JACY L RETZ (NPI# 1285667089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285667089 |
| Entity Type | Individual |
| Full Name | JACY L RETZ |
| Credential | MD |
| Practice Address |
500 W Medical Center Blvd Webster TX 77598-4220 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-6098 |
| Practice Telephone | 6153717879 |
| Mailing Telephone | 9033246450 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
N5358 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
2002001742 | MO | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
2002001742 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100416540A | 05 | |
| MO | ANTHEM | 144600 | 01 |
| MO | 205785108 | 05 | |
| TX | 217643003 | 05 | |
| RR MEDICARE | 810000902 | 01 | |
| TX | MEDICARE RR | P00898407 | 01 |
| TX | RAIL ROAD | P01290935 | 01 |
| TX | 217643001 | 05 | |
| TX | TRICARE | 75-2616977-042 | 01 |
| TX | BCBS BLUE | 8EB371 | 01 |
| OK | 100227160A | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 1285667089 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 E Dawson St, Tyler, TX 757012036 | 9035251914 |
| Street Address |
500 W MEDICAL CENTER BLVD |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921905 | Ali Moussaoui | Psychiatry & Neurology | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2005-06-09 |
| 1881203982 | Abigail Christine Bessire | Registered Nurse | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2020-07-24 |
| 1972132298 | Elizabeth R Frank | Speech-Language Pathologist | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2020-04-07 |
| 1013550573 | Eliana Victoria Jimenez | Nurse Practitioner | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2019-10-28 |
| 1982269676 | Amanda Lee Horelica | Nurse Practitioner | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2019-05-08 |
| 1669036323 | Shaheda Nia Moore | Nurse Practitioner | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2019-04-29 |
| 1679032338 | Mays Surgical Associates Psc | Surgery | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2019-03-12 |
| 1861972978 | Mohammad Abotteen | Pharmacist | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2018-08-17 |
| 1861970758 | Clear Lake Nephrology, Pllc | Internal Medicine | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2018-08-01 |
| 1528558236 | Lone Star Intensivists At Gulf Coast, Pllc | Internal Medicine | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2018-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396944658 | Majd Alnas | Internal Medicine | 199 Blossom St Ste D, Webster, TX 77598-4414 | 2007-07-16 |
| 1528558236 | Lone Star Intensivists At Gulf Coast, Pllc | Internal Medicine | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2018-05-17 |
| 1679754725 | Maaz Abbasi | Internal Medicine | 500 N Kobayashi, Suite A, Webster, TX 77598-4707 | 2007-11-16 |
| 1386853612 | Kelli D. Salter | Internal Medicine | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2007-05-22 |
| 1457366502 | Alejandro Restrepo | Internal Medicine | 500 W Medical Center Blvd, Webster, TX 77598-4220 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647423 | Fivestar Pulmonary Associates Pllc | Internal Medicine | 981 State Hwy 121, Ste 3100, Allen, TX 75013 | 2020-07-24 |
| 1821586454 | Alfredo Conde Md Pllc | Internal Medicine | 8038 Wurzbach Rd Ste 210, San Antonio, TX 78229-3812 | 2018-04-30 |
| 1629581467 | The Lung Consultants LLC | Internal Medicine | 1325 Pennsylvania Ave Ste 370, Fort Worth, TX 76104-2110 | 2017-11-15 |
| 1902315534 | Javier Cabello, Md Pa | Internal Medicine | 4605 Park Bnd, Harlingen, TX 78552-2874 | 2017-09-27 |
| 1750815742 | Katy Endocrine Clinic Pa | Internal Medicine | 28431 Tall Juniper Hill Dr, Katy, TX 77494-1957 | 2017-04-17 |
| 1225411309 | Ms Medical Consultants, Pllc | Internal Medicine | 2100 W 18th St, Weslaco, TX 78596-4983 | 2015-07-07 |
| 1871976084 | Ammar Halloum Sallora, Md, Pllc | Internal Medicine | 2706 Pinehurst Dr, Harlingen, TX 78550-8697 | 2015-07-07 |
| 1174924450 | David Maldonado IIi Md Pa | Internal Medicine | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 | 2014-09-05 |
| 1679993562 | Jess Anderson | Internal Medicine | 3551 Roger Brooke Dr Apt 3, San Antonio, TX 78234-4505 | 2014-04-18 |
| 1609208768 | Infectious Disease & Pulmonary Consultants, Pllc | Internal Medicine | 2710 Hospital Dr Ste 310, Victoria, TX 77901-5743 | 2013-07-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.