TX 77054 (713)512-7838 4000575 HARRIS OBSTETRICS & GYNECOLOGY ANDING ROBERT G 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 4000575 HARRIS OBSTETRICS & GYNECOLOGY ANDING ROBERT G 9055 KATY FWY 309 HOUSTON TX 77024 (713)512-7500 4000575 HARRIS OBSTETRICS & GYNECOLOGY ANDING ROBERT G 600 ROCKMEAD DR 211 KINGWOOD TX 77339 (713)512-7500 4000575 HARRIS NEUROLOGY APPEL STANLEY H 6560 FANNIN ST 802 HOUSTON TX 77030 (713)441-3760 8209855 HARRIS PAIN MANAGEMENT ARTHUR JEFF 18955 N MEMORIAL DR 420 HUMBLE TX 77338 (281)297-6300 1642789

5 HARRIS PAIN MANAGEMENT ARTHUR JEFF 18955 N MEMORIAL DR 420 HUMBLE TX 77338 (281)292-4395 16427895 HARRIS PAIN MANAGEMENT ARTHUR JEFF 18955 N MEMORIAL DR 420 HUMBLE TX 77338 (281)540-7246 1642789

5 HARRIS ANESTHESIOLOGY ARTHUR JEFF 18955 N MEMORIAL DR 420 HUMBLE TX 77338 (281)297-6300 16427895 HARRIS ANESTHESIOLOGY ARTHUR JEFF 18955 N MEMORIAL DR 420 HUMBLE TX 77338 (281)292-4395 1642789

5 HARRIS ANESTHESIOLOGY ARTHUR JEFF 7505 MAIN ST 150 HOUSTON TX 77030 (281)540-7246 16427895 HARRIS ANESTHESIOLOGY ARTHUR JEFF 18955 N MEMORIAL DR 420 HUMBLE TX 77338 (281)540-7246 16427895 HARRIS PAIN MANAGEMENT ARTHUR JEFF 7505 MAIN ST 150 HOUSTON TX 77030 (281)540-7246 16427895 HARRIS CARDIOVASCULAR DISEASE ASLAM A ADNAN 8830 LONG POINT RD 704 HOUSTON TX 77055 (713)465-0786 5623500

5 HARRIS CARDIOVASCULAR DISEASE ASLAM A ADNAN 11740 FM1960 W HOUSTON TX 77065 (281)955-5791 56235005 HARRIS CARDIOVASCULAR DISEASE ASLAM A ADNAN 1801 N LOOP W 20 HOUSTON TX 77008 (713)365-0786 56235005 HARRIS CARDIOVASCULAR DISEASE ASLAM AHMAD A 425 HOLDERRIETH 208 TOMBALL TX 77375 (713)465-0786 5628378

5 HARRIS CARDIOVASCULAR DISEASE ASLAM AHMAD A 425 HOLDERRIETH 208 TOMBALL TX 77375 (281)955-0786 5628378

5 HARRISPHYSICIAN ASSISTANT/NURSE PRACTITIONER ATKINSON PAIGE M 6410 FANNIN ST 500 HOUSTON TX 77030 (832)325-7111 1866375

5 HARRIS GASTROENTEROLOGY AZAD JASPAUL S 400 MEDICAL CENTER BLVD 202 WEBSTER TX 77598 (281)554-2035 56993325 HARRIS GASTROENTEROLOGY AZAD JASPAUL S 400 MEDICAL CENTER BLVD 202 WEBSTER TX 77598 (281)338-2861 5699332

5 HARRIS PULMONARY DISEASE BABA MOHAMMAD 2060 SPACE PARK DR 406 HOUSTON TX 77058 (281)335-0377 5541131

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS CARDIOVASCULAR DISEASE BAIG MIRZA B 8945 LONG POINT RD 109 HOUSTON TX 77055 (713)464-7040 767355 HARRIS CARDIOVASCULAR DISEASE BAIG MIRZA B 1740 WEST 27TH ST 100 HOUSTON TX 77008 (713)863-7766 76735

5 HARRIS OBSTETRICS & GYNECOLOGY BAKER IV DUDLEY D 18220 STATE HIGHWAY 249 200 HOUSTON TX 77070 (832)912-2411 512865 HARRIS OBSTETRICS & GYNECOLOGY BAKER IV DUDLEY D 18220 STATE HIGHWAY 249 200 HOUSTON TX 77070 (281)444-3440 512865 HARRIS OBSTETRICS & GYNECOLOGY BALAT ISAM Y 1200 BINZ ST 1100 HOUSTON TX 77004 (713)522-3333 723995 HARRIS OPHTHALMOLOGY BANKS III WILLIAM S 2424 W HOLCOMBE ST 203 HOUSTON TX 77030 (713)665-7600 736723

5 HARRIS OPHTHALMOLOGY BANKS III WILLIAM S 7777 SOUTHWEST FWY 804 HOUSTON TX 77074 (713)777-6123 736723

5 HARRIS GENERAL VASCULAR SURGERY BARDWIL MICHAEL 777 S FRY RD 101 KATY TX 77450 (281)398-1707 1642477

5 HARRIS GENERAL VASCULAR SURGERY BARDWIL MICHAEL 909 FROSTWOOD DR 208 HOUSTON TX 77024 (713)461-4945 16424775 HARRIS FAMILY PRACTICE BARNARD MICHAEL A 18220 STATE HIGHWAY 249 390 HOUSTON TX 77070 (281)469-7704 6275085 HARRIS OBSTETRICS & GYNECOLOGY BATTAGLIA FRANK J 12337 JONES RD 350 HOUSTON TX 77070 (281)890-3222 14177455 HARRIS DERMATOLOGY BEAN SAMUEL F 1200 BINZ ST 1110 HOUSTON TX 77004 (713)523-8678 101707

5 HARRIS DERMATOLOGY BEAN SAMUEL F 1200 BINZ ST 1110 HOUSTON TX 77004 (713)523-8200 1017075 HARRIS INTERNAL MEDICINE BELL CARLTON B 1315 ST JOSEPH PKWY 806 HOUSTON TX 77002 (713)650-1900 970034

5 HARRIS FAMILY PRACTICE BENEKE ANITA G 1631 N LOOP WEST 530 HOUSTON TX 77008 (713)864-0898 6275125 HARRIS FAMILY PRACTICE BENEKE ANITA G 11301 FALLBROOK DR 202 HOUSTON TX 77065 (281)955-8803 6275125 HARRIS OBSTETRICS & GYNECOLOGY BENTON BAKER 1601 ST JOSEPH PKWY HOUSTON TX 77002 55409455 HARRIS PULMONARY DISEASE BERGER MARK B 7501 FANNIN ST 750 HOUSTON TX 77054 (713)979-1190 8135365 HARRIS PULMONARY DISEASE BERGER MARK B 7501 FANNIN ST 750 HOUSTON TX 77054 (713)979-1197 8135365 HARRIS CRITICAL CARE MEDICINE BERGER MARK B 7501 FANNIN ST 750 HOUSTON TX 77054 (713)979-1197 813536

5 HARRIS CRITICAL CARE MEDICINE BERGER MARK B 7501 FANNIN ST 750 HOUSTON TX 77054 (713)979-1190 8135365 HARRIS CARDIOVASCULAR DISEASE BHALLA RAJINDER 2060 SPACE PARK DR 108 HOUSTON TX 77058 (281)333-4848 55411405 HARRIS PEDIATRICS BHARDWAJ NEETA R 11710 FM 1960 RD W HOUSTON TX 77065 (281)469-6097 484555 HARRIS NEUROLOGY BHAT SUPRABHA 7500 BEECHNUT ST 266 HOUSTON TX 77074 (281)494-6270 5403710

5 HARRIS RADIOLOGY BIKKINA RAVI S 810 PEAKWOOD 107 HOUSTON TX 77090 (281)440-5158 21799205 HARRIS SURGERY BINA SAID 11850 FM 1960 RD W HOUSTON TX 77065 (281)469-0596 52135

5 HARRIS OBSTETRICS & GYNECOLOGY BLACK DAWN D 12605 EAST FWY 510 HOUSTON TX 77015 (713)512-7500 16428895 HARRIS OBSTETRICS & GYNECOLOGY BLACK DAWN D 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 16428895 HARRIS NEUROLOGICAL SURGERY BLACKLOCK JERRY B 6560 FANNIN ST 900 HOUSTON TX 77030 (713)441-3800 8081085 HARRIS SURGERY BLOSS ROBERT S 6624 FANNIN ST 1590 HOUSTON TX 77030 (713)796-1600 229615 HARRIS PEDIATRIC SURGERY BLOSS ROBERT S 6624 FANNIN ST 1590 HOUSTON TX 77030 (713)796-1600 229615 HARRIS FAMILY PRACTICE BLOUNT JR FARRIS 2000 CRAWFORD ST 1400 HOUSTON TX 77002 (713)650-6556 8135405 HARRIS ALLERGY & IMMUNOLOGY BOMMANNA VASUDEVA M 450 MEDICAL CENTER BLVD WEBSTER TX 77598 (281)338-2246 11415565 HARRIS ALLERGY & IMMUNOLOGY BOMMANNA VASUDEVA M 450 MEDICAL CIRCLE BLVD 204 WEBSTER TX 77598 (281)338-2246 11415565 HARRIS SURGERY BONEFAS ELIZABETH T 1315 ST JOSEPH PKWY 1305 HOUSTON TX 77002 (713)756-8555 42434

5 HARRIS OPHTHALMOLOGY BOURGEOIS KEITH A 1315 ST JOSEPH PKWY 1601 HOUSTON TX 77002 (713)650-0391 236635 HARRIS INTERNAL MEDICINE BRADEN III ALBERT H 3400 BISSONNET ST 100 HOUSTON TX 77005 (713)662-2777 7026255 HARRIS NEUROLOGY BRADSHAW TINA J 6701 FANNIN 950 HOUSTON TX 77030 (832)822-5046 54010095 HARRIS PEDIATRICS BRADSHAW TINA J 6701 FANNIN 950 HOUSTON TX 77030 (832)822-5046 54010095 HARRIS FAMILY PRACTICE BRISCOE DONALD 1315 ST JOSEPH PKWY HOUSTON TX 77002 (713)756-8263 16212055 HARRIS GYNECOLOGY (NO OB) BUESO FERNANDO 1315 ST JOSEPH PKWY 1507 HOUSTON TX 77002 (713)757-1075 6291455 HARRIS OBSTETRICS & GYNECOLOGY BUI OANH N 10694 JONES RD 230 HOUSTON TX 77065 (281)477-0417 56905895 HARRIS PODIATRIC SURGERY BURDGE SCOTT C 901 FROSTWOOD DR 302 HOUSTON TX 77024 (713)467-2442 1173690

5 HARRIS ORTHOPEDIC SURGERY BURKE ROBERT L 4001 PRESTON AVE 150 PASADENA TX 77505 (281)991-8000 6474655 HARRIS ORTHOPEDIC SURGERY BURKE ROBERT L 4001 PRESTON AVE 150 PASADENA TX 77505 (713)436-3488 6474655 HARRIS NEUROLOGY BURNETT LEANNE 17000 EL CAMINO REAL 205 HOUSTON TX 77058 (281)218-7660 1000015 HARRIS INTERNAL MEDICINE CARTER TRACY L 5420 DASHWOOD DR 103 HOUSTON TX 77081 (713)661-9550 1974550

5 HARRIS FAMILY PRACTICE CASAGRANDE MICHAEL G 13406 MEDICAL COMPLEX DR 190 TOMBALL TX 77375 (281)357-1230 16160745 HARRIS FAMILY PRACTICE CASAGRANDE MICHAEL G 13406 MEDICAL COMPLEX DR 190 TOMBALL TX 77375 (281)357-1934 1616074

5 HARRIS ORTHOPEDIC SURGERY CASAS JORGE 6410 FANNIN 1100 HOUSTON TX 77030 (832)325-7141 56656545 HARRIS PLASTIC SURGERY CASH CAMILLE 1315 ST JOSEPH PKWY HOUSTON TX 77002 (713)571-0600 5540981

5 HARRIS OBSTETRICS & GYNECOLOGY CASTILLO JOSEPH A 11738 FM 1960 WEST HOUSTON TX 77065 (281)955-0176 7538405 HARRIS FAMILY PRACTICE CASTILLO CESARIO A 15201 MASON RD 1200 CYPRESS TX 77433 (281)372-0162 19478535 HARRIS EMERGENCY MEDICINE CAVAZOS JUAN L 10655 STEEPLETOP DR HOUSTON TX 77065 (281)890-4285 1417222

5 HARRIS ANESTHESIOLOGY CERDAY EDDIE L 2918 SAN JACINTO ST HOUSTON TX 77004 (713)663-6100 57145495 HARRIS CARDIOVASCULAR DISEASE CHALLA SARMA S 4301 GARTH RD 304 BAYTOWN TX 77521 (281)420-2391 400011

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) CHANG CHING YEN J 11301 FALLBROOK DR 320 HOUSTON TX 77065 281897-0416 1036990

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) CHANG CHING YEN J 11301 FALLBROOK DR 320 HOUSTON TX 77065 1036990

5 HARRIS PEDIATRICS CHEN ANNA 705 S FRY RD KATY TX 77450 (281)829-6860 55409835 HARRIS NEUROLOGY CHIU DAVID 6560 FANNIN ST 802 HOUSTON TX 77030 (713)441-5066 1072547

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS RADIATION ONCOLOGY CHOW DANNY C 10650 STEEPLETOP DR HOUSTON TX 77065 (713)890-8895 1642261

5 HARRIS MEDICAL ONCOLOGY CHU PING S 17099 TEXAS AVE 300 WEBSTER TX 77598 (281)338-2006 5075735 HARRIS HEMATOLOGY CHU PING S 4301 VISTA RD A PASADENA TX 77504 (713)943-1008 5075735 HARRIS MEDICAL ONCOLOGY CHU PING S 4301 VISTA RD A PASADENA TX 77504 (713)943-1008 507573

5 HARRIS MEDICAL ONCOLOGY CHU PING S 11914 ASTORIA BLVD 550 HOUSTON TX 77089 (281)481-2795 5075735 HARRIS HEMATOLOGY CHU PING S 11914 ASTORIA BLVD 550 HOUSTON TX 77089 (281)481-2795 5075735 HARRIS HEMATOLOGY CHU PING S 17099 TEXAS AVE 300 WEBSTER TX 77598 (281)338-2006 507573

5 HARRISPHYSICAL MEDICINE & REHABILITATION CIANCA JOHN C 3440 RICHMOND AVE HOUSTON TX 77046 713627-3156 733302

5 HARRISPHYSICAL MEDICINE & REHABILITATION CIANCA JOHN C 3440 RICHMOND AVE HOUSTON TX 77046 733302

5 HARRIS MEDICAL ONCOLOGY CIMO PHILIP L 1120 BUSINESS CENTER DR 360 HOUSTON TX 77043 (713)467-1722 4031025 HARRIS HEMATOLOGY CIMO PHILIP L 8830 LONG POINT RD 702 HOUSTON TX 77055 (713)465-2424 403102

5 HARRIS HEMATOLOGY CIMO PHILIP L 8830 LONG POINT RD 702 HOUSTON TX 77055 (713)465-2725 4031025 HARRIS MEDICAL ONCOLOGY CIMO PHILIP L 8830 LONG POINT RD 702 HOUSTON TX 77055 (713)465-2424 4031025 HARRIS MEDICAL ONCOLOGY CIMO PHILIP L 8830 LONG POINT RD 702 HOUSTON TX 77055 (713)465-2725 4031025 HARRIS HEMATOLOGY CIMO PHILIP L 1120 BUSINESS CENTER DR 360 HOUSTON TX 77043 (713)467-1722 4031025 HARRIS RADIATION ONCOLOGY COLEMAN MARTIN 1401 ST JOSEPH PKWY HOUSTON TX 77002 (713)757-7593 55410335 HARRIS DERMATOLOGY COLOME GRIMMER MARIA I 4747 BELLAIRE BLVD 575A BELLAIRE TX 77401 (713)660-9444 16421625 HARRIS PATHOLOGY COLOME GRIMMER MARIA I 4747 BELLAIRE BLVD 575A BELLAIRE TX 77401 (713)660-9444 1642162

5 HARRIS MULTISPECIALTY CLINIC CONCENTRA MEDICAL C 6630 ROXBURGH DR 171 HOUSTON TX 77041 (281)983-0211 52062085 HARRIS MULTISPECIALTY CLINIC CONCENTRA MEDICAL C 2320 HOLMES RD A HOUSTON TX 77051 (713)799-2643 52062045 HARRIS OBSTETRICS & GYNECOLOGY CONE STEPHEN M 7915 FM 1960 W 210 HOUSTON TX 77070 (713)512-7500 5115871

5 HARRIS OBSTETRICS & GYNECOLOGY CONE STEPHEN M 12605 EAST FWY 510 HOUSTON TX 77015 (713)512-7500 51158715 HARRIS OBSTETRICS & GYNECOLOGY CONE STEPHEN M 7900 FANNIN ST HOUSTON TX 77054 (713)512-7000 51158715 HARRIS OBSTETRICS & GYNECOLOGY COOPER CONSTANCE 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 1816180

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) CORDES STEPHANIE K 11301 FALLBROOK DR 310 HOUSTON TX 77065 (281)897-0416 1828642

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) CORDES STEPHANIE K 11301 FALLBROOK DR 310 HOUSTON TX 77065 (281)890-6155 1828642

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) CORDES STEPHANIE K 455 SCHOOL ST 26 TOMBALL TX 77375 (281)351-8407 1828642

5 HARRIS UROLOGY CORNELL ROBERT J 1315 ST JOSEPH PKWY 1700 HOUSTON TX 77002 (713)652-5011 55410355 HARRIS OBSTETRICS & GYNECOLOGY COWAN MARY ALICE L 7400 FANNIN ST 750 HOUSTON TX 77054 (713)795-5053 8113935 HARRIS FAMILY PRACTICE CROUCH MICHAEL A 6620 MAIN ST 1250 HOUSTON TX 77030 (713)798-7700 7367845 HARRIS FAMILY PRACTICE CROUCH MICHAEL A 3701 KIRBY DR 100 HOUSTON TX 77098 (713)798-7700 736784

5 HARRIS FAMILY PRACTICE CUEVO ENRIQUE G 3303 AUDLEY ST HOUSTON TX 77098 (713)528-1946 5085095 HARRIS CARDIOVASCULAR DISEASE CY FAIR HEATHCARE NE 10655 STEEPLETOP DR HOUSTON TX 77065 (713)956-4992 51225045 HARRIS OBSTETRICS & GYNECOLOGY DAILY JR LEON J 7550 FANNIN ST HOUSTON TX 77054 (713)512-7500 4025725 HARRIS OBSTETRICS & GYNECOLOGY DAILY JR LEON J 9055 KATY FWY 309 HOUSTON TX 77024 (713)512-7500 402572

5 HARRIS INTERNAL MEDICINE DANG MINH HUU 10655 STEEPLETOP DR HOUSTON TX 77065 (281)890-4285 14172295 HARRIS PODIATRIC SURGERY DANNA BERNARD L 7575 SAN FELIPE 145 HOUSTON TX 77063 (713)974-4501 51362715 HARRIS FAMILY PRACTICE DAOU ALINE G 3701 KIRBY DR 100 HOUSTON TX 77098 (713)798-8138 5629528

5 HARRIS FAMILY PRACTICE DAVIDSON MICHAEL K 1315 ST JOSEPH PKWY 140 HOUSTON TX 77002 (713)655-0073 19426935 HARRIS FAMILY PRACTICE DAVIS CHANSEYA A 11914 ASTORIA BLVD HOUSTON TX 77089 (281)484-6132 57108355 HARRIS FAMILY PRACTICE DAVIS CHANSEYA A 711 W BAY AREA 210 WEBSTER TX 77598 (281)554-9652 5710835

5 HARRIS PODIATRIC SURGERY DAY RICHARD 5265 LOUETTA RD A SPRING TX 77379 (281)370-7800 736555 HARRIS PODIATRIC SURGERY DAY RICHARD 11301 FALLBROOK DR 208 HOUSTON TX 77065 (281)955-1166 736555 HARRIS SURGERY DE IPOLYI PETER D 1315 ST JOSEPH PKWY 1800 HOUSTON TX 77002 (713)652-3161 508938

5 HARRIS CARDIOVASCULAR DISEASE DEBAUCHE THOMAS L 11301 FALLBROOK DR 130 HOUSTON TX 77065 (281)890-8588 8182465 HARRIS FAMILY PRACTICE DELEON SCAGLIA BERTA 1305 ST JOSEPH PKWY 1309 HOUSTON TX 77002 (832)366-1305 56955845 HARRIS NUCLEAR MEDICINE DELPASSAND EBRAHIM S 5420 W LOOP SOUTH 1700 BELLAIRE TX 77401 (713)523-3700 902575 HARRIS NUCLEAR MEDICINE DELPASSAND EBRAHIM S 9701 RICHMOND AVE HOUSTON TX 77042 (713)781-6200 902575 HARRIS GENERAL PRACTICE DESAI HEMLATA J 6621 FANNIN ST 11481 HOUSTON TX 77030 (832)824-5497 9375105 HARRIS FAMILY PRACTICE DHESI TARSEM S 7440 FM 1960 RD W HOUSTON TX 77070 (281)955-7777 67781

5 HARRIS RADIOLOGY

DIAGNOSTIC RADIOLOGY OF HOUSTON 2600 N GESSNER 150 HOUSTON TX 77080 (713)425-8100 1896468

5 HARRIS FAMILY PRACTICE DIAZ ISMAEL 11040 EAST FWY HOUSTON TX 77029 (713)451-5935 21285475 HARRIS OPHTHALMOLOGY DIAZ M DOLORES 2060 SPACE PARK DR 302 HOUSTON TX 77058 (281)335-7700 51159085 HARRIS OPHTHALMOLOGY DIAZ M DOLORES 15 PROFESSIONAL PARK DR WEBSTER TX 77598 (281)332-1550 51159085 HARRIS CARDIOVASCULAR DISEASE DIEZ JOSE G 6620 MAIN ST 1225 HOUSTON TX 77030 (713)798-2545 20241955 HARRIS FAMILY PRACTICE DINH TRUNG D 15201 MASON RD 1200 CYPRESS TX 77433 (281)373-0162 21920475 HARRIS PEDIATRICS DOCKRAY LEE R 15322 COPPER GROVE DR HOUSTON TX 77095 (281)859-7596 43472

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS PEDIATRICS DOCKRAY LEE R 7825 HIGHWAY 6 N 107 HOUSTON TX 77095 (281)859-7596 434725 HARRIS INTERNAL MEDICINE DOLLE DONNA S 2060 SPACE PARK DR HOUSTON TX 77058 (281)335-7588 10705505 HARRIS CARDIOVASCULAR DISEASE DOYLE TIMOTHY K 6550 FANNIN ST 1723 HOUSTON TX 77030 (713)799-1610 86985

5 HARRIS INTERNAL MEDICINE DOYLE TIMOTHY K 6550 FANNIN ST 1723 HOUSTON TX 77030 (713)799-1610 869855 HARRIS CARDIOVASCULAR DISEASE DRTIL ALEXANDER 915 GESSNER PROF BLDG 3 585 HOUSTON TX 77024 (713)827-8710 917336

5 HARRIS CARDIOVASCULAR DISEASE DUCHMAN STANLEY M 13300 HARGRAVE RD 500 HOUSTON TX 77070 (281)890-4848 19793405 HARRIS CARDIOVASCULAR DISEASE DUCHMAN STANLEY M 6560 FANNIN ST 620 HOUSTON TX 77030 (281)890-4848 19793405 HARRIS CARDIOVASCULAR DISEASE DUCHMAN STANLEY M 6560 FANNIN ST 620 HOUSTON TX 77030 (713)791-1978 1979340

5 HARRIS PULMONARY DISEASE DWEIK MAHMOOD 2060 SPACE PARK DR 460 NASSAU BAY TX 77058 (281)335-0377 57097295 HARRIS FAMILY PRACTICE EDMONSON SARAH R 3701 KIRBY DR HOUSTON TX 77098 (713)798-7700 18779615 HARRIS GYNECOLOGY (NO OB) ERAJ UMMEED 7620 BELLFORT ST HOUSTON TX 77061 (713)644-0532 5541048

