Wilbur Jackson Strader Iii (NPI# 1740283043, PAC ID# 1850203621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1740283043 |
| PAC ID by PECOS | 1850203621 |
| Professional Enrollment ID | I20101027001287 |
| Full Name | Wilbur Jackson Strader Iii |
| Organization Legal Name | COUNTRY CLUB MEDICAL CENTER LLC |
| Address |
8041 N Mesa St Suite B2 El Paso TX 79932-1666 |
| Phone Number | 9154742454 |
| Gender | M |
| Graduation Year | 1965 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | ENDOCRINOLOGY, NUCLEAR MEDICINE |
| Group Practice PAC ID | 6709108103 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450668 | THE HOSPITALS OF PROVIDENCE - SIERRA CAMPUS |
| 450107 | LAS PALMAS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8041 N Mesa St, Suite B2, El Paso, TX 79932-1666 | 9154742454 | COUNTRY CLUB MEDICAL CENTER LLC |
| Organization Legal Name | COUNTRY CLUB MEDICAL CENTER LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy A Short | Physician Assistant | Country Club Medical Center LLC | 8041 N Mesa St, Suite B2, El Paso, TX 79932-1666 |
| Stephanie Lynn Hunter | Nurse Practitioner | Country Club Medical Center LLC | 8041 N Mesa St, Suite B2, El Paso, TX 79932-1666 |
| Street Address |
8041 N MESA ST SUITE B2 |
| City | EL PASO |
| State | TX |
| Zip | 79932-1666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy A Short | Physician Assistant | Country Club Medical Center LLC | 8041 N Mesa St, Suite B2, El Paso, TX 79932-1666 |
| John E Short | Physician Assistant | 8041 N Mesa St, Suite B2, El Paso, TX 79932-1666 | |
| Stephanie Lynn Hunter | Nurse Practitioner | Country Club Medical Center LLC | 8041 N Mesa St, Suite B2, El Paso, TX 79932-1666 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Witt | Physician Assistant | El Paso Carenow Urgent Care, Pllc | 7845 N Mesa St, Suite A, El Paso, TX 79932-1623 |
| Quazi Nesarui Haque | Pain Management | El Paso Pain Center Pa | 7825 N Mesa St, El Paso, TX 79932-1623 |
| Michael Kaplan | Family Medicine | El Paso Carenow Urgent Care, Pllc | 7845 N Mesa St, Suite A, El Paso, TX 79932-1623 |
| Sylvia De La Rosa | Nurse Practitioner | El Paso County Hospital District | 5021 Crossroads Dr, El Paso, TX 79932-1635 |
| Ramsey R Hazboun | Internal Medicine | 311 Mcclintock Dr, El Paso, TX 79932-1734 | |
| Norma Carpenter | Nurse Practitioner | Upper Valley Urgent Care Center | 121 E Redd Rd, El Paso, TX 79932-1981 |
| Ronald D Tiller | Physician Assistant | Upper Valley Urgent Care Center | 121 E Redd Rd, El Paso, TX 79932-1981 |
| Alan L Carpenter | Internal Medicine | Upper Valley Urgent Care Center | 121 E Redd Rd, El Paso, TX 79932-1981 |
| Robert K Reed | Physician Assistant | Upper Valley Urgent Care Center | 121 E Redd Rd, El Paso, TX 79932-1981 |
| Michelle M Mendoza | Internal Medicine | Internal Medicine Providers of El Paso Pllc | 717 Lakeway Dr, El Paso, TX 79932-3120 |
| Find all physicians in zip 79932 | |||
| City | EL PASO |
| Zip Code | 79932 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | EL PASO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Wilbur Jackson Strader Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.