| Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
| Agwu, Nneoma Joy | 400 Tiney Browning Blvd Port Lavaca TX 77979-2425 | 361-552-3525 | 183500000X | 1003418914 |
| Andrus, Dr. Carol Ann M.D. | 1016 N Virginia St Port Lavaca TX 77979-3000 | 361-552-0325 | 207P00000X | 1629090899 |
| OTHER TX STATE BOARD OF MEDICINE : K0057 || OTHER TX DPS : 30095257 || MEDICAID TX : 173721501 |
| Apostol, Dr. Cayetano M.D. | 113 Pecanwood Pl Port Lavaca TX 77979-2264 | 361-552-7392 | 207R00000X | 1265686067 |
| Arinze, Onyeka RPH | 325 South Highway 35 By Pass Port Lavaca TX 77979 | 361-552-7486 | 183500000X | 1235756586 |
| Arroyo-diaz, Dr. Richard MD | 1016 N Virginia St Port Lavaca TX 77979-3000 | 361-552-0325 | 207R00000X | 1629005418 |
| OTHER TX GROUP MEDICAID NUMBER : 133513502 || OTHER TX GROUP MEDICARE NUMBER : 000H160 || MEDICAID TX : 126447504 |
| Ather, Dr. Amber DDS | 204 State Highway 35 S Smile Experts Pllc Port Lavaca TX 77979-2404 | 361-482-0458 | 1223G0001X | 1689033797 |
| Beeler, Dr. Jack E. DDS, PC. | 621 N Virginia St Port Lavaca TX 77979-3021 | 361-552-6814 | 1223G0001X | 1124134689 |
| OTHER TX UNITED CONCORDIA : 831716 |
| Blackmon, Rachel Renee PTA | 524 Village Rd Port Lavaca TX 77979-2380 | 361-552-3741 | 225200000X | 1538649017 |
| Botor, Olive Edwina PHARMD | 1302 N Virginia St Port Lavaca TX 77979-2509 | 361-552-7451 | 183500000X | 1376882167 |
| Boyd, Kristi FNP-C | 815 N Virginia St Port Lavaca TX 77979-3025 | 361-552-6713 | 363LF0000X | 1134776545 |
| Branch, Stephen A RPH | 1202 N Virginia St Port Lavaca TX 77979-2507 | 361-552-2999 | 183500000X | 1316105026 |
| MEDICAID TX : 013985901 || MEDICAID TX : 010801101 |
| Bruno, Mrs. Nichole Lynn CPNP | 1300 N. Virginia Street Port Lavaca TX 77979 | 361-553-6844 | 363L00000X | 1326248592 |
| OTHER CA RN : 604705 |
| Bunnell, Dr. Don Paul MD | 1200 North Virginia Port Lavaca TX 77979 | 361-552-6721 | 207R00000X | 1033123799 |
| Bunurai, Mrs. Kendra Anne DPT | 128 N Commerce St Port Lavaca TX 77979-3435 | 361-552-1977 | 225100000X | 1467124834 |
| Busselle, Autumn COTA | 524 Village Rd Port Lavaca TX 77979-2380 | 361-552-3741 | 224Z00000X | 1598373227 |
| Caughron, Dr. Marcus Gayland D.C., N.P. | 2 Virginia Pl Port Lavaca TX 77979-2510 | 361-551-2273 | 111N00000X | 1821159815 |
| OTHER TX BCBS : 8P8480 || OTHER TX AETNA : 3199091 || OTHER TX RAILROAD BCBS : DR9334 |
| Caughron, Michael FNP-C | 1200 N Virginia St Port Lavaca TX 77979-2507 | 361-552-6721 | 363LF0000X | 1780071506 |
| Clay, Dr. Penny Prapinporn D.O. | 815 N Virginia St Port Lavaca TX 77979-3025 | 361-552-0266 | 207Q00000X | 1598763617 |
| OTHER GROUP PTAN : 0039BV || OTHER TX INDIVIDUAL PTAN : 8K6571 |
| Clinton, John William Iii M.D. | 1200 N Virginia St Port Lavaca TX 77979-2507 | 361-522-6721 | 208000000X | 1740609601 |
| Coleman, Robert D CRNA | 815 N Virginia St Port Lavaca TX 77979 | 361-573-6291 | 367500000X | 1083658546 |
| MEDICAID TX : 165728002 |
| Cook, Mr. Gary S P.A. | 1207 N Virginia St Port Lavaca TX 77979-2506 | 361-746-1588 | 363AM0700X | 1154325611 |
| MEDICAID TX : 453897 |
| Cowart, Mr. Gregory Wade CRNA | 815 N Virginia St Port Lavaca TX 77979-3025 | 361-552-6713 | 367500000X | 1528070885 |
| Crowley, Dr. William J Iii D.O. | 815 N Virginia St Port Lavaca TX 77979-3025 | 361-552-0325 | 207Q00000X | 1609870161 |
| MEDICAID TX : 1811926991 || MEDICAID TX : 043130602 || MEDICAID TX : 107606901 |
| Cummins, Michelle MD | 1300 N Virginia St Suite 112 Port Lavaca TX 77979-2516 | 361-551-2565 | 207Y00000X | 1811972185 |
| MEDICAID TX : 029960401 || OTHER TX TAX ID # : 74-2951453 || OTHER TX BCBS OF TX # : 0016EJ |