5 HARRIS INTERNAL MEDICINE ESANTSI MICHAEL 18220 STATE HIGHWAY 249 350 HOUSTON TX 77070 (281)477-3393 16424785 HARRIS SURGERY ESCOBEDO MARIE G 6550 FANNIN 2525 HOUSTON TX 77030 (713)441-3535 20639335 HARRIS SURGERY ETTER ELEGY L 1315 ST JOSEPH PKWY 1305 HOUSTON TX 77002 (713)756-8555 6935265 HARRIS INTERNAL MEDICINE FANG KAISEN 11920 ASTORIA BLVD 210 HOUSTON TX 77089 (281)464-6666 13095345 HARRIS OPTOMETRY FEIGON JUDITH T 7515 MAIN ST 650 HOUSTON TX 77030 (713)799-8363 323965 HARRIS OPHTHALMOLOGY FEIGON JUDITH T 7515 MAIN ST 650 HOUSTON TX 77030 (713)799-1737 323965 HARRIS OPTOMETRY FEIGON JUDITH T 7515 MAIN ST 650 HOUSTON TX 77030 (713)799-1737 323965 HARRIS OPHTHALMOLOGY FEIGON JUDITH T 7515 MAIN ST 650 HOUSTON TX 77030 (713)799-8363 323965 HARRIS FAMILY PRACTICE FISCHER STEPHEN C 9005 LOUETTA RD SPRING TX 77379 (281)320-1144 14178565 HARRIS ORTHOPEDIC SURGERY FISCHER CONRAD A 18100 ST JOHN DR 230 HOUSTON TX 77058 (281)333-4541 236715 HARRIS OPHTHALMOLOGY FOSTER WILLIAM J 1631 N LOOP WEST 500 HOUSTON TX 77008 (713)869-6400 56931665 HARRIS GYNECOLOGY (NO OB) FRANKLIN ROBERT 7900 FANNIN ST HOUSTON TX 77054 (713)512-7000 16429055 HARRIS FAMILY PRACTICE FRAZIER BRYANT J 2500 FONDREN RD 270 HOUSTON TX 77063 (713)781-4600 1999837

5 HARRIS NEUROLOGY FUJII MAVIS D 17000 EL CAMINO REAL HOUSTON TX 77058 (281)218-7660 11773235 HARRIS PSYCHIATRY FUJII MAVIS D 17000 EL CAMINO REAL HOUSTON TX 77058 (281)218-7660 11773235 HARRIS MEDICAL ONCOLOGY FURSE ROBERT A 7777 SOUTHWEST FWY HOUSTON TX 77074 (713)776-8011 4029325 HARRIS MEDICAL ONCOLOGY FURSE ROBERT A 7737 WEST ST 575 HOUSTON TX 77093 (713)981-8133 4029325 HARRIS HEMATOLOGY FURSE ROBERT A 7737 WEST ST 575 HOUSTON TX 77093 (713)981-8133 4029325 HARRIS MEDICAL ONCOLOGY FURSE ROBERT A 7737 SOUTHWEST FWY HOUSTON TX 77074 (713)981-8133 402932

5 HARRIS HEMATOLOGY FURSE ROBERT A 7737 SOUTHWEST FWY HOUSTON TX 77074 (713)981-8133 4029325 HARRIS HEMATOLOGY FURSE ROBERT A 7777 SOUTHWEST FWY HOUSTON TX 77074 (713)776-8011 4029325 HARRIS INTERNAL MEDICINE GALLAGHER JOHN 2 CHELSEA BLVD HOUSTON TX 77006 (713)523-6627 55410565 HARRIS CARDIOVASCULAR DISEASE GANGOPADHYAY SUBROTO 12121 RICHMOND AVE 402 HOUSTON TX 77082 (281)556-6999 1961238

5 HARRIS FAMILY PRACTICE GARCIA JUAN 11511 VETERANS MEMORIAL DR 200 HOUSTON TX 77067 (281)583-0806 5541061

5 HARRIS PAIN MANAGEMENT GARCIA EDUARDO 17448 HIGHWAY 3 130 WEBSTER TX 77598 (281)338-4443 5541254

5 HARRISPHYSICAL MEDICINE & REHABILITATION GARRISON SUSAN J 10021 S MAIN ST B1 HOUSTON TX 77025 (713)797-9955 1123934

5 HARRIS PODIATRIC SURGERY GARRISON THOMAS S 1234 BAY AREA BLVD G HOUSTON TX 77058 (281)488-3237 511900

5 HARRIS PEDIATRICS GARZA JR MARIO 11037 FM 1960 RD W HOUSTON TX 77065 (281)469-2838 48498

5 HARRISPHYSICAL MEDICINE & REHABILITATION GERBER GREGORY C 8303 SOUTHWEST FWY 455 HOUSTON TX 77074 (713)777-9459 512050

5 HARRIS ORTHOPEDIC SURGERY GERTZBEIN STANLEY D 6620 MAIN ST HOUSTON TX 77030 (713)986-6016 5120965 HARRIS OPHTHALMOLOGY GHAURI RANA R 11811 FM 1960 WEST ST 155 HOUSTON TX 77065 (281)469-3830 20018825 HARRIS MEDICAL ONCOLOGY GILL DAVID P 501 MEDICAL CENTER BLVD WEBSTER TX 77598 (281)332-7505 5122185 HARRIS OPHTHALMOLOGY GOLDMAN DANIEL I 555 E MEDICAL CENTER BLVD WEBSTER TX 77598 (281)488-7213 333025 HARRIS OPHTHALMOLOGY GOLDMAN DANIEL I 555 E MEDICAL CENTER BLVD WEBSTER TX 77598 (713)943-8671 33302

5 HARRIS OPHTHALMOLOGY GONZALES CARLOS A 915 GESSNER 250 HOUSTON TX 77024 (713)467-6474 11451675 HARRIS OPHTHALMOLOGY GONZALES CARLOS A 530 WELLS FARGO 117 HOUSTON TX 77090 (281)444-1677 11451675 HARRIS PEDIATRICS GONZALEZ ALEXANDER 21214 KINGSLAND BLVD KATY TX 77450 (281)578-3863 57120595 HARRIS PEDIATRICS GONZALEZ ALEXANDER 12606 W HOUSTON AVE 210 HOUSTON TX 77082 (281)596-9168 57120595 HARRIS OBSTETRICS & GYNECOLOGY GONZALEZ AURORA 1315 ST JOSEPH PKWY 1507 HOUSTON TX 77002 (713)575-1075 22103885 HARRIS ANESTHESIOLOGY GORBACK MICHAEL S 17099 TEXAS AVE 300 WEBSTER TX 77598 (281)554-3400 11163975 HARRIS PAIN MANAGEMENT GORBACK MICHAEL S 17099 TEXAS AVE 300 WEBSTER TX 77598 (281)554-3400 1116397

5 HARRIS PEDIATRICS GORDON ELIZABETH A 5550 S PEEK RD KATY TX 77450 (281)395-5437 22462765 HARRIS RADIATION ONCOLOGY GORDON JR WILLIAM 501 MEDICAL CENTER BLVD WEBSTER TX 77598 (281)332-7505 7333235 HARRIS GASTROENTEROLOGY GOSSETT GARLAND W 2000 CRAWFORD ST 1325 HOUSTON TX 77002 (713)659-2666 6341005 HARRIS INTERNAL MEDICINE GOSSETT GARLAND W 2000 CRAWFORD ST 1325 HOUSTON TX 77002 (713)659-2666 634100

5 HARRISPHYSICAL MEDICINE & REHABILITATION GRIVER AVNER 18838 S MEMORIAL DR 102 HUMBLE TX 77338 (281)540-6660 5541073

5 HARRIS PAIN MANAGEMENT GRIVER AVNER 18838 S MEMORIAL DR 102 HUMBLE TX 77338 (281)540-6660 5541073

5 HARRIS CARDIOVASCULAR DISEASE GROVER RAJEEV 2060 SPACE PARK DR 108 HOUSTON TX 77058 (281)648-8600 17217525 HARRIS CARDIOVASCULAR DISEASE GROVER RAJEEV 2060 SPACE PARK DR 108 HOUSTON TX 77058 (281)333-4848 1721752

Report Date: Jan07 45 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS OBSTETRICS & GYNECOLOGY GRUNERT GEORGE M 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 402967

5 HARRIS FAMILY PRACTICE GUERRERO MILTON A 8303 SW FREEWAY 120 HOUSTON TX 77074 (713)772-8818 10709335 HARRIS FAMILY PRACTICE GUERRERO MILTON A 902 FROSTWOOD DR HOUSTON TX 77024 (713)467-6471 10709335 HARRIS FAMILY PRACTICE GUERRERO MILTON A 12121 RICHMOND AVE 225 HOUSTON TX 77082 (281)596-9168 1070933

5 HARRIS FAMILY PRACTICE GUERRERO MILTON A 902 FROSTWOOD DR 243 HOUSTON TX 77024 (713)467-6471 10709335 HARRIS FAMILY PRACTICE GUERRERO MILTON A 12606 W HOUSTON BLVD 210 HOUSTON TX 77082 (281)596-9168 10709335 HARRIS OBSTETRICS & GYNECOLOGY GULLETT JAMES 600 ROCKMEAD DR 211 KINGWOOD TX 77339 (713)512-7500 1642894

5 HARRIS OBSTETRICS & GYNECOLOGY GULLETT JAMES 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 16428945 HARRIS OBSTETRICS & GYNECOLOGY GULLETT JAMES 9055 KATY FWY 309 HOUSTON TX 77024 (713)512-7500 16428945 HARRIS OBSTETRICS & GYNECOLOGY GUNN DEBRA C 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 1642890

5 HARRISPHYSICIAN ASSISTANT/NURSE PRACTITIONER HA HIEU L 6560 FANNIN ST 400 HOUSTON TX 77030 (713)441-9000 2125913

5 HARRIS ENDOCRINOLOGY HAMILTON DALE J 6550 FANNIN 1101 HOUSTON TX 77030 (713)441-6262 14178675 HARRIS OBSTETRICS & GYNECOLOGY HARMS KONRAD P 1601 ST JOSEPH PKWY HOUSTON TX 77003 (713)757-3866 55410775 HARRIS HEAD & NECK SURGERY HARRIS CANAAN L 1200 BINZ ST 380 HOUSTON TX 77004 (713)658-1900 22970

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) HARRIS CANAAN L 1200 BINZ ST 380 HOUSTON TX 77004 (713)658-1900 22970

5 HARRIS FAMILY PRACTICE HASAN SHAMSA 2802 GARTH RD 107 BAYTOWN TX 77521 (281)425-9200 5138955 HARRIS RADIATION ONCOLOGY HATCH SANDRA S 1401 ST JOSEPHS PKWY HOUSTON TX 77002 (713)757-7593 7328215 HARRIS RADIATION ONCOLOGY HATCH SANDRA 1401 ST JOSEPH PKWY HOUSTON TX 77002 (713)757-7593 5541080

5 HARRIS OBSTETRICS & GYNECOLOGY HAUFRECT ERIC J 6550 FANNIN ST 2221 HOUSTON TX 77030 (713)590-6870 7278045 HARRIS OBSTETRICS & GYNECOLOGY HAUFRECT ERIC J 6550 FANNIN ST 2221 HOUSTON TX 77030 (713)797-9666 7278045 HARRIS CARDIOVASCULAR DISEASE HAUSKNECHT MARK J 6560 FANNIN ST 1654 HOUSTON TX 77030 (713)558-9540 7022215 HARRIS CARDIOVASCULAR DISEASE HAUSKNECHT MARK J 6560 FANNIN ST 1654 HOUSTON TX 77030 (713)790-1876 702221

5 HARRIS PEDIATRICS HAYES SHANNON K 7900 FANNIN ST 3300 HOUSTON TX 77054 (713)630-0660 21644045 HARRIS PEDIATRICS HAYES SHANNON K 7900 FANNIN ST 3300 HOUSTON TX 77054 (713)797-1426 2164404

5 HARRIS OBSTETRICS & GYNECOLOGY HELD BARBARA I 6550 FANNIN ST 2221 HOUSTON TX 77030 (713)797-9666 20979485 HARRIS HEMATOLOGY & ONCOLOGY HELLERSTEIN LEWIS J 1140 WESTMONT DR 200 HOUSTON TX 77015 (713)675-3431 229195 HARRIS HEMATOLOGY & ONCOLOGY HELLERSTEIN LEWIS J 4021 GARTH RD BAYTOWN TX 77521 (281)427-7298 22919

5 HARRIS HEMATOLOGY & ONCOLOGY HELLERSTEIN LEWIS J 13111 EAST FWY HOUSTON TX 77015 (713)330-3000 229195 HARRIS HEMATOLOGY & ONCOLOGY HELLERSTEIN LEWIS J 1140 WESTMONT DR 200 HOUSTON TX 77015 (713)330-3000 229195 HARRIS FAMILY PRACTICE HENDRICKS SAUNDRA J 6550 FANNIN 1101 HOUSTON TX 77030 (713)441-6262 20269615 HARRIS PEDIATRICS HERMAN PAUL S 11037 FM 1960 RD W B2 HOUSTON TX 77065 (281)469-2838 687575 HARRIS INTERNAL MEDICINE HERRERA CARLOS R 325 W 20TH ST HOUSTON TX 77008 (713)868-4433 7540355 HARRIS GYNECOLOGY (NO OB) HILLIARD ROBERT 2000 CRAWFORD ST 1200 HOUSTON TX 77002 (713)520-9929 55410885 HARRIS GENERAL PRACTICE HIMEL BERNARD 11301 FALLBROOK DR 216 HOUSTON TX 77065 (281)955-7301 9168425 HARRIS PEDIATRICS HO WINSTON P 1213 HERMANN DR 770 HOUSTON TX 77004 (713)522-2500 16384865 HARRIS FAMILY PRACTICE HOANG NANCY T 8955 HIGHWAY 6 NORTH 120 HOUSTON TX 77095 (281)859-2334 21085505 HARRIS ALLERGY & IMMUNOLOGY HOFFMAN LEONARD S 909 FROSTWOOD DR 155 HOUSTON TX 77024 (713)973-0051 6273845 HARRIS OPHTHALMOLOGY HOLLAND PETER M 450 MEDICAL CENTER BLVD 305 WEBSTER TX 77598 (281)332-1397 228545 HARRIS OPTOMETRY HOLLAND PETER M 450 MEDICAL CENTER BLVD 305 WEBSTER TX 77598 (281)332-1397 228545 HARRIS OPHTHALMOLOGY HOLLAND PETER M 450 MEDICAL CENTER BLVD 305 WEBSTER TX 77598 (281)484-2030 228545 HARRIS OPHTHALMOLOGY HOLLAND PETER M 11914 ASTORIA BLVD 325 HOUSTON TX 77089 (281)484-2030 228545 HARRIS OPTOMETRY HOLLAND PETER M 450 MEDICAL CENTER BLVD 305 WEBSTER TX 77598 (281)484-2030 22854

5 HARRIS OPTOMETRY HOLLAND PETER M 3320 PLAINVIEW ST PASADENA TX 77504 (281)484-2030 228545 HARRIS OPHTHALMOLOGY HOLLAND PETER M 3320 PLAINVIEW ST PASADENA TX 77504 (713)944-5700 228545 HARRIS OPTOMETRY HOLLAND PETER M 11914 ASTORIA BLVD 325 HOUSTON TX 77089 (281)484-2030 228545 HARRIS OPTOMETRY HOLLAND PETER M 3320 PLAINVIEW ST PASADENA TX 77504 (713)944-5700 228545 HARRIS OPHTHALMOLOGY HOLLAND PETER M 3320 PLAINVIEW ST PASADENA TX 77504 (281)484-2030 228545 HARRIS INTERNAL MEDICINE HOLMES TERENCE S 1315 ST JOSEPH PKWY 806 HOUSTON TX 77002 (713)650-1900 5147065 HARRIS INTERNAL MEDICINE HONG SORAN 2000 CRAWFORD ST 900 HOUSTON TX 77002 (713)651-0870 5541096

5 HARRISPHYSICAL MEDICINE & REHABILITATION HOYT JAMES L 1919 LABRANCH HOUSTON TX 77002 (713)756-4042 783694

5 HARRIS HEMATOLOGY & ONCOLOGY HSU BRANDEN 909 FROSTWOOD DR 221 HOUSTON TX 77024 (713)467-1722 21309525 HARRIS HEMATOLOGY & ONCOLOGY HSU BRANDEN 501 MEDICAL CENTER BLVD WEBSTER TX 77598 (281)332-7505 21309525 HARRIS HEMATOLOGY & ONCOLOGY HSU BRANDEN 1120 BUSINESS CENTER DR 360 HOUSTON TX 77043 (713)467-1722 21309525 HARRIS RADIOLOGY HUANG MONICA 6720 BERTNER ST HOUSTON TX 77030 (832)355-4424 19590155 HARRIS FAMILY PRACTICE HUERTA JR ALFREDO 7825 HIGHWAY 6 N 106 HOUSTON TX 77095 (281)550-0059 12388675 HARRIS NEUROLOGICAL SURGERY HURT R WAYNE 1315 ST JOSEPH PKWY 1708 HOUSTON TX 77002 (713)750-0001 5541104

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) HUSAIN SHAISTA 1315 ST JOSEPH PKWY HOUSTON TX 77002 (832)366-1477 1997810

5 HARRIS ANESTHESIOLOGY HWANG LONG S 1919 LABRANCH HOUSTON TX 77002 (281)580-9030 9137095 HARRIS RADIATION ONCOLOGY HYMEL ERNEST C 10650 STEEPLETOP HOUSTON TX 77065 (713)890-8895 5681954

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 HARRISPHYSICIAN ASSISTANT/NURSE PRACTITIONER IHAZA EUNICE E 6550 FANNIN 1101 HOUSTON TX 77030 (713)441-0006 5679574

5 HARRIS PEDIATRICS INGRAHAM ANNETTE B 18100 SAINT JOHN DR 350 HOUSTON TX 77058 (281)335-3256 101686

5 HARRIS PEDIATRICS INGRAHAM ANNETTE B 18100 SAINT JOHN DR 350 HOUSTON TX 77058 (281)335-3233 1016865 HARRIS PULMONARY DISEASE INTERIANO BENJAMIN 7737 SOUTHWEST FWY 640 HOUSTON TX 77074 (713)988-1699 7885635 HARRIS PEDIATRICS IONESCU MATIU IRINA A 7737 SOUTHWEST FWY 670 HOUSTON TX 77074 (713)772-7868 512885 HARRIS OBSTETRICS & GYNECOLOGY IRWIN JOHN F 9055 KATY FWY 309 HOUSTON TX 77024 (713)512-7500 402574

5 HARRIS OBSTETRICS & GYNECOLOGY IRWIN JOHN F 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 4025745 HARRIS OBSTETRICS & GYNECOLOGY IRWIN JOHN F 600 ROCKMEAD DR 211 KINGWOOD TX 77339 (713)512-7500 4025745 HARRIS CARDIOVASCULAR DISEASE ISAAC JOHN C 6560 FANNIN ST 620 HOUSTON TX 77030 (713)791-1978 20130505 HARRIS CARDIOVASCULAR DISEASE ISAAC JOHN C 13300 HARGRAVE RD 500 HOUSTON TX 77070 (713)791-1978 20130505 HARRIS CARDIOVASCULAR DISEASE ISAAC JOHN C 13300 HARGRAVE RD 500 HOUSTON TX 77070 (281)890-4848 20130505 HARRIS ANESTHESIOLOGY JABON DAWSON 1315 ST JOSEPH PKWY 302 HOUSTON TX 77002 (713)659-3284 56232715 HARRIS OBSTETRICS & GYNECOLOGY JACOBS MARK 2585 BAY AREA BLVD HOUSTON TX 77058 (713)512-7500 16428995 HARRIS OBSTETRICS & GYNECOLOGY JACOBS MARK 7900 FANNIN HOUSTON TX 77054 (713)512-7500 1642899

5 HARRIS SURGERY JAMES PAUL J 2101 CRAWFORD ST 304 HOUSTON TX 77002 (713)659-1728 7027865 HARRIS CARDIOVASCULAR DISEASE JAWDAT IMTIHAN M 18842 S MEMORIAL DR 205 HUMBLE TX 77338 (281)540-4444 6312265 HARRIS PEDIATRICS JEFFRESS ISABELLE F 6410 FANNIN ST 500 HOUSTON TX 77030 (832)325-7111 1831717

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) JIMENEZ ALFREDO 18100 SAINT JOHN DR 240 HOUSTON TX 77058 (281)335-7755 2140661

5 HARRIS PATHOLOGY JIMENEZ QUINTERO LAURA P 5656 KELLEY ST HOUSTON TX 77026 (713)566-5100 11249865 HARRIS PATHOLOGY JIMENEZ QUINTERO LAURA P 6411 FANNIN HOUSTON TX 77030 (713)704-4000 11249865 HARRIS OBSTETRICS & GYNECOLOGY JOHN ELCY M 929 GRAHAM DR B TOMBALL TX 77375 (281)351-5020 5639073

5 HARRIS OBSTETRICS & GYNECOLOGY JOHN ELCY M 929 GRAHAM DR B TOMBALL TX 77375 (281)351-5548 5639073

5 HARRIS INTERNAL MEDICINE JOHNSON CALDWELL JENNIFER L 1315 ST JOSEPH PKWY 1309 HOUSTON TX 77002 (713)654-4493 1730057

5 HARRIS ORTHOPEDIC SURGERY JONAS ESTHER 2727 W HOLCOMBE BLVD HOUSTON TX 77025 (713)442-0000 474965 HARRIS FAMILY PRACTICE JORDAN BARNES RHONDA 4405 GRIGGS RD HOUSTON TX 77021 (713)748-4662 5591565

5 HARRISPHYSICAL MEDICINE & REHABILITATION KALDIS TERESA D 6550 FANNIN 2500 HOUSTON TX 77030 (713)441-6391 1895059

5 HARRIS PEDIATRICS KALIA RAJAMMA E 18100 ST JOHN DR 350 NASSAU BAY TX 77058 (281)335-3233 5161065 HARRIS INTERNAL MEDICINE KAMENETSKY LUDA 1315 ST JOSEPH PKWY 1101 HOUSTON TX 77002 (713)659-3781 55411455 HARRIS OPHTHALMOLOGY KAPOOR SHALINI 1315 ST JOSEPH PKWY 1205 HOUSTON TX 77002 (713)659-3937 5541149

5 HARRIS INTERNAL MEDICINE KAU VINCENT W 12121 RICHMOND AVE 225 HOUSTON TX 77082 (281)596-9168 56935925 HARRIS INTERNAL MEDICINE KAU VINCENT W 12606 W HOUSTON BLVD 210 HOUSTON TX 77082 (281)596-9168 56935925 HARRIS RADIATION ONCOLOGY KAVADI VIVEK S 501 MEDICAL CENTER BLVD WEBSTER TX 77598 (281)332-7505 8697345 HARRIS INTERNAL MEDICINE KEATON TONI 4315 LOCKWOOD DR 5 HOUSTON TX 77026 (713)675-2651 5541160

5 HARRIS FAMILY PRACTICE KELLER MICHAEL 11302 FALLBROOK DR 203 HOUSTON TX 77065 (281)890-5100 9168625 HARRIS RADIOLOGY KESSEL IVAN L 1401 ST JOSEPH PKWY HOUSTON TX 77002 (713)757-7593 56074955 HARRIS CARDIOVASCULAR DISEASE KHAN WAQAR A 601 LAWRENCE STREET A TOMBALL TX 77375 (281)351-8500 9270075 HARRIS CARDIOVASCULAR DISEASE KHAN WAQAR A 18220 TOMBALL PKWY 350 HOUSTON TX 77070 (832)912-7792 9270075 HARRIS CARDIOVASCULAR DISEASE KHAN WAQAR A 425 HOLDERRIETH BLVD 208 TOMBALL TX 77375 (281)351-8500 9270075 HARRIS CARDIOVASCULAR DISEASE KHAN ATTIYA S 11740 FM 1960 WEST HOUSTON TX 77065 (281)955-0786 14177845 HARRIS CARDIOVASCULAR DISEASE KHAN ATTIYA S 11740 FM 1960 WEST HOUSTON TX 77065 (713)465-0786 1417784

5 HARRIS CRITICAL CARE MEDICINE KHAN ATTIYA S 1801 NORTH LOOP 20 HOUSTON TX 77008 (713)365-0786 14177845 HARRIS CRITICAL CARE MEDICINE KHAN ATTIYA S 11740 FM 1960 WEST HOUSTON TX 77065 (713)465-0786 14177845 HARRIS CRITICAL CARE MEDICINE KHAN ATTIYA S 8830 LONG POINT RD 704 HOUSTON TX 77055 (713)465-0786 14177845 HARRIS CARDIOVASCULAR DISEASE KHAN ATTIYA S 8830 LONG POINT RD 704 HOUSTON TX 77055 (713)465-0786 14177845 HARRIS CARDIOVASCULAR DISEASE KHAN ATTIYA S 11740 FM 1960 WEST HOUSTON TX 77065 (713)465-1497 14177845 HARRIS CRITICAL CARE MEDICINE KHAN ATTIYA S 11740 FM 1960 WEST HOUSTON TX 77065 (713)465-1497 14177845 HARRIS CRITICAL CARE MEDICINE KHAN ATTIYA S 11740 FM 1960 WEST HOUSTON TX 77065 (281)955-0786 1417784

5 HARRIS CARDIOVASCULAR DISEASE KHAN ATTIYA S 1801 NORTH LOOP 20 HOUSTON TX 77008 (713)365-0786 14177845 HARRIS CARDIOVASCULAR DISEASE KHAN WAQAR A 18220 TOMBALL PKWY 350 HOUSTON TX 77070 9270075 HARRIS OPHTHALMOLOGY KIBIRGE MUSTAPHA 4315 LOCKWOOD DR HOUSTON TX 77026 (713)674-7646 2079287

