CENTRIC PHYSICIANS GULF REGION PLLC (NPI# 1619404795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619404795 |
| Entity Type | Organization |
| Organization Name | CENTRIC PHYSICIANS GULF REGION PLLC |
| Other Organization Name | CENTRIC PHYSICIANS |
| Practice Address |
113 Pleasant Valley Dr Ste 210 Boerne TX 78006-5683 |
| Practice Telephone | (830) 267-4575 |
| Practice Fax Number | 8302674575 |
| Mailing Telephone | 8302674575 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | SCOTT L. STEELE (CEO) |
| Authorized Official Telephone | 8302674575 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centric Physicians | Doing Business As Name - Organization |
| Street Address |
113 PLEASANT VALLEY DR STE 210 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415006 | Melinda K Hoffman | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2005-08-25 |
| 1588204077 | Jessica Andrea Henderson | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2020-01-13 |
| 1679124333 | Victor Manuel Armendariz | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-09-24 |
| 1326696485 | Laura Michelle Bauml | Psychologist | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-08-30 |
| 1821658865 | William Brian Green | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-06-20 |
| 1467010702 | Teresa Beard | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-06-02 |
| 1528623162 | Tammie A Kampa | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006 | 2019-05-09 |
| 1578036026 | Kayla Lien Himphayvanh | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2019-01-08 |
| 1972072262 | Kathleen M Jordan | Social Worker | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2018-11-16 |
| 1528419363 | Sherri A Pena | Nurse Practitioner | 113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683 | 2016-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639563240 | Rigel Geriatrics Pllc | Family Medicine | 1580 S Main St Ste 101, Boerne, TX 78006-3312 | 2015-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494315 | Connie Davis | Family Medicine | 8135 Kenton St, Houston, TX 77028-4631 | 2020-10-16 |
| 1821604000 | Zn Healthcare Services, Pllc | Family Medicine | 2405 Barton Shore Dr, Pearland, TX 77584-3952 | 2020-09-22 |
| 1912516030 | Crystal Nichole Heads | Family Medicine | 7777 Katy Fwy Apt 353, Houston, TX 77024-2056 | 2020-07-24 |
| 1477176584 | Medicos En Casa | Family Medicine | 2500 E Price Rd Ste 500, Brownsville, TX 78521-3399 | 2020-05-22 |
| 1831723816 | Agape Housecalls Pa | Family Medicine | 1312 14th St Ste 101, Plano, TX 75074-6206 | 2020-02-27 |
| 1386294668 | P & P Care Pllc | Family Medicine | 8901 Ef Lowry Expwy, Ste B, Texas City, TX 77591 | 2019-09-18 |
| 1255811899 | Dr Rakhshi Hydari Pllc | Family Medicine | 13558 Mercedes Ln, Frisco, TX 75035-0649 | 2018-08-14 |
| 1265927016 | Geriatrics & Family Practice Associates of South Texas Pllc | Family Medicine | 888 S Greenville Ave Ste 102, Richardson, TX 75081-5052 | 2018-06-25 |
| 1841793312 | Hra Iq-tx LLC | Family Medicine | 4220 John Ct, Flower Mound, TX 75028-1144 | 2018-03-12 |
| 1891224184 | O.m. Medical House Call Mgmt Inc | Family Medicine | 1300 W Walnut Hill Ln Ste 155f, Irving, TX 75038-3032 | 2017-06-08 |
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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.