| Dickey, Mr. Raymond P OD | 420 N Virginia Port Lavaca TX 77979-0185 | 361-552-3445 | 152W00000X | 1801808530 |
| MEDICAID TX : 093219602 || OTHER HIGHMARK BCBS CLARITY VIS : 781242 |
| Dobbins, Angela Marie-garcia PA-C | 1016 N Virginia St Port Lavaca TX 77979-3000 | 361-552-0325 | 363AM0700X | 1053620278 |
| Falcon, Leigh Ann M.D. | 1200 N Virginia St Port Lavaca TX 77979-2507 | 361-552-6721 | 207R00000X | 1871738286 |
| Fernandez, Mr. Gregorio Jose Robles | 225 N Virginia St Port Lavaca TX 77979-3430 | 832-691-4694 | 363LA2200X | 1073123360 |
| Frankson, Dr. Julie PHARM.D | 101 Calhoun Plz Port Lavaca TX 77979-2423 | 361-553-4883 | 183500000X | 1932440112 |
| Fuller, Mary Elizabeth PT | 300 N Virginia St Port Lavaca TX 77979-3449 | 361-552-5400 | 225100000X | 1295052009 |
| Gaines, Michael Leon FNP-C | 220 Bonham St Port Lavaca TX 77979-2605 | 361-935-5027 | 363LF0000X | 1043734882 |
| Garcia, Mrs. Diana E. | 3272 U.s. Hwy 87 Port Lavaca TX 77979 | 361-552-6852 | 171M00000X | 1740423490 |
| Garcia, Dr. Steve DMD | 204 State Highway 35 S Port Lavaca TX 77979-2404 | 361-482-0458 | 122300000X | 1457873341 |
| Gasch, Shelley FNP-C | 94 Bay Front Ln Port Lavaca TX 77979-2704 | 361-648-0321 | 363LF0000X | 1568988145 |
| Gorman, Mr. Mark Neal CRNA | 1818 Broadway St Port Lavaca TX 77979-5301 | 361-552-3505 | 367500000X | 1831192343 |
| Goulden, Penny PT, DPT | 815 N Virginia St Port Lavaca TX 77979 | 361-551-2513 | 225100000X | 1750811733 |
| Griffin, Dr. Jeannine L. MD | 1200 North Virginia Port Lavaca TX 77979 | 361-552-6721 | 208000000X | 1700812724 |
| OTHER TX GROUP MEDICAID NUMBER : 113513502 || MEDICAID TX : 118203202 || OTHER TX GROUP MEDICARE NUMBER : ZOO0H160 |
| Guerra, Valerie Anyssa RPH | 1302 N Virginia St Port Lavaca TX 77979-2509 | 361-552-7521 | 183500000X | 1710467634 |
| Gutierrez, Adrianne | 1300 N Virginia St Port Lavaca TX 77979-2509 | 361-552-5400 | 225200000X | 1851700611 |
| Hinds, Dr. Frank Christopher M.D. | 1016 N Virginia St Port Lavaca TX 77979-3000 | 361-552-0325 | 207V00000X | 1376649574 |
| MEDICAID TX : PENDING |
| Hoover, Diana LPC | 213 E Live Oak St Port Lavaca TX 77979-4435 | 361-553-6257 | 101YP2500X | 1427151422 |
| OTHER TX BLUECROSS/BLUESHIELD : 83960L |
| Horadam, Clare PTA | 524 Village Rd Port Lavaca TX 77979-2380 | 361-552-3741 | 208100000X | 1225518798 |
| Hunt, Mabel Allene RPH | 1 B Virginia Pl Port Lavaca TX 77979-2510 | 361-552-2600 | 183500000X | 1245392844 |
| OTHER TX NABP : 4568309 |
| Ibrom, Destiny FNP | 1200 N Virginia St Port Lavaca TX 77979-2507 | 361-552-6721 | 363LF0000X | 1487153573 |
| Kestler, Dr. Bryan Claude D.C. | 2203 N Hwy 35 #a Port Lavaca TX 77979-5208 | 361-552-4040 | 111N00000X | 1205849593 |
| Kim, Tyler | 325 S Highway 35 By Pass Port Lavaca TX 77979 | 361-552-7486 | 183500000X | 1104421494 |
| Kovarek, Chris L LCSW | 301 Belle Ln Port Lavaca TX 77979-2014 | 361-676-3620 | 1041C0700X | 1528694510 |
| Kwi, Gillian V. D.D.S. | 1112 Half League Rd Port Lavaca TX 77979 | 361-552-6916 | 122300000X | 1982844940 |
| Kwi, Dr. Timu Niratsuwan MD | 1200 N Virginia St Port Lavaca TX 77979-2507 | 361-552-6721 | 207Q00000X | 1164465415 |
| OTHER TX GROUP MEDICARE NUMBER : 000H160 || OTHER TX GROUP MEDICAID NUMBER : 133513502 || MEDICAID TX : 160771501 |
| Le, Nhi P M.D. | 307 Calhoun Plz Port Lavaca TX 77979-2421 | 361-551-2288 | 207Q00000X | 1003808163 |
| MEDICAID TX : 030819901 || OTHER TX BLUE LINK : 0060466 || OTHER TX RAIL ROAD MEDICARE : 110202064 || MEDICAID TX : 030189902 || OTHER TX TAX ID : 943417821 || OTHER TX AETNA : 7160045 || OTHER TX BC/BS : 8AD895 |
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