5 HARRIS OPHTHALMOLOGY KIBIRGE MUSTAPHA 2000 CRAWFORD ST 842 HOUSTON TX 77002 (713)651-9323 20792875 HARRIS OBSTETRICS & GYNECOLOGY KIRKMAN KERRY A 11302 FALLBROOK DR 303 HOUSTON TX 77065 (281)955-7900 2179991

5 HARRISCARDIOVASCULAR/THORACIC SURGERY KITTEN CLIFFORD M 830 FM 1960 WEST 3 HOUSTON TX 77090 (281)583-4000 23182

5 HARRISCARDIOVASCULAR/THORACIC SURGERY KITTEN CLIFFORD M 830 FM 1960 RD 3 HOUSTON TX 77090 (281)583-4000 23182

5 HARRIS OBSTETRICS & GYNECOLOGY KLEIN GEFFREY H 450 BLOSSOM C WEBSTER TX 77598 (832)553-5430 16428245 HARRIS OBSTETRICS & GYNECOLOGY KLEIN GEFFREY H 450 BLOSSOM C WEBSTER TX 77598 (713)512-7000 1642824

5 HARRIS OBSTETRICS & GYNECOLOGY KLEIN GEFFREY H 1051 PINELOCH 600 HOUSTON TX 77062 (713)512-7000 16428245 HARRIS PEDIATRICS KLEIN NORA 1213 HERMANN DR HOUSTON TX 77004 (713)807-8921 5541164

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS DERMATOLOGY KNOX JOHN 1315 ST JOSEPH PKWY 1810 HOUSTON TX 77002 (713)658-8110 55411655 HARRIS PODIATRIC SURGERY KOEPSEL KIRK A 1234 BAY AREA BLVD G HOUSTON TX 77058 (281)488-3237 5171355 HARRIS RADIATION ONCOLOGY KONG JOSEPH S 10650 STEEPLETOP DR HOUSTON TX 77065 (281)890-8885 8306925 HARRIS RADIATION ONCOLOGY KONG JOSEPH S 10650 STEEPLETOP DR HOUSTON TX 77065 (409)729-8088 830692

5 HARRISPHYSICAL MEDICINE & REHABILITATION KORIVI NAVEENDRA 18838 S MEMORIAL DR 102 HUMBLE TX 77338 (281)540-6660 5541171

5 HARRIS OBSTETRICS & GYNECOLOGY KUHN GEORGE T 1315 ST JOSEPH PKWY 1202 HOUSTON TX 77002 (713)654-8128 229925 HARRIS OBSTETRICS & GYNECOLOGY KUHN GEORGE T 1315 ST JOSEPH PKWY 1202 HOUSTON TX 77002 (713)975-8353 229925 HARRIS CARDIOVASCULAR DISEASE KUMAR S SATHEESHA 1315 ST JOSEPH PKWY 1605 HOUSTON TX 77002 (713)652-3025 231735 HARRIS INTERNAL MEDICINE KUMAR S SATHEESHA 1315 ST JOSEPH PKWY 1605 HOUSTON TX 77002 (713)652-3025 231735 HARRIS CARDIOVASCULAR DISEASE KUMAR MOHAN S 450 MEDICAL CENTER BLVD 550 WEBSTER TX 77598 (281)554-8883 17296225 HARRIS NEPHROLOGY KUPOR LARY R 1315 ST JOSEPH PKWY 1709 HOUSTON TX 77002 (713)951-0421 22824

5 HARRIS ORTHOPEDIC SURGERY KUSHWAHA VIVEK P 6410 FANNIN ST 825 HOUSTON TX 77030 (713)790-1703 1063817

5 HARRISPHYSICAL MEDICINE & REHABILITATION LAI JENNY M 6550 FANNIN 2500 HOUSTON TX 77030 (713)441-6391 965698

5 HARRISPHYSICIAN ASSISTANT/NURSE PRACTITIONER LAMBERT MONIQUE 640 FANNIN ST 1020 HOUSTON TX 77030 (713)704-6445 5431211

5 HARRIS INTERNAL MEDICINE LAPIN HERMAN 1315 ST JOSEPH PKWY 1101 HOUSTON TX 77002 (713)659-3781 514285 HARRIS ANESTHESIOLOGY LARSON CURTIS D 6411 FANNIN HOUSTON TX 77030 (713)500-6200 19080885 HARRIS FAMILY PRACTICE LAURSEN KERRY A 2202 W ALABAMA B HOUSTON TX 77098 (713)528-4440 22839705 HARRIS OBSTETRICS & GYNECOLOGY LAW II SAMUEL W 6560 FANNIN ST 1980 HOUSTON TX 77030 (713)335-0335 921735 HARRIS OBSTETRICS & GYNECOLOGY LAW II SAMUEL W 6560 FANNIN ST 1980 HOUSTON TX 77030 (713)335-0330 92173

5 HARRISCARDIOVASCULAR/THORACIC SURGERY LAWRIE GERALD M 6560 FANNIN ST 1842 HOUSTON TX 77030 (713)790-2089 816133

5 HARRIS INTERNAL MEDICINE LE CHRISTINE NHUAI 2060 SPACE PARK DR 304 NASSAU BAY TX 77058 (281)335-7588 56345255 HARRIS FAMILY PRACTICE LEE PO W 8951 RUTHBY ST 1 HOUSTON TX 77061 (713)641-2468 233355 HARRIS FAMILY PRACTICE LEE PO W 7737 SW FREE WAY 510 HOUSTON TX 77074 (713)641-2468 233355 HARRIS INTERNAL MEDICINE LEE CHOK K 1200 BINZ ST 1388 HOUSTON TX 77004 (713)520-8082 61113

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) LEE JIMMY W 18220 STATE HIGHWAY 249 185 HOUSTON TX 77070 (832)237-2227 402824

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) LEE JIMMY W 11301 FALLBROOK DR 310 HOUSTON TX 77065 (281)890-6155 402824

5 HARRIS OBSTETRICS & GYNECOLOGY LEE CARL 1315 ST JOSEPH PKWY 1202 HOUSTON TX 77002 (713)654-8128 55411895 HARRIS FAMILY PRACTICE LEE KENT 424 HAHLO ST HOUSTON TX 77020 (713)674-3326 56283855 HARRIS OBSTETRICS & GYNECOLOGY LEEDS LEROY J 2585 BAY AREA BLVD HOUSTON TX 77058 (713)512-7500 4001095 HARRIS OBSTETRICS & GYNECOLOGY LEEDS LEROY J 7900 FANNIN ST HOUSTON TX 77054 (713)512-7000 4001095 HARRIS OBSTETRICS & GYNECOLOGY LEEDS RICHTER SHELLY L 7900 FANNIN ST HOUSTON TX 77054 (713)512-7000 19759905 HARRIS SURGERY LEIVA JORGE I 1740 W 27TH ST 333 HOUSTON TX 77008 (713)426-2400 18952425 HARRIS PEDIATRICS LENTSCH KIRSTEN 23116 CINCO RANCH BLVD KATY TX 77491 (281)395-4300 55411925 HARRIS PEDIATRICS LEONARDO GRACE 11037 FM W 1960 B 2 HOUSTON TX 77065 (281)469-2838 20144845 HARRIS CHIROPRACTIC MEDICINE LEWIS WILLIAM A 4520 CENTER ST DEER PARK TX 77536 (281)476-1686 21213715 HARRIS PODIATRIC SURGERY LIEBERSON STEVEN J 1315 ST JOSEPH PKWY 1002 HOUSTON TX 77002 (713)654-1955 11603195 HARRIS UROLOGY LIM DAVID J 915 GESSNER RD 685 HOUSTON TX 77024 (713)464-7643 16423505 HARRIS PODIATRIC SURGERY LISCH MARK S 12727 KIMBERLEY LN 102 HOUSTON TX 77024 (713)850-0125 379265 HARRIS PODIATRIC SURGERY LISCH MARK S 4100 WESTHEIMER RD 148 HOUSTON TX 77027 (713)850-0125 379265 HARRIS NEUROLOGY LOFTUS BRIAN D 6565 WEST LOOP 401 BELLAIRE TX 77401 (713)715-6360 9174795 HARRIS NEUROLOGICAL SURGERY LOFTUS BRIAN D 6565 WEST LOOP 401 BELLAIRE TX 77401 (713)715-6367 9174795 HARRIS NEUROLOGICAL SURGERY LOFTUS BRIAN D 6565 WEST LOOP 401 BELLAIRE TX 77401 (713)715-6360 9174795 HARRIS NEUROLOGY LOFTUS BRIAN D 6565 WEST LOOP 401 BELLAIRE TX 77401 (713)715-6367 9174795 HARRIS GENERAL PRACTICE LOMO ADJETEY K 601 WAYSIDE DR B HOUSTON TX 77011 (713)921-1200 56729815 HARRIS GENERAL PRACTICE LOMO ADJETEY K 601 WAYSIDE DR HOUSTON TX 77011 (713)921-1200 56729815 HARRIS ORTHOPEDIC SURGERY LOU EUGENE C 909 FROSTWOOD DR 340 HOUSTON TX 77024 (713)722-7454 19103245 HARRIS ORTHOPEDIC SURGERY LOU EUGENE C 909 FROSTWOOD DR 340 HOUSTON TX 77024 (281)920-3835 19103245 HARRIS FAMILY PRACTICE LOUIS ALFRED 8109 CULLEN BLVD E HOUSTON TX 77051 (713)734-1697 55412035 HARRIS INTERNAL MEDICINE LOYA ASLAM M 11914 ASTORIA BLVD 125 HOUSTON TX 77089 (284)464-8484 11188725 HARRIS INTERNAL MEDICINE LOYA ASLAM M 11914 ASTORIA BLVD 125 HOUSTON TX 77089 (281)464-8484 11188725 HARRIS FAMILY PRACTICE LOYA GEORGINA 1200 BINZ ST 175 HOUSTON TX 77004 (713)520-6016 21135985 HARRIS FAMILY PRACTICE LOYA GEORGINA 7825 HIGHWAY 6 N 107 HOUSTON TX 77009 (281)550-0059 21135985 HARRIS OBSTETRICS & GYNECOLOGY LUCCI ANTHONY P 7500 SAN FELIPE ST 1050 HOUSTON TX 77063 (713)975-8353 516605 HARRIS INTERNAL MEDICINE LUU MINH T 3508 PASADENA FWY PASADENA TX 77503 (713)442-7100 20489695 HARRIS MEDICAL ONCOLOGY MACHELEDT JANET E 1120 BUSINESS CENTER DR 360 HOUSTON TX 77043 (713)467-1722 6285325 HARRIS MEDICAL ONCOLOGY MACHELEDT JANET E 909 FROSTWOOD DR 221 HOUSTON TX 77024 (713)467-1722 6285325 HARRIS ORTHOPEDIC SURGERY MAFFET MARK W 909 FROSTWOOD DR 251 HOUSTON TX 77024 (713)827-9316 8696305 HARRIS ORTHOPEDIC SURGERY MAFFET MARK W 6620 MAIN 13TH FLOOR ST HOUSTON TX 77030 (713)986-6016 869630

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS HEMATOLOGY & ONCOLOGY MAHMOOD KHALID 450 BLOSSOM E WEBSTER TX 77598 (281)332-7608 20306225 HARRIS PULMONARY DISEASE MAHMOOD DWEIK 2060 SPACE PARK DR 406 NASSAU BAY TX 77058 (281)335-0377 57113125 HARRIS INTERNAL MEDICINE MAHMOOD DWEIK 2060 SPACE PARK DR 406 NASSAU BAY TX 77058 (281)335-0377 57113125 HARRIS UROLOGY MAISLOS STEVEN D 7737 SOUTHWEST FWY 900 HOUSTON TX 77074 (713)771-5300 22740915 HARRIS OPTOMETRY MALTZ WAYNE 5307 FM 1960 RD W HOUSTON TX 77069 (713)440-5887 21712975 HARRIS PEDIATRICS MAMEDOV FARAH 11037 FM W 1960 B2 HOUSTON TX 77065 (281)469-2838 56905965 HARRIS OBSTETRICS & GYNECOLOGY MANGAL RAKESH K 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 16429025 HARRIS FAMILY PRACTICE MANLONGAT GEORGE G 22999 US HWY 59 194 KINGWOOD TX 77339 (281)359-1190 20181175 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 1213 HERMANN DR 855 HOUSTON TX 77004 (713)778-0300 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 1213 HERMANN DR 855 HOUSTON TX 77004 (713)529-3619 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 1213 HERMANN DR 855 HOUSTON TX 77004 (713)778-0300 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 1213 HERMANN DR 855 HOUSTON TX 77004 (713)529-3619 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 920 FROSTWOOD DR 780 HOUSTON TX 77024 (713)778-0300 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 6624 FANNIN ST 1610 HOUSTON TX 77030 (713)797-6323 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 6624 FANNIN ST 1610 HOUSTON TX 77030 (713)797-6323 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 705 S FRY RD 230 KATY TX 77450 (281)578-0201 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 705 S FRY RD 230 KATY TX 77450 (281)578-0201 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 705 S FRY RD 230 KATY TX 77450 (713)778-0300 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 705 S FRY RD 230 KATY TX 77450 (713)778-0300 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 7737 SOUTHWEST FWY 575 HOUSTON TX 77074 (713)778-0300 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 920 FROSTWOOD DR 780 HOUSTON TX 77024 (713)778-0300 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 920 FROSTWOOD DR 780 HOUSTON TX 77024 (713)827-1231 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 920 FROSTWOOD DR 780 HOUSTON TX 77024 (713)827-9525 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 920 FROSTWOOD DR 780 HOUSTON TX 77024 (713)827-1231 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 920 FROSTWOOD DR 780 HOUSTON TX 77024 (713)827-9525 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 6624 FANNIN ST 1610 HOUSTON TX 77030 (713)778-0300 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 7737 SOUTHWEST FWY 575 HOUSTON TX 77074 (713)778-0300 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 1315 ST JOSEPH PKWY 1103 HOUSTON TX 77002 (713)650-0709 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 1315 ST JOSEPH PKWY 1103 HOUSTON TX 77002 (713)650-0709 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 1315 ST JOSEPH PKWY 1103 HOUSTON TX 77002 (713)778-0300 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 6624 FANNIN ST 1610 HOUSTON TX 77030 (713)778-0300 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 18220 STATE HIGHWAY 249 230 HOUSTON TX 77070 (281)477-8600 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 18220 STATE HIGHWAY 249 230 HOUSTON TX 77070 (281)477-8600 6276105 HARRIS HEMATOLOGY MANNER JR CHARLES E 18220 STATE HIGHWAY 249 230 HOUSTON TX 77070 (713)778-0300 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 18220 STATE HIGHWAY 249 230 HOUSTON TX 77070 (713)778-0300 6276105 HARRIS HEMATOLOGY & ONCOLOGY MANNER JR CHARLES E 1315 ST JOSEPH PKWY 1103 HOUSTON TX 77002 (713)778-0300 6276105 HARRIS GASTROENTEROLOGY MARCUM STEPHEN C 400 MEDICAL CENTER BLVD 202 WEBSTER TX 77598 (281)338-2861 785415 HARRIS INTERNAL MEDICINE MARIETTA RICHARD A 17099 TEXAS AVE 100 WEBSTER TX 77598 (281)332-9685 519644

5 HARRIS GENERAL VASCULAR SURGERY MARTIN GORDON H 2060 SPACE PARK DR 100 HOUSTON TX 77058 (281)333-9720 12345715 HARRIS ORTHOPEDIC SURGERY MCCHESNEY WILLIAM D 455 SCHOOL ST 24 TOMBALL TX 77375 (281)955-7577 5200415 HARRIS ORTHOPEDIC SURGERY MCCHESNEY WILLIAM D 11800 FM 1960 RD HOUSTON TX 77065 (281)955-7577 5200415 HARRIS MEDICAL ONCOLOGY MCCLURE SUZANNE 501 MEDICAL CENTER BLVD WEBSTER TX 77598 (281)332-7505 5201235 HARRIS OPHTHALMOLOGY MCCRARY III JOHN A 12970 EAST FWY HOUSTON TX 77015 (713)453-3521 8390215 HARRIS OPHTHALMOLOGY MCCRARY III JOHN A 15 PROFESSIONAL PARK DR WEBSTER TX 77598 (281)332-1559 8390215 HARRIS OPHTHALMOLOGY MCCRARY III JOHN A 1315 ST JOSEPH PKWY HOUSTON TX 77002 (713)659-3937 8390215 HARRIS MEDICAL ONCOLOGY MEDELLIN PAMELA L 13111 EAST FWY HOUSTON TX 77015 (713)330-3000 6379555 HARRIS MEDICAL ONCOLOGY MEDELLIN PAMELA L 4021 GARTH RD 101 BAYTOWN TX 77521 (281)427-7298 6379555 HARRIS MEDICAL ONCOLOGY MEDELLIN PAMELA L 1140 WESTMONT 200 HOUSTON TX 77015 (713)330-3000 6379555 HARRIS HEMATOLOGY MEDELLIN PAMELA L 4021 GARTH RD 101 BAYTOWN TX 77521 (281)427-7298 6379555 HARRIS HEMATOLOGY MEDELLIN PAMELA L 13111 EAST FWY HOUSTON TX 77015 (713)330-3000 6379555 HARRIS HEMATOLOGY MEDELLIN PAMELA L 1140 WESTMONT 200 HOUSTON TX 77015 (713)330-3000 6379555 HARRIS OBSTETRICS & GYNECOLOGY MELTZER STEVEN D 6560 FANNIN ST 708 HOUSTON TX 77030 (713)795-4882 4032045 HARRIS PULMONARY DISEASE MILLER WARREN C 450 BLOSSOM ST B WEBSTER TX 77598 (281)332-9623 5209955 HARRIS RADIOLOGY MILLER DANIEL L 902 FROSTWOOD DR 275 HOUSTON TX 77024 (713)461-3574 16428025 HARRIS PODIATRIC SURGERY MINEO MICHAEL A 6699 CHIMNEY ROCK 102 HOUSTON TX 77081 236545 HARRIS PODIATRIC SURGERY MINEO MICHAEL A 7400 FANNIN 1100 HOUSTON TX 77054 (713)795-0992 236545 HARRIS PODIATRIC SURGERY MINEO MICHAEL A 915 GESSNER 380 HOUSTON TX 77024 (281)579-0186 236545 HARRIS HAND SURGERY MITCHELL ALFRED 18100 ST JOHN DR 220 HOUSTON TX 77058 (281)335-0003 56350365 HARRIS GASTROENTEROLOGY MOHAN UMA Y 11302 FALLBROOK DR 105 HOUSTON TX 77065 (281)897-0011 758085 HARRIS ENDOCRINOLOGY MONLA YOMNA T 8830 LONG POINT RD 502 HOUSTON TX 77055 (713)782-6622 16425585 HARRIS ENDOCRINOLOGY MONLA YOMNA T 909 FROSTWOOD DR 135 HOUSTON TX 77024 (713)782-6622 16425585 HARRIS ENDOCRINOLOGY MONLA YOMNA T 8830 LONG POINT RD 502 HOUSTON TX 77055 (713)468-2122 16425585 HARRIS GASTROENTEROLOGY MONSOUR JR HOWARD P 6720 BERTNER AVE MC1187 HOUSTON TX 77030 (832)355-8668 742534

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS INTERNAL MEDICINE MONSOUR JR HOWARD P 6720 BERTNER AVE MC1187 HOUSTON TX 77030 (832)355-8668 7425345 HARRIS CARDIOVASCULAR DISEASE MOORE CHARLES H 17115 RED OAK DR 120 HOUSTON TX 77090 (281)440-7373 4013385 HARRIS CARDIOVASCULAR DISEASE MOORE CHARLES H 2300 GREEN OAK DR 900 KINGWOOD TX 77339 (281)358-1950 4013385 HARRIS SURGICAL CRITICAL CARE MOORE FREDERICK A 6550 FANNIN 1661A HOUSTON TX 77030 (713)441-5141 11973355 HARRIS CARDIOVASCULAR DISEASE MOORE CHARLES H 2627 CHESTNUT RIDGE DR 100 KINGWOOD TX 77339 (281)358-1950 4013385 HARRIS ALLERGY & IMMUNOLOGY MOORE KRISTIN A 8111 CYPRESSWOOD DR 106 SPRING TX 77379 (281)370-9331 5213595 HARRIS ALLERGY & IMMUNOLOGY MOORE KRISTIN A 6767 LAKE WOODLANDS DR A THE WOODLANDS TX 77382 (281)364-8001 5213595 HARRIS ALLERGY & IMMUNOLOGY MOORE KRISTIN A 7707 FANNIN ST 195 HOUSTON TX 77054 (713)797-0045 5213595 HARRIS ALLERGY & IMMUNOLOGY MOORE KRISTIN A 561 MEDICAL CENTER BLVD G WEBSTER TX 77598 (281)332-2348 5213595 HARRIS ALLERGY & IMMUNOLOGY MOORE KRISTIN A 23222 KINGSLAND BLVD A KATY TX 77494 (281)693-0084 5213595 HARRIS ALLERGY & IMMUNOLOGY MOORE KRISTIN A 1850 W LAKE HOUSTON PKWY 150 KINGWOOD TX 77339 (281)540-7764 5213595 HARRIS ALLERGY & IMMUNOLOGY MOORE KRISTIN A 13114 FM 1960 ROAD WEST 100 HOUSTON TX 77065 (281)970-7788 5213595 HARRIS ALLERGY & IMMUNOLOGY MOORE KRISTIN A 1140 BUSINESS CENTER DR 402 HOUSTON TX 77043 (713)461-6711 5213595 HARRIS ALLERGY & IMMUNOLOGY MOORE KRISTIN A 2802 GARTH RD 309 BAYTOWN TX 77521 (281)425-9313 5213595 HARRIS GASTROENTEROLOGY MOPARTY RAVI 350 KINGWOOD MEDICAL DR 150 KINGWOOD TX 77339 (281)583-5000 19748895 HARRIS GASTROENTEROLOGY MOPARTY RAVI 411 LANTERN BEND DR 240 HOUSTON TX 77273 (281)583-5000 19748895 HARRIS OBSTETRICS & GYNECOLOGY MORALES AMAYA ANA L 450 BLOSSOM C WEBSTER TX 77598 (832)553-5430 17212695 HARRIS OBSTETRICS & GYNECOLOGY MORALES AMAYA ANA L 1051 PINELOCH 600 HOUSTON TX 77062 (713)512-7000 1721269

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) MORGAN WARREN E 915 GESSNER RD 225 HOUSTON TX 77024 (713)467-5787 886052

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) MORGAN WARREN E 11301 FALLBROOK DR 310 HOUSTON TX 77065 (281)890-6155 886052

5 HARRIS OBSTETRICS & GYNECOLOGY MORRIS JR ROBERT K 1819 CRAWFORD ST 1708 HOUSTON TX 77002 (713)757-7406 5215045 HARRIS OBSTETRICS & GYNECOLOGY MORRIS JR ROBERT K 1601 ST JOSEPH PKWY HOUSTON TX 77003 (713)757-7406 5215045 HARRIS OBSTETRICS & GYNECOLOGY MORRIS JR ROBERT K 1819 CRAWFORD ST 1708 HOUSTON TX 77002 (713)757-7406 55412165 HARRIS OBSTETRICS & GYNECOLOGY MORRIS JR ROBERT K 1601 ST JOSEPH PKWY HOUSTON TX 77003 (713)757-7406 55412165 HARRIS INTERNAL MEDICINE MUGHAL NAVEED A 18220 STATE HIGHWAY 249 350 HOUSTON TX 77070 (281)477-7746 52524115 HARRIS NEUROLOGICAL SURGERY MURPHY EDWARD C 6550 FANNIN ST 2323 HOUSTON TX 77030 (713)795-4300 6403305 HARRIS NEUROLOGICAL SURGERY MURPHY EDWARD C 3351 PLAINVIEW A 4 PASADENA TX 77504 (713)946-0011 6403305 HARRIS NEUROLOGY MURRA SALVADOR E 11302 FALLBROOK DR 205 HOUSTON TX 77065 (281)955-9155 9305445 HARRIS CARDIOVASCULAR DISEASE MUTTIANA DALJIT S 425 HOLDERRIETH BLVD 201 TOMBALL TX 77375 (281)357-5700 8796765 HARRIS CARDIOVASCULAR DISEASE MUTTIANA DALJIT S 11301 FALLBROOK DR 206 HOUSTON TX 77065 (281)890-8998 879676

