Brian Wickwire (NPI# 1184622573, PAC ID# 2668659509) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1184622573 |
PAC ID by PECOS | 2668659509 |
Professional Enrollment ID | I20110602000190 |
Full Name | Brian Wickwire |
Organization Legal Name | NUESTRA CLINICA DEL VALLE, INC. |
Address |
1500 W 1st St Mercedes TX 78570-2551 |
Phone Number | 9565653191 |
Gender | M |
Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1992 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 8921916552 |
Number of Group Practice Members | 20 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450869 | DOCTORS HOSPITAL AT RENAISSANCE |
450119 | SOUTH TEXAS HEALTH SYSTEM |
450654 | STARR COUNTY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1500 W 1st St, Mercedes, TX 78570-2551 | 9565653191 | NUESTRA CLINICA DEL VALLE, INC. |
801 W 1st St, San Juan, TX 78589-2276 | 9567878915 | NUESTRA CLINICA DEL VALLE, INC. |
Organization Legal Name | NUESTRA CLINICA DEL VALLE, INC. |
Physicians | 20 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juan Jose Carrales | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Monica Javier Reyna | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 105 S 10th St, Donna, TX 78537-3201 |
Manika Jha | Family Medicine | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
Judith Wojtowicz | Nurse Practitioner | Nuestra Clinica Del Valle, Inc. | 1518 E Santa Rosa, Nuestra Clinica Del Valle, Edcouch, TX 78538 |
Anna L Alquiza | Internal Medicine | Nuestra Clinica Del Valle, Inc. | 611 N Bryan Rd, Mission, TX 78572-6285 |
Christopher Schofield | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Rosa A Vallejo-loza | Nurse Practitioner | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
Jessenya L Falcon | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Ventzislav D Vanguelov | Obstetrics/gynecology | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
Cynthia M Rios | Nurse Practitioner | Nuestra Clinica Del Valle, Inc. | 801 W 1st St, San Juan, TX 78589-2276 |
Street Address |
1500 W 1ST ST |
City | MERCEDES |
State | TX |
Zip | 78570-2551 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juan Jose Carrales | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Christopher Schofield | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Robert T Vallandingham | Chiropractic | 1500 W 1st St, Sulphur, OK 73086-2612 | |
Jessenya L Falcon | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Anna C Munoz | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Andrew M Mcneely | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Raven Elise Chavez | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Yolanda E Gonzalez | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Timothy K Peterson | Physician Assistant | Nuestra Clinica Del Valle, Inc. | 1500 W 1st St, Mercedes, TX 78570-2551 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hector Munoz | Family Medicine | University of Texas Rio Grande Valley | 2810 W Expressway, 83 Knapp Family Practice Residency Clinic, Mercedes, TX 78570 |
Laura E Manzanilla Luberti | Family Medicine | University of Texas Rio Grande Valley | 2810 W Expressway, 83 Knapp Family Practice Residency Clinic, Mercedes, TX 78570 |
Goldie D Strader | Nurse Practitioner | University of Texas Rio Grande Valley | 2810 W Expressway, 83 Knapp Family Practice Residency Clinic, Mercedes, TX 78570 |
Pedro J Penalo | Internal Medicine | Pedro J. Penalo, M.d., P.a. | 330 N Ohio Ave, Mercedes, TX 78570-2728 |
Alejandro Bocanegra | Family Medicine | Pedro J. Penalo, M.d., P.a. | 330 N Ohio Ave, Mercedes, TX 78570-2728 |
Annabelle Lopez | Obstetrics/gynecology | 342 S Texas Ave, Mercedes, TX 78570-3126 | |
Jorge L Kutugata | Pediatric Medicine | 8030 N Fm, 1015 Suite B, Mercedes, TX 78570-4809 |
City | MERCEDES |
Zip Code | 78570 |
Specialty | INTERNAL MEDICINE |
City + Specialty | MERCEDES + INTERNAL MEDICINE |
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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.