5 HARRIS PSYCHIATRY MUZQUIZ DRUMMOND SYLVIA M 7011 SW FREEWAY HOUSTON TX 77074 (254)751-4880 1221989

5 HARRISCARDIOVASCULAR/THORACIC SURGERY NAHAS CESAR 450 MEDICAL CENTER BLVD 201 WEBSTER TX 77598 (281)316-6003 1182649

5 HARRIS HEMATOLOGY NATELSON ETHAN A 6560 FANNIN 1101 HOUSTON TX 77030 (713)441-6262 5219195 HARRIS GASTROENTEROLOGY NATHAN RANGA S 9816 MEMORIAL BLVD 206 HUMBLE TX 77338 (281)446-8114 51162115 HARRIS INTERNAL MEDICINE NAVARRO ROMEL L 11321 FALLBROOK DR HOUSTON TX 77065 (713)541-1177 53869505 HARRIS INTERNAL MEDICINE NAVARRO ROMEL L 3333 BAYSHORE BLVD 240 PASADENA TX 77504 (832)237-3500 53869505 HARRIS INTERNAL MEDICINE NAVARRO ROMEL L 11321 FALLBROOK DR HOUSTON TX 77065 (832)237-3500 53869505 HARRIS INTERNAL MEDICINE NAYGANDHI YAMINI B 11302 FALLBROOK DR 108 HOUSTON TX 77070 (281)890-2121 54410865 HARRIS GYNECOLOGY (NO OB) NEAL MARY T 9055 KATY FWY 309 HOUSTON TX 77024 (713)512-7500 4024335 HARRIS GYNECOLOGY (NO OB) NEAL MARY T 600 ROCKMEAD DR 211 KINGWOOD TX 77339 (713)512-7500 4024335 HARRIS GYNECOLOGY (NO OB) NEAL MARY T 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 4024335 HARRIS MEDICAL ONCOLOGY NEW PAMELA Z 6560 FANNIN ST 900 HOUSTON TX 77030 (713)798-6929 16376935 HARRIS NEUROLOGY NEW PAMELA Z 6560 FANNIN ST 900 HOUSTON TX 77030 (713)798-6929 16376935 HARRIS FAMILY PRACTICE NGO KHANH N 8955 HIGHWAY 6 120 HOUSTON TX 77095 (281)859-2334 21102175 HARRIS INTERNAL MEDICINE NGO HOAN N 11301 FALLBROOK DR 202 HOUSTON TX 77065 (281)955-8803 56690635 HARRIS INTERNAL MEDICINE NGUY JUDY H 2727 W HOLCOMBE BLVD 1ST HOUSTON TX 77025 (713)442-0000 17439885 HARRIS INTERNAL MEDICINE NGUY JUDY H 2727 W HOLCOMBE BLVD 1ST HOUSTON TX 77025 (713)636-5776 17439885 HARRIS SURGERY NGUYEN THUAN V 2900 TRAVIS ST C HOUSTON TX 77006 (713)942-0088 48640

5 HARRISPEDIATRIC HEMATOLOGY & ONCOLOGY NGUYEN BAY V 2060 SPACE PARK DR 114 HOUSTON TX 77058 (281)333-4556 522186

5 HARRIS INTERNAL MEDICINE NGUYEN THUAN K 13727 CEDAR POINT DR HOUSTON TX 77070 (281)655-5100 12017855 HARRIS CARDIOVASCULAR DISEASE NGUYEN DONGCHAU 3315 BURKE RD 103 10 PASADENA TX 77504 (713)946-8951 18794195 HARRIS INTERNAL MEDICINE NGUYEN SUSIE L 11301 FALLBROOK DR 110 HOUSTON TX 77065 (832)912-7111 22194545 HARRIS PAIN MANAGEMENT NGUYEN PETE T 4201 GARTH RD 212 BAYTOWN TX 77521 (281)420-9355 5287822

5 HARRISPHYSICAL MEDICINE & REHABILITATION NGUYEN PETE T 4201 GARTH RD 212 BAYTOWN TX 77521 (281)420-9355 5287822

5 HARRIS PAIN MANAGEMENT NGUYEN PETE T 9630 CLAREWOOD A1 HOUSTON TX 77036 (713)272-6688 5287822

5 HARRISPHYSICAL MEDICINE & REHABILITATION NGUYEN PETE T 9630 CLAREWOOD A1 HOUSTON TX 77036 (713)272-6688 5287822

Report Date: Jan07 50 of 64

Page 51: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 HARRISPHYSICAL MEDICINE & REHABILITATION NGUYEN LAWRENCE H 6550 FANNIN 2500 HOUSTON TX 77030 (713)441-6391 5642395

5 HARRIS PEDIATRICS NICHOLS JULIEANA 6410 FANNIN ST 500 HOUSTON TX 77030 (832)325-7111 20325805 HARRIS CARDIOVASCULAR DISEASE NIELSEN ANTON P 13300 HARGRAVE RD 500 HOUSTON TX 77070 (281)890-4885 687355 HARRIS CARDIOVASCULAR DISEASE NIELSEN ANTON P 6560 FANNIN ST 620 HOUSTON TX 77030 (281)890-4848 687355 HARRIS CARDIOVASCULAR DISEASE NIELSEN ANTON P 13300 HARGRAVE RD 500 HOUSTON TX 77070 (281)890-4848 687355 HARRIS CARDIOVASCULAR DISEASE NIELSEN ANTON P 6560 FANNIN ST 620 HOUSTON TX 77030 (281)890-4885 687355 HARRIS OBSTETRICS & GYNECOLOGY NISBET VIRGINIA M 450 MEDICAL CENTER BLVD 615 WEBSTER TX 77598 (281)557-0300 1751455

5 HARRIS MEDICAL ONCOLOGYNORTHWEST CANCER CENTER 17323 RED OAK DR HOUSTON TX 77090 (281)440-5006 5122046

5 HARRIS HEMATOLOGYNORTHWEST CANCER CENTER 17323 RED OAK DR HOUSTON TX 77090 (281)440-5006 5122046

5 HARRIS GASTROENTEROLOGY NUNEZ JR GEORGE 22999 HWY 59 N 176 KINGWOOD TX 77339 (281)358-3702 1642383

5 HARRIS MULTISPECIALTY FACILITYOBSTETRICAL GYN ASSOCIATES PA 7550 FANNIN ST HOUSTON TX 77054 (713)512-7000 1714788

5 HARRIS PEDIATRIC CARDIOLOGY OCAMPO ELENA C 6410 FANNIN ST 500 HOUSTON TX 77030 (713)704-3278 22665315 HARRIS INTERNAL MEDICINE ODOM LEROY 2000 CRAWFORD ST 1300 HOUSTON TX 77002 (213)658-8660 232365 HARRIS INTERNAL MEDICINE ODOM LEROY 2000 CRAWFORD ST 1300 HOUSTON TX 77002 (713)658-8660 232365 HARRIS SURGERY OGGERO KELLY S 2060 SPACE PARK DR 100 HOUSTON TX 77058 (281)333-1703 941435 HARRIS OBSTETRICS & GYNECOLOGY OMAR SADIA 8830 LONG POINT RD 804 HOUSTON TX 77055 (713)512-7000 19759625 HARRIS OBSTETRICS & GYNECOLOGY OMAR SADIA 1631 NORTH LOOP W 640 HOUSTON TX 77008 (713)861-1813 19759625 HARRIS OBSTETRICS & GYNECOLOGY OMAR SADIA 8830 LONG POINT RD 804 HOUSTON TX 77055 (713)512-7990 19759625 HARRIS OBSTETRICS & GYNECOLOGY ORTEGA ENRIQUE M 1631 NORTH LOOP W 640 HOUSTON TX 77008 (713)512-7980 14184115 HARRIS OBSTETRICS & GYNECOLOGY ORTEGA ENRIQUE M 8830 LONG POINT RD 804 HOUSTON TX 77055 (713)512-7980 14184115 HARRIS OBSTETRICS & GYNECOLOGY ORTEGA ENRIQUE M 1919 NORTH LOOP W HOUSTON TX 77008 (713)512-7980 14184115 HARRIS PSYCHIATRY PALMER JR RICHARD E 12345 JONES RD 101 HOUSTON TX 77070 (281)469-2181 231615 HARRIS FAMILY PRACTICE PATEL RANJAN S 13668 WESTHEIMER RD HOUSTON TX 77077 (281)870-0608 413895 HARRIS OBSTETRICS & GYNECOLOGY PATEL VIKRAMKUMAR D 2060 SPACE PARK DR 208 HOUSTON TX 77058 (713)333-2229 16170515 HARRIS INTERNAL MEDICINE PATEL HEMA C 1315 ST JOSEPH PKWY 1309 HOUSTON TX 77002 (713)654-4493 20811115 HARRIS INTERNAL MEDICINE PATOLIA SHREEKANT N 1315 ST JOSEPH PKWY 1200 HOUSTON TX 77002 (713)756-8707 7963725 HARRIS OBSTETRICS & GYNECOLOGY PATRICK STEPHEN K 1776 YORKTOWN ST 150 HOUSTON TX 77056 (713)572-8122 7378015 HARRIS OBSTETRICS & GYNECOLOGY PATRICK STEPHEN K 6410 FANNIN ST 350 HOUSTON TX 77030 (832)325-7131 737801

5 HARRISCARDIOVASCULAR/THORACIC SURGERY PAULING FRED W 830 FM 1960 WEST 3 HOUSTON TX 77090 (281)583-4000 42729

5 HARRIS RADIATION ONCOLOGY PAULINO ARNOLD C 912 HEIGHTS BLVD HOUSTON TX 77008 (713)520-8860 9032735 HARRIS OBSTETRICS & GYNECOLOGY PEAKES WAVERLY F 6550 FANNIN ST 2221 HOUSTON TX 77030 (713)590-6870 21951015 HARRIS FAMILY PRACTICE PEGANYEE SUKHDEV 1315 ST JOSEPH PKWY 1504 HOUSTON TX 77002 (713)222-2238 231185 HARRIS PEDIATRICS PERONA MARISSA S 18100 SAINT JOHN DR 350 NASSAU BAY TX 77058 (281)335-3233 18486595 HARRIS CARDIOVASCULAR DISEASE PERRY LEVI V 3502 LIBERTY RD HOUSTON TX 77026 (713)223-9934 8603175 HARRIS OPHTHALMOLOGY PHILLIPS PAULA J 1229 CAMPBELL RD HOUSTON TX 77055 (713)467-6600 406295 HARRIS FAMILY PRACTICE PILLAI ANUSH 424 HAHLO HOUSTON TX 77020 (713)674-3326 56256675 HARRIS CARDIOVASCULAR DISEASE PODET ETHAN J 1315 ST JOSEPH PKWY 1309 HOUSTON TX 77002 (713)652-3025 231975 HARRIS OBSTETRICS & GYNECOLOGY PODOBA ELIZABETH 15055 EAST FWY 308 CHANNELVIEW TX 77530 (281)457-5000 5240225 HARRIS OBSTETRICS & GYNECOLOGY PODOBA ELIZABETH 11302 FALLBROOK DR 308 HOUSTON TX 77065 (281)894-2900 5240225 HARRIS RHEUMATOLOGY POPOVICH JOVAN M 6550 FANNIN 2500 HOUSTON TX 77030 (713)441-3980 20025265 HARRIS RHEUMATOLOGY POPOVICH JOVAN M 4126 SOUTHWEST FWY 520 HOUSTON TX 77027 (713)877-7272 2002526

5 HARRISCARDIOVASCULAR/THORACIC SURGERY PORAT EYAL E 6410 FANNIN ST 450 HOUSTON TX 77030 (713)500-5304 2273413

5 HARRIS OPHTHALMOLOGY PORIAS MITCHELL M 2030 NORTH LOOP W 200 HOUSTON TX 77018 (713)681-5357 5241515 HARRIS OPHTHALMOLOGY PORTER DEAN P 11914 ASTORIA 680 HOUSTON TX 77089 (281)484-7171 7542805 HARRIS OPHTHALMOLOGY PORTER DEAN P 7710 BEECHNUT ST 100 HOUSTON TX 77074 (713)777-7145 7542805 HARRIS NEPHROLOGY PRAKASH RAHUL 909 FROSTWOOD DR 164 HOUSTON TX 77024 (713)468-5262 7353975 HARRIS PEDIATRICS RAHMAN NAHEED 11037 FM 1960 RD W HOUSTON TX 77065 (281)469-2838 729085 HARRIS PSYCHIATRY RAICHMAN JORGE A 7500 BEECHNUT ST 214 HOUSTON TX 77074 (713)772-6519 237935 HARRIS FAMILY PRACTICE RAINFORD TANNIQUE 1707 CALUMET ST HOUSTON TX 77004 (713)807-0545 54906155 HARRIS NEPHROLOGY RAMAN KRISHNA 909 FROSTWOOD DR 164 HOUSTON TX 77024 (713)468-5262 5541257

5 HARRISCARDIOVASCULAR/THORACIC SURGERY RAMCHANDANI MAHESH K 6560 FANNIN ST 1836 HOUSTON TX 77030 (713)790-2822 1190739

5 HARRIS FAMILY PRACTICE RAMIREZ FANNY ELENA 6969 GULF FWY 340 HOUSTON TX 77087 (713)643-0012 10614075 HARRIS FAMILY PRACTICE RAMIREZ FANNY ELENA 1315 ST JOSEPH PKWY 1309 HOUSTON TX 77002 (832)366-1305 10614075 HARRIS PEDIATRICS RAMSEY KARLA S 11301 FALLBROOK DR 300 HOUSTON TX 77065 (281)469-4377 14180345 HARRIS INTERNAL MEDICINE RANA SANILA 1315 ST JOSEPH PKWY 806 HOUSTON TX 77002 (713)650-1900 55412645 HARRIS OPHTHALMOLOGY RANDLE JR LUCIOUS 1213 HERMANN DR 415 HOUSTON TX 77004 (713)526-1872 227785 HARRIS NEUROLOGY RATINOV GERALD 1315 ST JOSEPH PKWY 1004 HOUSTON TX 77002 (713)654-1800 44433

Report Date: Jan07 51 of 64

Page 52: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 HARRISCARDIOVASCULAR/THORACIC SURGERY REA III JOHN E 7737 SOUTHWEST FWY 201 HOUSTON TX 77074 (713)776-0655 402482

5 HARRIS GENERAL PRACTICE REDDY SUDARSANA K 14770 MEMORIAL DR 100 HOUSTON TX 77079 (281)496-7333 8835465 HARRIS MEDICAL ONCOLOGY REDDY SARASWATI 1315 ST JOSEPH PKWY 1800 HOUSTON TX 77002 (713)652-3161 55412665 HARRIS NEPHROLOGY REDENTOR ROY R 902 FROSTWOOD DR 166 HOUSTON TX 77024 (713)468-5400 54637395 HARRIS FAMILY PRACTICE RENNEY KENNETH M 2500 FONDREN RD 209 HOUSTON TX 77063 (281)565-8800 474485 HARRIS SPORTS MEDICINE RENNEY KENNETH M 2500 FONDREN RD 209 HOUSTON TX 77063 (281)565-8800 474485 HARRIS FAMILY PRACTICE RENNEY KENNETH M 2500 FONDREN RD 209 HOUSTON TX 77063 (281)565-8800 474485 HARRIS SPORTS MEDICINE RENNEY KENNETH M 2500 FONDREN RD 209 HOUSTON TX 77063 (281)565-8800 474485 HARRIS OPHTHALMOLOGY RENNO REEM 13300 HARGRAVE 300 HOUSTON TX 77070 (281)890-1784 56906005 HARRIS INTERNAL MEDICINE RIHAL PARDEEP S 909 FROSTWOOD DR 164 HOUSTON TX 77024 (713)827-0318 9647025 HARRIS INTERNAL MEDICINE RIHAL PARDEEP S 705 S FRY RD 115 KATY TX 77450 (713)827-0318 9647025 HARRIS ALLERGY & IMMUNOLOGY RIHAL PARDEEP S 705 S FRY RD 115 KATY TX 77450 (713)827-0318 9647025 HARRIS ALLERGY & IMMUNOLOGY RIHAL PARDEEP S 705 S FRY RD 115 KATY TX 77450 (281)647-9204 9647025 HARRIS ALLERGY & IMMUNOLOGY RIHAL PARDEEP S 909 FROSTWOOD DR 164 HOUSTON TX 77024 (713)827-0318 9647025 HARRIS INTERNAL MEDICINE RIHAL PARDEEP S 705 S FRY RD 115 KATY TX 77450 (281)647-9204 9647025 HARRIS OBSTETRICS & GYNECOLOGY RITTER MARCELLA B 6550 FANNIN ST 2221 HOUSTON TX 77030 (713)590-6870 9717135 HARRIS OBSTETRICS & GYNECOLOGY RITTER MARCELLA B 6550 FANNIN ST 2221 HOUSTON TX 77030 (713)797-9666 9717135 HARRIS OBSTETRICS & GYNECOLOGY RIVERO MARIA T 2060 SPACE PARK DR 308 HOUSTON TX 77058 (281)333-9595 6442965 HARRIS PODIATRIC SURGERY ROCKETT MATTHEW S 2499 ELLA BLVD HOUSTON TX 77008 (281)426-6262 10353875 HARRIS PODIATRIC SURGERY ROCKETT MATTHEW S 2499 ELLA BLVD HOUSTON TX 77008 (713)426-6262 10353875 HARRIS PODIATRIC SURGERY ROCKETT MATTHEW S 1234 BAY AREA BLVD G HOUSTON TX 77058 (281)488-3237 10353875 HARRIS NEUROLOGY ROSE JOHNNIE L 2101 CRAWFORD ST 205 HOUSTON TX 77002 (713)650-6699 504935 HARRIS OBSTETRICS & GYNECOLOGY ROSEN ALAN D 6560 FANNIN ST 708 HOUSTON TX 77030 (713)795-4763 6462295 HARRIS SURGERY ROSENBERG WADE R 6560 FANNIN ST 1750 HOUSTON TX 77030 (713)790-4830 6948545 HARRIS OBSTETRICS & GYNECOLOGY ROSS JOHN B 7550 FANNIN ST HOUSTON TX 77054 (713)512-7500 4025375 HARRIS OBSTETRICS & GYNECOLOGY ROSS JOHN B 815 WALKER ST T14 HOUSTON TX 77002 (713)512-7500 4025375 HARRIS PODIATRIC SURGERY RUBIN JUDITH E 929 GRAHAM DR A TOMBALL TX 77375 (281)357-5533 231535 HARRIS PODIATRIC SURGERY RUBIN JUDITH E 11302 FALLBROOK DR 302 HOUSTON TX 77065 (281)955-5500 231535 HARRIS NEUROLOGY RUBIN ALAN M 909 FROSTWOOD DR 304 HOUSTON TX 77024 (713)467-8491 16381995 HARRIS ORTHOPEDIC SURGERY RUMBAUT EDITH M 2727 W HOLCOMBE BLVD HOUSTON TX 77025 (713)442-0000 1731143

5 HARRISPHYSICAL MEDICINE & REHABILITATION RUMBAUT EDITH M 2727 W HOLCOMBE BLVD HOUSTON TX 77025 (713)442-0000 1731143

5 HARRIS SURGERY RUSSO PENNI 1740 W 27TH ST 333 HOUSTON TX 77008 (713)426-2400 56821275 HARRIS FAMILY PRACTICE RZASNICKI MICHAEL C 18220 STATE HIGHWAY 249 390 HOUSTON TX 77070 (281)469-7704 12190515 HARRIS OBSTETRICS & GYNECOLOGY SAFRO IVOR L 920 FROSTWOOD DR 530 HOUSTON TX 77024 (713)465-9390 6274205 HARRIS CARDIOVASCULAR DISEASE SAMMAN GHYATH A 450 MEDICAL CENTER BLVD 520 WEBSTER TX 77598 (281)332-4100 19574525 HARRIS PEDIATRICS SANCHEZ BURGOS TEODORO Y 7737 SOUTHWEST FWY 670 HOUSTON TX 77074 (713)772-7868 514315 HARRIS PEDIATRIC CARDIOLOGY SAPIRE DAVID W 940 CLEARLAKE CITY BLVD 200 HOUSTON TX 77598 (281)282-1900 5266245 HARRIS UROLOGY SARON IRVIN J 915 GESSNER RD 725 HOUSTON TX 77024 (281)890-0911 8187095 HARRIS UROLOGY SARON IRVIN J 11302 FALLBROOK DR 206 HOUSTON TX 77065 (281)890-0911 8187095 HARRIS MEDICAL ONCOLOGY SCHACHNER JAY R 7777 WEST ST 1004 HOUSTON TX 77093 (713)776-8011 8356865 HARRIS OBSTETRICS & GYNECOLOGY SCHENK LEAH 9055 KATY FWY 309 HOUSTON TX 77024 (713)512-7500 16428975 HARRIS OBSTETRICS & GYNECOLOGY SCHENK LEAH 12605 EAST FWY 510 HOUSTON TX 77015 (713)512-7500 16428975 HARRIS OBSTETRICS & GYNECOLOGY SCHENK LEAH 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 16428975 HARRIS GASTROENTEROLOGY SCHNEIDER FRANZ E 2060 SPACE PARK DR 410 HOUSTON TX 77058 (281)333-1030 7883975 HARRIS GASTROENTEROLOGY SCHNEIDER FRANZ E 444 FM 1959 RD A HOUSTON TX 77034 (281)481-9400 7883975 HARRIS OBSTETRICS & GYNECOLOGY SCHREIBER HOWARD L 12121 RICHMOND AVE 217 HOUSTON TX 77082 (713)266-4000 5270145 HARRIS INTERNAL MEDICINE SCHREIBER DOUGLAS K 545B S MASON RD KATY TX 77450 (281)599-8967 7352995 HARRIS INTERNAL MEDICINE SCHREIBER DOUGLAS K 11750 FM 1960 RD HOUSTON TX 77065 (281)970-8880 7352995 HARRIS INTERNAL MEDICINE SCHREIBER DOUGLAS K 11750 FM 1960 RD HOUSTON TX 77065 (281)599-8967 7352995 HARRIS OBSTETRICS & GYNECOLOGY SCHREIBER HOWARD L 12121 RICHMOND AVE 217 HOUSTON TX 77082 (713)266-4000 5270145 HARRIS OBSTETRICS & GYNECOLOGY SCHROEDER BARBARA C 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 16428875 HARRIS CARDIOVASCULAR DISEASE SCHROTH GEORGE 6410 FANNIN ST 1500 HOUSTON TX 77030 (713)704-1500 7376455 HARRIS NEUROLOGY SCHULMAN BRIAN J 11914 ASTORIA BLVD 445 HOUSTON TX 77089 (281)481-4236 5270455 HARRIS NEUROLOGY SCHULMAN BRIAN J 13111 E FREEWAY 312 HOUSTON TX 77015 (713)451-5421 5270455 HARRIS PEDIATRICS SCOTT PHILIP D 845 FM 1960 WEST HOUSTON TX 77090 281893-1760 6933175 HARRIS OPHTHALMOLOGY SCOTT PHILIP D 845 FM 1960 WEST HOUSTON TX 77090 281893-1760 6933175 HARRIS OPHTHALMOLOGY SCOTT PHILIP D 845 FM 1960 WEST HOUSTON TX 77090 6933175 HARRIS PEDIATRICS SCOTT PHILIP D 845 FM 1960 WEST HOUSTON TX 77090 6933175 HARRIS INTERNAL MEDICINE SETHI SANJAY 7777 SW FRWY 1004 HOUSTON TX 77074 (713)776-8011 18912985 HARRIS PULMONARY DISEASE SHAH PANKAJ K 8200 WEDNESBURY LN 300 HOUSTON TX 77074 (281)342-3342 5274865 HARRIS CARDIOVASCULAR DISEASE SHAH RAKESH K 450 MEDICAL CENTER BLVD 550 WEBSTER TX 77598 (281)554-8883 20105805 HARRIS INFECTIOUS DISEASES SHEBIB ZAHER 6319 FAIRMONT PKWY 201 PASADENA TX 77505 (281)991-7999 736501

Report Date: Jan07 52 of 64

Page 53: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS PEDIATRICS SHELBURNE JULIA T 6621 FANNIN MC 1 1481 A210 HOUSTON TX 77030 (832)824-5497 2119510

5 HARRISLICENSED PROFESSIONAL COUNSELING SHENOI MERLE 21700 KINGSLAND BLVD 104 KATY TX 77450 (281)448-5228 5685765

5 HARRIS CARDIOVASCULAR DISEASE SHENOY VASUDEV B 7333 NORTH FWY 100 HOUSTON TX 77076 (713)691-3649 5470850

5 HARRIS GENERAL VASCULAR SURGERY SHIN DAVID D 6560 FANNIN ST 1750 HOUSTON TX 77030 (713)790-4830 1835726

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) SHIRLEY DAVIS DIANE M 18220 STATE HIGHWAY 249 185 HOUSTON TX 77070 (832)237-2227 1913732

5 HARRIS HEAD & NECK SURGERY SHIRLEY DAVIS DIANE M 18220 STATE HIGHWAY 249 185 HOUSTON TX 77070 (832)237-2227 19137325 HARRIS HEAD & NECK SURGERY SHIRLEY DAVIS DIANE M 11301 FALLBROOK 320 HOUSTON TX 77065 (832)237-2227 1913732

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) SHIRLEY DAVIS DIANE M 11301 FALLBROOK 320 HOUSTON TX 77065 (832)237-2227 1913732

5 HARRIS FAMILY PRACTICE SIDDIQI ZOHRA F 711 W BAY AREA BLVD 210 WEBSTER TX 77598 (281)554-9652 56785585 HARRIS FAMILY PRACTICE SIDDIQI ZOHRA F 11920 ASTORIA BLVD 390 HOUSTON TX 77089 (281)484-6132 56785585 HARRIS INFECTIOUS DISEASES SIEBERT W TERRY 1315 ST JOSEPH PKWY 1710 HOUSTON TX 77002 (713)757-7475 5278915 HARRIS PODIATRIC SURGERY SILVERMAN JERRY S 1315 ST JOSEPH PKWY 1002 HOUSTON TX 77002 (821)242-3233 229495 HARRIS PODIATRIC SURGERY SILVERMAN JERRY S 1315 ST JOSEPH PKWY 1002 HOUSTON TX 77002 (713)654-1955 229495 HARRIS OBSTETRICS & GYNECOLOGY SIMMONS JEANE R 1601 ST JOSEPH PKWY HOUSTON TX 77003 (713)757-7406 10593155 HARRIS NEUROLOGICAL SURGERY SINHA RANDHIR P 525 BLOSSOM ST WEBSTER TX 77598 (281)332-2464 528139

5 HARRIS GENERAL VASCULAR SURGERY SKELLENGER MARK E 445 BAY AREA BLVD HOUSTON TX 77058 (281)990-8346 229045 HARRIS SURGERY SKELLENGER MARK E 445 BAY AREA BLVD HOUSTON TX 77058 (281)990-8346 229045 HARRIS CARDIOVASCULAR DISEASE SLUSKY HARVEY E 450 MEDICAL CENTER BLVD 550 WEBSTER TX 77598 (281)554-8883 869875 HARRIS SPORTS MEDICINE SMALL HENRY N 5420 W LOOP 3300 BELLAIRE TX 77401 (713)864-1506 7327805 HARRIS ORTHOPEDIC SURGERY SMALL HENRY N 5420 W LOOP 3300 BELLAIRE TX 77401 (713)864-1506 7327805 HARRIS INTERNAL MEDICINE SMITH HARRY J 4021 GARTH RD 101 BAYTOWN TX 77521 (281)427-7298 9742695 HARRIS INTERNAL MEDICINE SMITH HARRY J 13111 EAST FWY HOUSTON TX 77015 (713)330-3000 9742695 HARRIS INTERNAL MEDICINE SMITH HARRY J 1140 WESTMONT DR 200 HOUSTON TX 77015 (713)675-3431 9742695 HARRIS INTERNAL MEDICINE SMITH MICHAEL D 2622 NASA ROAD 1 G2 SEABROOK TX 77586 (281)326-3100 10822615 HARRIS OBSTETRICS & GYNECOLOGY SMITH IVONNE 7900 FANNIN ST HOUSTON TX 77054 (713)512-7500 16428935 HARRIS OBSTETRICS & GYNECOLOGY SMITH PATRICIA A 7550 FANNIN ST HOUSTON TX 77054 (713)512-7000 52932245 HARRIS INTERNAL MEDICINE SMITH HARRY J 1140 WESTMONT DR 200 HOUSTON TX 77015 (713)330-3000 9742695 HARRIS HEMATOLOGY & ONCOLOGY SONPAVDE GURU P 501 MEDICAL CENTER BLVD WEBSTER TX 77598 (281)332-7505 12296935 HARRIS FAMILY PRACTICE SOOD SONIA 711 W BAY AREA BLVD 210 WEBSTER TX 77598 (281)554-9652 19238695 HARRIS FAMILY PRACTICE SOOD SONIA 11914 ASTORIA BLVD 325 HOUSTON TX 77089 (281)484-6132 19238695 HARRIS FAMILY PRACTICE SOOD SONIA 11920 ASTORIA BLVD 390 HOUSTON TX 77089 (281)484-6132 19238695 HARRIS FAMILY PRACTICE SPAFFORD ANDREW D 13231 CHAMPION FOREST DR 404 HOUSTON TX 77069 (281)866-7080 18203635 HARRIS FAMILY PRACTICE SPANN STEPHEN J 3701 KIRBY DR HOUSTON TX 77098 (713)798-7700 573981

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) STATON JONATHAN B 17400 SPRING CYPRESS RD 110A CYPRESS TX 77429 (281)256-8212 2092043

5 HARRIS FAMILY PRACTICE STEELE KENYA 2000 CRAWFORD ST 900 HOUSTON TX 77002 (713)651-0870 2144758

5 HARRIS PEDIATRICSSTEEPLECHASE PEDIATRICS 11037 FM 1960 RD W B2 HOUSTON TX 77065 (713)469-2838 1714686

5 HARRIS ENDOCRINOLOGY STEINER ALTON L 1315 ST JOSEPH PKWY 1705 HOUSTON TX 77002 (713)756-8530 6380525 HARRIS CARDIOVASCULAR DISEASE STERN LAWRENCE 1315 ST JOSEPH PKWY 1309 HOUSTON TX 77002 (713)652-3025 55413045 HARRIS OBSTETRICS & GYNECOLOGY STONE FAITH M 5511 AUSTIN ST 1001 HOUSTON TX 77004 (713)524-8931 14179595 HARRIS RADIOLOGY STOREY GAYLE S 6411 FANNIN HOUSTON TX 77030 (713)704-2800 5749805 HARRIS OBSTETRICS & GYNECOLOGY STRAMA THOMAS 7550 FANNIN ST HOUSTON TX 77054 (713)512-7500 4014345 HARRIS OBSTETRICS & GYNECOLOGY STRAMA THOMAS 9055 KATY FWY 309 HOUSTON TX 77024 (713)512-7500 4014345 HARRIS INTERNAL MEDICINE STRICKLAND CAROL A 1315 ST JOSEPH PKWY 1606 HOUSTON TX 77002 (713)571-7009 9176675 HARRIS INTERNAL MEDICINE STUBBERS SHEENA G 6550 FANNIN 1105 HOUSTON TX 77030 (713)441-4280 22438795 HARRIS SURGERY SUCHER JOSEPH F 6550 FANNIN 1601 HOUSTON TX 77030 (713)441-5141 56298995 HARRIS PEDIATRICS SUELL DOUGLAS M 7900 FANNIN ST 3300 HOUSTON TX 77054 (281)359-5711 1895553

5 HARRIS PEDIATRIC EMERGENCY MEDICINE SUELL DOUGLAS M 7900 FANNIN ST 3300 HOUSTON TX 77054 (713)630-0660 1895553

5 HARRIS PEDIATRIC EMERGENCY MEDICINE SUELL DOUGLAS M 7900 FANNIN ST 3300 HOUSTON TX 77054 (281)359-5711 1895553

5 HARRIS PEDIATRIC EMERGENCY MEDICINE SUELL DOUGLAS M 1330 KINGWOOD DR KINGWOOD TX 77339 (281)359-5711 18955535 HARRIS PEDIATRICS SUELL DOUGLAS M 1330 KINGWOOD DR KINGWOOD TX 77339 (281)359-5711 18955535 HARRIS PEDIATRICS SUELL DOUGLAS M 7900 FANNIN ST 3300 HOUSTON TX 77054 (713)630-0660 1895553

5 HARRIS PEDIATRIC EMERGENCY MEDICINE SUELL JR DOUGLAS M 1330 KINGWOOD DR KINGWOOD TX 77339 (281)359-5711 1895553

Report Date: Jan07 53 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 HARRIS PEDIATRIC EMERGENCY MEDICINE SUELL JR DOUGLAS M 7900 FANNIN ST 3300 HOUSTON TX 77054 (281)359-5711 1895553

5 HARRIS PEDIATRIC EMERGENCY MEDICINE SUELL JR DOUGLAS M 7900 FANNIN ST 3300 HOUSTON TX 77054 (713)630-0660 18955535 HARRIS PODIATRIC SURGERY SUM LAUREN L 10721 GULF FWY HOUSTON TX 77034 (713)944-8420 21222345 HARRIS PODIATRIC SURGERY SUM LAUREN L 9889 BELL AIR BLVD 133 HOUSTON TX 77036 (713)944-8420 21222345 HARRIS PEDIATRICS TAGHADOSI MARYAM 9644 COURT GLEN DR HOUSTON TX 77099 (832)328-1800 9146125 HARRIS PEDIATRICS TAGHADOSI MARYAM 1213 HERMANN DR 550 HOUSTON TX 77004 (832)328-1800 9146125 HARRIS PEDIATRICS TAGHADOSI MARYAM 1213 HERMANN DR 550 HOUSTON TX 77004 (713)807-8921 914612

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) TAKASHIMA MASAYOSHI 6550 FANNIN HOUSTON TX 77030 (713)798-5464 5409359

5 HARRIS ALLERGY & IMMUNOLOGY TAMBOLI SANOBER M 607 S MASON RD KATY TX 77450 (281)398-0084 11499155 HARRIS PODIATRIC SURGERY TANENBAUM JEFFREY C 701 S FRY RD 116 KATY TX 77450 (281)829-5900 329825 HARRIS PODIATRIC SURGERY TANENBAUM JEFFREY C 4201 GARTH RD 309 BAYTOWN TX 77521 (979)245-9500 329825 HARRIS PODIATRIC SURGERY TANENBAUM JEFFREY C 4201 GARTH RD 309 BAYTOWN TX 77521 (281)829-5932 329825 HARRIS PODIATRIC SURGERY TANENBAUM JEFFREY C 701 S FRY RD 116 KATY TX 77450 (979)245-9500 329825 HARRIS PODIATRIC SURGERY TANENBAUM JEFFREY C 4201 GARTH RD 309 BAYTOWN TX 77521 (281)428-1922 329825 HARRIS CARDIOVASCULAR DISEASE TAWA CYRIL B 6550 FANNIN ST 1901 HOUSTON TX 77030 (832)912-6777 8130395 HARRIS CARDIOVASCULAR DISEASE TAWA CYRIL B 11301 FALLBROOK DR 120 HOUSTON TX 77065 (832)912-6777 8130395 HARRIS SURGERY TAYLOR THOMAS V 1315 ST JOSEPH PKWY 1400 HOUSTON TX 77002 (713)756-8504 55413165 HARRIS RADIATION ONCOLOGY TEH BIN S 912 HEIGHTS BLVD HOUSTON TX 77008 (713)520-8860 18556875 HARRIS FAMILY PRACTICE TERRY GREGORY M 4301 GARTH RD 200 BAYTOWN TX 77521 (281)428-4411 5298815 HARRIS FAMILY PRACTICE TERRY GREGORY M 4301 GARTH RD 200 BAYTOWN TX 77521 (281)428-4384 529881

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY)

TEXAS EAR NOSE AND THROAT SPECIALISTS PA 11301 FALLBROOK 320 HOUSTON TX 77065 (281)897-0416 5693575

5 HARRIS OBSTETRICS & GYNECOLOGY THARAPPEL JACOB REENA A 1051 PINELOCH 600 HOUSTON TX 77062 (832)553-5440 56783645 HARRIS GYNECOLOGY (NO OB) THOMPSON PETER K 600 ROCKMEAD DR 211 KINGWOOD TX 77339 (713)512-7500 4026925 HARRIS GYNECOLOGY (NO OB) THOMPSON PETER K 7550 FANNIN ST HOUSTON TX 77054 (713)512-7500 4026925 HARRIS GYNECOLOGY (NO OB) THOMPSON PETER K 9055 KATY FWY 309 HOUSTON TX 77024 (713)512-7500 4026925 HARRIS HEMATOLOGY & ONCOLOGY TIN U CAESAR K 7777 SOUTHWEST FREEWAY 1004 HOUSTON TX 77074 (713)776-8011 18779465 HARRIS OBSTETRICS & GYNECOLOGY TJOA WEILIE K 1315 ST JOSEPH PKWY 1007 HOUSTON TX 77002 (713)951-9996 5301425 HARRIS OBSTETRICS & GYNECOLOGY TOY EUGENE 1601 ST JOSEPH PARKWAY HOUSTON TX 77003 (713)757-7406 55413235 HARRIS FAMILY PRACTICE TRAN VAN QUANG 1919 NORTH LOOP W 218 HOUSTON TX 77008 (713)862-5797 22295755 HARRIS FAMILY PRACTICE TRAN VAN Q 1919 NORTH LOOP 218 HOUSTON TX 77008 (713)862-5797 22295755 HARRIS OBSTETRICS & GYNECOLOGY TRANVAN QUE 1315 ST JOSEPH PKWY 207 HOUSTON TX 77002 (713)650-3734 5303045 HARRIS INTERNAL MEDICINE TREMAINE BRIAN N 11321 FALLBROOK HOUSTON TX 77065 (832)237-3500 56796435 HARRIS INTERNAL MEDICINE TREMAINE BRIAN N 707 S FRY RD 290 KATY TX 77450 (832)237-3500 56796435 HARRIS DERMATOLOGY TRYING STEPHEN M 2060 SPACE PARK DR 200 HOUSTON TX 77058 (281)333-2288 56492235 HARRIS FAMILY PRACTICE TSAI CATHERINE S 902 FROSTWOOD DR 243 HOUSTON TX 77024 (713)467-6471 55941545 HARRIS FAMILY PRACTICE TSAI CATHERINE S 2626 S LOOP WEST 310 HOUSTON TX 77054 (713)796-9500 55941545 HARRIS FAMILY PRACTICE TSAI CATHERINE S 11301 FALLBROOK DR 202 HOUSTON TX 77065 (281)955-8803 55941545 HARRIS PATHOLOGY TSCHEN JAIME A 4747 BELLAIRE BLVD 575 BELLAIRE TX 77401 (713)660-9444 14181005 HARRIS DERMATOLOGY TSCHEN JAIME A 4747 BELLAIRE BLVD 575 BELLAIRE TX 77401 (713)660-9444 14181005 HARRIS FAMILY PRACTICE TSUCHIDA DOUGLAS S 915 GESSNER RD 815 HOUSTON TX 77024 (713)827-1000 870115 HARRIS CARDIOVASCULAR DISEASE TURAKHIA BHUPENDRA T 450 MEDICAL CENTER BLVD 550 WEBSTER TX 77598 (281)557-1215 5304985 HARRIS OBSTETRICS & GYNECOLOGY TURNER SR ROD J 402 BLOSSOM ST WEBSTER TX 77598 (281)335-3322 11283335 HARRIS CARDIOVASCULAR DISEASE TY JR RAMON C 7737 SOUTHWEST FWY 565 HOUSTON TX 77074 (713)779-3789 406225 HARRIS GASTROENTEROLOGY UGBARUGBA STEVEN C 11302 FALLBROOK DR 306 HOUSTON TX 77065 (832)237-0000 21622325 HARRIS GASTROENTEROLOGY UGBARUGBA STEVEN C 7737 SOUTHWEST FWY 880 HOUSTON TX 77074 (832)237-0000 21622325 HARRIS CARDIOVASCULAR DISEASE UGOLINI VALENTINA 6560 FANNIN ST 620 HOUSTON TX 77030 (713)791-1978 687285 HARRIS CARDIOVASCULAR DISEASE UGOLINI VALENTINA 13300 HARGRAVE RD 500 HOUSTON TX 77070 (713)791-1978 687285 HARRIS CARDIOVASCULAR DISEASE UGOLINI VALENTINA 13300 HARGRAVE RD 500 HOUSTON TX 77070 (281)890-4848 687285 HARRIS INTERNAL MEDICINE UNGER KENNETH 450 BLOSSOM ST B WEBSTER TX 77598 (281)332-9623 530653

5 HARRISCARDIOVASCULAR/THORACIC SURGERY VARGAS GONZALO M 7737 SOUTHWEST FWY 201 HOUSTON TX 77074 (713)776-0655 63668

5 HARRIS NEUROLOGY VARNER HOLLY K 450 BLOSSOM ST G WEBSTER TX 77598 (281)332-6519 8098415 HARRIS NEUROLOGY VARNER HOLLY K 450 BLOSSOM ST G WEBSTER TX 77598 (281)322-6519 8098415 HARRIS RADIOLOGY VARNER HOLLY K 450 BLOSSOM ST G WEBSTER TX 77598 (281)322-6519 8098415 HARRIS RADIOLOGY VARNER HOLLY K 450 BLOSSOM ST G WEBSTER TX 77598 (281)332-6519 8098415 HARRIS PEDIATRICS VAZIRINIA NEGAR 1213 HERMANN DR 755 HOUSTON TX 77004 (713)807-0029 9146135 HARRIS PULMONARY DISEASE VENKATESH SRINIVASA R 11301 FALLBROOK DR 210 HOUSTON TX 77065 (281)955-0338 11719315 HARRIS INTERNAL MEDICINE VISUS CARMEN 18100 SAINT JOHN DR 150 HOUSTON TX 77058 (281)333-9747 55415095 HARRIS CRITICAL CARE MEDICINE VODNALA SRINIVAS 11301 FALLBROOK DR 210 HOUSTON TX 77065 (281)469-2071 2162632

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS CRITICAL CARE MEDICINE VODNALA SRINIVAS 11301 FALLBROOK DR 210 HOUSTON TX 77065 (281)955-0338 21626325 HARRIS PULMONARY DISEASE VODNALA SRINIVAS 11301 FALLBROOK DR 210 HOUSTON TX 77065 (281)469-2071 21626325 HARRIS PULMONARY DISEASE VODNALA SRINIVAS 11301 FALLBROOK DR 210 HOUSTON TX 77065 (281)955-0338 21626325 HARRIS SURGERY WAGGONER BRADLEY S 11302 FALLBROOK DR 202B HOUSTON TX 77065 (281)955-8884 55983545 HARRIS RADIATION ONCOLOGY WALKER DAVID P 501 MEDICAL CENTER BLVD WEBSTER TX 77598 (281)332-7505 7333155 HARRIS SURGERY WALLACE PATRICK J 1315 ST JOSEPH PKWY 1800 HOUSTON TX 77002 (713)652-3161 7722585 HARRIS FAMILY PRACTICE WALLS ENDIA 4401 GRIGGS RD HOUSTON TX 77021 (713)748-4662 55857375 HARRIS OBSTETRICS & GYNECOLOGY WANG FAN 9160 BELLAIRE BLVD HOUSTON TX 77036 (713)995-8886 56832905 HARRIS OBSTETRICS & GYNECOLOGY WANG FAN 6031 AIRLINE HOUSTON TX 77076 (713)691-7488 5683290

5 HARRISEAR NOSE & THROAT (OTOLARYNGOLOGY) WANI MANISH K 707 S FRY RD 250 KATY TX 77450 (281)492-7827 1921916

5 HARRIS HEAD & NECK SURGERY WANI MANISH K 707 S FRY RD 250 KATY TX 77450 (281)492-7827 19219165 HARRIS PEDIATRICS WARDELL DAVIDA J 18100 SAINT JOHN DR 350 HOUSTON TX 77058 (281)335-3233 21449155 HARRIS INTERNAL MEDICINE WEDDINGTON LLOYD 2000 CRAWFORD ST 900 HOUSTON TX 77002 (713)651-0870 55413345 HARRIS PEDIATRIC ALLERGY WEIDO ANTHONY J 6767 LAKE WOODLANDS DR A THE WOODLANDS TX 77382 (281)364-8001 9420885 HARRIS PEDIATRIC ALLERGY WEIDO ANTHONY J 561 MEDICAL CENTER BLVD G WEBSTER TX 77598 (281)332-2348 9420885 HARRIS PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 561 MEDICAL CENTER BLVD G WEBSTER TX 77598 (281)332-2348 9420885 HARRIS ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 607 S MASON RD KATY TX 77450 (281)398-0084 9420885 HARRIS PEDIATRIC ALLERGY WEIDO ANTHONY J 607 S MASON RD KATY TX 77450 (281)398-0084 9420885 HARRIS PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 607 S MASON RD KATY TX 77450 (281)398-0084 9420885 HARRIS ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 650 W BOUGH 164 HOUSTON TX 77024 (713)461-6711 9420885 HARRIS PEDIATRIC ALLERGY WEIDO ANTHONY J 650 W BOUGH 164 HOUSTON TX 77024 (713)461-6711 9420885 HARRIS PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 7707 FANNIN ST 195 HOUSTON TX 77054 (713)797-0045 9420885 HARRIS ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 6767 LAKE WOODLANDS DR A THE WOODLANDS TX 77382 (281)364-8001 9420885 HARRIS PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 6767 LAKE WOODLANDS DR A THE WOODLANDS TX 77382 (281)364-8001 9420885 HARRIS ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 8111 CYPRESSWOOD DR 106 SPRING TX 77379 (281)370-9331 9420885 HARRIS PEDIATRIC ALLERGY WEIDO ANTHONY J 8111 CYPRESSWOOD DR 106 SPRING TX 77379 (281)370-9331 9420885 HARRIS PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 8111 CYPRESSWOOD DR 106 SPRING TX 77379 (281)370-9331 9420885 HARRIS ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 7707 FANNIN ST 195 HOUSTON TX 77054 (713)797-0045 9420885 HARRIS PEDIATRIC ALLERGY WEIDO ANTHONY J 7707 FANNIN ST 195 HOUSTON TX 77054 (713)797-0045 9420885 HARRIS PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 650 W BOUGH 164 HOUSTON TX 77024 (713)461-6711 9420885 HARRIS ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 22999 HIGHWAY 59 NORTH 232 KINGWOOD TX 77339 (281)540-7764 9420885 HARRIS PEDIATRIC ALLERGY WEIDO ANTHONY J 22999 HIGHWAY 59 NORTH 232 KINGWOOD TX 77339 (281)540-7764 9420885 HARRIS PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 22999 HIGHWAY 59 NORTH 232 KINGWOOD TX 77339 (281)540-7764 9420885 HARRIS ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 2802 GARTH RD 309 BAYTOWN TX 77521 (281)425-9313 9420885 HARRIS PEDIATRIC ALLERGY WEIDO ANTHONY J 2802 GARTH RD 309 BAYTOWN TX 77521 (281)425-9313 9420885 HARRIS PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 2802 GARTH RD 309 BAYTOWN TX 77521 (281)425-9313 9420885 HARRIS ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 561 MEDICAL CENTER BLVD G WEBSTER TX 77598 (281)332-2348 9420885 HARRIS HEMATOLOGY & ONCOLOGY WEISS GARY B 501 MEDICAL CENTER BLVD WEBSTER TX 77598 (972)840-4120 5317135 HARRIS HEMATOLOGY & ONCOLOGY WEISS GARY B 501 MEDICAL CENTER BLVD WEBSTER TX 77598 (281)332-7505 531713

5 HARRISPHYSICAL MEDICINE & REHABILITATION WHEELER EDWARD J 11914 ASTORIA BLVD 510 HOUSTON TX 77089 (281)484-8123 531919

5 HARRISPHYSICAL MEDICINE & REHABILITATION WHEELER EDWARD J 11914 ASTORIA BLVD 510 HOUSTON TX 77089 (281)484-6123 531919

5 HARRIS OBSTETRICS & GYNECOLOGY WHITE MARLON D 18220 STATE HIGHWAY 249 200 HOUSTON TX 77070 (832)912-2411 503485 HARRIS OBSTETRICS & GYNECOLOGY WHITE MARLON D 18220 STATE HIGHWAY 249 200 HOUSTON TX 77070 (281)444-3440 503485 HARRIS OBSTETRICS & GYNECOLOGY WHITE DEZRA 2101 CRAWFORD ST 312 HOUSTON TX 77002 (713)659-5010 5319465 HARRIS OBSTETRICS & GYNECOLOGY WHITTIER FAITH M 2000 CRAWFORD ST 1220 HOUSTON TX 77002 (713)655-1007 1729596

5 HARRISPHYSICAL MEDICINE & REHABILITATION WILLIAMS RACHELE M 1200 BINZ 1390 HOUSTON TX 77054 (713)412-8454 5669391

5 HARRIS NEPHROLOGY WILLIAMS COLVILLE 2424 HAMILTON ST 300 HOUSTON TX 77004 (713)654-0808 55413505 HARRIS INTERNAL MEDICINE WILLS PATRICK W 2000 CRAWFORD ST 900 HOUSTON TX 77002 (713)651-0870 5322615 HARRIS INTERNAL MEDICINE WINFIELD KEVIN S 2060 SPACE PARK DR 304 NASSAU BAY TX 77058 (281)335-7588 18430955 HARRIS PEDIATRICS WONGSA PEGGY 13231 CHAMPION FOREST DR 115 HOUSTON TX 77069 (281)537-8884 1050073

5 HARRIS GENERAL VASCULAR SURGERY WONGSA VORAVIT 13231 CHAMPION FOREST DR 116 HOUSTON TX 77069 (281)537-5559 11287825 HARRIS SURGERY WOOD MICHAEL T 7737 SOUTHWEST FWY 100 HOUSTON TX 77074 (281)491-6200 19530675 HARRIS SURGERY WOOD MICHAEL T 7737 SOUTHWEST FWY 100 HOUSTON TX 77074 (713)772-1200 19530675 HARRIS OPHTHALMOLOGY WOOTEN FLORENCE 2000 CRAWFORD ST 730 HOUSTON TX 77002 (713)652-9898 55413555 HARRIS UROLOGY WRIGHT JOHN D 6560 FANNIN ST 1270 HOUSTON TX 77030 (713)790-9779 7370985 HARRIS FAMILY PRACTICE WU STANLEY G 11302 FALLBROOK DR 205 HOUSTON TX 77065 (281)890-8402 19148395 HARRIS HEMATOLOGY YEN CHARLES L 17323 RED OAK DR HOUSTON TX 77090 (281)440-5006 10784095 HARRIS MEDICAL ONCOLOGY YEN CHARLES L 17323 RED OAK DR HOUSTON TX 77090 (281)440-5006 10784095 HARRIS FAMILY PRACTICE YLLANA SHEPPERD AURORA V 2202 W ALABAMA ST B HOUSTON TX 77098 (713)528-4440 2284052

Report Date: Jan07 55 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 HARRIS ANESTHESIOLOGY YOUNG LISA W 10655 STEEPLETOP DR HOUSTON TX 77065 (281)890-4285 13715765 HARRIS PEDIATRICS ZARZOUR GAMIL Y 11302 FALLBROOK DR 105 HOUSTON TX 77065 (281)469-6781 540415 HARRIS FAMILY PRACTICE ZOIS ISMENE N 1529 W 18TH ST HOUSTON TX 77008 (713)802-9090 10416775 HOUSTON CARDIOVASCULAR DISEASE CECCOLI HECTOR D 1050 LOOP 304E 220 CROCKETT TX 75835 (936)546-3892 18994295 HOUSTON OPTOMETRY HENTZEL CRAIG T 1501 E LOOP 304 CROCKETT TX 75835 (936)545-2020 20489865 JACKSON PODIATRIC SURGERY TANENBAUM JEFFREY C 1013 S WELLS ST EDNA TX 77957 (979)245-9500 329825 JASPER FAMILY PRACTICE BAGGETT STEPANKA 1276 S PEACHTREE ST JASPER TX 75951 (409)384-5701 56911995 JASPER FAMILY PRACTICE ESFANDIARI NEDA 2427 RURAL ROUTE 225 W SAM RAYBURN TX 75951 (409)698-9600 56912125 JASPER RADIOLOGY GILLESPIE THOMAS E 1275 MARVIN HANCOCK DR JASPER TX 75951 (409)899-3684 230235 JASPER FAMILY PRACTICE GILLILAND MARTIN E 315 W HOUSTON ST JASPER TX 75951 (409)384-3430 12180215 JASPER NEUROLOGY KHURSHID MUNAWWER 1276 S PEACHTREE ST JASPER TX 75951 (409)384-5701 19674945 JASPER ORTHOPEDIC SURGERY PEARSON LYNN L 922 N WHEELER ST JASPER TX 75951 (409)384-4227 10791295 JASPER OBSTETRICS & GYNECOLOGY PETERS CAROL L 315 W HOUSTON ST JASPER TX 75951 (409)384-3430 56912365 JASPER FAMILY PRACTICE PHAM RICHARD D 315 W HOUSTON ST JASPER TX 75951 (409)384-3430 21104855 JASPER FAMILY PRACTICE RIGGINS RICHARD R 1276 S PEACHTREE ST JASPER TX 75951 (409)384-5701 16428575 JASPER FAMILY PRACTICE SCHNEIDER REBECCA M 315 W HOUSTON JASPER TX 75951 (409)384-3430 57245875 JASPER INTERNAL MEDICINE SINGH SAURABH 300 MARVIN HANCOCK DR JASPER TX 75951 (409)383-1355 1017445 JASPER FAMILY PRACTICE SINGH GEETA 300 MARVIN HANCOCK DR JASPER TX 75951 (409)383-1355 10789395 JASPER EMERGENCY MEDICINE SPENCER JAMES B 1275 MARVIN HANCOCK DR JASPER TX 75951 (409)924-9666 9712625 JASPER FAMILY PRACTICE STAGGEMEIER DALE A 315 W HOUSTON JASPER TX 75951 (409)384-3430 57245595 JASPER INTERNAL MEDICINE ZAFAR USMAN 205 E LAVIELLE ST KIRBYVILLE TX 75956 (409)423-2217 14182155 JEFFERSON SURGERY ABBAS ASAD S 3570 COLLEGE ST 100 BEAUMONT TX 77701 (409)833-9797 20629455 JEFFERSON OPHTHALMOLOGY ABBAS ASAD S 3570 COLLEGE ST 100 BEAUMONT TX 77701 (409)833-9797 20629455 JEFFERSON CARDIOVASCULAR DISEASE ABDULLAH NABEEL 3921 N TWIN CITY HWY PORT ARTHUR TX 77642 (409)963-0000 18797045 JEFFERSON CARDIOVASCULAR DISEASE ABOCHAMH DIA A 3921 N TWIN CITY HWY PORT ARTHUR TX 77642 (409)989-0737 22249315 JEFFERSON NEUROLOGY AGUSTIN GILBERTO P 3780 MEMORIAL BLVD PORT ARTHUR TX 77640 (409)983-2711 8306755 JEFFERSON NEUROLOGY AGUSTIN GILBERTO P 1427 S HIGHWAY 69 NEDERLAND TX 77627 (409)724-7868 8306755 JEFFERSON ENDOCRINOLOGY AHMED JEHANARA 3570 COLLEGE ST 200 BEAUMONT TX 77701 (409)833-9797 56819725 JEFFERSON MEDICAL ONCOLOGY AKHTAR SYED U 3070 COLLEGE ST 301 BEAUMONT TX 77701 (409)813-1686 18681405 JEFFERSON HEMATOLOGY & ONCOLOGY AKHTAR SYED U 690 N 14TH ST 3RD BEAUMONT TX 77702 (409)899-7180 18681405 JEFFERSON MEDICAL ONCOLOGY AKHTAR SYED U 690 N 14TH ST 3RD BEAUMONT TX 77702 (409)899-7180 18681405 JEFFERSON HEMATOLOGY & ONCOLOGY AKHTAR SYED U 3070 COLLEGE ST 301 BEAUMONT TX 77701 (409)813-1686 1868140

5 JEFFERSON PEDIATRIC GASTROENTEROLOGY ALASWAD BASHAR 3070 COLLEGE ST 201 BEAUMONT TX 77701 (409)813-3883 10798415 JEFFERSON INTERNAL MEDICINE ALDRICH ANDREW J 3030 NORTH ST 510 BEAUMONT TX 77702 (409)896-5000 14178215 JEFFERSON INTERNAL MEDICINE ALDRICH ANDREW J 3030 NORTH ST 510 BEAUMONT TX 77702 (800)482-5505 14178215 JEFFERSON PULMONARY DISEASE ALFORD NATHANIEL J 3030 NORTH ST 510 BEAUMONT TX 77702 (409)896-5000 1418397

5 JEFFERSON GENERAL VASCULAR SURGERY ANABTAWI ISAM N 4500 GULFWAY PORT ARTHUR TX 77642 (409)982-0982 10759815 JEFFERSON NEUROLOGICAL SURGERY ANGEL IAN F 2965 HARRISON ST 111 BEAUMONT TX 77702 (409)898-7800 10717515 JEFFERSON OBSTETRICS & GYNECOLOGY ANGEL JANE C 755 N 11TH ST P4200 BEAUMONT TX 77702 (409)899-1499 14182235 JEFFERSON INTERNAL MEDICINE ANWAR SYED I 3570 COLLEGE ST 200 BEAUMONT TX 77701 (409)833-9797 16427395 JEFFERSON INTERNAL MEDICINE ANWAR SYED I 2010 DOWLEN RD BEAUMONT TX 77706 (409)833-9797 16427395 JEFFERSON FAMILY PRACTICE ARCALA AVILA E 2501 JIMMY JOHNSON BLVD 401 PORT ARTHUR TX 77642 (409)724-2204 10717585 JEFFERSON FAMILY PRACTICE ARCALA FEDERICO A 2501 JIMMY JOHNSON BLVD 401 PORT ARTHUR TX 77642 (409)724-2204 14177165 JEFFERSON PULMONARY DISEASE ARFEEN QAMAR U 2929 CALDER ST 100 BEAUMONT TX 77702 (409)833-9797 11717365 JEFFERSON CRITICAL CARE MEDICINE ARFEEN QAMAR U 2929 CALDER ST 100 BEAUMONT TX 77702 (409)833-9797 11717365 JEFFERSON OPHTHALMOLOGY AVERY GRAHAM 740 HOSPITAL DR 200 BEAUMONT TX 77701 (409)832-8883 8357025 JEFFERSON INTERNAL MEDICINE AZIZ MUHAMMAD T 2929 CALDER ST 100 BEAUMONT TX 77702 (409)833-9797 10771635 JEFFERSON ENDOCRINOLOGY BADLISSI JOSEPH N 3787 DOCTORS DR 107 PORT ARTHUR TX 77642 (409)983-2039 10717715 JEFFERSON NUCLEAR RADIOLOGY BALUYOT RESTITUTO E 2630 HIGHWAY 365 AND 27TH ST NEDERLAND TX 77627 (409)727-2321 8306765 JEFFERSON RADIOLOGY BALUYOT RESTITUTO E 2555 JIMMY JOHNSON BLVD PORT ARTHUR TX 77643 (409)853-5863 8306765 JEFFERSON RADIOLOGY BALUYOT RESTITUTO E 3600 GATES BLVD PORT ARTHUR TX 77642 (409)985-7431 8306765 JEFFERSON RADIOLOGY BALUYOT RESTITUTO E 5500 39TH ST GROVES TX 77619 (409)962-5733 8306765 JEFFERSON NUCLEAR RADIOLOGY BALUYOT RESTITUTO E 2555 JIMMY JOHNSON BLVD PORT ARTHUR TX 77643 (409)853-5863 8306765 JEFFERSON NUCLEAR RADIOLOGY BALUYOT RESTITUTO E 1323 S 27TH ST 700 NEDERLAND TX 77627 (409)729-5400 8306765 JEFFERSON RADIOLOGY BALUYOT RESTITUTO E 2630 HIGHWAY 365 AND 27TH ST NEDERLAND TX 77627 (409)727-2321 8306765 JEFFERSON NUCLEAR RADIOLOGY BALUYOT RESTITUTO E 3600 GATES BLVD PORT ARTHUR TX 77642 (409)985-7431 8306765 JEFFERSON NUCLEAR RADIOLOGY BALUYOT RESTITUTO E 5500 39TH ST GROVES TX 77619 (409)962-5733 8306765 JEFFERSON RADIOLOGY BALUYOT RESTITUTO E 1323 S 27TH ST 700 NEDERLAND TX 77627 (409)729-5400 8306765 JEFFERSON GASTROENTEROLOGY BATTY CAROL A 2300 HIGHWAY 365 590 NEDERLAND TX 77627 (409)724-2311 14178605 JEFFERSON PLASTIC SURGERY BECKERT BENJAMIN W 755 N 11TH ST P3500 BEAUMONT TX 77702 (409)892-6015 55906845 JEFFERSON PULMONARY DISEASE BENCOWITZ HAROLD Z 3030 NORTH ST 510 BEAUMONT TX 77702 (409)896-5000 14178225 JEFFERSON MEDICAL ONCOLOGY BIRDWELL ROBERT R 690 N 14TH ST 3RD FL BEAUMONT TX 77702 (409)899-7180 869252

Report Date: Jan07 56 of 64

Page 57: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 JEFFERSON FAMILY PRACTICE BLAHEY MARIA S 755 N 11TH ST P5200 BEAUMONT TX 77702 (409)898-2994 8990515 JEFFERSON PEDIATRICS BRAYE EDWARD 8765 9TH AVE PORT ARTHUR TX 77642 (409)727-6000 14179775 JEFFERSON INTERNAL MEDICINE BROWN BERTRON M 3030 NORTH ST 420 BEAUMONT TX 77702 (409)835-2900 14118185 JEFFERSON PLASTIC SURGERY BROWNING CHRISTOPHER G 5502 39TH ST 107 GROVES TX 77619 (409)962-3338 22793095 JEFFERSON CARDIOVASCULAR DISEASE BUHEIS NIDAL I 2001 9TH AVE 201 PORT ARTHUR TX 77642 (409)723-6600 56975515 JEFFERSON INTERNAL MEDICINE BURKES WILLIAM S 3150 MEDICAL CENTER DR 1 BEAUMONT TX 77701 (409)835-0995 8863675 JEFFERSON PODIATRIC SURGERY BURRELL NEIL A 3560 DELAWARE ST 301 BEAUMONT TX 77706 (409)899-1538 8357405 JEFFERSON PODIATRIC SURGERY CARMACK DAVID L 3570 COLLEGE 200 BEAUMONT TX 77701 (409)833-9797 56518195 JEFFERSON ANESTHESIOLOGY CASTILLO VINCENT 2530 NALL ST PORT NECHES TX 77651 (409)722-6571 14180655 JEFFERSON RADIATION ONCOLOGY CHAUDHURY TRIPTESH K 4600 9TH AVE PORT ARTHUR TX 77642 (409)982-9312 14180805 JEFFERSON NEUROLOGICAL SURGERY CHAVIS TAMERLA D 75 N 11TH ST P5500 BEAUMONT TX 77702 (409)924-8111 16040965 JEFFERSON GASTROENTEROLOGY CHENNUPATI RAJA S 950 N 14TH ST 100 BEAUMONT TX 77702 (409)833-5858 19117395 JEFFERSON UROLOGY CHICA GERARDO 1120 S 27TH ST NEDERLAND TX 77627 (409)727-0794 21294995 JEFFERSON RADIATION ONCOLOGY CHOW DANNY C 3555 STAGG DR BEAUMONT TX 77701 (409)654-5965 16422615 JEFFERSON RADIATION ONCOLOGY CHOW DANNY C 2001 9TH AVE 300 PORT ARTHUR TX 77642 (409)212-5965 16422615 JEFFERSON RADIATION ONCOLOGY CHOW DANNY C 8333 9TH AVE PORT ARTHUR TX 77642 (409)718-8713 16422615 JEFFERSON RADIATION ONCOLOGY CHOW DANNY C 2001 9TH AVE 300 PORT ARTHUR TX 77642 (409)718-8713 16422615 JEFFERSON FAMILY PRACTICE CLAYTON GARY R 3070 COLLEGE ST 100 BEAUMONT TX 77701 (409)835-0995 8356785 JEFFERSON INTERNAL MEDICINE CLEMENT ROUSSEL 6265 39TH ST GROVES TX 77619 (409)962-4400 21156935 JEFFERSON PEDIATRICS COLBERT BOBBIE 3570 COLLEGE ST 200 BEAUMONT TX 77701 (409)833-9797 14124965 JEFFERSON PEDIATRICS COLBERT BOBBIE 2010 DOWLEN RD BEAUMONT TX 77706 (409)833-9797 14124965 JEFFERSON CARDIOVASCULAR DISEASE COLGAN TIMOTHY K 2955 HARRISON ST 103 BEAUMONT TX 77702 (409)833-8787 8342225 JEFFERSON CARDIOVASCULAR DISEASE COLGAN TIMOTHY K 2955 HARRISON ST 103 BEAUMONT TX 77702 (409)833-6604 8342225 JEFFERSON DERMATOLOGY COLLINS WELDON E 2929 CALDER AVE 312 BEAUMONT TX 77702 (409)835-1333 22105695 JEFFERSON OBSTETRICS & GYNECOLOGY COOMBS JACQUIN A 3705 9TH AVE PORT ARTHUR TX 77642 (409)982-3173 21820745 JEFFERSON FAMILY PRACTICE CRAIG SUSAN K 2400 HWY 365 209 NEDERLAND TX 77627 (409)722-3416 17318255 JEFFERSON FAMILY PRACTICE DANG HAU P 525 9TH AVE PORT ARTHUR TX 77642 (409)983-2033 10720965 JEFFERSON FAMILY PRACTICE DAVIS JAMES L 4471 CALDER AVE BEAUMONT TX 77706 (409)866-0856 10772175 JEFFERSON SURGERY DEAN KEVIN L 2900 NORTH ST 200 BEAUMONT TX 77702 (409)892-0099 10721085 JEFFERSON FAMILY PRACTICE DEIPARINE CAESAR F 6510 FOLSOM DR BEAUMONT TX 77706 (409)832-6545 54411255 JEFFERSON NEPHROLOGY DERDERIAN RAYMOND 3030 NORTH ST 340 BEAUMONT TX 77702 (409)899-1117 10721285 JEFFERSON OPHTHALMOLOGY DIAZ SALDANA ALBERTO 3129 COLLEGE ST BEAUMONT TX 77701 (409)838-3725 9711825 JEFFERSON PEDIATRICS DOSHI SHARDA J 2929 CALDER ST 300 BEAUMONT TX 77702 (409)833-8850 10721805 JEFFERSON OBSTETRICS & GYNECOLOGY DOWDY CHRISTOPHER P 3070 COLLEGE ST 207 BEAUMONT TX 77701 (409)833-5790 10424955 JEFFERSON PEDIATRICS DUNDAS ROBERT B 810 HOSPITAL DR 301 BEAUMONT TX 77701 (409)835-9300 15875105 JEFFERSON INTERNAL MEDICINE EDE EZEA D 740 HOSPITAL DR 230 BEAUMONT TX 77701 (409)729-5029 14180675 JEFFERSON INTERNAL MEDICINE EDE EZEA D 1323 S 27TH ST 500 NEDERLAND TX 77627 (409)729-5029 14180675 JEFFERSON INTERNAL MEDICINE ENRIQUEZ OSCAR O 2001 9TH AVE 300 PORT ARTHUR TX 77642 (409)985-6338 10772515 JEFFERSON FAMILY PRACTICE ERICKSON KENT E 3560 DELAWARE ST 601A BEAUMONT TX 77706 (409)926-9666 11785975 JEFFERSON HEMATOLOGY & ONCOLOGY FANASCH HILAL M 3787 DOCTORS DR 210 PORT ARTHUR TX 77642 (409)832-4070 16387135 JEFFERSON HEMATOLOGY & ONCOLOGY FANASCH HILAL M 5957 9TH AVE PORT ARTHUR TX 77642 (409)982-5166 16387135 JEFFERSON ALLERGY & IMMUNOLOGY FAWCETT IV WILLIAM A 2965 HARRISON ST 315 BEAUMONT TX 77702 (409)892-7090 10722365 JEFFERSON PSYCHIATRY FERMO JR VICTOR M 405 S MEMORIAL FWY NEDERLAND TX 77627 (409)727-7979 8755395 JEFFERSON FAMILY PRACTICE FINDLEY MICHAEL S 2343 MCFADDIN ST BEAUMONT TX 77702 (409)839-8900 850097

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) FONTENOT RAY 3070 COLLEGE ST 300 BEAUMONT TX 77701 (409)212-8111 1418236

5 JEFFERSON FAMILY PRACTICE FORSYTHE JOHN L 3820 HWY 365 300 PORT ARTHUR TX 77642 (409)722-0808 14178505 JEFFERSON INTERNAL MEDICINE FOWLER MD JOHN T 755 N 11TH ST P 5200 BEAUMONT TX 77702 (409)898-2994 2062948

5 JEFFERSON INTERNAL MEDICINE GAMBRAHSAMPANEY ANTHONY O 3000 39TH ST 103 PORT ARTHUR TX 77642 (409)983-7161 14179885 JEFFERSON INTERNAL MEDICINE GEORGE WILLIAM 830 N 11TH ST BEAUMONT TX 77702 (409)924-3801 14178955 JEFFERSON FAMILY PRACTICE GERSTENBERG K PAUL 2200 HIGHWAY 365 NEDERLAND TX 77627 (409)722-4321 17589155 JEFFERSON SURGERY GONZALES GAYLON A 2900 NORTH ST 203 BEAUMONT TX 77702 (409)899-1547 835685

5 JEFFERSONCARDIOVASCULAR/THORACIC SURGERY GORDON FALLON T 810 HOSPITAL DR 370 BEAUMONT TX 77701 (409)835-0761 1072034

5 JEFFERSON FAMILY PRACTICE GOSSETT O WAYNE 4640 9TH AVE PORT ARTHUR TX 77642 (409)982-6461 10781935 JEFFERSON PSYCHIATRY GRIPON EDWARD B 3560 DELAWARE ST 502 BEAUMONT TX 77706 (409)899-4472 7116735 JEFFERSON FAMILY PRACTICE GUILLET GLEN G 5875 N MAJOR DR BEAUMONT TX 77713 (409)892-2262 10779905 JEFFERSON FAMILY PRACTICE HAAK LEE W 6755 PHELAN BLVD 22 BEAUMONT TX 77706 (409)860-5855 21386905 JEFFERSON PAIN MANAGEMENT HALASWAMY RAVI H 2666 CALDER AVE BEAUMONT TX 77702 (409)813-1177 13754735 JEFFERSON ANESTHESIOLOGY HALASWAMY RAVI H 2666 CALDER AVE BEAUMONT TX 77702 (409)813-1177 13754735 JEFFERSON FAMILY PRACTICE HALASWAMY HANGAVADI S 3560 DELAWARE ST 601A BEAUMONT TX 77705 (409)212-1680 56339335 JEFFERSON FAMILY PRACTICE HALBERT DEAN T 2010 DOWLEN RD BEAUMONT TX 77706 (409)833-9797 840675 JEFFERSON FAMILY PRACTICE HALES COLIN L 3758 PARK PLAZA CIR PORT ARTHUR TX 77642 (409)983-2035 827695

Report Date: Jan07 57 of 64

Page 58: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 JEFFERSON OCCUPATIONAL MEDICINE HAMBY HOUSTON G 2645 NALL ST PORT NECHES TX 77651 (409)729-3393 10720685 JEFFERSON INTERNAL MEDICINE HARMON DANIEL J 3030 NORTH ST 420 BEAUMONT TX 77702 (409)835-2900 16426335 JEFFERSON OPHTHALMOLOGY HARMON M KEVIN 3345 PLAZA 10 DR B BEAUMONT TX 77707 (409)833-0444 22212335 JEFFERSON OBSTETRICS & GYNECOLOGY HARRIS DARRYL C 740 HOSPITAL DR 250 BEAUMONT TX 77701 (409)212-1000 20975375 JEFFERSON OPHTHALMOLOGY HAWKINS WALTER R 3000 39TH ST 102 PORT ARTHUR TX 77642 (409)985-2569 21242495 JEFFERSON UROLOGY HEALEY GORDON S 3180 CENTRAL MALL DR PORT ARTHUR TX 77642 (409)729-6231 1412460

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) HEARTFIELD EDWARD L 3070 COLLEGE ST 300 BEAUMONT TX 77701 (409)212-8111 1418233

5 JEFFERSON ALLERGY & IMMUNOLOGY HEARTFIELD EDWARD L 3070 COLLEGE ST 300 BEAUMONT TX 77701 (409)212-8111 14182335 JEFFERSON OPHTHALMOLOGY HENSEL JOANN 3129 COLLEGE ST BEAUMONT TX 77701 (409)838-3725 2221247

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) HERNDON BOYD M 5502 39TH ST 106 GROVES TX 77619 (409)962-6401 761137

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) HERNDON BOYD M 886 SIERRA DR PORT NECHES TX 77651 (409)729-6401 761137

5 JEFFERSON OBSTETRICS & GYNECOLOGY HILL TERESA TRAM N 810 HOSPITAL DR 105 BEAUMONT TX 77701 (409)838-3900 22249175 JEFFERSON NEPHROLOGY HINER JR HERVY H 1750 9TH AVE 201 PORT ARTHUR TX 77642 (409)985-6657 14179865 JEFFERSON UROLOGY HOFFMAN GEORGE 2900 NORTH ST 401 BEAUMONT TX 77702 (409)892-2000 14177465 JEFFERSON OBSTETRICS & GYNECOLOGY HOLDER JOANNE 810 HOSPITAL DR 300 BEAUMONT TX 77701 (409)813-2111 20975475 JEFFERSON GASTROENTEROLOGY HOLLAND JR JOSEPH W 950 N 14TH ST 100 BEAUMONT TX 77702 (409)833-5858 8356825 JEFFERSON GENERAL PRACTICE HOLLY JAMES L 3570 COLLEGE ST 200 BEAUMONT TX 77701 (409)833-9797 9276345 JEFFERSON GENERAL PRACTICE HOLLY JAMES L 2010 DOWLEN RD BEAUMONT TX 77706 (409)833-9797 9276345 JEFFERSON ENDOCRINOLOGY HOOD ROBERT C 3070 COLLEGE ST 403 BEAUMONT TX 77701 (409)835-9834 14184165 JEFFERSON FAMILY PRACTICE HUANG KENNETH 740 HOSPITAL DR 280 BEAUMONT TX 77701 (409)835-0905 21795235 JEFFERSON FAMILY PRACTICE HUBER TIGHE A 1409 S HIGHWAY 69 NEDERLAND TX 77627 (409)727-4422 11232415 JEFFERSON FAMILY PRACTICE HUGHES III JAMES J 810 HOSPITAL DR 170 BEAUMONT TX 77701 (409)838-4224 19433195 JEFFERSON SURGERY HUMBLE JOHN T 810 HOSPITAL DR 340 BEAUMONT TX 77701 (409)838-2611 9009115 JEFFERSON RADIATION ONCOLOGY HYMEL ERNEST C 8333 9TH AVE PORT ARTHUR TX 77642 (409)718-8713 56819545 JEFFERSON RADIATION ONCOLOGY HYMEL ERNEST C 3555 STAGG DR BEAUMONT TX 77701 (409)212-5965 56819545 JEFFERSON FAMILY PRACTICE IN YOUNG G 3432 FANNIN ST BEAUMONT TX 77701 (409)833-7858 9068145 JEFFERSON FAMILY PRACTICE IN YOUNG G 3432 FANNIN ST BEAUMONT TX 77701 (409)833-7585 9068145 JEFFERSON PATHOLOGY ISAAC PETER 3080 MILAM ST BEAUMONT TX 77701 (409)813-1500 14125625 JEFFERSON ANESTHESIOLOGY ISRAEL EMAD F 3600 GATES BLVD PORT ARTHUR TX 77642 (409)962-5702 17583865 JEFFERSON FAMILY PRACTICE JAFRI ADNAN Z 755 N 11TH ST P 5200 BEAUMONT TX 77702 (409)898-2994 17504495 JEFFERSON INTERNAL MEDICINE JAFRI ABBAS H 2010 DOWLEN RD BEAUMONT TX 77706 (409)833-9797 20816765 JEFFERSON INTERNAL MEDICINE JANJUA AAMER W 5875 N MAJOR DR BEAUMONT TX 77713 (409)892-6662 11358105 JEFFERSON ENDOCRINOLOGY JAYARAJ KANDASWAMY 375 13TH ST BEAUMONT TX 77702 (409)892-2111 21379015 JEFFERSON ENDOCRINOLOGY JAYARAJ KANDASWAMY 375 13TH ST BEAUMONT TX 77702 (409)892-2173 21379015 JEFFERSON RADIOLOGY JENNINGS REX B 3560 DELAWARE 209 BEAUMONT TX 77706 (409)899-3682 57246005 JEFFERSON NEPHROLOGY JOHN REJI 2965 HARRISON ST 116 BEAUMONT TX 77702 (409)892-1003 57039285 JEFFERSON ORTHOPEDIC SURGERY JOHNSTON JACK C 2501 JIMMY JOHNSTON BLVD 400 PORT ARTHUR TX 77640 (409)729-5633 1075350

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) JORDAN JR CARL C 3070 COLLEGE ST 300 BEAUMONT TX 77701 (409)212-8111 1418231

5 JEFFERSON INTERNAL MEDICINE KAISSI KAHTAN A 1300 FRANKLIN AVE NEDERLAND TX 77627 (409)722-3437 10783245 JEFFERSON PEDIATRICS KANOJIA UMA M 3455 STAGG DR 101 BEAUMONT TX 77701 (409)835-2082 10723235 JEFFERSON INTERNAL MEDICINE KANSARA GIRISHKUMAR B 755 N 11TH ST P 5200 BEAUMONT TX 77702 (409)898-2994 585415 JEFFERSON INTERNAL MEDICINE KANSARA GIRISHKUMAR B 755 N 11TH ST P 5200 BEAUMONT TX 77702 (409)898-2193 585415 JEFFERSON HEMATOLOGY KARIA RAMESH 2001 9TH AVE 204 PORT ARTHUR TX 77642 (409)983-2026 13046535 JEFFERSON INTERNAL MEDICINE KATEI GEORGE K 5301 39TH ST GROVES TX 77619 (409)962-4272 17584275 JEFFERSON SURGERY KAVOUSPOUR DARIOUSH 2900 NORTH ST 312 BEAUMONT TX 77702 (409)899-8501 8663645 JEFFERSON INTERNAL MEDICINE KELLER MICHAEL G 5502 39TH ST 105 GROVES TX 77619 (409)962-7606 8306915 JEFFERSON PEDIATRICS KHAN SAIRA 2010 DOWLEN RD BEAUMONT TX 77706 (409)833-9797 5651830

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) KILLIAN THOMAS 2760 EASTEX FWY BEAUMONT TX 77703 (409)892-6401 1418237

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) KILLIAN THOMAS 3030 NORTH ST 520 BEAUMONT TX 77702 (409)892-6401 1418237

5 JEFFERSON FAMILY PRACTICE KING MICHAEL W 2300 HIGHWAY 365 200 NEDERLAND TX 77627 (409)721-5788 10527765 JEFFERSON RADIATION ONCOLOGY KONG JOSEPH S 3555 STAGG DR BEAUMONT TX 77701 (409)212-5965 8306925 JEFFERSON RADIATION ONCOLOGY KONG JOSEPH S 2001 9TH AVE 300 PORT ARTHUR TX 77642 (409)729-8088 8306925 JEFFERSON RADIATION ONCOLOGY KONG JOSEPH S 3555 STAGG DR BEAUMONT TX 77701 (409)729-8088 8306925 JEFFERSON RADIATION ONCOLOGY KONG JOSEPH S 8333 9TH AVE PORT ARTHUR TX 77642 (409)729-8088 8306925 JEFFERSON RADIATION ONCOLOGY KONG JOSEPH S 2001 9TH AVE 300 PORT ARTHUR TX 77642 (409)718-8713 8306925 JEFFERSON FAMILY PRACTICE KOTZUR FRANCIS J 1409 S HIGHWAY 69 NEDERLAND TX 77627 (409)727-4422 10915365 JEFFERSON NEUROLOGICAL SURGERY KUBALA MARK J 2965 HARRISON ST 111 BEAUMONT TX 77702 (409)898-7800 8421895 JEFFERSON RHEUMATOLOGY KUMAR VIJAY 2929 CALDER ST 100 BEAUMONT TX 77702 (409)833-9797 2097544

Report Date: Jan07 58 of 64

Page 59: The First Health Network Texas HCN Termination Report · The First Health Network Texas HCN Termination Report GSA # County Specialty Descrip Last Name First Name MI Street CityST

The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 JEFFERSON INTERNAL MEDICINE KUMARI NEELU 3560 DELAWARE ST 601A BEAUMONT TX 77706 (409)924-9666 22463155 JEFFERSON OBSTETRICS & GYNECOLOGY LAL RADHA J 3120 NORTH ST BEAUMONT TX 77702 (409)898-4454 9706105 JEFFERSON INTERNAL MEDICINE LANG WILLIAMS MARGARET 2828 NALL ST B PORT NECHES TX 77651 (409)727-7342 10791205 JEFFERSON PLASTIC SURGERY LARSON MARK D 2400 HIGHWAY 365 207 NEDERLAND TX 77627 (409)727-0476 10725575 JEFFERSON PLASTIC SURGERY LARSON MARK D 3070 COLLEGE ST 202 BEAUMONT TX 77701 (409)833-0193 10725575 JEFFERSON FAMILY PRACTICE LEE JOHN H 2234 NEDERLAND AVE PORT NECHES TX 77651 (409)722-4836 8306945 JEFFERSON FAMILY PRACTICE LEE JOHN H 2234 NEDERLAND AVE PORT NECHES TX 77651 (409)983-1314 8306945 JEFFERSON NEPHROLOGY LEE SHUNGMAN K 2965 HARRISON ST 116 BEAUMONT TX 77702 (409)892-1003 10784715 JEFFERSON OPHTHALMOLOGY LEHMANN JERRY S 3129 COLLEGE ST BEAUMONT TX 77701 (409)838-3725 22211405 JEFFERSON OPHTHALMOLOGY LEVACY RICHARD A 3345 PLAZA 10 DR B BEAUMONT TX 77707 (409)833-0444 22211715 JEFFERSON INTERNAL MEDICINE LEVINE MSONTHI B 755 N 11TH ST P 5200 BEAUMONT TX 77702 (409)898-2994 19367345 JEFFERSON CARDIOVASCULAR DISEASE LOMBARDO THOMAS R 755 N 11TH ST P2200 BEAUMONT TX 77702 (409)892-1192 8356715 JEFFERSON ANESTHESIOLOGY LOPES NICHOLAS 2530 NALL ST PORT NECHES TX 77651 (409)722-6571 14180625 JEFFERSON NEPHROLOGY LOZANO JOSE 2955 HARRISON ST 100 BEAUMONT TX 77702 (409)212-9240 14124505 JEFFERSON PODIATRIC SURGERY LUSK DEBRA J 3560 DELAWARE ST 301 BEAUMONT TX 77706 (409)899-1538 16428285 JEFFERSON SURGERY MACKAN EMMETT R 2900 NORTH ST 200 BEAUMONT TX 77702 (409)892-0099 10728715 JEFFERSON ENDOCRINOLOGY MAHESHWARI YUGAL 2194 EASTEX FWY B BEAUMONT TX 77703 (409)899-2750 8356775 JEFFERSON HEMATOLOGY & ONCOLOGY MAHMOOD KHALID 3070 COLLEGE ST 301 BEAUMONT TX 77701 (409)813-1686 20306225 JEFFERSON PODIATRIC SURGERY MALAIN JOHN M 3480 FANNIN ST D BEAUMONT TX 77701 (409)832-8800 785215 JEFFERSON OPTOMETRY MANN ANDREW L 6461 EASTEX FWY BEAUMONT TX 77706 (409)924-9994 52803685 JEFFERSON OPTOMETRY MANN ANDREW L 3100 HIGHWAY 365 PORT ARTHUR TX 77640 (409)729-0999 52803685 JEFFERSON PEDIATRICS MANUEL MARY 710 S 8TH ST A BEAUMONT TX 77701 (409)838-9944 10465965 JEFFERSON DERMATOLOGY MARCHAND SHARON H 3030 NORTH ST 430 BEAUMONT TX 77702 (409)899-2500 21617395 JEFFERSON FAMILY PRACTICE MARCHAND IV SIDNEY A 3030 NORTH ST 430 BEAUMONT TX 77702 (409)899-2500 20106805 JEFFERSON CARDIOVASCULAR DISEASE MARGOLIS WAYNE S 740 HOSPITAL DR 260 BEAUMONT TX 77701 (409)835-4003 8307395 JEFFERSON PULMONARY DISEASE MARTIN ARSENIO 2001 9TH AVE 102 PORT ARTHUR TX 77642 (409)983-7711 16384655 JEFFERSON EMERGENCY MEDICINE MATSUDA RONALDO 3560 DELAWARE ST 601-A BEAUMONT TX 77706 (409)924-9666 14178025 JEFFERSON MEDICAL ONCOLOGY MCKENNEY SCOTT A 3070 COLLEGE ST 301 BEAUMONT TX 77701 (409)813-1686 8692665 JEFFERSON MEDICAL ONCOLOGY MCKENNEY SCOTT A 690 N 14TH STREET 3RD FLOOR BEAUMONT TX 77702 (409)899-7180 8692665 JEFFERSON INTERNAL MEDICINE MCMAHON II MICHAEL 2501 JIMMY JOHNSON BLVD 405 PORT ARTHUR TX 77640 (409)722-6553 14184175 JEFFERSON PEDIATRICS MENDOZA ROGELIO D 415 N BROADWAY CHINA TX 77613 (409)752-2301 8356795 JEFFERSON PEDIATRICS MENDOZA ROGELIO D 3350 MCFADDIN ST 2 CHINA TX 77613 (409)833-0342 8356795 JEFFERSON PEDIATRICS MENDOZA ROGELIO D 15321 HIGHWAY 124 BEAUMONT TX 77705 (409)835-5382 8356795 JEFFERSON OBSTETRICS & GYNECOLOGY MENNIE GARY R 2770 AERO DR 1 PORT ARTHUR TX 77640 (409)727-4642 10786975 JEFFERSON ANESTHESIOLOGY MILES RICHARD 2530 NALL ST PORT NECHES TX 77651 (409)722-6571 1418063

5 JEFFERSONCARDIOVASCULAR/THORACIC SURGERY MILLER JR OTTO L 3787 DOCTORS DR 105 PORT ARTHUR TX 77642 (409)984-9000 32829

5 JEFFERSON FAMILY PRACTICE MITCHELL RONNIE 2010 DOWLEN RD BEAUMONT TX 77706 (409)833-9797 10733485 JEFFERSON FAMILY PRACTICE MITCHELL RONNIE 3570 COLLEGE ST 180 BEAUMONT TX 77701 (409)833-9797 10733485 JEFFERSON CARDIOVASCULAR DISEASE MORBIA PRADIP J 3921 N TWIN CITY HWY PORT ARTHUR TX 77642 (409)963-0000 8306975 JEFFERSON OBSTETRICS & GYNECOLOGY MOSES CHARLES R 7980 ANCHOR DR 1100 PORT ARTHUR TX 77642 (409)729-9076 10316245 JEFFERSON EMERGENCY MEDICINE MOSS LYLE R 3560 DELAWARE ST 601A BEAUMONT TX 77706 (409)924-9666 7817185 JEFFERSON INTERNAL MEDICINE MUSA MUSTAFA I 755 N 11TH ST P 520 BEAUMONT TX 77702 (409)898-2193 10851775 JEFFERSON INTERNAL MEDICINE MUSA MUSTAFA I 755 N 11TH ST P 520 BEAUMONT TX 77702 (409)898-2994 1085177

5 JEFFERSONCARDIOVASCULAR/THORACIC SURGERY MYRICK TERRY W 2955 HARRISON ST 204 BEAUMONT TX 77702 (409)899-4747 1417810

5 JEFFERSON INTERNAL MEDICINE NALLURI PRASADA R 2501 JIMMY JOHNSON BLVD 302 PORT ARTHUR TX 77640 (409)727-3000 11603545 JEFFERSON INTERNAL MEDICINE NOVELLI JR WILLIAM 2965 HARRISON ST 317 BEAUMONT TX 77702 (409)892-3130 56295705 JEFFERSON DERMATOLOGY NUNEZ GUSSMAN JANNA K 2929 CALDER ST 312 BEAUMONT TX 77702 (409)835-1333 5592140

5 JEFFERSONPHYSICAL MEDICINE & REHABILITATION O NEIL STEPHEN B 3150 MEDICAL CENTER DR 1 BEAUMONT TX 77701 (409)835-0505 830744

5 JEFFERSON RHEUMATOLOGY OLSEN MARY L 3070 COLLEGE ST 205 BEAUMONT TX 77701 (409)832-9600 1417709

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) OMARA JR WILLIAM E 3070 COLLEGE ST 300 BEAUMONT TX 77701 (409)212-8111 768188

5 JEFFERSON NEPHROLOGY OMOKEHINDE TIMI ROTIMI A 2955 HARRISON ST 100 BEAUMONT TX 77702 (409)212-9240 56857605 JEFFERSON GASTROENTEROLOGY ONG MICHAEL 2965 HARRISON ST 211 BEAUMONT TX 77702 (409)899-4231 8356835 JEFFERSON UROLOGY ONG ALBERT M 2965 HARRISON ST 211 BEAUMONT TX 77702 (409)899-8608 56341865 JEFFERSON ENDOCRINOLOGY ORTIZ JOSE M 3070 COLLEGE ST 403 BEAUMONT TX 77701 (409)835-9834 17582395 JEFFERSON INTERNAL MEDICINE PALANG RONALD P 3030 NORTH ST 420 BEAUMONT TX 77702 (409)835-2900 1758250

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) PARKS JR HAROLD S 3070 COLLEGE ST 300 BEAUMONT TX 77701 (409)212-8111 1418235

5 JEFFERSON SURGERY PARKUS DAVID E 2900 NORTH ST 312 BEAUMONT TX 77702 (409)899-8501 9421205 JEFFERSON INTERNAL MEDICINE PATEL CHANDRAKANT G 1411 S HIGHWAY 69 NEDERLAND TX 77627 (409)722-3175 8404075 JEFFERSON HAND SURGERY PATIBANDLA SUMALATHA 690 N 14TH ST FL 3 BEAUMONT TX 77702 (409)899-7180 2151717

Report Date: Jan07 59 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 JEFFERSON HAND SURGERY PATIBANDLA SUMALATHA 3070 COLLEGE ST 301 BEAUMONT TX 77701 (409)813-1686 21517175 JEFFERSON EMERGENCY MEDICINE PERRY THOMAS C 3560 DELAWARE ST 601A BEAUMONT TX 77706 (409)924-9666 21104985 JEFFERSON FAMILY PRACTICE PICKARD WILLIAM D 4640 9TH AVE 100 PORT ARTHUR TX 77642 (409)982-6461 10733385 JEFFERSON FAMILY PRACTICE PITTS KIMBERLY R 2246 NALL ST PORT NECHES TX 77651 (409)722-4400 21794525 JEFFERSON INTERNAL MEDICINE POLAVARAPU SREEDHAR 3707 DOCTORS DR A PORT ARTHUR TX 77642 (409)984-5050 22498235 JEFFERSON PEDIATRICS PORTER SALES VERNICKA D 2955 HARRISON ST 307 BEAUMONT TX 77702 (409)899-5439 20629605 JEFFERSON PEDIATRICS PRAUSE ALVIN 2965 HARRISON ST 220 BEAUMONT TX 77702 (409)892-7111 14181685 JEFFERSON NEUROLOGY PROFFITT PAUL Q 3780 MEMORIAL BLVD PORT ARTHUR TX 77640 (409)983-2711 8307045 JEFFERSON NEUROLOGY PROFFITT PAUL Q 3780 MEMORIAL BLVD PORT ARTHUR TX 77640 (409)983-1021 8307045 JEFFERSON NEUROLOGY PROFFITT PAUL Q 1427 S HIGHWAY 69 NEDERLAND TX 77627 (409)724-7868 8307045 JEFFERSON NEUROLOGY PUNAY NESTOR C 755 N 11TH ST P3900 BEAUMONT TX 77702 (409)347-1600 22443945 JEFFERSON OPHTHALMOLOGY RAIZADA VIVEK 3345 PLAZA 10 DR BEAUMONT TX 77707 (409)833-0444 56518355 JEFFERSON MEDICAL ONCOLOGY RAMACHANDRAN SUBBAYAH T 3555 STAGG DR BEAUMONT TX 77701 (409)898-2994 13029165 JEFFERSON OBSTETRICS & GYNECOLOGY RAMSEY JOE W 2400 HIGHWAY 365 107 NEDERLAND TX 77627 (409)727-8828 7936505 JEFFERSON FAMILY PRACTICE RANDOLPH JR HARVEY H 3787 DOCTORS DR 312 PORT ARTHUR TX 77642 (409)983-5699 14145965 JEFFERSON INTERNAL MEDICINE RAY LINDA 3030 NORTH ST 420 BEAUMONT TX 77702 (409)835-2900 16424525 JEFFERSON INTERNAL MEDICINE REHMAN SYED S 1750 9TH AVE 201 PORT ARTHUR TX 77642 (409)985-6657 2138585

5 JEFFERSONCARDIOVASCULAR/THORACIC SURGERY RODMAN CHARLES J 740 HOSPITAL DR 150 BEAUMONT TX 77701 (409)755-4942 41535

5 JEFFERSONCARDIOVASCULAR/THORACIC SURGERY RODMAN CHARLES J 740 HOSPITAL DR 150 BEAUMONT TX 77701 (409)832-8323 41535

5 JEFFERSON PEDIATRICS ROESLER NATHAN R 3127 COLLEGE ST BEAUMONT TX 77701 (409)981-9065 56335115 JEFFERSON PEDIATRICS ROESLER NATHAN R 3127 COLLEGE ST BEAUMONT TX 77701 (409)899-1433 56335115 JEFFERSON OBSTETRICS & GYNECOLOGY ROMAN III JOE 2900 NORTH ST 310 BEAUMONT TX 77702 (409)813-2770 887740

5 JEFFERSONEAR NOSE & THROAT (OTOLARYNGOLOGY) ROSE DENNIS E 7650 ANCHOR DR PORT ARTHUR TX 77642 (409)722-7900 733051

5 JEFFERSON FAMILY PRACTICE SANDERS LAWRENCE 2645 NALL ST PORT NECHES TX 77651 (409)729-3393 10733295 JEFFERSON INTERNAL MEDICINE SANTIAGO FREDRIC A 3030 NORTH ST 530 BEAUMONT TX 77702 (409)899-3340 700085 JEFFERSON FAMILY PRACTICE SAWISKY DAVID L 4640 9TH AVE PORT ARTHUR TX 77642 (409)982-6461 10788545 JEFFERSON MEDICAL ONCOLOGY SCHACHNER JAY R 3070 COLLEGE ST 301 BEAUMONT TX 77701 (409)813-1686 8356865 JEFFERSON MEDICAL ONCOLOGY SCHACHNER JAY R 690 N 14TH ST FL 3 BEAUMONT TX 77702 (409)729-8600 8356865 JEFFERSON PODIATRIC SURGERY SCHLEIFFER RICHARD A 3626 PROFESSIONAL DR PORT ARTHUR TX 77642 (409)983-6779 8252685 JEFFERSON SURGERY SCHMIDT JOHN A 3820 HIGHWAY 365 200 PORT ARTHUR TX 77642 (409)721-5150 8307075 JEFFERSON SURGERY SCHRAPPS JEROME F 2900 NORTH ST 200 BEAUMONT TX 77702 (409)892-0099 14184145 JEFFERSON RADIOLOGY SCOTT GEORGE C 3560 DELAWARE 209 BEAUMONT TX 77706 (409)899-3682 6064795 JEFFERSON RADIOLOGY SCOTT GEORGE C 2955 HARRISON ST 104 BEAUMONT TX 77702 (409)899-3682 6064795 JEFFERSON NEUROLOGY SENTHILKUMAR KANDASAMI 2929 CALDER ST 204 BEAUMONT TX 77702 (409)838-4338 19520065 JEFFERSON NEUROLOGY SENTHILKUMAR KANDASAMI 2929 CALDER ST 204 BEAUMONT TX 77702 (409)838-1201 19520065 JEFFERSON OBSTETRICS & GYNECOLOGY SHERMAN DEBORAH S 755 N 11TH ST P4200 BEAUMONT TX 77702 (409)899-1499 18556265 JEFFERSON CARDIOVASCULAR DISEASE SHERRON SCOTT R 755 N 11TH ST P2200 BEAUMONT TX 77702 (409)892-1192 8356725 JEFFERSON NEUROLOGICAL SURGERY SHRONTZ CARL E 740 HOSPITAL DR 210 BEAUMONT TX 77701 (409)833-4200 8893685 JEFFERSON NEUROLOGICAL SURGERY SILVA MARCO T 2965 HARRISON ST 111 BEAUMONT TX 77702 (409)898-7800 21385935 JEFFERSON CARDIOVASCULAR DISEASE SMITH MICHAEL L 3535 GATES BLVD 100 PORT ARTHUR TX 77642 (409)985-6322 8307525 JEFFERSON PATHOLOGY SMITH MICHAEL D 2830 CALDER ST BEAUMONT TX 77702 (409)899-7150 14183465 JEFFERSON INTERNAL MEDICINE SOBERON SANTOS 755 N 11TH ST P 5200 BEAUMONT TX 77702 (409)898-2994 14122025 JEFFERSON CARDIOVASCULAR DISEASE SOOUDI STEVEN K 755 N 11TH ST P22000 BEAUMONT TX 77702 (409)892-1192 21386965 JEFFERSON INTERNAL MEDICINE SRINANTHAKUMAR SAKUNTALAI S 740 HOSPITAL DR 180 BEAUMONT TX 77701 (409)839-8848 51732685 JEFFERSON EMERGENCY MEDICINE STAFFORD MICHAEL T 3560 DELAWARE 601A BEAUMONT TX 77706 (409)924-9666 14184355 JEFFERSON GASTROENTEROLOGY STAGG III DANIEL P 950 N 14TH ST 100 BEAUMONT TX 77702 (409)833-5858 10471215 JEFFERSON FAMILY PRACTICE STOUT KEITH B 2010 DOWLEN RD BEAUMONT TX 77706 (409)833-9797 20983205 JEFFERSON OBSTETRICS & GYNECOLOGY STUBEE BARBARA M 2770 AERO DR PORT ARTHUR TX 77640 (409)727-0439 14180135 JEFFERSON PULMONARY DISEASE SUKHAVASI SAMBASIVA R 2501 JIMMY JOHNSON BLVD 301 PORT ARTHUR TX 77640 (409)721-5155 8307095 JEFFERSON FAMILY PRACTICE SUKHAVASI UMA D 2501 JIMMY JOHNSON BLVD 301 PORT ARTHUR TX 77640 (409)721-5155 10790165 JEFFERSON OBSTETRICS & GYNECOLOGY SULTANA SR MUNNAVER 2955 HARRISON ST 301 BEAUMONT TX 77702 (409)899-5111 10762525 JEFFERSON CARDIOVASCULAR DISEASE SWEET R LELDON 3345 PLAZA 10 DR BEAUMONT TX 77707 (409)838-2626 8841645 JEFFERSON ANESTHESIOLOGY TAMMAREDDI VIJJI M 2900 NORTH ST 301 BEAUMONT TX 77702 (409)899-2332 10789615 JEFFERSON ANESTHESIOLOGY TANG JANNIE 2530 NALL ST PORT NECHES TX 77651 (409)722-6571 22497805 JEFFERSON INTERNAL MEDICINE THIGPEN MARSHA E 8128 9TH AVE PORT ARTHUR TX 77642 (409)729-5629 14179935 JEFFERSON INTERNAL MEDICINE THOMAS GEORGE E 755 N 11TH ST P 5200 BEAUMONT TX 77702 (409)898-2994 14122015 JEFFERSON EMERGENCY MEDICINE THOMAS CLARENCE B 3560 DELAWARE ST 601A BEAUMONT TX 77706 (409)924-9666 17585255 JEFFERSON PEDIATRICS THOMPSON LAUREE L 2830 CALDER AVE BEAUMONT TX 77702 (409)899-7890 56819745 JEFFERSON OBSTETRICS & GYNECOLOGY THORN KENDRA L 2929 CALDER ST 205 BEAUMONT TX 77702 (409)835-9998 22497605 JEFFERSON INTERNAL MEDICINE THORNHILL EARLE S 3745 CHAMPIONS DR BEAUMONT TX 77707 (409)840-9520 56339475 JEFFERSON PEDIATRICS TOLEDO MINDA L 2400 HIGHWAY 365 104 NEDERLAND TX 77627 (409)729-9200 5681944

Report Date: Jan07 60 of 64

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID5 JEFFERSON INTERNAL MEDICINE TOUPS MARK D 3030 NORTH ST 420 BEAUMONT TX 77702 (409)835-2900 14118205 JEFFERSON ANESTHESIOLOGY TSAI TING I 2530 NALL ST PORT NECHES TX 77651 (409)722-6571 14180645 JEFFERSON FAMILY PRACTICE UPDIKE TRACIE D 2933 PARK PLAZA LN PORT ARTHUR TX 77642 (409)983-4665 871631

5 JEFFERSON FAMILY PRACTICE VALDERRAMA BAZAN FEDERICO 3070 COLLEGE ST 100 BEAUMONT TX 77701 (409)839-4757 8501005 JEFFERSON INTERNAL MEDICINE VELUSWAMY RAMA D 1323 S 27TH ST 800 NEDERLAND TX 77627 (409)722-9188 8919665 JEFFERSON NEPHROLOGY VERTIL CYPRIEN L 3030 NORTH ST 340 BEAUMONT TX 77702 (409)899-1117 1418202

5 JEFFERSONCARDIOVASCULAR/THORACIC SURGERY WEATHERFORD STEPHEN C 2955 HARRISON ST 204 BEAUMONT TX 77702 (409)899-4747 1642881

5 JEFFERSON GASTROENTEROLOGY WIED KEITH A 950 N 14TH ST 100 BEAUMONT TX 77702 (409)833-5858 10471205 JEFFERSON FAMILY PRACTICE WILCOX HOWARD D 5875 N MAJOR DR BEAUMONT TX 77713 (409)892-2262 10877755 JEFFERSON FAMILY PRACTICE WILGERS KENNETH D 6450 FOLSOM DR BEAUMONT TX 77706 (409)835-0524 20490475 JEFFERSON RADIATION ONCOLOGY WILLIAMS HENRY O 690 N 14TH ST 3RD FL BEAUMONT TX 77702 (409)899-7181 10733895 JEFFERSON RADIATION ONCOLOGY WILLIAMS HENRY O 3070 COLLEGE ST 301 BEAUMONT TX 77701 (409)813-1686 10733895 JEFFERSON FAMILY PRACTICE WILLIAMSON KATHRYN S 3787 DOCTORS DR 205 PORT ARTHUR TX 77642 (409)962-0351 18238525 JEFFERSON FAMILY PRACTICE WILLIAMSON JR ALLEN C 3787 DOCTORS DR 205 PORT ARTHUR TX 77642 (409)962-0351 11387995 JEFFERSON FAMILY PRACTICE WILSON MARK A 2010 DOWLEN RD BEAUMONT TX 77706 (409)833-9797 8974235 JEFFERSON FAMILY PRACTICE WILSON MARK A 2929 CALDER ST 100 BEAUMONT TX 77702 (409)833-9797 8974235 JEFFERSON PEDIATRICS WORLEY KYLE E 3127 COLLEGE ST BEAUMONT TX 77701 (409)899-1433 1078406

5 JEFFERSONCARDIOVASCULAR/THORACIC SURGERY YAHAGI YUSUKE 2501 JIMMY JOHNSON BLVD 201 PORT ARTHUR TX 77640 (409)722-4001 5651815

5 JEFFERSON ANESTHESIOLOGY YAO HSI TAI 2530 NALL ST PORT NECHES TX 77651 (409)772-6571 22497735 JEFFERSON NEUROLOGICAL SURGERY YU SUE J 2965 HARRISON ST 111 BEAUMONT TX 77702 (409)898-7800 17586405 JEFFERSON NEUROLOGY YU SUE J 2965 HARRISON ST 111 BEAUMONT TX 77702 (409)898-7800 17586405 JEFFERSON GASTROENTEROLOGY ZABAD FERAS 810 HOSPITAL DR 370 BEAUMONT TX 77701 (409)833-2555 8307145 JEFFERSON HEMATOLOGY ZAPPIA GLORIA 3648 PROFESSIONAL DR PORT ARTHUR TX 77642 (409)989-1025 14123705 JEFFERSON MEDICAL ONCOLOGY ZAPPIA GLORIA 3648 PROFESSIONAL DR PORT ARTHUR TX 77642 (409)989-1025 14123705 JEFFERSON INTERNAL MEDICINE ZUZUKIN GEORGE V 2929 CALDER ST 308 BEAUMONT TX 77702 (409)833-2929 8977035 JEFFERSON INTERNAL MEDICINE ZUZUKIN GEORGE V 3787 DOCTORS DR 304 BEAUMONT TX 77702 (409)983-6295 8977035 LIBERTY FAMILY PRACTICE SULAIMAN JASMINE 207 E CROCKETT CLEVELAND TX 77327 (281)592-2224 18392835 MADISON FAMILY PRACTICE EISENBERG ANDREW C 1613 E MAIN ST MADISONVILLE TX 77864 (936)348-9141 8390475 MATAGORDA ORTHOPEDIC SURGERY DOWLING KEVIN P 1413 AVENUE G BAY CITY TX 77414 (979)245-2595 8196045 MATAGORDA FAMILY PRACTICE SACCO CHERYL F 1120 AVENUE G BAY CITY TX 77414 (979)245-5721 17536175 MATAGORDA PODIATRIC SURGERY TANENBAUM JEFFREY C 1115 AVENUE F BAY CITY TX 77414 (979)245-9500 32982

5 MONTGOMERY INTERNAL MEDICINE AL AZZEH HAYTHAM A 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 2110137

5 MONTGOMERY INTERNAL MEDICINE ALAM TAWFIQ G 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)523-1400 2138187

5 MONTGOMERY GASTROENTEROLOGY AWASUM SERGE ALAIN B 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)521-8235 1970234

5 MONTGOMERY INTERNAL MEDICINE BABB SUSAN 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-7836 1638127

5 MONTGOMERY FAMILY PRACTICE BERIOS ANGELIS 24540 FM 1314 RD PORTER TX 77365 (281)354-4009 631220

5 MONTGOMERY INTERNAL MEDICINE BERWICK GLEN 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-7850 1638081

5 MONTGOMERY CARDIOVASCULAR DISEASE BOYLE GEORGE 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-7839 1638092

5 MONTGOMERY FAMILY PRACTICE BROUSSARD CRYSTAL R 17191 ST LUKES WAY THE WOODLANDS TX 77384 (281)210-2930 5630285

5 MONTGOMERY FAMILY PRACTICE BRUNING KARLA 800 RIVERWOOD CT 105 CONROE TX 77304 (936)760-4454 5252504

5 MONTGOMERY FAMILY PRACTICE CALDWELL JODY 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 1638103

5 MONTGOMERY FAMILY PRACTICE CALDWELL JODY 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-8581 1638103

5 MONTGOMERY FAMILY PRACTICE CHAPMAN JR JAMES H 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-7831 1638098

5 MONTGOMERY FAMILY PRACTICE CHAPMAN JR JAMES H 9201 PINECROFT DR THE WOODLANDS TX 77380 (936)760-7831 1638098

5 MONTGOMERY FAMILY PRACTICE DAVIS KENNETH G 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 1638108

5 MONTGOMERY FAMILY PRACTICE DAVIS KENNETH G 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-8506 1638108

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The First Health NetworkTexas HCN

Termination Report

GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 MONTGOMERY FAMILY PRACTICE DECKER PAUL W 508 MEDICAL CENTER BLVD CONROE TX 77304 (281)297-6385 1638117

5 MONTGOMERY FAMILY PRACTICE DECKER PAUL W 9201 PINECROFT DR THE WOODLANDS TX 77380 (281)297-6385 1638117

5 MONTGOMERY FAMILY PRACTICE DECKER PAUL W 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 1638117

5 MONTGOMERY CARDIOVASCULAR DISEASE DOYLE TIMOTHY K 506 MEDICAL CENTER BLVD 300 CONROE TX 77304 (713)799-1610 86985

5 MONTGOMERY CARDIOVASCULAR DISEASE DOYLE TIMOTHY K 506 MEDICAL CENTER BLVD 300 CONROE TX 77304 86985

5 MONTGOMERY INTERNAL MEDICINE DOYLE TIMOTHY K 506 MEDICAL CENTER BLVD 300 CONROE TX 77304 86985

5 MONTGOMERY DERMATOLOGY FARMER AMY C 17191 ST LUKES WAY CONROE TX 77384 (281)210-2820 2035534

5 MONTGOMERY CARDIOVASCULAR DISEASE FERNANDES LAURA 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)521-8231 2019382

5 MONTGOMERY FAMILY PRACTICE FIESINGER TROY T 704 OLD MONTGOMERY RD CONROE TX 77301 (936)539-4004 1816087

5 MONTGOMERY ENDOCRINOLOGY FOX SHARI C 17191 ST LUKES WAY THE WOODLANDS TX 77384 (281)210-2830 2222157

5 MONTGOMERY FAMILY PRACTICE GEIGER DEBRA L 4840 W PANTHER CREEK DR 108 THE WOODLANDS TX 77381 (281)364-8130 801315

5 MONTGOMERY OBSTETRICS & GYNECOLOGY GIANNOTTI MARCO A 800 RIVERWOOD CT 100 CONROE TX 77304 (936)539-1434 1092446

5 MONTGOMERY FAMILY PRACTICE GROGAN ALICE M 9201 PINECROFT DR THE WOODLANDS TX 77380 (281)297-7655 2087656

5 MONTGOMERY INTERNAL MEDICINE GUROL UNAL 500 W MONTGOMERY WILLIS TX 77378 (936)856-2925 513290

5 MONTGOMERY ALLERGY & IMMUNOLOGY HASEEB ABDUL Q 610 MELTON ST 400 MAGNOLIA TX 77354 (281)252-0013 5410336

5 MONTGOMERY PEDIATRICS HASEEB ABDUL Q 610 MELTON ST 400 MAGNOLIA TX 77354 (281)252-0013 5410336

5 MONTGOMERY ANESTHESIOLOGY HEDE VIDYADHAR S 920 MEDICAL PLAZA DR 350 THE WOODLANDS TX 77380 (281)296-0669 1155554

5 MONTGOMERY PAIN MANAGEMENT HEDE VIDYADHAR S 920 MEDICAL PLAZA DR 350 THE WOODLANDS TX 77380 (281)296-0669 1155554

5 MONTGOMERY UROLOGY HESTER GREGORY D 9201 PINECROFT DR THE WOODLANDS TX 77380 (281)297-6300 2213239

5 MONTGOMERYCARDIOVASCULAR/THORACIC SURGERY HUTTON CONNIE C 500 MEDICAL CENTER BLVD 300 CONROE TX 77304 (936)539-5000 643603

5 MONTGOMERY DERMATOLOGY HYMAN JOEL C 9201 PINECROFT DR WOODLANDS TX 77380 (281)210-2815 2213250

5 MONTGOMERY OBSTETRICS & GYNECOLOGY JOHN ELCY M 610 MELTON ST 450 MAGNOLIA TX 77354 (281)351-5020 5639073

5 MONTGOMERY OBSTETRICS & GYNECOLOGY JOHN ELCY M 610 MELTON ST 450 MAGNOLIA TX 77354 (281)351-5548 5639073

5 MONTGOMERY SURGERY JOHNSON MARK A 100 MEDICAL CENTER BLVD 100 CONROE TX 77304 (936)271-0665 1638112

5 MONTGOMERY RHEUMATOLOGY JOHNSON RANDALL W 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 1950742

5 MONTGOMERY RHEUMATOLOGY JOHNSON RANDALL W 9201 PINECROFT DR THE WOODLANDS TX 77380 (281)297-6476 1950742

5 MONTGOMERY RHEUMATOLOGY JOHNSON RANDALL W 508 MEDICAL CENTER BLVD CONROE TX 77304 (281)297-6476 1950742

5 MONTGOMERY RADIOLOGY KHAN FARAZ A 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 2085511

5 MONTGOMERY GYNECOLOGY (NO OB) KLEIN JR ALEX B 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-8574 2035607

5 MONTGOMERY FAMILY PRACTICE KRETSCHMER ANDREW P 827 MAGNOLIA BLVD 6 MAGNOLIA TX 77355 (281)356-2900 2149492

5 MONTGOMERY UROLOGY KWATRA AJAY 508 MEDICAL CENTER BLVD CONROE TX 77304 (713)704-2494 1918764

5 MONTGOMERY GASTROENTEROLOGY LE THANG N 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 2110116

Report Date: Jan07 62 of 64

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GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 MONTGOMERY OPTOMETRY MANN ANDREW L 25248 GROGANS PARK DR THE WOODLANDS TX 77380 (281)298-2020 5280368

5 MONTGOMERY OPHTHALMOLOGY MANRIQUE DE LARA CARLOS 9595 SIX PINES RD 6240 THE WOODLANDS TX 77380 (281)367-2010 1985353

5 MONTGOMERY ALLERGY & IMMUNOLOGY MCCORMICK THERON G 17191 ST LUKES WAY THE WOODLANDS TX 77384 (281)210-2935 5630290

5 MONTGOMERY ALLERGY & IMMUNOLOGY MOORE KRISTIN A 1011 MEDICAL PLAZA DR 200 THE WOODLANDS TX 77380 (281)364-1001 521359

5 MONTGOMERY RADIOLOGYMRI OF THE WOODLANDS 25420 I 45 NORTH SPRING TX 77386 (281)292-8004 5681782

5 MONTGOMERY PEDIATRICS NIKOLAIDIS MARIA D 24375 FM 1314 RD PORTER TX 77365 (281)354-5663 651370

5 MONTGOMERY PEDIATRICS NIKOLAIDIS MARIA D 24375 FM 1314 RD PORTER TX 77365 (281)354-1995 651370

5 MONTGOMERY CARDIOVASCULAR DISEASE NISHIMURA AKIRA 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-7822 1638082

5 MONTGOMERY RHEUMATOLOGY PARKE FRANK A 506 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-8525 1958751

5 MONTGOMERY RHEUMATOLOGY PARKE FRANK A 9201 PINECROFT DR THE WOODLANDS TX 77380 (281)465-1745 1958751

5 MONTGOMERY FAMILY PRACTICE PEET JOHN V 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 2035858

5 MONTGOMERY FAMILY PRACTICE PEET JOHN V 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-7864 2035858

5 MONTGOMERY CARDIOVASCULAR DISEASE PICKETT JAMES D 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)521-7389 640334

5 MONTGOMERY RADIOLOGY POWELL FRANK C 9201 PINECROFT DR THE WOODLANDS TX 77380 (936)756-6631 1975005

5 MONTGOMERY RADIOLOGY POWELL FRANK C 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 1975005

5 MONTGOMERYPHYSICAL MEDICINE & REHABILITATION RAMINENI NAVEEN 9201 PINECROFT DR THE WOODLANDS TX 77380 (281)297-7650 2005578

5 MONTGOMERY PAIN MANAGEMENT RAMINENI NAVEEN 9201 PINECROFT DR THE WOODLANDS TX 77380 (281)297-7650 2005578

5 MONTGOMERY PLASTIC SURGERY RIVELA LUCIAN J 9191 PINECROFT DR 150 THE WOODLANDS TX 77380 (281)681-3905 1731773

5 MONTGOMERY HAND SURGERY RIVELA LUCIAN J 9191 PINECROFT DR 150 THE WOODLANDS TX 77380 (281)681-3905 1731773

5 MONTGOMERY GASTROENTEROLOGY SCHOPPE LESLIE 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 1638111

5 MONTGOMERY INTERNAL MEDICINE SHARPLESS GARY 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)760-7880 1638091

5 MONTGOMERY INTERNAL MEDICINE SHARPLESS GARY 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 1638091

5 MONTGOMERY PULMONARY DISEASE SIDDIQUI MOHAMMAD S 9201 PINECROFT DR THE WOODLANDS TX 77380 (281)297-6300 2123794

5 MONTGOMERY NEUROLOGY SIMMONS JERALD H 9201 PINECROFT DR THE WOODLANDS TX 77380 (281)297-6305 853267

5 MONTGOMERY ORTHOPEDIC SURGERY SPARKS JR JOHN C 1501 RIVER POINTE DR 100 CONROE TX 77304 (936)539-2663 1061069

5 MONTGOMERY PEDIATRICS TAHIR SAIFUDDIN 18535 FM 1488 RD 230 MAGNOLIA TX 77354 (281)252-0013 1642283

5 MONTGOMERY PEDIATRICS TAHIR SAIFUDDIN 18535 FM 1488 RD 230 MAGNOLIA TX 77354 (936)931-3448 1642283

5 MONTGOMERY PEDIATRICS TAMM AUDREY K 4800 W PANTHER CREEK DR 100 THE WOODLANDS TX 77381 (281)364-8600 2097816

5 MONTGOMERY INTERNAL MEDICINE WANG LIN 17198 ST LUKES WAY 510 THE WOODLANDS TX 77384 (936)321-6730 5667445

5 MONTGOMERY FAMILY PRACTICE WATSON JR IRVING 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)756-6631 1638096

5 MONTGOMERY DERMATOLOGY WEAVER SEYMOUR M 17191 ST LUKES WAY THE WOODLANDS TX 77384 (281)210-2810 403088

5 MONTGOMERY PEDIATRIC ALLERGY WEIDO ANTHONY J 1011 MEDICAL PLAZA DR 200 THE WOODLANDS TX 77380 (281)364-1001 942088

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GSA # County Specialty Descrip Last Name First Name MI Street City ST Zip Phone Prov ID

5 MONTGOMERY PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 1011 MEDICAL PLAZA DR 200 THE WOODLANDS TX 77380 (281)364-1001 942088

5 MONTGOMERY ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 1011 MEDICAL PLAZA DR 200 THE WOODLANDS TX 77380 (281)364-1001 942088

5 MONTGOMERY ENDOCRINOLOGY WONG CHUN KWOK 17191 ST LUKES WAY THE WOODLANDS TX 77384 (281)210-2835 1192469

5 MONTGOMERY HEMATOLOGY YEN CHARLES L 18448 INTERSTATE 45 THE WOODLANDS TX 77384 (281)440-5006 1078409

5 MONTGOMERY MEDICAL ONCOLOGY YEN CHARLES L 18448 INTERSTATE 45 THE WOODLANDS TX 77384 (281)440-5006 1078409

5 MONTGOMERY HEMATOLOGY YEN CHARLES L 18448 INTERSTATE 45 CONROE TX 77384 (281)440-5006 1078409

5 MONTGOMERY MEDICAL ONCOLOGY YEN CHARLES L 18448 INTERSTATE 45 CONROE TX 77384 (281)440-5006 1078409

5 MONTGOMERY CRITICAL CARE MEDICINE ZHANG DONGHONG D 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)521-8254 5671281

5 MONTGOMERY PULMONARY DISEASE ZHANG DONGHONG D 508 MEDICAL CENTER BLVD CONROE TX 77304 (936)521-8254 56712815 NEWTON FAMILY PRACTICE BUSSEY JIMMIE D 802 RUSK ST NEWTON TX 75966 (409)379-4357 9712565 POLK RADIOLOGY ARCHIE DAVID S 1717 HIGHWAY 59 LOOP N LIVINGSTON TX 77351 (936)327-4381 21794585 POLK FAMILY PRACTICE BRUNING KARLA 300 BYPASS LN LIVINGSTON TX 77351 (936)760-4454 52572815 POLK FAMILY PRACTICE BUESCHER DAVID M 219 EASTWOOD ST LIVINGSTON TX 77351 (936)327-7147 19214555 POLK INTERNAL MEDICINE LAURORA KENNETH J 300 BYPASS LN 202 LIVINGSTON TX 77351 (936)327-1020 21802795 POLK FAMILY PRACTICE LUNA RAYMOND 219 EASTWOOD ST LIVINGSTON TX 77351 (936)327-7147 18318685 POLK FAMILY PRACTICE WOOD JERRY D 219 EASTWOOD ST LIVINGSTON TX 77351 (936)327-7147 19222705 TYLER FAMILY PRACTICE BROWN JAMES M 104 N BEECH ST WOODVILLE TX 75979 (409)283-2822 16428525 TYLER FAMILY PRACTICE BROWN JAMES M 104 N BEECH ST WOODVILLE TX 75979 (409)283-7445 16428525 TYLER SURGERY GONZALES GAYLON A 1100 W BLUFF ST WOODVILLE TX 75979 (409)899-1547 835685

5 TYLER INTERNAL MEDICINE KANTE SATYANARAYANA P 104 N BEECH ST WOODVILLE TX 75979 (409)283-2822 56819625 TYLER FAMILY PRACTICE POHLE FLOYD G 104 N BEECH ST WOODVILLE TX 75979 (409)283-2822 52167145 TYLER FAMILY PRACTICE POHLE FLOYD G 104 N BEECH ST WOODVILLE TX 75979 (409)283-7445 52167145 TYLER FAMILY PRACTICE SCHULTZ PAULA L 104 N BEECH ST WOODVILLE TX 75979 (409)583-7303 16428555 TYLER FAMILY PRACTICE SCHULTZ PAULA L 104 N BEECH ST WOODVILLE TX 75979 (409)283-7303 16428555 TYLER INTERNAL MEDICINE SINGH SAURABH 1008 W BLUFF WOODVILLE TX 75979 (409)331-0442 1017445 TYLER FAMILY PRACTICE SINGH GEETA 1008 W BLUFF WOODVILLE TX 75979 (409)331-0442 10789395 TYLER INTERNAL MEDICINE SUBRAMANIAM RAMANATHAN V 104 N BEECH ST WOODVILLE TX 75979 (409)283-2822 56911915 WALKER NEUROLOGICAL SURGERY ELNIHUM IBRAHIM M 2804 LAKE RD 5 HUNTSVILLE TX 77340 (800)443-9304 12189655 WALKER ALLERGY & IMMUNOLOGY MOORE KRISTIN A 521 IH 45 10 HUNTSVILLE TX 77340 (800)350-1001 5213595 WALKER PEDIATRIC ALLERGY WEIDO ANTHONY J 521 IH 45 10 HUNTSVILLE TX 77340 (800)350-1001 9420885 WALKER PEDIATRIC ENDOCRINOLOGY WEIDO ANTHONY J 521 IH 45 10 HUNTSVILLE TX 77340 (800)350-1001 9420885 WALKER ALLERGY & IMMUNOLOGY WEIDO ANTHONY J 521 IH 45 10 HUNTSVILLE TX 77340 (800)350-1001 9420885 WALLER ALLERGY & IMMUNOLOGY HASEEB ABDUL Q 1223 FARR ST WALLER TX 77484 (936)931-3448 54103365 WALLER PEDIATRICS HASEEB ABDUL Q 1223 FARR ST WALLER TX 77484 (936)931-3448 54103365 WALLER PEDIATRICS TAHIR SAIFUDDIN 1223 FARR ST WALLER TX 77484 (936)931-3448 16422835 WASHINGTON NEUROLOGICAL SURGERY ELNIHUM IBRAHIM M 600 N PARK ST BRENHAM TX 77833 (979)696-2422 12189655 WASHINGTON SURGERY PENA LEONIDAS 600 N PARK ST BRENHAM TX 77833 (979)836-6153 16379155 WASHINGTON SURGERY PENA LEONIDAS 600 N PARK ST BRENHAM TX 77833 (979)830-0530 16379155 WASHINGTON SURGERY PENA LEONIDAS 600 N PARK ST BRENHAM TX 77833 (979)865-9391 16379155 WASHINGTON OPTOMETRY REXROAD DONALD E 2648 HIGHWAY 36 BRENHAM TX 77833 (979)836-1077 56760535 WHARTON FAMILY PRACTICE CAROTHERS ARNOLD K 2100 REGIONAL MEDICAL DR WHARTON TX 77488 (979)532-1700 10771615 WHARTON GASTROENTEROLOGY SALAZAR FERNANDO A 2100 REGIONAL MEDICAL DR WHARTON TX 77488 (979)532-1700 20193375 WHARTON PEDIATRIC CARDIOLOGY SAPIRE DAVID W 2100 REGIONAL MEDICAL DR WHARTON TX 77488 (409)532-1700 5266245 WHARTON PODIATRIC SURGERY TANENBAUM JEFFREY C 305 SANDY CORNER RD 220 EL CAMPO TX 77437 (979)245-9500 32982

Report Date: Jan07 64 of 64